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American Red Cross-ACLS-Final 50 Questions with 100% Verified Solutions

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American Red Cross-ACLS-Final 50 Questions with 100% Verified Solutions A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest, and advanced life support was initiated. The patient required the placement of an advanced airway to maintain airway patency. Which statement indicates that the team performed high-quality CPR? - ANSWER -"We provided chest compressions at a rate of 100 to 120 compressions per minute while giving 1 ventilation every 6 seconds without pausing compressions." A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-valve-mask (BVM) resuscitator. The development of which condition during the provision of care would lead the team to suspect that improper BVM technique is being used? - ANSWER -Pneumothorax An ECG strip of a patient in the emergency department reveals the following rhythm. Which feature would the healthcare provider interpret as indicating atrial fibrillation? - ANSWER -Absence of discrete P waves and presence of irregularly irregular QRS complexes Which statements accurately reflect the recommendations for post-cardiac arrest neuroprognostication? - ANSWER --Post-cardiac arrest neuroprognostication should be multimodal. -Decision-making related to the continuation or withdrawal of life-sustaining treatments should be delayed until 72 hours after return of spontaneous circulation (ROSC) and following return to normothermia. The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a patient brought to the emergency department. Which finding on a 12-lead ECG would confirm this suspicion? - ANSWER -Wide-complex ventricular rhythm and tall, peaked T waves A 30-year-old patient has been brought to the emergency department in 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 What is the correct technique for performing left uterine displacement (LUD) for a pregnant patient in cardiac arrest whose fundus is at or above the umbilicus? - ANSWER -Position yourself on the patient's left side. Reach across the patient, place both hands on the right side of the uterus and pull the uterus to the left and up. Which areas are evaluated using the National Institutes of Health Stroke Scale (NIHSS)? - ANSWER --Visual function -Language deficits -Facial Palsy -Level of consciousness A patient is in cardiac arrest. The underlying cause is thought to be opioid toxicity. Which statement accurately describes the use of naloxone for this patient? - ANSWER -Naloxone should be administered as soon as possible but is not a priority over high-quality CPR and AED use. 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 Which statements accurately reflect the recommendations for post-cardiac arrest patient care? - ANSWER --Arterial blood gases may be used to guide ventilation and oxygenation in the post-cardiac arrest patient. -Perfusion should be assessed and maintained to ensure the best outcome for the post-cardiac arrest patient. 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 medical history, a history of which arrhythmia would alert the team to the patient's increased risk for stroke? - ANSWER -Atrial fibrillation A patient with bradycardia and signs of hemodynamic compromise does not respond to atropine. Which interventions could the healthcare provider use next? - ANSWER --Epinephrine or dopamine infusion Correct -Transcutaneous pacing A 20-year-old man with respiratory depression is brought to the emergency department by his parents. Opioid overdose is suspected, and an initial dose of naloxone is administered at 10 p.m. The patient does not respond to this initial dose. The team would expect to administer a second dose after how many minutes? - ANSWER -2 minutes A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator. Capnography is established and a blood gas is obtained to evaluate the adequacy of the ventilations. Which arterial carbon dioxide (PaCO2) value signifies adequate ventilations? - ANSWER -35 to 45 mmHg A patient is brought into the emergency department. The patient does not have a pulse. The cardiac monitor shows the following rhythm. The team interprets this as which condition? - ANSWER -Ventricular tachycardia A member of the resuscitation team is preparing to administer medications intravenously to a patient in cardiac arrest. The team member should follow each peripherally administered drug dose with a normal saline flush. How much would the team member give? - ANSWER -10 to 20 mL A 42-year-old woman presents to the emergency department with complaints of fatigue, shortness of breath, back pain and nausea. A 12-lead ECG is obtained and shows ST-segment depression in leads II, III, and aVF and intermittent runs of nonsustained ventricular tachycardia. Cardiac serum markers are elevated. These findings suggest which condition? - ANSWER -High-risk non-ST-segment elevation ACS (NSTE-ACS) 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 in cardiac arrest experiences return of spontaneous circulation. As part of post-cardiac arrest care, the patient is receiving mechanical ventilation at an initial rate of 10 breaths/min and a fraction of inspired oxygen (FiO2) of 0.30. Which finding(s) would indicate the need for change in the ventilator settings to optimize the patient's ventilation and oxygenation? - ANSWER --SaO2 90% -PaCO2 48 mmHg -ETCO2 55 mmHg

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American Red Cross-ACLS-
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Voorbeeld van de inhoud

American Red Cross-ACLS-Final 50 Questions
with 100% Verified Solutions


A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest, and advanced life support was initiated. The patient required the
placement of an advanced airway to maintain airway patency. Which statement
indicates that the team performed high-quality CPR? - ANSWER -"We provided
chest compressions at a rate of 100 to 120 compressions per minute while giving 1
ventilation every 6 seconds without pausing compressions."

A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag-valve-mask (BVM) resuscitator. The development of
which condition during the provision of care would lead the team to suspect that
improper BVM technique is being used? - ANSWER -Pneumothorax

An ECG strip of a patient in the emergency department reveals the following
rhythm. Which feature would the healthcare provider interpret as indicating atrial
fibrillation? - ANSWER -Absence of discrete P waves and presence of irregularly
irregular QRS complexes

Which statements accurately reflect the recommendations for post-cardiac arrest
neuroprognostication? - ANSWER --Post-cardiac arrest neuroprognostication
should be multimodal.
-Decision-making related to the continuation or withdrawal of life-sustaining
treatments should be delayed until 72 hours after return of spontaneous circulation
(ROSC) and following return to normothermia.

The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in
a patient brought to the emergency department. Which finding on a 12-lead ECG
would confirm this suspicion? - ANSWER -Wide-complex ventricular rhythm and
tall, peaked T waves

A 30-year-old patient has been brought to the emergency department in 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

, What is the correct technique for performing left uterine displacement (LUD) for a
pregnant patient in cardiac arrest whose fundus is at or above the umbilicus? -
ANSWER -Position yourself on the patient's left side. Reach across the patient,
place both hands on the right side of the uterus and pull the uterus to the left and
up.

Which areas are evaluated using the National Institutes of Health Stroke Scale
(NIHSS)? - ANSWER --Visual function
-Language deficits
-Facial Palsy
-Level of consciousness

A patient is in cardiac arrest. The underlying cause is thought to be opioid toxicity.
Which statement accurately describes the use of naloxone for this patient? -
ANSWER -Naloxone should be administered as soon as possible but is not a
priority over high-quality CPR and AED use.

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

Which statements accurately reflect the recommendations for post-cardiac arrest
patient care? - ANSWER --Arterial blood gases may be used to guide ventilation
and oxygenation in the post-cardiac arrest patient.
-Perfusion should be assessed and maintained to ensure the best outcome for the
post-cardiac arrest patient.

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 medical history, a history of which arrhythmia would alert the team to
the patient's increased risk for stroke? - ANSWER -Atrial fibrillation

A patient with bradycardia and signs of hemodynamic compromise does not
respond to atropine. Which interventions could the healthcare provider use next? -
ANSWER --Epinephrine or dopamine infusion
Correct
-Transcutaneous pacing

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