ACLS Post Test (copy) 44 QUESTIONS\ WITH
COMPLETE SOLUTIONS
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 answer: 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 answer: 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 answer: 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 answer: 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 answer: a. decreased cardiac output
temperature to achieve targeted temperature management after cardiac arrest
a. 30-34C
b. 32-36C
c. 36-40C
, d. 38-42C correct answer: 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 answer: 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 answer: 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 answer: 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
answer: 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.
WhIn addition to defibrillation, which intervention should be performed immediately?
a. chest compression
b. vasoactive meds
c. vascular access
d. advanced airway correct answer: a. chest compression
COMPLETE SOLUTIONS
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 answer: 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 answer: 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 answer: 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 answer: 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 answer: a. decreased cardiac output
temperature to achieve targeted temperature management after cardiac arrest
a. 30-34C
b. 32-36C
c. 36-40C
, d. 38-42C correct answer: 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 answer: 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 answer: 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 answer: 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
answer: 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.
WhIn addition to defibrillation, which intervention should be performed immediately?
a. chest compression
b. vasoactive meds
c. vascular access
d. advanced airway correct answer: a. chest compression
