American Red Cross-ACLS-Final
A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing
continuous high-quality CPR, what is the other priority intervention for this patient? - correct
answer-Administering epinephrine as early as possible
A patient has experienced return of spontaneous circulation (ROSC) after cardiac arrest.
The healthcare team is conducting a secondary assessment to determine the possible cause
of the patient's cardiac arrest. Before the arrest, the patient exhibited jugular venous
distension, cyanosis, apnea and hyperresonance on percussion. The patient was also
difficult to ventilate during the response. The team would most likely suspect which condition
as the cause? - correct answer-Tension Pneumothorax
A patient with suspected stroke arrives at the emergency department. The patient is
diagnosed with acute ischemic stroke and is a candidate for fibrinolytic therapy. To achieve
the best outcomes, this therapy should be initiated within what time frame? - correct
answer-Within 1 hour of patient's arrival.
A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has a
history of myocardial infarction. The patient's ECG rhythm strip is shown in the following
figure. The provider interprets this strip as indicating which arrhythmia? - correct
answer-Third-degree AV block
A 28-year-old pregnant patient who resides in transitional housing presents to the
emergency department with complaints of feeling feverish and very faint. The patient tells
the emergency nurse that she does not know when she became pregnant. Upon palpation,
the fundus is not at or above the umbilicus. The patient's condition quickly deteriorates and
she goes into cardiac arrest. If available and able to be used without impeding or delaying
the resuscitation effort, what diagnostic tool could be used to guide decision-making in the
care of this patient? - correct answer-Point-of-care ultrasound
Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient
has a pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG
reveals an irregular rhythm with QRS complexes greater than 0.12 second in duration.
Which action would be appropriate at this time? - correct answer-Consider an antiarrhythmic
medication
A responsive patient is choking. What method should the provider use first to clear the
obstructed airway? - correct answer-Back blows
What is the priority intervention for a patient with a narrow-complex tachycardia (160 bpm)
and a blood pressure of 72/48 mmHg? - correct answer-Perform immediate synchronized
cardioversion
, A patient is admitted to the emergency department with signs and symptoms of stroke. The
stroke team should complete a comprehensive neurologic assessment and obtain brain
imaging results within what time frame? - correct answer-Within 20 minutes
Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In addition to
high-quality CPR, what intervention should be a priority for the team? - correct
answer-Defibrillation.
A patient with suspected acute coronary syndromes (ACS) has a pulse oximetry reading of
86% and is given supplemental oxygen. The provider determines that the supplemental
oxygen dose is correct based on which SaO2 level? - correct answer-93%
After cardiac arrest and successful resuscitation, the patient has a return of spontaneous
circulation. The patient is unable to follow verbal commands. Targeted temperature
management is initiated. Which method(s) would be appropriate for the resuscitation team to
use? - correct answer--Applying cooling blankets to the patient's body
-Using an endovascular catheter
-Giving an ice-cold IV fluid bolus
A patient comes to the emergency department complaining of palpitations and "some
shortness of breath." Cardiac monitoring is initiated and reveals the following ECG rhythm
strip. The provider interprets this strip as indicating which arrhythmia? - correct answer-Atrial
flutter
A 35-year-old female patient's ECG is consistent with STEMI. The ECG reveals a new
ST-segment elevation at the J point in leads V2 and V3 of at least which size? - correct
answer-0.15 mV
The following capnogram is from a patient experiencing respiratory distress. At which point
in the waveform would the patient's ETCO2 level be measured? - correct answer-D
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48
mmHg, what interventions should be considered? - correct answer--Initiate a dopamine
infusion
-Administer atropine
-Initiate transcutaneous pacing
A patient arrives at the emergency department complaining of shortness of breath. The
patient has a long history of chronic obstructive pulmonary disease. Assessment reveals
respiratory failure. Which action would be the initial priority to address the respiratory failure?
- correct answer-Assisted ventilation with BVM resuscitator
The ECG rhythm strip of a patient who arrived in the emergency department complaining of
dizziness, syncope and shortness of breath reveals sinus bradycardia. When reviewing the
patient's medication history, the healthcare provider identifies which agent(s) as a potential
cause of the patient's current condition? - correct answer--Verapamil
-Digoxin
-Metoprolol
A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing
continuous high-quality CPR, what is the other priority intervention for this patient? - correct
answer-Administering epinephrine as early as possible
A patient has experienced return of spontaneous circulation (ROSC) after cardiac arrest.
