AHA ACLS Written Test/92
Questions and Answers/2023-
2024/A+ Rated
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.
Identification of Chest Discomfort Suggestive of Ischemia
-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 pt.with
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.
-The use of quantitative capnography in intubated pt's does what? - -
Allowsfor monitoring CPR quality
-For the past 25 min, EMS crews have attempted resuscitation of a pt
who originally presented with V-FIB. After the 1st shock, the ECG screen
displayed asystole which has persisted despite 2 doses of epi, a fluid
bolus, and high quality CPR. What is your next treatment? - -Consider
terminating resuscitive efforts after consulting medical control.
-Which is a safe and effective practice within the defibrillation
sequence? - -Be sure O2 is NOT blowing over the pt's chest during
shock.
-During your assessment, your pt suddenly loses consciousness. After
calling for help and determining that the pt. is not breathing, you are
unsure whether the pt. has a pulse. What is your next action? - -Begin
chest compressions.
-What is an advantage of using hands-free d-fib pads instead of d-fib
paddles? - -Hands-free allows for more rapid d-fib.
-What action is recommended to help minimize interruptions in chest
compressions during CPR? - -Continue CPR while charging the
defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is Charging
-Which action is included in the BLS survey? - -Early defibrillation
-Which drug and dose are recommended for the management of a pt.
in refractory V-FIB? - -Amiodarone 300mg
-What is the appropriate intervalfor an interruption in chest
compressions? - -10 seconds or less
-Which of the following is a sign of effective CPR? - -PETCO2 = or >
10mm Hg
-What is the purpose of a medical emergency team (MET) or rapid
response team? - -Improving patient outcomes by identifying and
treating early clinical deterioration.
Questions and Answers/2023-
2024/A+ Rated
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.
Identification of Chest Discomfort Suggestive of Ischemia
-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 pt.with
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.
-The use of quantitative capnography in intubated pt's does what? - -
Allowsfor monitoring CPR quality
-For the past 25 min, EMS crews have attempted resuscitation of a pt
who originally presented with V-FIB. After the 1st shock, the ECG screen
displayed asystole which has persisted despite 2 doses of epi, a fluid
bolus, and high quality CPR. What is your next treatment? - -Consider
terminating resuscitive efforts after consulting medical control.
-Which is a safe and effective practice within the defibrillation
sequence? - -Be sure O2 is NOT blowing over the pt's chest during
shock.
-During your assessment, your pt suddenly loses consciousness. After
calling for help and determining that the pt. is not breathing, you are
unsure whether the pt. has a pulse. What is your next action? - -Begin
chest compressions.
-What is an advantage of using hands-free d-fib pads instead of d-fib
paddles? - -Hands-free allows for more rapid d-fib.
-What action is recommended to help minimize interruptions in chest
compressions during CPR? - -Continue CPR while charging the
defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is Charging
-Which action is included in the BLS survey? - -Early defibrillation
-Which drug and dose are recommended for the management of a pt.
in refractory V-FIB? - -Amiodarone 300mg
-What is the appropriate intervalfor an interruption in chest
compressions? - -10 seconds or less
-Which of the following is a sign of effective CPR? - -PETCO2 = or >
10mm Hg
-What is the purpose of a medical emergency team (MET) or rapid
response team? - -Improving patient outcomes by identifying and
treating early clinical deterioration.
