One dose of epinephrine was given after the second shock. The most common cause of a stroke is: 41. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. What is the recommended oral dose of aspirin for patients suspected of having one of the acute coronary syndromes? Which best describes the guidelines for antiplatelet and fibrinolytic therapy? 8 to 10 ventilations minute; each ventilation delivered 1 second, b. Basic ACLS Practice Test Improve your ACLS knowledge and skills with our free practice test. The use of lower energy levels (10 to 25 joules), c. Giving calcium chloride before each defibrillation attempt, d. The delivery of shocks in sets of three when a shock is indicated, a. Your patient is stable and blood pressure is 120/80 mm Hg. The next action is to: Give normal Saline 250 mL to 500 ml fluid bolus the rhythm. Epinephrine 3 mg via endotracheal route. V fib 1. IV or IO, A patient has sinus bradycardia with a heart rate of 36/min. 4. 32. Comfy says. 3. Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. Initiate transcutaneous pacing (TCP). He is asymptomatic, with a blood pressure of 110/70 mm Hg. Atropine 1 mg, A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. An IV is in place, and no drugs have been given. You have completed your first 2-minute period of CPR. The patient is intubated, and an IV has been started. Vagal maneuvers have not been effective in terminating. 1. 1. What is your next intervention? What action minimizes the risk of air entering the victim's stomach during-bag mask ventilation? His blood pressure is 180/100 mm Hg. 50. Your next order is: How should this patient be managed? However, if you found this pretest to be successful . Bradycardia requires treatment when: 3. Which of the following is indicated first? What is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients who achieve ROSC? 3. 3. After resuming high-quality compressions, your next action is to: Click the card to flip Definition 1 / 45 A) Monitor the patient's PETCO2 Click the card to flip Flashcards Learn You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. 3. Family members found a 45 year old woman unresponsive in bed. When you arrive at the patients side, you confirm that she is unresponsive. An 80-year-old woman presents to the emergency department with dizziness. Repeat amiodarone 300 mg IV. You are the team leader. 3. What is your next action? KC_WALLS. 3. Definitely not the PALS precourse assessment, ACLS PreTest: Pharmacology and Practical Appl, Julie S Snyder, Linda Lilley, Shelly Collins. The cardiac monitor showed VE The paramedics defibrillated immediately with a successful conversion to a sinus rhythm. She is apprehensive but has no symptoms other than palpitations. She has received adenosine 6 mg IV for the rhythm shown above without conversion of the rhythm. Epinephrine 1 mg IV She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. 1. Resume high-quality chest compressions, What is the maximum interval for pausing chest compressions? A bag-valve-mask device should be equipped with a pop-off (pressure release) valve to overcome increased air resistance in cardiac arrest patients, b. Is given as an initial IV dose Of 300 mg and one repeat dose of 150 mg in cardiac arrest due to pulseless ventricular tachycardia or ventricular fibrillation, b. Morphine sulfate 4 mg IV, How often should you switch chest compressors to avoid fatigue? 2. Atropine 1 mg Her blood pressure is 134/82, pulse 180, respirations 18. Blood pressure greater than 180 mm Hg. What is your next order? What minimum speed must an electron have in a liquid with index of refraction 1.541.541.54 in order to radiate? Give atropine 0.5 mg IV 2. Angiotensin-converting-enzyme (ACE) inhibitors: 39. You should: 1. You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. Sodium bicarbonate 50 mEq You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. Start epinephrine 2 to 10 mcg/min. 4. A patient with a possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerin tablets. He now responds by moaning when his name is spoken. Some AEDs are programmed to detect spontaneous movement by the patient or others, b. Continue CPR while the defibrillator is charging. A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. 5. The quiz contains a variety of questions from different cases. He was brought to the emergency department. The patient is confused, and her blood pressure is 88/56 mm Hg. 1. A patient presents with the rhythm below and reports an irregular heartbeat. She is now extremely apprehensive. Bag-mask ventilations are producing visible chest rise, and IV access has been established, Which intervention would be your next action? Patient is experiencing shortness of breath, a BP of 68/50 mmHg, and HR of 190/min. AHA ACLS Practice Test. Seeking expert consultation. A patient has a rapid irregular wide-complex tachycardia. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. What is the first drug/dose to administer? 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. Pulseless Electrical Activity 3. An infusion of 1 to 2 mg/min. She is pale and diaphoretic. You arrive on the scene with the code team. An AED has previously advised "no shock indicated." After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. Perform elective synchronized cardioversion with presedation. Which is the next drug/dose to anticipate to administer? Lidocaine may be lethal if administered for which of the following rhythms? February 15, 2023 at 11: . Next intervention is to, Administer 2 to 4 mg of morphine by slow IV bolus. A rhythm check now finds asystole. One does of epinephrine was given after the second shock. Start The Quiz. The patient suddenly becomes unconscious and has a weak carotid pulse. 