ACLS post-test
Study online at https://quizlet.com/_cpn3mq
1. A. Call for help and begin chest compressions.: A 48-year-old man became
unresponsive shortly after presenting to you with nausea and generalized chest
discomfort. You observe gasping breathing and are unsure if you feel a pulse. You
should know:
A. Call for help and begin chest compressions.
B. Wait until breathing stops and then check again for a pulse.
C. Begin chest compressions only if you are certain a pulse is absent.
D. Observe the patient for 2 minutes, then reassess his breathing and pulse.
2. C. Bradydysrhythmias: Which of the following is the most likely complication of
inferior wall myocardial infarction (MI)?
A. Cardiogenic shock
B. Ventricular rupture
C. Bradydysrhythmias
D. Tachydysrhythmias
3. D. Procainamide or amiodarone: A 52-year-old man is complaining of palpita-
tions that came on suddenly after walking up a short flight of stairs. His symptoms
have been present for about 20 minutes. He denies chest pain and is not short of
breath. His skin is warm and dry; breath sounds are clear. His blood pressure (BP)
is 144/88 millimeters of mercury (mm Hg), his heart rate is 186 beats per minute
(beats/min), and his ventilatory rate is 18 breaths/min. The cardiac monitor reveals
the rhythm here. Vascular access has been established. Which of the following
medications is most appropriate in this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
4. C. Assess breathing and determine whether she has a pulse.: Your general
impression of a 78-year-old woman reveals that her eyes are closed, she is not
moving, you can see no rise and fall of her chest or abdomen, and her skincolor is
pale. When you arrive at the patient's side, you confirm that she is unresponsive.
Your best action in this situation will be to:
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has a pulse.
D. Prepare the necessary equipment to insert an advanced airway.
5. C. Gurgling sounds heard over the epigastrium: A 60-year-old woman has suf-
fered a cardiac arrest. A health care professional trained in endotracheal intubation
has intubated the patient. Which of the following findings would indicate inadvertent
esophageal intubation?
, ACLS post-test
Study online at https://quizlet.com/_cpn3mq
A. Jugular vein distention
B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
6. C. Epinephrine, dopamine, or norepinephrine.: Hypotension (ie, a systolic BP
of less than 90 mm Hg) after the return of spontaneous circulation (ROSC) may
necessitate the use of:
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
7. C. The gather phase of the debriefing includes a comparison of the team's
actions with current resuscitation algorithms.: Which of the following is incorrect
with regard to a postevent debriefing?
A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive
environment.
C. The gather phase of the debriefing includes a comparison of the team's actions
with current resuscitation algorithms.
D. Team members are given an opportunity to reflect on their performance and how
their performance can be improved.
8. B. Vagal maneuvers: Assuming there are no contraindications, which of the
following can be performed as an initial intervention for a stable but symptomatic
patient with the rhythm shown?
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) diltiazem
D. Administration of IV epinephrine
9. B. Administer IV antihistamines and steroids.: A 62-year-old man received IV
tissue plasminogen activator (tPA) 2 hours ago after a diagnosis of acute ischemic
stroke. While assessing the patient's vital signs, you observe swelling of the patient's
lips and tongue. Your best course of action will be to:
A. Administer aspirin and IV heparin.
B. Administer IV antihistamines and steroids.
C. Observe and reassess the patient every 15 minutes.
D. Request an emergent brain computed tomography scan.
10. B. Attempt intraosseous access.: During a cardiac arrest, multiple attempts to
establish a peripheral IV have proved unsuccessful. Your best course of action at this
Study online at https://quizlet.com/_cpn3mq
1. A. Call for help and begin chest compressions.: A 48-year-old man became
unresponsive shortly after presenting to you with nausea and generalized chest
discomfort. You observe gasping breathing and are unsure if you feel a pulse. You
should know:
A. Call for help and begin chest compressions.
B. Wait until breathing stops and then check again for a pulse.
C. Begin chest compressions only if you are certain a pulse is absent.
D. Observe the patient for 2 minutes, then reassess his breathing and pulse.
2. C. Bradydysrhythmias: Which of the following is the most likely complication of
inferior wall myocardial infarction (MI)?
A. Cardiogenic shock
B. Ventricular rupture
C. Bradydysrhythmias
D. Tachydysrhythmias
3. D. Procainamide or amiodarone: A 52-year-old man is complaining of palpita-
tions that came on suddenly after walking up a short flight of stairs. His symptoms
have been present for about 20 minutes. He denies chest pain and is not short of
breath. His skin is warm and dry; breath sounds are clear. His blood pressure (BP)
is 144/88 millimeters of mercury (mm Hg), his heart rate is 186 beats per minute
(beats/min), and his ventilatory rate is 18 breaths/min. The cardiac monitor reveals
the rhythm here. Vascular access has been established. Which of the following
medications is most appropriate in this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
4. C. Assess breathing and determine whether she has a pulse.: Your general
impression of a 78-year-old woman reveals that her eyes are closed, she is not
moving, you can see no rise and fall of her chest or abdomen, and her skincolor is
pale. When you arrive at the patient's side, you confirm that she is unresponsive.
Your best action in this situation will be to:
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has a pulse.
D. Prepare the necessary equipment to insert an advanced airway.
5. C. Gurgling sounds heard over the epigastrium: A 60-year-old woman has suf-
fered a cardiac arrest. A health care professional trained in endotracheal intubation
has intubated the patient. Which of the following findings would indicate inadvertent
esophageal intubation?
, ACLS post-test
Study online at https://quizlet.com/_cpn3mq
A. Jugular vein distention
B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
6. C. Epinephrine, dopamine, or norepinephrine.: Hypotension (ie, a systolic BP
of less than 90 mm Hg) after the return of spontaneous circulation (ROSC) may
necessitate the use of:
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
7. C. The gather phase of the debriefing includes a comparison of the team's
actions with current resuscitation algorithms.: Which of the following is incorrect
with regard to a postevent debriefing?
A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive
environment.
C. The gather phase of the debriefing includes a comparison of the team's actions
with current resuscitation algorithms.
D. Team members are given an opportunity to reflect on their performance and how
their performance can be improved.
8. B. Vagal maneuvers: Assuming there are no contraindications, which of the
following can be performed as an initial intervention for a stable but symptomatic
patient with the rhythm shown?
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) diltiazem
D. Administration of IV epinephrine
9. B. Administer IV antihistamines and steroids.: A 62-year-old man received IV
tissue plasminogen activator (tPA) 2 hours ago after a diagnosis of acute ischemic
stroke. While assessing the patient's vital signs, you observe swelling of the patient's
lips and tongue. Your best course of action will be to:
A. Administer aspirin and IV heparin.
B. Administer IV antihistamines and steroids.
C. Observe and reassess the patient every 15 minutes.
D. Request an emergent brain computed tomography scan.
10. B. Attempt intraosseous access.: During a cardiac arrest, multiple attempts to
establish a peripheral IV have proved unsuccessful. Your best course of action at this
