Breathing is shallow at 8 to 12 breaths/minute. He is pulseless and apneic. About Us; ACLS & BLS Courses; 1-484-464-2882 1-484-464-2882 Scan to call; Login; PMT Pretests. 3. Two shocks have been delivered, and an IV has been initiated. 2. You can check the answers after each of the . 51 terms. In which situation does bradycardia require treatment? 3. Atropine 0.5 mg IV ACLS PreTest: Pharmacology and Practical Application Study with Quizlet and memorize flashcards containing terms like A patient is in refractory ventricular fibrillation. Polymorphic Ventricular Tachycardia 7. 4. The ACLS Medical Training practice tests provide an overview of the types of questions you will face on the certification exams. A quick glance at the cardiac monitor reveals the rhythm below. Acls pretest answers 2021 quizlet - Study with Quizlet and memorize flashcards containing terms like 3 AV block p and qrs completely separate, Pulseless. Patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. What is the initial does of atropine? ST Elevation 1 mg/kg IV push. Epinephrine 1 mg IV What is your next action? The quiz contains a variety of questions from different cases. Seeking expert consultation A patient is in cardiac arrest. Free acls quizes to pass pretest for acls with answers. A rhythm check now finds asystole. Your best course Of action in this situation will be to: 40. 10 seconds She has received adenosine 6 mg IV for the rhythm shown here, without conversion of the rhythm. about 3-5 minutes. 3. The patient has a history Of congestive heart failure and asthma. Giving breaths over 1 second 2. Begin ventilating with a bag-valve-mask, d. Insert an endotracheal tube, Cornbitube. The actual exam may differ from our materials. 4. The monitor shows a regular narrow-complex QRS at a rate of 180/min. High quality compressions are given. How often should the team leader switch chest compressors during a resuscitation attempt? We have selected 20 questions (10 questions for BLS) that cover many topics which will be tested on the certification examination. What assessment step is most important now? Your patient is stable and blood pressure is 120/80 mm Hg. 1. Perform immediate unsynchronized cardioversion. True or False: Rapid, wide-QRS rhythms associated with pulselessness, shock, or congestive heart failure should be presumed to be ventricular tachycardia. ACLS EXAM PACKET FOR VERSIONS A AND B COMP,LETE WITH A TEST BANK AND EXAM PACK FOR BOTH VERSIONS LATEST UPDATE NOVEMBER 2022. Vasopressin 40 units 3. You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. You are monitoring the patient and note the rhythm below on the cardiac monitor. ACLS PreTest, ACLS PreTest: Pharmacology and A pt is in cardiac arrest. What drug should be administered IV? Vasopressin may be used in the management of: 3. If no head or neck trauma is suspected, Which Of the following techniques should healthcare professionals to open the airway? What is the next appropriate intervention? . AHA ACLS Practice Test. 3.Give 325 mg enteric-coated aspirin rectally. 36. Her blood pressure is 120/78 mm Hg. What is the recommended compression rate for performing CPR? His level Of consciousness suddenly decreased as an alarm sounded on the monitor. The two small spheres of mass m each are connected by the light rigid rod which lies in the x-z plane. Vasopressin 20 units A patient is in cardiac arrest. 4. Resume high-quality chest compressions. The approximate percentage of oxygen delivered by a simple face mask at 8 to 10 L/min is: 20. You observe the rhythm below on the monitor. Begin CPR, starting with high-quality chest compressions. She is now extremely apprehensive. Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? You have placed the patient on oxygen and an IV has been established. Give aspirin 160 mg and clopidogrel 75 mg orally . These quizzes cover the latest PALS algorithms and are designed to test the scenarios you will encounter when practicing PALS. Intubate the patient and give epinephrine 2 to 4 mg via the endotracheal tube. About every 3 minutes d. chemical bonds. Reply. The ACLS Post Test Answer Key quiz and case studies presented as follows are provided to help you integrate the information presented in this chapter. 3. A patient was in refractory ventricular fibrillation. Intubation and administration of 100% oxygen, Your patient is not responsive and is not breathing. The patient is intubated and an IV has been started. 