New update Final Exam for ACLS graded A solution
A patient experiences cardiac arrest, and the resuscitation team initiates ventilations
using a bag-valve-mask (BVM) resuscitator. The development of which condition during
the provision of care would lead the team to suspect that improper BVM technique is
being used?
Select the correct answer to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension - Pneumothorax
1 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?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL - When administering medications during a cardiac arrest, all medications
administrated through the IV or intraosseous infusion route should be followed by a 10-
to 20-mL fluid bolus.
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
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
Narrow-complex ventricular tachycardia - Wide-complex ventricular rhythm and tall,
peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-complex
ventricular rhythm and tall, peaked T waves.
A patient with an ischemic stroke arrives at the emergency department at 2 a.m. The
patient's symptoms started about 12:30 a.m. After completing the necessary
assessments, the healthcare team diagnoses an ischemic stroke, and the patient is
determined to be a candidate for fibrinolytic therapy. To achieve the best outcomes, the
team should initiate therapy for this patient no later than by which time?
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
, 6:00 a.m.
8:30 a.m. - 1
3:00 a.m.
A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest, and advanced cardiac life support was initiated. The patient required the
placement of an advanced airway to maintain airway patency. Which statement
indicates that the team performed high-quality CPR?
Select the correct answer to this question.
"We kept the rate of chest compressions to around 100 per minute but adjusted their
depth to 1.5 inches while giving 1 ventilation every 3 seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a depth of at
least 2 inches and gave 1 ventilation every 6 seconds."
"We initiated chest compressions at a rate of 100 to 110 per minute to a depth of 2.4
inches and then gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to
120 compressions per minute." - 4
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to
120 compressions per minute."
A patient with a suspected stroke arrives at the emergency department at 7:10 p.m. The
stroke team ensures that a comprehensive neurologic assessment using the National
Institutes of Health Stroke Scale (NIHSS) is completed and that brain imaging is
performed by which time?
7:20 p.m.
7:30 p.m.
7:40 p.m.
7:50 p.m. - 2
Within 20 minutes of the patient's arrival, a comprehensive neurologic assessment
should be completed and brain imaging should be performed. That would be 7:30 p.m.
for this patient.
The emergency department team is providing care to a patient who is experiencing
ventricular tachycardia. The patient's serum electrolyte levels are a contributing cause
of the patient's current condition. Which electrolyte imbalance(s) would most likely be
involved?
Select all correct options that apply.
Hyperkalemia
Hypochloremia
A patient experiences cardiac arrest, and the resuscitation team initiates ventilations
using a bag-valve-mask (BVM) resuscitator. The development of which condition during
the provision of care would lead the team to suspect that improper BVM technique is
being used?
Select the correct answer to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension - Pneumothorax
1 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?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL - When administering medications during a cardiac arrest, all medications
administrated through the IV or intraosseous infusion route should be followed by a 10-
to 20-mL fluid bolus.
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
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
Narrow-complex ventricular tachycardia - Wide-complex ventricular rhythm and tall,
peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-complex
ventricular rhythm and tall, peaked T waves.
A patient with an ischemic stroke arrives at the emergency department at 2 a.m. The
patient's symptoms started about 12:30 a.m. After completing the necessary
assessments, the healthcare team diagnoses an ischemic stroke, and the patient is
determined to be a candidate for fibrinolytic therapy. To achieve the best outcomes, the
team should initiate therapy for this patient no later than by which time?
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
, 6:00 a.m.
8:30 a.m. - 1
3:00 a.m.
A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest, and advanced cardiac life support was initiated. The patient required the
placement of an advanced airway to maintain airway patency. Which statement
indicates that the team performed high-quality CPR?
Select the correct answer to this question.
"We kept the rate of chest compressions to around 100 per minute but adjusted their
depth to 1.5 inches while giving 1 ventilation every 3 seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a depth of at
least 2 inches and gave 1 ventilation every 6 seconds."
"We initiated chest compressions at a rate of 100 to 110 per minute to a depth of 2.4
inches and then gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to
120 compressions per minute." - 4
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to
120 compressions per minute."
A patient with a suspected stroke arrives at the emergency department at 7:10 p.m. The
stroke team ensures that a comprehensive neurologic assessment using the National
Institutes of Health Stroke Scale (NIHSS) is completed and that brain imaging is
performed by which time?
7:20 p.m.
7:30 p.m.
7:40 p.m.
7:50 p.m. - 2
Within 20 minutes of the patient's arrival, a comprehensive neurologic assessment
should be completed and brain imaging should be performed. That would be 7:30 p.m.
for this patient.
The emergency department team is providing care to a patient who is experiencing
ventricular tachycardia. The patient's serum electrolyte levels are a contributing cause
of the patient's current condition. Which electrolyte imbalance(s) would most likely be
involved?
Select all correct options that apply.
Hyperkalemia
Hypochloremia
