(Solved)ACLS Final Comprehensive; Final Exam ACLS solution
m m m m m m m
Test Bank 2021-2022 m m
BLSm &mChockingmReliefmofmAdults,mChildren,mInfants;mOpioidmOverdose;mEKGminterpretation;mCardiacma
natomy;mTeammdynamics;mBLS/Primary/SecondarymAssessment;mH'sm&mT's;mAirwaymManagement;mBr
adycardiamACLSmAlgorithm;mACSmACLSmAlgorithm;mStroke mACLSmAlgorithm;mTachycardiamACLSmAlgorith
m;mImmediate mPost-CardiacmArrestmCare mACLSmAlgorithm;mPhamacology
- Whatmismthe m mostmcommonmcause mofm cardiacmarrestminmchildren?
{{Ans-mrespiratorymfailure mormshock
- Whatmismcardiacmarrest?
{{Ans-
m occursm whenm them heartmdevelopsmanmabnormalm rhythmmandmstopsmbeatingmormbeatsmtoomineffectively m
tomcirculate mbloodmtomthe mbrainmandmothermvitalmorgans
- Whatmismheartmattack?
{{Ans-mAmblockage mofmbloodmflowmtomthe mheartmmuscle.
- Listmthe m eightmcomponentsmof mhighmqualitymCPR.
{{Ans-
1. Startm compressionsmwithinm10msecondsmof mrecognitionmofmcardiacmarrest.
2. Compressmatmamrate mofm100-
120/minm withmam depthmofmatmleastm2minchesminmadults/childrenmandm1m1/2minchesminminfants.
3. Allowmcomplete m chestmrecoilmaftermeachmcompression.
4. Minimize minterruptionsminmcompressionsm(limitmtom<10m seconds).
5. Give meffective mbreathsmthatmmake mthe mchestmvisiblymrise.
6. Switchmcompressorsmaboutmeverym2mminutesmormearliermifmfatigued.
7. Continue mdeliveringmchestmcompressionsmwhile mthe mAEDmismcharging.
8. Avoidmprolongedmrhythmmanalysis,mfrequentmorminappropriatempulsemchecks,mtakingmtoomlongmtom
give mmbreathsmtomthe mpatient,mexcessive mventilation,mormunnecessarilymmovingmthe mpatient.
- Whatm ismthe m recommendedmcompressionmdepthmformadultsmandmchildren?
{{Ans-m2minches
- Whatmismthe m recommendedmcompressionmdepthmforminfants?
{{Ans-m1m1/2m inches
- Whatm canm resultmifmampatientmismventilatedmtoomquickly?
1
,{{Ans-mhyperventilationm-> mexcessive mintrathoracicmpressure mandmgastricminflationm-
> mdecreasedmvenousmreturnm-> mdecreasedmcoronarymandmcerebralmperfusionmpressuresm-
> mdiminishedmcardiacmoutputm-> mdecreasedmratesmofmsurvival
- Whatm memorymaidmmaym be musedmwhenmevaluatingmampatient'smlevelmofmconsciousness?
{{Ans-m AVPU
Alert,mrespondsmtomVerbalmstimuli,mrespondsmtomPainfulmstimuli,mUnresponsive
- Uponmfindingmanmunresponsive madultmpatient,myoumverifiedmthatmthe mscenemismsafe,mcalledmformhelp
m andm askedm thatm someone m getm anm AEDm orm defibrillator. m Yourm nextm actionm should m be m to:
{{Ans-msimultaneously mlookmformbreathingmandmfeelmformamcarotidm pulse mformnommore m thanm10m seconds
- Uponmfindingmanmunresponsive mchild,myoumverifiedmthatmthemscenemismsafe,mcalledmformhelpmandmasked
m thatm someone m getm anm AEDm orm defibrillator. m Yourm nextm action m should m be m to:
{{Ans-
m simultaneously m look mformbreathingmandmfeelmformamcarotidmormfemoralm pulsemformnommorem thanm10m seco
nds
- Uponmfindingmanmunresponsive minfant,myoumverifiedmthatmthemscenemismsafe,mcalledmformhelpmandmasked
m thatm someone m getm anm AEDm orm defibrillator. m Yourm nextm action m should m be m to:
{{Ans-msimultaneously mlookmformbreathingmandmfeelmformambrachialmpulse mformnom more mthanm 10m seconds
- Uponmfindingmanmunresponsivemadultmpatient,myoumverifiedmthatmthemscene mismsafe,mcalledmformhelpma
ndmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulsems
imultaneously. mThe mpatientmhasmnompulse mandmismnotmbreathingmnormally.mYourmnextmactionmshouldmb
e mto:
{{Ans-mbeginmchestmcompressions;mremove mclothing;muse mAEDmasmsoonmasm itm arrives
- Uponmfindingmanmunresponsivemadultmpatient,myoumverifiedmthatmthemscene mismsafe,mcalledmformhelpma
ndmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulse msi
multaneously. mThempatientmismbreathingmnormallymandmampulsemismpresent.mYourmnextmactionmshouldmbe
m to:
{{Ans-mcontinue mtommonitormuntilmadditionalmhelpmarrives.
