ALS/ACLS - Red Cross Final Exam Questions And Answers Verified 100% Correct

ALS/ACLS - Red Cross Final Exam Questions And Answers Verified 100% Correct A member of the resuscitation team is preparing to defibrillate a patient in cardiac arrest using a biphasic defibrillator. The team member would set the energy dose according to the manufacturer's recommendations, which is usually: - ANSWER-120 to 200 joules A member of the resuscitation team is preparing to administer medications intravenously to a patient in cardiac arrest. The team member follows each medication administration with a bolus of fluid. How much would the team member give? - ANSWER10 to 20 mL A 30-year-old patient has been brought to the emergency department in full cardiac arrest. The cardiac monitor shows the following rhythm. Interpretation of this rhythm would suggest which of the following as a possible precipitating factor? - ANSWER- Electrocution Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. What intervention would the team perform next? - ANSWER-Administer 1 shock. 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? - ANSWER-Tension pneumothorax A patient in cardiac arrest experiences return of spontaneous circulation. As part of post-cardiac arrest care, the patient is receiving mechanical ventilation. Which finding(s) would indicate the need for change in the ventilator settings to optimize the patient's ventilation and oxygenation? - ANSWER-1. SaO2 92% 2. PaCO2 35 mmHg 3. ETCO2 50 mmHg After cardiac arrest and successful resuscitation, the patient has a return of spontaneous circulation. The patient is unable to follow verbal commands and has a Glasgow Coma Scale score of 7. Targeted temperature management is initiated. Which method(s) would be appropriate for the resuscitation team to use? - ANSWER-1. Applying cooling blankets to the patient's body 2. Giving an ice-cold IV fluid bolus 3. Using an endovascular catheter A 40-year-old patient in the waiting room of the primary care provider's office approaches a staff member and says, "I'm having really severe, crushing chest pain that is moving to both my arms." The patient is diaphoretic and dyspneic. Which action would be appropriate for the staff member to take? - ANSWER-Activate the emergency medical services system. A patient with suspected acute coronary syndromes (ACS) is placed on a cardiac monitor. The patient is complaining of dyspnea and is given supplemental oxygen. The provider determines that the oxygen is effective based on which SaO2 level? - ANSWER95% 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? - ANSWER- 0.15 mV A patient with STEMI is experiencing chest pain that is refractory to sublingual nitroglycerin. Intravenous nitroglycerin is prescribed. When administering this medication, it would be titrated to maintain which systolic blood pressure? - ANSWER 90 mmHg A patient experiencing STEMI comes to the emergency department of a large medical center at 9:30 p.m. The patient states that the symptoms started about 8 p.m. After confirming the diagnosis and initiating care, the healthcare team schedules the patient for percutaneous coronary intervention (PCI). The facility is capable of administering PCI. To achieve the best outcomes, therapy should be administered to this patient by which time? - ANSWER-11:00 p.m. A patient presents to the emergency department with mild to moderate recurrent chest pain, without any nausea or vomiting. A 12-lead ECG is obtained and shows STsegment depression with transient T-wave elevation indicative of NSTE-ACS. Cardiac enzyme levels are obtained and are not elevated. These findings suggest which condition? - ANSWER-Unstable angina A patient is being treated in the emergency department and is determined to have NSTE-ACS. Invasive management is planned based on which finding? - ANSWERVentricular tachycardia A patient presents to the emergency department with suspected ACS. Electrocardiogram and cardiac biomarkers show the patient has ST-segment elevation myocardial infarction (STEMI). Physical examination reveals signs of left ventricular dysfunction. Which finding(s) would support this? - ANSWER-1. Pulmonary edema 2. Crackles 3. Hypotension A patient with a diagnosis of ACS is experiencing cardiogenic shock. Which adjuvant therapy would be contraindicated? - ANSWER-β Blockers A patient with a suspected stroke arrives at the emergency department at 7:10 p.m. The stroke team ensures that a neurologic assessment and brain computed tomography or magnetic resonance imaging is obtained by which time? - ANSWER-7:30 p.m. A patient is brought to the emergency department by their spouse. The spouse says, "I think it's a stroke." The stroke team initiates a rapid stroke assessment using the National Institutes of Health Stroke Scale. Which area(s) would the team include in this assessment? - ANSWER-1. Language deficits 2. Level of consciousness 3. Visual function A patient comes to the emergency department with a suspected stroke. The patient is alert and oriented and accompanied by a family member. The family member says, "I noticed he was slurring his words and had trouble walking, like his leg was numb." After completing the primary assessment, the stroke team completes a secondary assessment. Which finding would suggest that the patient is experiencing a condition that mimics a stroke? - ANSWER-Hypoglycemia The stroke team is assessing a patient with a suspected stroke. The patient is alert and able to carry on a conversation, although the patient has difficulty getting the words out. Testing confirms that the patient has had an ischemic stroke. Based on the patient's