5. What do you administer now? If the area of the plates of a parallel-plate capacitor is doubled while the spacing between the plates is halved, how is the capacitance affected? Oxygen is being administered by nasal cannula at 4 L/min, and an IV line is in place. A second shock is given, and chest compressions are resumed immediately. Start dopamine 10 to 20 mcg/kg per minute. You are monitoring a patient with chest discomfort who suddenly becomes unresponsive. External jugular vein IV/IO drug administration during CPR should be. Blood pressure is 104/70 mm Hg. Successful placement of an endotracheal tube in an adult usually results in the depth marking on the side of the tube lying between the _______ mark at the front teeth. Whether you need help with a product or just have a question, our customer support team is always available to lend a helping hand. A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. A patient is in pulseless ventricular tachycardia. Your immediate next order is: 5. 2. Administer sedation and begin immediate transcutaneous pacing at 80/min. 3. ACLS Pre Test with Answers and Explanations. What do you administer now? Lead II ECG reveals this rhythm. When a shockable rhythm is present during cardiac arrest and a biphasic manual defibrillator is available, the initial energy level selected should be: 23. 3. An IV is in place and no drugs have been given. Asystole now About every 2 minutes A patient has been resuscitated from cardiac arrest. Gain instant access to all of the practice tests, megacode scenarios, and videos. The ventricular rate is 138/min. ACLS Study with Quizlet and memorize flashcards containing terms like Polymorphic ventricular tachycardia, Ventricular fibrillation, Second-degree 24/7 support We're here for you 24/7. 5. Blood pressure greater than 180 mm Hg. Vasopressin can be administered twice during cardiac arrest. The monitor shows a regular wide-QRS at a rate of 180/min. Epinephrine, vasopressin, amiodarone A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. Transport the patient to a facility capable of performing PCI. Gain instant access to all of the practice tests, megacode scenarios, and videos. Sedate and perform synchronized cardioversion. He is being evaluated for another acute stroke. The arrest was not witnessed. What is the next appropriate intervention? After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. 5. Begin CPR, starting with chest compressions. c. The rate should be set between 60 and 80; the current should be increased slowly until capture achieved. Chapter 18: Drug-Nutrient . Continue CPR, start an IV, intubate using the largest endotracheal tube available, and give epinephrine and atropine, c. Stop CPR and attempt transcutaneous pacing, then start an IV and begin a dopamine infusion, d. Attempt synchronized cardioversion using 100 joules; if the rhythm is unchanged, start an IV, and intubate using the largest endotracheal tube available, b. A third shock has just been administered. 3rd Degree Block (Complete Heart Block) 2. Lidocaine 1 mg/kg IV/IO 1. 2. He suddenly gasps a few times and stops breathing. Administer amiodarone 300 mg. 2. AHA ACLS Questions. BP is 130/88 mmHg, HR is 110/min, RR is 22 breaths/min, and pulse oximetry is 95%. Most myocardial infarctions occur because of: Questions 21 through 25 pertain to the following scenario. Your best course Of action at this time will be to: 27. (a) If the duct surface temperature TsT_sTs is less than the gas temperature TgT_gTg, will the thermocouple sense a temperature that is less than, equal to, or greater than TgT_gTg ? 5. 4. Recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest, Performing a head tilt chin lift maneuver. Check the pulse rate 1. Start dopamine at 2 to 10 mcg/kg per minute and titrate to patient response. The patient is confused, and her blood pressure is 110/60 mm Hg. 1. 4. ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, Reentry supraventricular tachycardia, Second-degree AV block (Mobitz II Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator) If no pathway for medication administration is in place, which method is preferred? 5. The most common cause of a stroke is: 41. 4. Give 75 mg enteric-coated aspirin orally. 1. Dose of 1 mg Should be given IV or endotracheally in cardiac arrest due to pulseless electrical activity, c. Is given as a loading dose of 150-mg IV bolus over 10 minutes in cardiac arrest, d. Should be given only if there is a return of spontaneous circulation after cardiac arrest, a. ACLS: FINAL TEST QUESTIONS AND ANSWERS Flashcards | Quizlet ACLS: FINAL TEST QUESTIONS AND ANSWERS 4.8 (13 reviews) Term 1 / 45 2. What should you do in this situation? The CT scan is negative for hemorrhage. February 18, 2023 at 7:37 pm. A patient has a rapid irregular wide-complex tachycardia. Lidocaine may be lethal if administered for which of the following rhythms? The patient is receiving oxygen via nasal cannula at 2L/min, and an IV has been established. A thermocouple junction is inserted in a large duct to calculate the temperature of hot gases flowing through the duct. 4. The drug of choice for most forms of narrow-QRS tachycardia is: 2. Place an esophageal-tracheal tube or laryngeal mask airway. 