American Red Cross - Advanced Life Support Final Exam = 49 Questions And Answer

Ventricular Tachycardia Correct ans - A patient is being treated in the emergency department and is determined to have NSTE-ACS. Invasive management is planned based on which finding? - Ventricular Tachycardia - Atrial Fibrillation - Ventricular Fibrillation - Atrial Tachycardia On the lower RIGHT abdomen Correct ans - A healthcare provider is establishing cardiac monitoring using a five-electrode system. The healthcare provider demonstrates proper use of the system by placing the green electrode in which location? - Under the left clavicle at the midclavicular line - At the 4th intercostal space, right sternal border - On the lower right abdomen - On the lower left abdomen Atrial Fibrillation Correct ans - The stroke team is assessing a patient with a suspected stroke. The patient is alert and able to carry on a conversation, although the patient has difficulty getting the words out. Testing confirms that the patient has had an ischemic stroke. Based on the patient's medical history, a history of which arrhythmia would alert the team to the patient's increased risk for stroke? - Atrial tachycardia - Atrial fibrillation - Ventricular fibrillation - Bradycardia Pneumothorax Correct ans - 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? - Hypertension - Pneumothorax - Rib Fracture - Esophageal Injury Unstable Angina Correct ans - A patient presents to the emergency department with mild to moderate recurrent chest pain, without any nausea or vomiting. A 12-lead ECG is obtained and shows ST-segment depression with transient T-wave elevation indicative of NSTE-ACS. Cardiac enzyme levels are obtained and are not elevated. These findings suggest which condition? - Non-STEMI - Myocardial Infarction - STEMI - Unstable Angina Visual function, LOC, and Language deficits Correct ans - A patient is brought to the emergency department by their spouse. The spouse says, "I think it's a stroke." The stroke team initiates a rapid stroke assessment using the National Institutes of Health Stroke Scale. Which area(s) would the team include in this assessment? - Visual function - Level of consciousness - Cranial Nerve function - Language deficits - Facial Palsy Atropine 0.5 mg q 4-5 min Correct ans - A patient with dyspnea and a change in mental status arrives at the emergency 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 0.5 mg q 4-5 min - Dopamine 5-10 mcg/min - Epinephrine 2-10 mcg/min - Amiodarone 150 mg over 10 min We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to 120 compressions per minute. Correct ans - 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? 35-40 mmHg Correct ans - A healthcare provider initiates ventilations to ensure adequate breathing and oxygenation. While ventilations are being performed, capnography is established to evaluate the adequacy of the ventilations. The healthcare provider determines that ventilations are adequate based on which end-tidal carbon dioxide (ETCO2) value? - 10-15 mmHg - 20-25 mmHg - 25-30 mmHg - 35-40 mmHg Digoxin, Metoprolol, and Verapamil Correct ans - The ECG rhythm strip of a patient who arrived in the emergency department complaining of dizziness, syncope and shortness of breath reveals sinus bradycardia. When reviewing the patient's medication history, the healthcare provider identifies which agent(s) as a potential cause of the patient's current condition? - Quinapril - Digoxin - Metoprolol - Losartan - Verapamil Hypocalcemia and Hypomagnesemia Correct ans - 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? - Hypochloremia - Hypernatremia - Hypomagnesemia - Hypocalcemia - Hyperkalemia Vagal Maneuvers Correct ans - A patient's ECG reveals a narrow QRS complex with a regular rhythm, indicating a narrow-complex supraventricular tachyarrhythmia. The patient is hemodynamically stable. Which intervention would be initiated first? - Synchronized cardioversion - Sedation - Vagal Maneuvers - Adenosine Administration Administration of an epinephrine infusion Correct ans - A patient experiencing an unstable bradyarrhythmia does not respond to atropine or transcutaneous pacing. Which intervention would the healthcare provider use next? - Synchronized Cardioversion - Carotid Massage - Application of cold stimulus - Administration of an epinephrine infusion PaCO2 35 mmHg, SaO2 92%, and ETCO2 50 mmHg Correct ans - A patient in cardiac arrest experiences return of spontaneous circulation. As part of post-cardiac arrest care, the patient is receiving mechanical ventilation. Which finding(s) would indicate the need for change in the ventilator settings to optimize the patient's ventilation and oxygenation?