4. An IV is in place and no drugs have been given. Return Practice Test Library. The rhythm abnormality is becoming more frequent and increasing in number. 2. . 4. 2020 | All Rights Reserved For soal post test acls 2023 you must go through real exam. Give metoprolol 5 mg IV and repeat if necessary. Begin CPR, starting with high-quality chest compressions. Establish and IV and give vasopressin 40 units. During post-ROSC treatment, the patient becomes unresponsive, with the rhythm shown here. ACLS PreTest Flashcards. The monitor shows a regular wide-complex QRS at a rate of 180/min. 2. Ventricular fibrillation has been refractory to an initial shock. The ventricular rate is 138/min. Substitute clopidogrel 300 mg loading dose. Place an esophageal-tracheal tube or laryngeal mask airway. You see an organized, nonshockable rhythm on the ECG monitor. 5. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. Sodium bicarbonate 50 mEq IV/IO, Which action should you take immediately after providing an AED shock? True or False: Simultaneous, bilateral carotid massage should be attempted to try to slow the heart rate of a stable patient with a narrow-QRS tachycardia before medication administration. You are called to the home of a 2-year-old little boy whose parents are concerned because he "isn't acting right". Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 Explain mathematic question Math understanding that gets you Figure out math equations . What element of effective resuscitation team dynamics does this represent? May help in the delivery Of adequate ventilation With a device by preventing the tongue from blocking the airway, b. Full ACLS access starting at $19.95. Which drug should be given next? 2. A patient has a witnessed loss of consciousness. 1. Blood pressure is 108/70 mm Hg. What is the danger of routinely administering high concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC? At doses recommended for use in cardiac arrest, epinephrine and vasopressin: 9. What is the recommended initial airway management technique? Ventricular fibrillation has been refractory to a second shock. The patient has a history Of congestive heart failure and asthma. 3. A patient's 12-lead ECG was transmitted by the paramedics and showed an acute MI. To assess CPR quality, which should you do? The patient responds to a painful stimulus but does not respond to verbal stimuli. Take our free practice exam and test your knowledge. Dopamine 2 to 20 mcg/kg per minute IV or IO. Do not give aspirin for at least 24 hours if rtPA is administered. You arrive on the scene to find CPR in progress. All material on this website is for reference purposes only and does not represent the actual format, pattern from respective official authority. The monitor shows a regular narrow-complex QRS at a rate of 180/min. During the resuscitation, she received 2 doses of epinephrine 1 mg and 1 does of amiodarone 300 mg IV. Justify your response on the basis of a simple analysis. 2. What would you order for his next medication? vfib 4. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. Is the drug Of choice in the treatment Of symptomatic narrow-QRS bradycardia, c. May result in asystole when given in high doses, d. Is given as a 2- to 20-mcg/kg IV bolus, a. Vagal maneuvers and adenosine rapid IV push, b. Nitroglycerin, morphine, lidocaine Or amiodarone, and aspirin, d. Vagal maneuvers and an amiodarone IV infusion, a. Which action is indicated next? He is asymptomatic, with a blood pressure of 110/70 mm Hg. 3. Adenosine 6 mg 2. Give aspirin 160 to 325 mg chewed immediately. A 58-year-old man is complaining of chest pain. Give atropine 0.5 mg IV. Resume high-quality chest compressions. 2. High-quality chest compressions are being given. Bystanders are performing CPR. Divert the patient to a hospital 15 minutes away with CT capabilities. Give sedation and perform synchronized cardioversion. IV nitroglycerin for 24 hours. Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. Atropine 0.5 mg IV or IO. 4. What is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)? 4. SVT Administer 3 sequential (stacked) shocks at 200 J (biphasic defibrillator). about 3-5 minutes. What is the most important early intervention? He is pulseless and apneic. . If a fully automated AED is used and a shockable rhythm is detected, the AED will instruct the AED operator to press the shock control to deliver a shock, c. Some AEDs have adapters available for many popular manual defibrillators, enabling the AED pads to remain on the patient when patient care is transferred, d. AEDs will recommend a shock for monomorphic ventricular tachycardia, polymorphic ventricular tachycardia, and ventricular fibrillation, a. She has an IV in place. You arrive on the scene to find a 56-year-old diabetic woman with dizziness. An IV is in pace. The physiologic reason for ventricular filling time, which frequently this is that increases in heart rate result in results in stroke volume. She now states she is asymptomatic after walking around. The cardiac monitor reveals ventricular fibrillation. There are a total of 50 Self Assessment questions on Pharmacology, Rhythm. 2. A 53-year-old man has shortness of breath, chest discomfort, and weakness. 3. Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 Average satisfaction rating 4.8/5. Full ACLS access starting at $19.95. Which intervention is most appropriate for the treatment of a patient in asystole? You ask about symptoms and he reports that he has mild palpitations, but otherwise he is clinically stable with unchanged vital signs. a. 3.Give 325 mg enteric-coated aspirin rectally. B. What is the next appropriate intervention? Give atropine 1 mg IV 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.
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