ALS/ACLS - Red Cross Final Exam [2023]
Study online at https://quizlet.com/_dbhjsu
1. A patient with dyspnea and a change in mental status arrives at the emer-
gency department. The healthcare team completes the necessary assessments
and begins to care for the patient, including initiating cardiac monitoring, pulse
oximetry, supplemental oxygen and vascular access. The team reviews the
patient's ECG rhythm strip, as shown in the following figure. Which agent would
the team most likely administer?: Atropine 1 mg every 3 to 5 minutes
2. A patient with bradycardia and signs of hemodynamic compromise does not
respond to atropine. Which interventions could the healthcare provider use
next?: Epinephrine or dopamine infusion
Transcutaneous pacing
3. The resuscitation team suspects that hyperkalemia is the cause of cardiac
arrest in a patient brought to the emergency department. Which finding on a
12-lead ECG would confirm this suspicion?: Wide-complex ventricular rhythm and tall, peaked T
waves
4. A patient's ECG reveals a tachyarrhythmia. The patient is hemodynamically
stable and has a heart rate ranging from 120 to 135 beats per minute. Based
on the findings of the secondary assessment, which statement(s) by the patient
would the team interpret as a possible contributing cause?: 1. "I've had a terrible cold
with a horrible cough and today I developed a fever."
2. "I've been so anxious lately because I just lost my job."
3. "I've been vomiting for the past 2 days from a gastrointestinal bug."
5. A patient's ECG reveals a narrow QRS complex with a regular rhythm, in-
dicating a narrow-complex supraventricular tachyarrhythmia. The patient is
not showing signs of hemodynamic compromise. Which intervention would be
initiated first if it does not delay other interventions?: Vagal maneuvers
6. A patient in the telemetry unit is stable. Cardiac monitoring indicates the
patient has ventricular tachycardia with a pulse. Further assessment reveals
that the corrected QT interval is greater than 0.46 seconds. Which treatment
would be appropriate at this time?: Synchronized cardioversion
7. An ECG strip of a patient in the emergency department reveals the following
rhythm. Which feature would the healthcare provider interpret as indicating
atrial fibrillation?: Absence of discrete P waves and presence of irregularly irregular QRS complexes
1/9
, ALS/ACLS - Red Cross Final Exam [2023]
Study online at https://quizlet.com/_dbhjsu
8. A patient is brought into the emergency department. The patient does not
have a pulse. The cardiac monitor shows the following rhythm. The team
interprets this as which condition?: Ventricular tachycardia
9. A patient with acute renal failure experiences cardiac arrest. Just before the
cardiac arrest, the patient's ECG showed peaked T waves. What might be
causing the patient's cardiac arrest?: Hyperkalemia
10. A member of the resuscitation team is preparing to defibrillate a patient
in cardiac arrest using a biphasic defibrillator. The team member would set
the energy dose according to the manufacturer's recommendations, which is
usually:: 120 to 200 joules
11. A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each
medication administration with a bolus of fluid. How much would the team
member give?: 10 to 20 mL
12. A 30-year-old patient has been brought to the emergency department in full
cardiac arrest. The cardiac monitor shows the following rhythm. Interpretation
of this rhythm would suggest which of the following as a possible precipitating
factor?: Electrocution
13. Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrilla-
tion. In addition to high quality CPR, what intervention should be a priority for
the team?: Administer 1 shock.
14. A patient has experienced return of spontaneous circulation (ROSC) after
cardiac arrest. The healthcare team is conducting a secondary assessment
to determine the possible cause of the patient's cardiac arrest. Before the
arrest, the patient exhibited jugular venous distension, cyanosis, apnea and
hyperresonance on percussion. The patient was also difficult to ventilate during
the response. The team would most likely suspect which condition as the
cause?: Tension pneumothorax
15. A patient in cardiac arrest experiences return of spontaneous circulation. As
part of post-cardiac arrest care, the patient is receiving mechanical ventilation
at the initial rate 10 breaths/min and a fraction of inspired oxygen (FiO2) of 0.30.
