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ACLS WRITTEN EXAM QUESTIONS WITH COMPLETE ANSWERS

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ACLS WRITTEN EXAM QUESTIONS WITH COMPLETE ANSWERS

Institution
Acls
Course
Acls

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second degree AV block type 1 wenckenbach


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You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50
mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and
the pulse oximetry reading is 97%. What assessment step is most important now?


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, Obtaining a 12 lead ECG.




hat is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a
patient who achieves ROSC but is hypotensive during the post-cardiac arrest period?


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1 to 2 Liters




A patient in respiratory failure becomes apneic but continues to have a strong pulse.
The heart rate is dropping rapidly and now shows a sinus bradycardia at a rate of
30/min. What intervention has the highest priority?


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Simple airway manuevers and assisted ventilations.




What is the recommended first intravenous dose of amiodarone for a patient with
refractory ventricular fibrillation?


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300 mg

,What is the preferred method of access for epi administration during cardiac arrest in
most pts?


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Peripheral IV




Which of the following is a sign of effective CPR?


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PETCO2 ≥10 mm Hg




An AED advises a shock for a pulseless patient lying in snow. What is the next action?


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Administer the shock immediately and continue as directed by the AED.




For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who
originally presented in ventricular fibrillation. After the first shock, the ECG screen
displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus,
and high-quality CPR. What is your next treatment?


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, Consider terminating resuscitive efforts after consulting medical control.




A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents
with the following lead II ECG rhythm:
What is the appropriate next intervention?


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Synchronized cardioversion




Which action increases the chance of successful conversion of ventricular fibrillation?


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Providing quality compressions immediately before a defibrillation attempt.




A responder is caring for a patient with a history of congestive heart failure. The
patient is experiencing shortness of breath, a blood pressure of 68/50 mm Hg, and a
heart rate of 190/min. The patient's lead II ECG is displayed below.


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stable supraventricular tachycardia

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