ACLS Exam PREP B/50
Questions and Answers/Latest
Update/Verified
What should be done to minimize interruptions in chest compressions
during CPR? - -Continue CPR while the defibrillator is charging.
-which condition is an indication to stop or withhold resuscitative
efforts? - -Safety threat to providers.
-After verifying the absence of a pulse, you initiate CPR with adequate
bag-mask ventilation. The patient's lead II ECG appears below. What is
your next action? (strip missing displays PEA) - -IV or IO access
-After verifying unresponsiveness and abnormal breathing, you activate
the emergency response team. What is your next action? - -Check for
pulse
-What is the recommendation on the use of cricoid pressure to prevent
aspiration during cardiac arrest? - -Not recommended for routine use
-What survival advantages does CPR provide to a patient in ventricular
fibrillation? - -Produces a small amount of blood flow to the heart.
-What is the recommended compression rate for performing CPR? - -At
least 100 per minute
-EMS personnel arrive to find a patient in cardiac arrest. Bystanders are
performing CPR. After attaching a cardiac monitor, the responder
observes the following rhythm strip. What is the most important early
intervention? (strip missing displays Ventricular fibrillation) - -
Defibrillation
-A patient remains in ventricular fibrillation despite 1 shock and 2
minutes of continuous CPR. - -Administer a 2nd shock
-What is the recommended next step after a defibrillation attempt? - -
Begin CPR, starting with chest compressions.
-Which of the following is the recommended first choice for establishing
intravenous access during the attempted resuscitation of a patient in
cardiac arrest? - -Antecubital
-What is the recommended first intravenous dose of aAmiodarone for a
patient with refractory ventricular fibrillation? - -300mg
, -IV/IO drug administration during CPR should be - -given rapidly during
compressions
-How often should the team leader switch chest compressors during a
resuscitation attempt? - -Every 2 minutes
-Which finding is a sign of ineffective CPR? - -PETCO2 <10 mm Hg
-A team leader orders 1mg of epinephrine, and a team member
verbally acknowledges when the medication is administered. What
element of effective resuscitation team dynamics does this represent? -
-Closed-loop communication
-How long should it take to perform a pulse check during the BLS
survey? - -5-10 seconds
-Your team arrives to find a 59-year-old man lying on the kitchen floor.
You determine that he is unresponsive and notice that he is taking
agonal breaths. What is the next step in your assessment and
management of this patient? - -Check the patient's pulse
-Which treatment or medication is appropriate for the treatment of a
patient in asystole? - -Epinephrine
-An AED advises a shock for a pulseless patient lying in snow. What is
the next action? - -Administer the shock immediately and continue as
directed by the AED.
-What is the minimum depth of chest compressions for an adult in
cardiac arrest? - -2 inches
-A patient with pulseless ventricular tachycardia is defibrillated. What is
the next action? - -Start chest compressions at a rate of at least
100/min.
-You have completed your first 2-minute period of CPR. You see an
organized, nonshockable rhythm on the ECG monitor. What is the next
action? - -Have a team member attempt to palpate a carotid pulse.
-Emergency medical responders are unable to obtain a peripheral IV for
a patient in cardiac arrest. What is the next most preferred route for
drug administration? - -Intraosseous (IO)
-What is the appropriate rate of chest compressions for an adult in
cardiac arrest? - -At least 100/min
-You are receiving a radio report from an EMS team en route with a
patient who may be having an acute stroke. The hospital CT scanner is
not working at this time. What should you do in this situation? - -Divert
the patient to a hospital 15 minutes away with CT capabilities .
Questions and Answers/Latest
Update/Verified
What should be done to minimize interruptions in chest compressions
during CPR? - -Continue CPR while the defibrillator is charging.
-which condition is an indication to stop or withhold resuscitative
efforts? - -Safety threat to providers.
-After verifying the absence of a pulse, you initiate CPR with adequate
bag-mask ventilation. The patient's lead II ECG appears below. What is
your next action? (strip missing displays PEA) - -IV or IO access
-After verifying unresponsiveness and abnormal breathing, you activate
the emergency response team. What is your next action? - -Check for
pulse
-What is the recommendation on the use of cricoid pressure to prevent
aspiration during cardiac arrest? - -Not recommended for routine use
-What survival advantages does CPR provide to a patient in ventricular
fibrillation? - -Produces a small amount of blood flow to the heart.
-What is the recommended compression rate for performing CPR? - -At
least 100 per minute
-EMS personnel arrive to find a patient in cardiac arrest. Bystanders are
performing CPR. After attaching a cardiac monitor, the responder
observes the following rhythm strip. What is the most important early
intervention? (strip missing displays Ventricular fibrillation) - -
Defibrillation
-A patient remains in ventricular fibrillation despite 1 shock and 2
minutes of continuous CPR. - -Administer a 2nd shock
-What is the recommended next step after a defibrillation attempt? - -
Begin CPR, starting with chest compressions.
-Which of the following is the recommended first choice for establishing
intravenous access during the attempted resuscitation of a patient in
cardiac arrest? - -Antecubital
-What is the recommended first intravenous dose of aAmiodarone for a
patient with refractory ventricular fibrillation? - -300mg
, -IV/IO drug administration during CPR should be - -given rapidly during
compressions
-How often should the team leader switch chest compressors during a
resuscitation attempt? - -Every 2 minutes
-Which finding is a sign of ineffective CPR? - -PETCO2 <10 mm Hg
-A team leader orders 1mg of epinephrine, and a team member
verbally acknowledges when the medication is administered. What
element of effective resuscitation team dynamics does this represent? -
-Closed-loop communication
-How long should it take to perform a pulse check during the BLS
survey? - -5-10 seconds
-Your team arrives to find a 59-year-old man lying on the kitchen floor.
You determine that he is unresponsive and notice that he is taking
agonal breaths. What is the next step in your assessment and
management of this patient? - -Check the patient's pulse
-Which treatment or medication is appropriate for the treatment of a
patient in asystole? - -Epinephrine
-An AED advises a shock for a pulseless patient lying in snow. What is
the next action? - -Administer the shock immediately and continue as
directed by the AED.
-What is the minimum depth of chest compressions for an adult in
cardiac arrest? - -2 inches
-A patient with pulseless ventricular tachycardia is defibrillated. What is
the next action? - -Start chest compressions at a rate of at least
100/min.
-You have completed your first 2-minute period of CPR. You see an
organized, nonshockable rhythm on the ECG monitor. What is the next
action? - -Have a team member attempt to palpate a carotid pulse.
-Emergency medical responders are unable to obtain a peripheral IV for
a patient in cardiac arrest. What is the next most preferred route for
drug administration? - -Intraosseous (IO)
-What is the appropriate rate of chest compressions for an adult in
cardiac arrest? - -At least 100/min
-You are receiving a radio report from an EMS team en route with a
patient who may be having an acute stroke. The hospital CT scanner is
not working at this time. What should you do in this situation? - -Divert
the patient to a hospital 15 minutes away with CT capabilities .