Which finding(s) would indicate the need for change in the ventilator settings
2/9
Study online at https://quizlet.com/_dbhjsu
1. A patient with dyspnea and a change in mental status arrives at the emer-
gency department. The healthcare team completes the necessary assessments
and begins to care for the patient, including initiating cardiac monitoring, pulse
oximetry, supplemental oxygen and vascular access. The team reviews the
patient's ECG rhythm strip, as shown in the following figure. Which agent would
the team most likely administer?: Atropine 1 mg every 3 to 5 minutes
2. A patient with bradycardia and signs of hemodynamic compromise does not
respond to atropine. Which interventions could the healthcare provider use
next?: Epinephrine or dopamine infusion
Transcutaneous pacing
3. The resuscitation team suspects that hyperkalemia is the cause of cardiac
arrest in a patient brought to the emergency department. Which finding on a
12-lead ECG would confirm this suspicion?: Wide-complex ventricular rhythm and tall, peaked T
waves
4. A patient's ECG reveals a tachyarrhythmia. The patient is hemodynamically
stable and has a heart rate ranging from 120 to 135 beats per minute. Based
on the findings of the secondary assessment, which statement(s) by the patient
would the team interpret as a possible contributing cause?: 1. "I've had a terrible cold
with a horrible cough and today I developed a fever."
2. "I've been so anxious lately because I just lost my job."
3. "I've been vomiting for the past 2 days from a gastrointestinal bug."
5. A patient's ECG reveals a narrow QRS complex with a regular rhythm, in-
dicating a narrow-complex supraventricular tachyarrhythmia. The patient is
not showing signs of hemodynamic compromise. Which intervention would be
initiated first if it does not delay other interventions?: Vagal maneuvers
6. A patient in the telemetry unit is stable. Cardiac monitoring indicates the
patient has ventricular tachycardia with a pulse. Further assessment reveals
that the corrected QT interval is greater than 0.46 seconds. Which treatment
would be appropriate at this time?: Synchronized cardioversion
7. An ECG strip of a patient in the emergency department reveals the following
rhythm. Which feature would the healthcare provider interpret as indicating
atrial fibrillation?: Absence of discrete P waves and presence of irregularly irregular QRS complexes
1/9
, ALS/ACLS - Red Cross Final Exam [2023]
Study online at https://quizlet.com/_dbhjsu
8. A patient is brought into the emergency department. The patient does not
have a pulse. The cardiac monitor shows the following rhythm. The team
interprets this as which condition?: Ventricular tachycardia
9. A patient with acute renal failure experiences cardiac arrest. Just before the
cardiac arrest, the patient's ECG showed peaked T waves. What might be
causing the patient's cardiac arrest?: Hyperkalemia
10. A member of the resuscitation team is preparing to defibrillate a patient
in cardiac arrest using a biphasic defibrillator. The team member would set
the energy dose according to the manufacturer's recommendations, which is
usually:: 120 to 200 joules
11. A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each
medication administration with a bolus of fluid. How much would the team
member give?: 10 to 20 mL
12. A 30-year-old patient has been brought to the emergency department in full
cardiac arrest. The cardiac monitor shows the following rhythm. Interpretation
of this rhythm would suggest which of the following as a possible precipitating
factor?: Electrocution
13. Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrilla-
tion. In addition to high quality CPR, what intervention should be a priority for
the team?: Administer 1 shock.
14. A patient has experienced return of spontaneous circulation (ROSC) after
cardiac arrest. The healthcare team is conducting a secondary assessment
to determine the possible cause of the patient's cardiac arrest. Before the
arrest, the patient exhibited jugular venous distension, cyanosis, apnea and
hyperresonance on percussion. The patient was also difficult to ventilate during
the response. The team would most likely suspect which condition as the
cause?: Tension pneumothorax
15. A patient in cardiac arrest experiences return of spontaneous circulation. As
part of post-cardiac arrest care, the patient is receiving mechanical ventilation
at the initial rate 10 breaths/min and a fraction of inspired oxygen (FiO2) of 0.30.
Which finding(s) would indicate the need for change in the ventilator settings
2/9
