ACLS Final Exam Comprehensive Test Complete Solution Guide-Questions and Answers, 100% Verified-Latest 2023/2024

(Solved)ACLS Final Comprehensive; Final Exam ACLS solutionT
p p p p p p p




est Bank 2021-2022 p p




BLSp&pChockingpReliefpofpAdults,pChildren,pInfants;pOpioidpOverdose;pEKGpinterpretation;pCardiacpanat
omy;pTeampdynamics;pBLS/Primary/SecondarypAssessment;pH'sp&pT's;pAirwaypManagement;pBradycar
diapACLSpAlgorithm;pACSpACLSpAlgorithm;pStrokepACLSpAlgorithm;pTachycardiapACLSpAlgorithm;pImmed
iatepPost-CardiacpArrestpCarepACLSpAlgorithm;pPhamacology

- Whatpispthep mostpcommonpcausepofp cardiacparrestpinp children?
{{Ans-prespiratorypfailureporpshock

- Whatpispcardiacparrest?
{{Ans-
poccurspwhenpthepheartpdevelopspanpabnormalprhythmpandpstopspbeatingporpbeatsptoopineffectivelyptopcir


culatepbloodptopthepbrainpandpotherpvitalporgans

- Whatpispheartpattack?
{{Ans-pApblockagepofpbloodpflowptopthepheartpmuscle.

- Listpthep eightpcomponentspofphighpqualitypCPR.
{{Ans-
1. Startp compressionspwithinp10psecondspofprecognitionpofpcardiacparrest.
2. Compresspatpapratepofp100-
120/minpwithpapdepthpofpatpleastp2pinchespinpadults/childrenpandp1p1/2pinchespinpinfants.
3. Allowpcompletep chestprecoilpafterpeachpcompression.
4. Minimizepinterruptionspinpcompressionsp(limitptop<10pseconds).p
5.pGivepeffectivepbreathspthatpmakepthepchestpvisiblyprise.
6.p Switchpcompressorspaboutpeveryp2pminutesporpearlierpifpfatigued.p
7.p ContinuepdeliveringpchestpcompressionspwhilepthepAEDpispcharging.
8.pAvoidpprolongedprhythmpanalysis,pfrequentporpinappropriateppulsepchecks,ptakingptooplongptopgivepbrea
thsptoptheppatient,pexcessivepventilation,porpunnecessarilypmovingptheppatient.

- Whatp ispthep recommendedpcompressionpdepthpforpadultspandpchildren?
{{Ans-p2pinches

- Whatp ispthep recommendedpcompressionpdepthpforpinfants?
{{Ans-p1p1/2p inches

- Whatp canp resultpifpap patientpispventilatedptoopquickly?




1

,{{Ans-phyperventilationp->pexcessivepintrathoracicppressurepandpgastricpinflationp-
>pdecreasedpvenouspreturnp->pdecreasedpcoronarypandpcerebralpperfusionppressuresp-
>pdiminishedpcardiacpoutputp->pdecreasedpratespofpsurvival

- Whatp memorypaidpmayp bepusedpwhenpevaluatingpappatient'splevelpofpconsciousness?
{{Ans-pAVPU
Alert,prespondsptopVerbalpstimuli,prespondsptopPainfulpstimuli,pUnresponsive

- Uponpfindingpanpunresponsivepadultppatient,pyoupverifiedpthatpthepscenepispsafe,pcalledpforphelppan
dpaskedpthatpsomeonepgetpanpAEDporpdefibrillator.pYourpnextpactionpshouldpbepto:
{{Ans-psimultaneouslyplookpforpbreathingpandpfeelpforpapcarotidp pulsepforpnopmorep thanp10p seconds

- Uponpfindingpanpunresponsivepchild,pyoupverifiedpthatpthepscenepispsafe,pcalledpforphelppandpaskedptha
tpsomeonepgetpanpAEDporpdefibrillator.pYourpnextpactionpshouldpbepto:
{{Ans-
psimultaneouslyplookpforpbreathingpandpfeelpforpapcarotidp orp femoralppulsepforpnopmorepthanp 10pseconds