- Uponmfindingmanmunresponsiveminfantmormchild,myoumverifiedmthatmthemscenemismsafe,mcalledmformhelpm
andmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulse m
simultaneously. mThempatientmhasmnompulse mandmismnotmbreathingmnormally.mThe marrestmwasmnotmsudden
m andm notm witnessed. m Yourm nextm actionm should m be m to:
{{Ans-
m beginm chestm compressionsm 30:2m(1m rescuer),m 15:2m (2m rescuer);m ifm 2m rescuersm arem present, mone m rescuerm
beginsmCPRmandmthemothermactivatesmthemERS;musemthemAEDmasmsoonmasmitmarrives;maftermaboutm2m minmofm
CPR,mifmyoumare mstillmalone,mactivate mthe mERSmandmgetmthe mAEDmifmnotmalreadymdone
- Uponmfindingmanmunresponsiveminfantmormchild,myoumverifiedmthatmthemscenemismsafe,mcalledmformhel
pmandmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmp
,ulse
2
, simultaneously. mThempatientmhasmnompulsemandmismnotmbreathingmnormally.mThemarrestmwasmsuddenmand
m witnessed. m Yourm nextm actionm should m be m to:
{{Ans-
m activate m the memergency mresponsemsystemmandmretrievemthem AED;mbeginmchestmcompressions m30:2m (1m r
escuer),m15:2m(2mrescuer)
- Uponmfindingmanmunresponsiveminfantmormchild,myoumverifiedmthatmthemscenemismsafe,mcalledmformhelpm
andmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulse m
simultaneously. mThempatientmismbreathingmnormallymandmampulse mismpresent.mYourmnextmactionmshouldmb
e mto:
{{Ans-mactivate mERS,mreturnmtom victimmandmmonitormuntilmemergencymrespondersmarrive
- Uponm findingmanmunresponsive madultmpatient,myoumverifiedmthatmthemscenemismsafe,mcalledmformhelpma
ndmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulse msi
multaneously. mThempatientmismnotmbreathingmnormallymbutmampulse mismpresent.mYourmnextmactionmshould
m be m to:
{{Ans-mprovide mrescue mbreathingm(one mbreathmeverym5-
6mseconds) mandmrecheckmformam pulse meverym2mminutes;
be mreadymtomperformmhighmqualitymCPRmif myoumdomnotmfeelmampulse;mif mopioidmusemismsuspected,mconside
rmadministeringmnaloxone
- Uponmfindingmanmunresponsiveminfantmormchild,myoumverifiedmthatmthemscene mismsafe,mcalledmformhelpma
ndmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulse msi
multaneously. mThempatientmismnotmbreathingmnormallymbutmampulse mismpresent.mYourmnextmactionmshould
m be m to:
{{Ans-mprovide mrescue mbreathingm(one meverym3-
5mseconds);maddmcompressionsmifmpulse mremainsm<60/minmwithmsignsmofmpoormperfusion;mactivatemERSmaf
term2mmin;mcontinue mrescue mbreathingmandmcheckmpulse maboutmeverym2mminm(ifmnompulse mbeginmCPR)
- Whatmismthe m purpose mofmthe mprimarymsurvey?
{{Ans-mtomdetectmthe mpresence mofmlife-threateningmproblemsmthatmrequire mrapidminterventions
- Whatmtwomcardiacmarrestmrhythmsmare mshockable?
{{Ans-mVFmandmpVT
- Whatmtwomcardiacmarrestmrhythmsmare mnotmshockable?
{{Ans-masystole mandmPEA
- Duringmthe mprimarymsurvey,mformwhatmlengthmof mtime mshouldmyoumassessmformthe mpresence mofmam pulse?
{{Ans-matmleastm5m secondsmbutmnommore mthanm10m seconds
- Whatm ismthe m importance mofmmeasuringmcoronarymperfusionmpressure mduringmCPR?