The healthcare team is conducting a secondary assessment to determine the possible cause
of the patient's cardiac arrest. Before the arrest, the patient exhibited jugular venous
distension, cyanosis, apnea and hyperresonance on percussion. The patient was also
difficult to ventilate during the response. The team would most likely suspect which condition
as the cause? - correct answer-Tension Pneumothorax
A patient with suspected stroke arrives at the emergency department. The patient is
diagnosed with acute ischemic stroke and is a candidate for fibrinolytic therapy. To achieve
the best outcomes, this therapy should be initiated within what time frame? - correct
answer-Within 1 hour of patient's arrival.
A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has a
history of myocardial infarction. The patient's ECG rhythm strip is shown in the following
figure. The provider interprets this strip as indicating which arrhythmia? - correct
answer-Third-degree AV block
A 28-year-old pregnant patient who resides in transitional housing presents to the
emergency department with complaints of feeling feverish and very faint. The patient tells
the emergency nurse that she does not know when she became pregnant. Upon palpation,
the fundus is not at or above the umbilicus. The patient's condition quickly deteriorates and
she goes into cardiac arrest. If available and able to be used without impeding or delaying
the resuscitation effort, what diagnostic tool could be used to guide decision-making in the
care of this patient? - correct answer-Point-of-care ultrasound
Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient
has a pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG
reveals an irregular rhythm with QRS complexes greater than 0.12 second in duration.
Which action would be appropriate at this time? - correct answer-Consider an antiarrhythmic
medication
A responsive patient is choking. What method should the provider use first to clear the
obstructed airway? - correct answer-Back blows
What is the priority intervention for a patient with a narrow-complex tachycardia (160 bpm)
and a blood pressure of 72/48 mmHg? - correct answer-Perform immediate synchronized
cardioversion
, A patient is admitted to the emergency department with signs and symptoms of stroke. The
stroke team should complete a comprehensive neurologic assessment and obtain brain
imaging results within what time frame? - correct answer-Within 20 minutes
Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In addition to
high-quality CPR, what intervention should be a priority for the team? - correct
answer-Defibrillation.
A patient with suspected acute coronary syndromes (ACS) has a pulse oximetry reading of
86% and is given supplemental oxygen. The provider determines that the supplemental
oxygen dose is correct based on which SaO2 level? - correct answer-93%
After cardiac arrest and successful resuscitation, the patient has a return of spontaneous
circulation. The patient is unable to follow verbal commands. Targeted temperature
management is initiated. Which method(s) would be appropriate for the resuscitation team to
use? - correct answer--Applying cooling blankets to the patient's body
-Using an endovascular catheter
-Giving an ice-cold IV fluid bolus
A patient comes to the emergency department complaining of palpitations and "some
shortness of breath." Cardiac monitoring is initiated and reveals the following ECG rhythm
strip. The provider interprets this strip as indicating which arrhythmia? - correct answer-Atrial
flutter
A 35-year-old female patient's ECG is consistent with STEMI. The ECG reveals a new
ST-segment elevation at the J point in leads V2 and V3 of at least which size? - correct
answer-0.15 mV
The following capnogram is from a patient experiencing respiratory distress. At which point
in the waveform would the patient's ETCO2 level be measured? - correct answer-D
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48
mmHg, what interventions should be considered? - correct answer--Initiate a dopamine
infusion
-Administer atropine
-Initiate transcutaneous pacing
A patient arrives at the emergency department complaining of shortness of breath. The
patient has a long history of chronic obstructive pulmonary disease. Assessment reveals
respiratory failure. Which action would be the initial priority to address the respiratory failure?
- correct answer-Assisted ventilation with BVM resuscitator
The ECG rhythm strip of a patient who arrived in the emergency department complaining of
dizziness, syncope and shortness of breath reveals sinus bradycardia. When reviewing the
patient's medication history, the healthcare provider identifies which agent(s) as a potential
cause of the patient's current condition? - correct answer--Verapamil
-Digoxin
-Metoprolol