2. 50 terms. About every 12-14 seconds The patients baseline temperature should be obtained and warming measures should be started until the patients temperature reaches 1010 F, b. Chest compressions should never be interrupted, c. Interruptions in chest compressions to analyze the ECG, Charge the defibrillator, place an advanced airway, check a pulse, or other procedures must be kept to a minimum, d. Chest compressions and ventilations should be interrupted every 3 to 5 minutes to permit the members Of the resuscitation team to change positions, a. Airway, breathing, circulation (ABCs); 02; IV; sedation; and synchronized cardioversion with 200 joules, b. ABCs, 02, IV, vagal maneuvers, and lidocaine 1- to 1.5-mg/kg IV bolus, c. ABCs, 02, IV, and atropine -mg IV every 3 to 5 minutes to a maximum Of 3 mg, d. ABCs, 02, IV, vagal maneuvers, and adenosine 6-mg rapid IV bolus, d. Prepare the to insert an advanced airway, b. A patient is in pulseless ventricular tachycardia. Give aspirin 160 mg and clopidogrel 75 mg orally. 3. What is the recommended dose of epinephrine for the treatment of hypotension in a post-cardiac arrest patient who achieves ROSC? PALS Quizzes 2023 Complete a precourse self-assessment using these PALS pretest examinations. 136 terms. The heart rate has not responded to vagal maneuvers. Team members tell you that the patient was well but reported chest discomfort and then collapsed. Her blood pressure si 128/70mm Hg. Patient is experiencing shortness of breath, a BP of 68/50 mmHg, and HR of 190/min. She is apprehensive but has no symptoms other than palpitations. She is pale and diaphoretic. 1. Lidocaine 0.5 mg/kg, Your patient has been intubated. High-quality CPR is in progress. When you arrive at the patients side, you confirm that she is unresponsive. 3. Repeat amiodarone 150 mg IV. A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60mm Hg. You have completed your first 2-minute period of CPR. Sublingual nitroglycerin 0.4 mg. Question 1: Please identify the rhythm by selecting the best single answer Agonal rhythm/asystole Pulseless electrical activity Atrial fibrillation Reentry supraventricular tachycardia Atrial flutter Second-degree AC block (Mobitz I Wenckebach) Coarse ventricular fibrillation Second-degree AV block (Mobitz II block) Fine ventricular fibrillation Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. Atropine 1 mg Repeat the above problem for a horizontal space filled with water. 1. Which action do you take next? We've all had that dreadful experience where you've studied . Sodium bicarbonate 50 mEq Resume high-quality chest compressions. May help in the delivery Of adequate ventilation With a device by preventing the tongue from blocking the airway, b. The monitor shows a regular wide-complex ORS at a rate of 180/min. Ventricular fibrillation has been refractory to an initial shock. Merci. CPR is in progress. Perform immediate electrical cardioversion. You've reviewed the algorithms, medications and doses, the H's and T's, and case scenarios over and over again. (b) A thermocouple junction in the shape of a 2-mm-diameter sphere with a surface emissivity of 0.600.600.60 is placed in a gas stream moving at 3m/s3 \mathrm{~m} / \mathrm{s}3m/s. A rhythm check now finds asystole. 2. 1. A repeat dose of epinephrine 1 mg IV. An AED advises a shock for a pulseless patient lying in snow. Start rescue breathing, A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. Two shocks and 1 dose of epinephrine have been given. A patient has a witnessed loss of consciousness. The patient is intubated. ACLS Pretest Flashcards. a. 3. 5. Which medication do you order next. 2. Give amiodarone 300 mg IV 3. Give sedation and perform synchronized cardioversion. 46. Administer 3 sequential (stacked) shocks at 200 J (biphasic defibrillator). 1. Administer heparin if CT scan is negative for hemorrhage. Which therapy is now indicated? Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient has increased chest discomfort. When the patient arrives in the emergency department, the rhythm shown here is seen on the cardiac monitor. 3. The gas may be assumed to have the properties of air at atmospheric pressure. He is asymptomatic, with a blood pressure of 110/70 mm Hg. Pulseless electrical activity (PEA) Identify the rhythm. The next action is to: You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. , () ) : (2020-2025 guidelines) Go to Quiz #2. This rhythm is a narrow-QRS tachycardia, a non-shockable rhythm, c. This rhythm is monomorphic ventricular tachycardia, a shockable rhythm, d. This rhythm is a wide-QRS tachycardia, a non-shockable rhythm, d. The dose recommended by the manufacturer for terminating the rhythm, a.
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