ACLS Post Test (copy) * Questions And Answers Graded
(A+)*
You are caring for a patient with a suspected stroke whose symptoms started
2 hours ago. The CT was normal with no sign of hemorrhage. The patient
does not have any contraindications to fibrinolytic therapy. Which treatment
is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result Correct ans - a. start fibrinolytic therapy ASAP
For STEMI pt, maximum goal time for ED door-to-balloon-inflation time for
PCI?
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins Correct ans - d. 90 mins
Which is the recommended oral dose of aspirin for a patient with suspected
acute coronary syndrome?
a. 81 mg
b. 325-650 mg
c. 160-325 mg
d. 40 mg Correct ans - c. 160-325 mg
chest compressions during for adult rate
a. 40-60/min
b. 60-80/min
c. 80-100/min
d. 100-120/min Correct ans - d. 100-120/min
What is the effect of excessive ventilation?
a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return Correct ans - a. decreased cardiac output
temperature to achieve targeted temperature management after cardiac
arrest
a. 30-34C
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, b. 32-36C
c. 36-40C
d. 38-42C Correct ans - b. 32-36C
3 mins into cardiac arrest resuscitation attempt, one member of your team
inserts an endotracheal tube while another performs chest compressions.
Capnography shows a persistent waveform & a PETCO2 of 8mmHg. What is
the significance of the finding?
a. chest compression may not be effective
b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
d. the patient meets the criteria for termination of efforts Correct ans -
a. chest compression may not be effective
Your patient is in cardiac arrest and has been intubated. To assess CPR
quality, you should?
a. obtain a chest x-ray
b. check the patient's pulse
c. monitor the patient's PETCO2
d. obtain a 12-lead ECG Correct ans - c. monitor the patient's PETCO2
In addition to clinical assessment, which is the most reliable method to
confirm & monitor correct placement of an endotracheal tube?
a. arterial blood gas
b. hemoglobin levels
c. chest radiography
d. continuous waveform capnography Correct ans - d. continuous
waveform capnography
A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic, and
cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. Correct ans -
answer has to do with acute coronary syndrome
A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic, and
cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. When applied, the
cardiac monitor initially showed ventricular tachycardia, which then quickly
changed to ventricular fibrillation.
This study source was downloaded by 100000857300661 from CourseHero.com on 12-24-2022 02:18:05 GMT -06:00
https://www.coursehero.com/file/179949602/ACLS-Post-Testdocx/
(A+)*
You are caring for a patient with a suspected stroke whose symptoms started
2 hours ago. The CT was normal with no sign of hemorrhage. The patient
does not have any contraindications to fibrinolytic therapy. Which treatment
is best?
a. start fibrinolytic therapy ASAP
b. hold fibrinolytic therapy for 24 hours
c. order an echo before fibrinolytic administration
d. wait for MRI result Correct ans - a. start fibrinolytic therapy ASAP
For STEMI pt, maximum goal time for ED door-to-balloon-inflation time for
PCI?
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins Correct ans - d. 90 mins
Which is the recommended oral dose of aspirin for a patient with suspected
acute coronary syndrome?
a. 81 mg
b. 325-650 mg
c. 160-325 mg
d. 40 mg Correct ans - c. 160-325 mg
chest compressions during for adult rate
a. 40-60/min
b. 60-80/min
c. 80-100/min
d. 100-120/min Correct ans - d. 100-120/min
What is the effect of excessive ventilation?
a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return Correct ans - a. decreased cardiac output
temperature to achieve targeted temperature management after cardiac
arrest
a. 30-34C
This study source was downloaded by 100000857300661 from CourseHero.com on 12-24-2022 02:18:05 GMT -06:00
https://www.coursehero.com/file/179949602/ACLS-Post-Testdocx/
, b. 32-36C
c. 36-40C
d. 38-42C Correct ans - b. 32-36C
3 mins into cardiac arrest resuscitation attempt, one member of your team
inserts an endotracheal tube while another performs chest compressions.
Capnography shows a persistent waveform & a PETCO2 of 8mmHg. What is
the significance of the finding?
a. chest compression may not be effective
b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
d. the patient meets the criteria for termination of efforts Correct ans -
a. chest compression may not be effective
Your patient is in cardiac arrest and has been intubated. To assess CPR
quality, you should?
a. obtain a chest x-ray
b. check the patient's pulse
c. monitor the patient's PETCO2
d. obtain a 12-lead ECG Correct ans - c. monitor the patient's PETCO2
In addition to clinical assessment, which is the most reliable method to
confirm & monitor correct placement of an endotracheal tube?
a. arterial blood gas
b. hemoglobin levels
c. chest radiography
d. continuous waveform capnography Correct ans - d. continuous
waveform capnography
A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic, and
cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. Correct ans -
answer has to do with acute coronary syndrome
A 45M had coronary artery stents placed 2 days ago. Today he is in severe
distress and reporting "crushing" chest discomfort. He is pale, diphoretic, and
cool to the touch. His radial pulse is very weak, blood pressure is 64/40,
respiratory is 28 bpm/min and O2 set is 89% on room air. When applied, the
cardiac monitor initially showed ventricular tachycardia, which then quickly
changed to ventricular fibrillation.
This study source was downloaded by 100000857300661 from CourseHero.com on 12-24-2022 02:18:05 GMT -06:00
https://www.coursehero.com/file/179949602/ACLS-Post-Testdocx/
