AHA ACLS WRITTEN TEST
You find an unresponsive pt. who is not breathing. After Start chest compressions
activating the emergency response system, you of at least 100 per min.
determine there is no pulse. What is your next action?
You are evaluating a 58 year old man with chest pain. Obtaining a 12 lead ECG.
The BP is 92/50 and a heart rate of 92/min, non-labored
respiratory rate is 14 breaths/min and the pulse O2 is
97%. What assessment step is most important now?
What is the preferred method of access for epi Peripheral IV
administration during cardiac arrest in most pts?
An AED does not promptly analyze a rythm. What is Begin chest compressions.
your next step?
You have completed 2 min of CPR. The ECG monitor Administer 1mg of
displays the lead below (PEA) and the pt. has no pulse. epinepherine
You partner resumes chest compressions and an IV is in
place. What management step is your next priority?
During a pause in CPR, you see a narrow complex Resume compressions
rythm on the monitor. The pt. has no pulse. What is the
next action?
What is acommon but sometimes fatal mistake in Prolonged interruptions in
cardiac arrest management? chest compressions.
Which action is a componant of high-quality chest Allowing complete chest
comressions? recoil
Which action increases the chance of successful Providing quality
conversion of ventricular fibrillation? compressions immediately
before a defibrillation
attempt.
Which situation BEST describes PEA? Sinus rythm without a
pulse
, What is the best strategy for perfoming high-quality Provide continuous chest
CPR on a pt.with an advanced airway in place? compressionswithout
pauses and 10 ventilations
per minute.
3 min after witnessing a cardiac arrest, one memeber Chest compressions may
of your team inserts an ET tube while another performs not be effective.
continuous chest comressions. During subsequent
bentilation, you notice the presence of a wavefom on
the capnogrophy screen and a PETCO2 of 8 mm Hg.
What is the significance of this finding?
The use of quantitative capnography in intubated pt's Allowsfor monitoring CPR
does what? quality
For the past 25 min, EMS crews have Consider terminating
attemptedresuscitation of a pt who originally presented resuscitive efforts after
with V-FIB. After the 1st shock, the ECG screen consulting medical
displayed asystole which has persisted despite 2 doses control.
of epi, a fluid bolus, and high quality CPR. What is your
next treatment?
Which is a safe and effective practice within the Be sure O2 is NOT blowing
defibrillation sequence? over the pt's chest during
shock.
During your assessment, your pt suddenly loses Begin chest compressions.
consciousness. After calling for help and determining
that the pt. is not breathing, you are unsure whether
the pt. has a pulse. What is your next action?
What is an advantage of using hands-free d-fib pads Hands-free allows for
instead of d-fib paddles? more rapid d-fib.
What action is recommended to help minimize Continue CPR while
interruptions in chest compressions during CPR? charging the defibrillator.
Which action is included in the BLS survey? Early defibrillation
Which drug and dose are recommended for the Amioderone 300mg
management of a pt. in refractory V-FIB?
What is the appropriate intervalfor an interruption in 10 seconds or less
You find an unresponsive pt. who is not breathing. After Start chest compressions
activating the emergency response system, you of at least 100 per min.
determine there is no pulse. What is your next action?
You are evaluating a 58 year old man with chest pain. Obtaining a 12 lead ECG.
The BP is 92/50 and a heart rate of 92/min, non-labored
respiratory rate is 14 breaths/min and the pulse O2 is
97%. What assessment step is most important now?
What is the preferred method of access for epi Peripheral IV
administration during cardiac arrest in most pts?
An AED does not promptly analyze a rythm. What is Begin chest compressions.
your next step?
You have completed 2 min of CPR. The ECG monitor Administer 1mg of
displays the lead below (PEA) and the pt. has no pulse. epinepherine
You partner resumes chest compressions and an IV is in
place. What management step is your next priority?
During a pause in CPR, you see a narrow complex Resume compressions
rythm on the monitor. The pt. has no pulse. What is the
next action?
What is acommon but sometimes fatal mistake in Prolonged interruptions in
cardiac arrest management? chest compressions.
Which action is a componant of high-quality chest Allowing complete chest
comressions? recoil
Which action increases the chance of successful Providing quality
conversion of ventricular fibrillation? compressions immediately
before a defibrillation
attempt.
Which situation BEST describes PEA? Sinus rythm without a
pulse
, What is the best strategy for perfoming high-quality Provide continuous chest
CPR on a pt.with an advanced airway in place? compressionswithout
pauses and 10 ventilations
per minute.
3 min after witnessing a cardiac arrest, one memeber Chest compressions may
of your team inserts an ET tube while another performs not be effective.
continuous chest comressions. During subsequent
bentilation, you notice the presence of a wavefom on
the capnogrophy screen and a PETCO2 of 8 mm Hg.
What is the significance of this finding?
The use of quantitative capnography in intubated pt's Allowsfor monitoring CPR
does what? quality
For the past 25 min, EMS crews have Consider terminating
attemptedresuscitation of a pt who originally presented resuscitive efforts after
with V-FIB. After the 1st shock, the ECG screen consulting medical
displayed asystole which has persisted despite 2 doses control.
of epi, a fluid bolus, and high quality CPR. What is your
next treatment?
Which is a safe and effective practice within the Be sure O2 is NOT blowing
defibrillation sequence? over the pt's chest during
shock.
During your assessment, your pt suddenly loses Begin chest compressions.
consciousness. After calling for help and determining
that the pt. is not breathing, you are unsure whether
the pt. has a pulse. What is your next action?
What is an advantage of using hands-free d-fib pads Hands-free allows for
instead of d-fib paddles? more rapid d-fib.
What action is recommended to help minimize Continue CPR while
interruptions in chest compressions during CPR? charging the defibrillator.
Which action is included in the BLS survey? Early defibrillation
Which drug and dose are recommended for the Amioderone 300mg
management of a pt. in refractory V-FIB?
What is the appropriate intervalfor an interruption in 10 seconds or less