{{Ans-
m representsm myocardialmbloodm flowduringm chestm compressions mandm ismamkey mdeterminantmofm the msucce
ssmof mresuscitation
m m m m m m m
Test Bank 2021-2022 m m
BLSm &mChockingmReliefmofmAdults,mChildren,mInfants;mOpioidmOverdose;mEKGminterpretation;mCardiacma
natomy;mTeammdynamics;mBLS/Primary/SecondarymAssessment;mH'sm&mT's;mAirwaymManagement;mBr
adycardiamACLSmAlgorithm;mACSmACLSmAlgorithm;mStroke mACLSmAlgorithm;mTachycardiamACLSmAlgorith
m;mImmediate mPost-CardiacmArrestmCare mACLSmAlgorithm;mPhamacology
- Whatmismthe m mostmcommonmcause mofm cardiacmarrestminmchildren?
{{Ans-mrespiratorymfailure mormshock
- Whatmismcardiacmarrest?
{{Ans-
m occursm whenm them heartmdevelopsmanmabnormalm rhythmmandmstopsmbeatingmormbeatsmtoomineffectively m
tomcirculate mbloodmtomthe mbrainmandmothermvitalmorgans
- Whatmismheartmattack?
{{Ans-mAmblockage mofmbloodmflowmtomthe mheartmmuscle.
- Listmthe m eightmcomponentsmof mhighmqualitymCPR.
{{Ans-
1. Startm compressionsmwithinm10msecondsmof mrecognitionmofmcardiacmarrest.
2. Compressmatmamrate mofm100-
120/minm withmam depthmofmatmleastm2minchesminmadults/childrenmandm1m1/2minchesminminfants.
3. Allowmcomplete m chestmrecoilmaftermeachmcompression.
4. Minimize minterruptionsminmcompressionsm(limitmtom<10m seconds).
5. Give meffective mbreathsmthatmmake mthe mchestmvisiblymrise.
6. Switchmcompressorsmaboutmeverym2mminutesmormearliermifmfatigued.
7. Continue mdeliveringmchestmcompressionsmwhile mthe mAEDmismcharging.
8. Avoidmprolongedmrhythmmanalysis,mfrequentmorminappropriatempulsemchecks,mtakingmtoomlongmtom
give mmbreathsmtomthe mpatient,mexcessive mventilation,mormunnecessarilymmovingmthe mpatient.
- Whatm ismthe m recommendedmcompressionmdepthmformadultsmandmchildren?
{{Ans-m2minches
- Whatmismthe m recommendedmcompressionmdepthmforminfants?
{{Ans-m1m1/2m inches
- Whatm canm resultmifmampatientmismventilatedmtoomquickly?
1
,{{Ans-mhyperventilationm-> mexcessive mintrathoracicmpressure mandmgastricminflationm-
> mdecreasedmvenousmreturnm-> mdecreasedmcoronarymandmcerebralmperfusionmpressuresm-
> mdiminishedmcardiacmoutputm-> mdecreasedmratesmofmsurvival
- Whatm memorymaidmmaym be musedmwhenmevaluatingmampatient'smlevelmofmconsciousness?
{{Ans-m AVPU
Alert,mrespondsmtomVerbalmstimuli,mrespondsmtomPainfulmstimuli,mUnresponsive
- Uponmfindingmanmunresponsive madultmpatient,myoumverifiedmthatmthe mscenemismsafe,mcalledmformhelp
m andm askedm thatm someone m getm anm AEDm orm defibrillator. m Yourm nextm actionm should m be m to:
{{Ans-msimultaneously mlookmformbreathingmandmfeelmformamcarotidm pulse mformnommore m thanm10m seconds
- Uponmfindingmanmunresponsive mchild,myoumverifiedmthatmthemscenemismsafe,mcalledmformhelpmandmasked
m thatm someone m getm anm AEDm orm defibrillator. m Yourm nextm action m should m be m to:
{{Ans-
m simultaneously m look mformbreathingmandmfeelmformamcarotidmormfemoralm pulsemformnommorem thanm10m seco
nds
- Uponmfindingmanmunresponsive minfant,myoumverifiedmthatmthemscenemismsafe,mcalledmformhelpmandmasked
m thatm someone m getm anm AEDm orm defibrillator. m Yourm nextm action m should m be m to:
{{Ans-msimultaneously mlookmformbreathingmandmfeelmformambrachialmpulse mformnom more mthanm 10m seconds
- Uponmfindingmanmunresponsivemadultmpatient,myoumverifiedmthatmthemscene mismsafe,mcalledmformhelpma
ndmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulsems
imultaneously. mThe mpatientmhasmnompulse mandmismnotmbreathingmnormally.mYourmnextmactionmshouldmb
e mto:
{{Ans-mbeginmchestmcompressions;mremove mclothing;muse mAEDmasmsoonmasm itm arrives
- Uponmfindingmanmunresponsivemadultmpatient,myoumverifiedmthatmthemscene mismsafe,mcalledmformhelpma
ndmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulse msi
multaneously. mThempatientmismbreathingmnormallymandmampulsemismpresent.mYourmnextmactionmshouldmbe
m to:
{{Ans-mcontinue mtommonitormuntilmadditionalmhelpmarrives.
