AHA ACLS Written Test 2023

You receiving a radio report from an EMS team enroute with a pt. who may be having a stroke. The hospital CT scanner is broken. What should you do? correct answer Divert the pt. to a hospital 15 min away with CT capabilities. Choose an appropriate indication to stop or withhold resuscitate efforts. correct answer Evidence of rigor mortis. A 49 y/of maile arrives in the ER with persistent epigastric pain. She has been taking antacids PO for the past 6 hours because she she had heartburn. BP is 118/72, heart rate is 92/min, resp. rate is 14 nonlabored and O2 sat is 96%. What is the most appropriate next action? correct answer Obtain a 12 lead ECG. A pt. in respiratory failure becomes apneic but continues to have a strong pulse. The heart rate is dropping paridly and now shows a sinus brady rate at 30/min. What intervention has the highest priority? correct answer Simple airway maneuvers and assisted ventilations. What is the appropriate procedure for ET suctioning after the catheter is selected? correct answer Suction during withdrawal, but not for longer than 10 seconds. While treating a stable pt for dizziness, a BP of 68/30, cool and clammy, you see a brady rhythm on the ECG. How do you treat this? correct answer Atropine 0.5mg A 68 y/o female pt. experienced a sudden onset of right arm weakness. BP is 140/90, pulse is 78/min, resp rate is non-labored 14/min, 02 sat is 97%. Lead 2 in the ECG shows a sinus rythm. What would be your next action? correct answer Cinncinati Stroke Scale You are transporting a pt. with a positive stroke assessment. BP is 138, pulse is 80/min, resp rate is 12/min, 02 sat is 95% room air. Glucose levels are normal and the ECG shows a sinus rythm. What is next. correct answer Head CT scan What is the proper ventilation rate for a pt. in cardiac arrest who has an advanced airway in place? correct answer8-10 breaths per minute A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB. BP is 142/98, pulse rate is 200/min, reps rate is 14/min, O2 sats are 95 at room air. What should be the next evaluation? correct answer Obtain a 12 lead ECG. You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale, diaphoretic, and slow to respond to your questions. BP is 58/32, pulse is 190/min, resp rate is 18, and you are unable to obtain an 02 sat due to no radial pulse. The ECG shows a wide complex tach rhythm. What intervention should be next? correct answer Synchronized cardioversion. What is the initial priority for an unconscious pt. with any tachycardia on the monitor? correct answer Determine if a pulse is present. Which rhythm requires synchronized cardioversion? correct answer Unstable SVT What is the recommended dose for adenosine for pt's in refractory, but stable narrow complex tachycardia? correct answer12mg What is the usual post-cardiac arrest target range for PETCO2 who achieves return of spontaneous circulation (ROSC)? correct answer35-40mm Hg Which condition is a contraindication to therapeutic hypothermia during the post-cardiac arrest period for pt's who achieve return of spontaneous circulation (ROSC)? correct answer Responding to verbal commands What is the potential danger to using ties that pass circumferentially around the pt's neck when securing an advanced airway? correct answer Obstruction of venous return from the brain What is the most reliable method of confirming and monitoring correct placement of an ET tube? correct answer Continuous waveform capnography What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves ROSC but is hypotensive during the post-cardiac arrest period? correct answer1 to 2 Liters What is the minimum systolic BP one should attempt to achieve with fluid, Inotropic, or vasopressor administration in a hypotensive post-cardiac arrest who achieves ROSC? correct answer90mm Hg