______________________________________
ACLS
FINAL EXAM
DESIGNED BY THE AMERICAN HEART
ASSOCIATION (AHA)
ADVANCED CARDIOVASCULAR
LIFE SUPPORT
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
AMERICAN HEART ASSOCIATION
,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?
Hypertension
Esophageal injury
Pneumothorax
Rib fracture - CORRECT-ANSWERS—Pneumothorax
During bag-valve-mask (BVM) ventilation, excessive ventilation force or volume
(barotrauma) can lead to air being forced into the pleural space, causing a
pneumothorax. This is a serious complication and suggests improper BVM
technique such as over-ventilation or inadequate airway pressure control.
A pneumothorax may present with decreased or absent breath sounds, worsening
oxygenation, and increased difficulty ventilating the patient. It is more concerning
than other listed options because it directly compromises ventilation and
circulation during resuscitation.
Hypertension is not associated with BVM misuse in cardiac arrest.
Esophageal injury is rare and not a typical immediate resuscitation
complication.
Rib fractures can occur with chest compressions, not BVM ventilation.
Therefore, pneumothorax is the most clinically significant indicator of improper
ventilation technique in this scenario.
Complications can occur with the use of a BVM resuscitator due to improper
technique. Delivering excessive volume or ventilating too fast creates
,excessive pressure that can damage the airways, lungs and other organs.
Excessive volume can lead to tension pneumothorax.
A person suddenly collapses while sitting in the sunroom of a healthcare
facility. A healthcare provider observes the event and hurries over to assess
the situation. The healthcare provider performs which assessment first?
Rapid assessment
Basic life support assessment
Secondary assessment
Primary assessment - CORRECT-ANSWERS--Rapid assessment
A systematic approach to assessment is necessary. The healthcare provider
should first perform a rapid assessment. A rapid assessment is a visual
survey to ensure safety, form an initial impression about the patient's
condition (including looking for life-threatening bleeding), and determine
the need for additional resources. This would be followed by a primary
assessment and then a secondary assessment.
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?
10 to 15 mmHg
20 to 25 mmHg
, 25 to 30 mmHg
35 to 45 mmHg - CORRECT-ANSWERS--35 to 45 mmHg
Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg
confirm adequacy of ventilation.
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?
"We initiated chest compressions at a rate of 100 to 110 per minute to a
depth of 2.4 inches and then gave 1 ventilation every 10 seconds."
"We provided chest compressions at a rate of 100 to 120 compressions per
minute while giving 1 ventilation every 6 seconds without pausing
compressions."
"We provided chest compressions at a rate of 80 to 120 per minute to a
depth of at least 2 inches and gave 1 ventilation every 6 seconds without
pausing compressions."
"We kept the rate of chest compressions to around 100 per minute but
adjusted their depth to 1.5 inches while giving 1 ventilation every 3 seconds
without pausing compression - CORRECT-ANSWERS--"We provided chest
compressions at a rate of 100 to 120 compressions per minute while giving
1 ventilation every 6 seconds without pausing compressions."
ACLS
FINAL EXAM
DESIGNED BY THE AMERICAN HEART
ASSOCIATION (AHA)
ADVANCED CARDIOVASCULAR
LIFE SUPPORT
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
AMERICAN HEART ASSOCIATION
,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?
Hypertension
Esophageal injury
Pneumothorax
Rib fracture - CORRECT-ANSWERS—Pneumothorax
During bag-valve-mask (BVM) ventilation, excessive ventilation force or volume
(barotrauma) can lead to air being forced into the pleural space, causing a
pneumothorax. This is a serious complication and suggests improper BVM
technique such as over-ventilation or inadequate airway pressure control.
A pneumothorax may present with decreased or absent breath sounds, worsening
oxygenation, and increased difficulty ventilating the patient. It is more concerning
than other listed options because it directly compromises ventilation and
circulation during resuscitation.
Hypertension is not associated with BVM misuse in cardiac arrest.
Esophageal injury is rare and not a typical immediate resuscitation
complication.
Rib fractures can occur with chest compressions, not BVM ventilation.
Therefore, pneumothorax is the most clinically significant indicator of improper
ventilation technique in this scenario.
Complications can occur with the use of a BVM resuscitator due to improper
technique. Delivering excessive volume or ventilating too fast creates
,excessive pressure that can damage the airways, lungs and other organs.
Excessive volume can lead to tension pneumothorax.
A person suddenly collapses while sitting in the sunroom of a healthcare
facility. A healthcare provider observes the event and hurries over to assess
the situation. The healthcare provider performs which assessment first?
Rapid assessment
Basic life support assessment
Secondary assessment
Primary assessment - CORRECT-ANSWERS--Rapid assessment
A systematic approach to assessment is necessary. The healthcare provider
should first perform a rapid assessment. A rapid assessment is a visual
survey to ensure safety, form an initial impression about the patient's
condition (including looking for life-threatening bleeding), and determine
the need for additional resources. This would be followed by a primary
assessment and then a secondary assessment.
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?
10 to 15 mmHg
20 to 25 mmHg
, 25 to 30 mmHg
35 to 45 mmHg - CORRECT-ANSWERS--35 to 45 mmHg
Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg
confirm adequacy of ventilation.
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?
"We initiated chest compressions at a rate of 100 to 110 per minute to a
depth of 2.4 inches and then gave 1 ventilation every 10 seconds."
"We provided chest compressions at a rate of 100 to 120 compressions per
minute while giving 1 ventilation every 6 seconds without pausing
compressions."
"We provided chest compressions at a rate of 80 to 120 per minute to a
depth of at least 2 inches and gave 1 ventilation every 6 seconds without
pausing compressions."
"We kept the rate of chest compressions to around 100 per minute but
adjusted their depth to 1.5 inches while giving 1 ventilation every 3 seconds
without pausing compression - CORRECT-ANSWERS--"We provided chest
compressions at a rate of 100 to 120 compressions per minute while giving
1 ventilation every 6 seconds without pausing compressions."