- Uponmfindingmanmunresponsiveminfantmormchild,myoumverifiedmthatmthemscenemismsafe,mcalledmformhelpm
andmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulse m
simultaneously. mThempatientmhasmnompulse mandmismnotmbreathingmnormally.mThe marrestmwasmnotmsudden
m andm notm witnessed. m Yourm nextm actionm should m be m to:
{{Ans-
m beginm chestm compressionsm 30:2m(1m rescuer),m 15:2m (2m rescuer);m ifm 2m rescuersm arem present, mone m rescuerm
beginsmCPRmandmthemothermactivatesmthemERS;musemthemAEDmasmsoonmasmitmarrives;maftermaboutm2m minmofm
CPR,mifmyoumare mstillmalone,mactivate mthe mERSmandmgetmthe mAEDmifmnotmalreadymdone
- Uponmfindingmanmunresponsiveminfantmormchild,myoumverifiedmthatmthemscenemismsafe,mcalledmformhel
pmandmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmp
,ulse
2
, simultaneously. mThempatientmhasmnompulsemandmismnotmbreathingmnormally.mThemarrestmwasmsuddenmand
m witnessed. m Yourm nextm actionm should m be m to:
{{Ans-
m activate m the memergency mresponsemsystemmandmretrievemthem AED;mbeginmchestmcompressions m30:2m (1m r
escuer),m15:2m(2mrescuer)
- Uponmfindingmanmunresponsiveminfantmormchild,myoumverifiedmthatmthemscenemismsafe,mcalledmformhelpm
andmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulse m
simultaneously. mThempatientmismbreathingmnormallymandmampulse mismpresent.mYourmnextmactionmshouldmb
e mto:
{{Ans-mactivate mERS,mreturnmtom victimmandmmonitormuntilmemergencymrespondersmarrive
- Uponm findingmanmunresponsive madultmpatient,myoumverifiedmthatmthemscenemismsafe,mcalledmformhelpma
ndmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulse msi
multaneously. mThempatientmismnotmbreathingmnormallymbutmampulse mismpresent.mYourmnextmactionmshould
m be m to:
{{Ans-mprovide mrescue mbreathingm(one mbreathmeverym5-
6mseconds) mandmrecheckmformam pulse meverym2mminutes;
be mreadymtomperformmhighmqualitymCPRmif myoumdomnotmfeelmampulse;mif mopioidmusemismsuspected,mconside
rmadministeringmnaloxone
- Uponmfindingmanmunresponsiveminfantmormchild,myoumverifiedmthatmthemscene mismsafe,mcalledmformhelpma
ndmaskedmthatmsomeone mgetmanmAEDmormdefibrillator.mYoumcheckmformbreathingmandmam carotidmpulse msi
multaneously. mThempatientmismnotmbreathingmnormallymbutmampulse mismpresent.mYourmnextmactionmshould
m be m to:
{{Ans-mprovide mrescue mbreathingm(one meverym3-
5mseconds);maddmcompressionsmifmpulse mremainsm<60/minmwithmsignsmofmpoormperfusion;mactivatemERSmaf
term2mmin;mcontinue mrescue mbreathingmandmcheckmpulse maboutmeverym2mminm(ifmnompulse mbeginmCPR)
- Whatmismthe m purpose mofmthe mprimarymsurvey?
{{Ans-mtomdetectmthe mpresence mofmlife-threateningmproblemsmthatmrequire mrapidminterventions
- Whatmtwomcardiacmarrestmrhythmsmare mshockable?
{{Ans-mVFmandmpVT
- Whatmtwomcardiacmarrestmrhythmsmare mnotmshockable?
{{Ans-masystole mandmPEA
- Duringmthe mprimarymsurvey,mformwhatmlengthmof mtime mshouldmyoumassessmformthe mpresence mofmam pulse?
{{Ans-matmleastm5m secondsmbutmnommore mthanm10m seconds
- Whatm ismthe m importance mofmmeasuringmcoronarymperfusionmpressure mduringmCPR?
{{Ans-
m representsm myocardialmbloodm flowduringm chestm compressions mandm ismamkey mdeterminantmofm the msucce
ssmof mresuscitation