- Uponpfindingpanpunresponsivepinfant,pyoupverifiedpthatpthepscenepispsafe,pcalledpforphelppandpaskedptha
tpsomeonepgetpanpAEDporpdefibrillator.pYourpnextpactionpshouldpbepto:
{{Ans-psimultaneouslyplookpforpbreathingpandpfeelpforpapbrachialppulsepforpnop morepthanp 10p seconds

- Uponpfindingpanpunresponsivepadultppatient,pyoupverifiedpthatpthepscenepispsafe,pcalledpforphelppandpas
kedpthatpsomeonepgetpanpAEDporpdefibrillator.pYoupcheckpforpbreathingpandpapcarotidppulsepsimultaneo
usly.pTheppatientphaspnoppulsepandpispnotpbreathingp normally.pYourpnextpactionpshouldpbepto:
{{Ans-pbeginpchestpcompressions;premovepclothing;pusepAEDpaspsoonpasp itp arrives

- Uponpfindingpanpunresponsivepadultppatient,pyoupverifiedpthatpthepscenepispsafe,pcalledpforphelppandpas
kedpthatpsomeonepgetpanpAEDporpdefibrillator.pYoupcheckpforpbreathingpandpapcarotidppulsepsimultaneou
sly.pTheppatientpispbreathingpnormallypandpappulsepisppresent.pYourpnextpactionpshouldpbepto:
{{Ans-pcontinueptopmonitorpuntilpadditionalphelpparrives.

- Uponpfindingpanpunresponsivepinfantporpchild,pyoupverifiedpthatpthepscenepispsafe,pcalledpforphelppandpa
skedpthatpsomeonepgetpanpAEDporpdefibrillator.pYoupcheckpforpbreathingpandpapcarotidppulsepsimultaneo
usly.pTheppatientphaspnoppulsepandpispnotpbreathingpnormally.pTheparrestpwaspnotpsuddenpandpnotpwitnes
sed.pYourpnextpactionpshouldpbepto:
{{Ans-
pbeginpchestpcompressionsp30:2p(1prescuer),p15:2p(2prescuer);pifp2prescuerspareppresent,poneprescuerpbegin


spCPRpandpthepotherpactivatespthepERS;pusepthepAEDpaspsoonpaspitparrives;pafterpaboutp2pminpofpCPR,pifpyoup
arep stillpalone,pactivatepthepERSpandpgetpthepAEDpifpnotpalreadypdone

- Uponpfindingpanpunresponsivepinfantporpchild,pyoupverifiedpthatpthepscenepispsafe,pcalledpforphelppan
dpaskedpthatpsomeonepgetpanpAEDporpdefibrillator.pYoupcheckpforpbreathingpandpap carotidppulse


2

,simultaneously.pTheppatientphaspnoppulsepandpispnotpbreathingpnormally.pTheparrestpwaspsuddenpan
dpwitnessed.pYourpnextpactionpshouldpbepto:
{{Ans-
pactivatepthepemergencypresponsepsystempandpretrievepthepAED;pbeginpchestpcompressionsp30:2p(1prescue


r),p15:2p(2prescuer)

- Uponpfindingpanpunresponsivepinfantporpchild,pyoupverifiedpthatpthepscenepispsafe,pcalledpforphelppandpa
skedpthatpsomeonepgetpanpAEDporpdefibrillator.pYoupcheckpforpbreathingpandpapcarotidppulsepsimultaneo
usly.pTheppatientpispbreathingpnormallypandpappulsepisppresent.pYourpnextpactionpshouldpbepto:
{{Ans-pactivatepERS,preturnptop victimpandpmonitorpuntilpemergencyprespondersparrive

- Uponpfindingpanpunresponsivepadultppatient,pyoupverifiedpthatpthepscenepispsafe,pcalledpforphelppandpas
kedpthatpsomeonepgetpanpAEDporpdefibrillator.pYoupcheckpforpbreathingpandpapcarotidppulsepsimultaneou
sly.pTheppatientpispnotpbreathingpnormallypbutpappulsepisppresent.pYourpnextpactionpshouldpbepto:
{{Ans-pprovideprescuepbreathingp(onepbreathpeveryp5-6pseconds)pandprecheckpforpap pulsepeveryp2pminutes;
bepreadyptopperformphighpqualitypCPRpifpyoupdopnotpfeelpappulse;pifpopioidpusepispsuspected,pconsiderpadmi
nisteringpnaloxone

