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ACLS: FINAL TEST QUESTIONS AND ANSWERS

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You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? Start chest compressions of at least 100 per min. You are evaluating a 58 year old man with chest pain. 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? Obtaining a 12 lead ECG. What is the preferred method of access for epi administration during cardiac arrest in most pts? Peripheral IV An AED does not promptly analyze a rythm. What is your next step? Begin chest compressions. You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the pt. has no pulse. You partner resumes chest compressions and an IV is in place. What management step is your next priority? Administer 1mg of epinepherine During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse. What is the next action? Resume compressions What is acommon but sometimes fatal mistake in cardiac arrest management? Prolonged interruptions in chest compressions. Which action is a componant of high-quality chest comressions? Allowing complete chest recoil Which action increases the chance of successful conversion of ventricular fibrillation? Providing quality 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 CPR on a an advanced airway in place? Provide continuous chest compressionswithout pauses and 10 ventilations per minute. 3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube while another performs 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? Chest compressions may not be effective.

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ACLS: FINAL TEST QUESTIONS AND
ANSWERS
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality,
which should you do? - Answer A) Monitor the patient's PETCO2

3. Which facility is the most appropriate EMS destination for a patient with sudden
cardiac who achieved return of spontaneous circulation in the field? - Answer D)
Coronary reperfusion-capable medical center

4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive
patient? - Answer C) Agonal gasps

6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the
bag? - Answer B) Once every 5 to 6 seconds.

7. In addition to clinical assessment, which is the most reliable method to confirm and
monitor correct placement of an endotracheal tube? - Answer C) Continuous waveform
capnography

8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours
ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have
any contraindications to fibrinolytic therapy. Which treatment is the best for this patient?
- Answer B) Start fibrinolytic therapy as soon as possible.

10. What is the recommended range from which a temperature should be selected and
maintained constantly to achieve targeted temperature management after cardiac
arrest? - Answer C) 32 to 36 Degrees Celsius

11. Which is the recommended first intravenous dose of amiodarone for a patient with
refractory ventricular fibrillation? - Answer D) 300 mg

12. What is the primary of a medical emergency team or rapid response team? -
Answer B) Improving patient outcomes by identifying and treating early clinical
deterioration.

13. What is the recommended next step after a defibrillation attempt? - Answer D)
Resume CPR, starting with chest compressions

14. EMS providers are treating a patient with suspected stroke. According to the Adult
Suspected Stroke Algorithm, which critical action performed by the EMS team will
expedite this patient's care on arrival and reduce the time to treatment? - Answer A)
Alert the hospital.

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