- Uponpfindingpanpunresponsivepinfantporpchild,pyoupverifiedpthatpthepscenepispsafe,pcalledpforphelppandpas
kedpthatpsomeonepgetpanpAEDporpdefibrillator.pYoupcheckpforpbreathingpandpapcarotidppulsepsimultaneou
sly.pTheppatientpispnotpbreathingpnormallypbutpappulsepisppresent.pYourpnextpactionpshouldpbepto:
{{Ans-pprovideprescuepbreathingp(onepeveryp3-
5pseconds);paddpcompressionspifppulsepremainsp<60/minpwithpsignspofppoorpperfusion;pactivatepERSpafterp
2pmin;pcontinueprescuepbreathingpandpcheckppulsepaboutpeveryp2pminp(ifpnoppulsepbeginpCPR)

- Whatpispthep purposepofpthepprimarypsurvey?
{{Ans-ptopdetectptheppresencepofplife-threateningpproblemspthatprequireprapidpinterventions

- Whatptwopcardiacparrestp rhythmsparepshockable?
{{Ans-pVFpandppVT

- Whatptwopcardiacparrestp rhythmsparepnotp shockable?
{{Ans-pasystolepandpPEA

- Duringpthepprimarypsurvey,pforpwhatplengthpofptimepshouldpyoupassesspforptheppresencepofpap pulse?
{{Ans-patpleastp5p secondspbutpnopmorepthanp10p seconds

- Whatp ispthep importancepofpmeasuringpcoronarypperfusionppressurepduringpCPR?
{{Ans-
p representspmyocardialpbloodpflowduringpchestpcompressionspandpispapkeyp determinantpofp thepsuccesspofp


resuscitation


3

, - Whatp ispanp adequatepcoronarypperfusionppressurep(CPP)?
{{Ans-p15pmmpHg

- Whatp ispthep importancepofpmeasuringpwaveformpcapnographyp(PETCO2)pduringp CPR?
{{Ans-
pallowspforpevaluationpofpCPRpquality,poptimizepchestpcompressions,pdetectionpofpROSCpduringpchestpcompr


essionsporpwhenpaprhythmpcheckprevealspanporganizedprhythm,pETptubepplacement

- Whatp ispanp adequatepwaveformpcapnogrpahyp(PETCO2)prange?
{{Ans-p10-20p mmpHg

- WhenpROSCpoccurs,p whatp happensptopwaveformpcapnography?
{{Ans-pTherepwillpbepapsignificantpincreasepinpthepETCO2.p(35-
45pmmHg)pThispincreaseprepresentspapdrasticpimprovementpinpbloodpflowp(morepCO2pbeingpdumpedpinpth
eplungspbypthepcirculation)pwhichpindicatespcirculation.

- Whatp ispchestpcompressionpfraction?
{{Ans-pthepproportionpofptimepthatpchestpcompressionsparepperformedpduringpapcardiacparrest

- Whatp ispthep targetpgoalpofp chestpcompressionpfractionpduringpCPR?
{{Ans-p60-80%

- Whatp ispthep appropriateptidalpvolumepforpadultpcardiacparrestppatients?
{{Ans-p500-600p mLp (halfpapsqueezepofpanpadultpventilationpbag;penoughptopseepvisiblepchestprise)

- Singleprescuerspshouldpusepthepcompression-to-ventilationpratiopof compressionspto
breathspwhenpgivingpCPRptopvictimspofpanypage.
{{Ans-p30:2

- Atpwhatpratep shouldpcompressionspoccur?
{{Ans-p100-120/min

- Interruptionspinpchestpcompressionspshouldpbeplimitedptophowpmanypseconds?
{{Ans-p<10

- Rescuerspshouldpswitchpcompressorsphowpoften?
{{Ans-peveryp5pcyclesp(2pmin)porp soonerpifpfatigued

- Whatpmethodpshouldpbeputilizedpwhenpopeningpthepairwaypofpappatientpwhopispsuspectedpofphavingp
apheadporpneckpinjury?
{{Ans-pjawpthrust

- Whenpcommunicatingpwithpapteampmember,pthepteampleaderpcommunicatespbyp takingpthesepsteps:

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