Advanced Life Support (ALS) Online Session Final Exam
Study online at https://quizlet.com/_fp9112
1. A patient's ECG reveals Vagal maneuvers
a narrow QRS complex
with a regular rhythm, For a patient who is hemodynamically stable and experiencing a
indicating a narrow-com- narrow-complex supraventricular tachyarrhythmia, vagal maneu-
plex supraventricular tach- vers are attempted first. If ineffective, adenosine is given.
yarrhythmia. The patient
is hemodynamically stable.
Which intervention would be
initiated first?
2. A patient's capnogram re- A-B
veals the following wave-
form. Which segment would The A-B segment is the respiratory baseline that represents the
the healthcare provider in- beginning of exhalation.
terpret as reflecting the be-
ginning of exhalation?
3. A patient experiencing an Administration of an epinephrine infusion.
unstable bradyarrhythmia
does not respond to at- Epinephrine or dopamine may be administered to patients with
ropine or transcutaneous symptomatic bradycardia if atropine and transcutaneous pacing
pacing. Which interven- are not effective.
tion would the healthcare
provider use next?
4. A patient with a suspected 7:30 p.m.
stroke arrives at the emer-
gency department at 7:10 In accordance with National Institute of Neurological Disorders
p.m. The stroke team en- and Stroke guidelines, the stroke team, emergency physician or
sures that a neurologic as- other expert must conduct a neurologic assessment and obtain
sessment and brain comput- computed tomography or magnetic resonance imaging within 20
, Advanced Life Support (ALS) Online Session Final Exam
Study online at https://quizlet.com/_fp9112
ed tomography or magnet- minutes after the patient's arrival in the emergency department.
ic resonance imaging is ob- That would be 7:30 p.m. for this patient.
tained by which time?
5. A patient in the telemetry Synchronized cardioversion
unit is stable. Cardiac mon-
itoring indicates the patient For a patient with ventricular tachycardia who is stable, has a
has ventricular tachycardia pulse and has a corrected QT interval greater than 0.46 seconds,
with a pulse. Further assess- synchronized cardioversion is the recommended treatment.
ment reveals that the cor-
rected QT interval is greater
than 0.46 seconds. Which
treatment would be appro-
priate at this time?
6. A resuscitation team is de- "We delivered 1 ventilation every 6 seconds and chest compres-
briefing following a recent sions at a rate of 100 to 120 compressions per minute."
event. A patient experienced
cardiac arrest, and advanced When an advanced airway has been placed in a patient who is in
cardiac life support was cardiac arrest, compressions and ventilations are delivered con-
initiated. The patient re- tinuously with no interruptions. One provider delivers 1 ventilation
quired the placement of an every 6 seconds, while the second provider performs compres-
advanced airway to main- sions at a rate of 100 to 120 compressions per minute.
tain airway patency. Which
statement indicates that the
team performed high-quali-
ty CPR?
7. A healthcare provider ini- 35 to 45 mmHg
tiates ventilations to en-
sure adequate breathing End-tidal carbon dioxide values in the range of 35 to 45 mmHg
and oxygenation. While ven- confirm adequacy of ventilation.
, Advanced Life Support (ALS) Online Session Final Exam
Study online at https://quizlet.com/_fp9112
tilations are being per-
formed, capnography is es-
tablished to evaluate the ad-
equacy of the ventilations.
The healthcare provider de-
termines that ventilations
are adequate based on
which end-tidal carbon diox-
ide (ETCO2) value?
8. An ECG strip of a pa- Absence of discrete P waves and presence of irregularly irregular
tient in the emergency de- QRS complexes.
partment reveals the fol-
lowing rhythm. Which fea- The two key features of atrial fibrillation on ECG are the absence
ture would the healthcare of discrete P waves and the presence of irregularly irregular QRS
provider interpret as indicat- complexes.
ing atrial fibrillation?
9. A patient in cardiac arrest 1. ETCO2 50 mmHg
experiences return of spon- 2. PaCO2 35 mmHg
taneous circulation. As part 3. SaO2 92%
of post-cardiac arrest care,
the patient is receiving me- Mechanical ventilation should be started at a rate of 10 to 12
chanical ventilation. Which breaths per minute and adjusted as necessary to keep ETCO2
finding(s) would indicate the levels in the range of 35 to 40 mmHg and PaCO2 levels in the
need for change in the venti- range of 40 to 45 mmHg. The minimum fraction of inspired
lator settings to optimize the oxygen necessary to maintain an SaO2 of at least 94% is used.
patient's ventilation and oxy-
genation?
10. The following capnogram is D
from a patient experienc-
Study online at https://quizlet.com/_fp9112
1. A patient's ECG reveals Vagal maneuvers
a narrow QRS complex
with a regular rhythm, For a patient who is hemodynamically stable and experiencing a
indicating a narrow-com- narrow-complex supraventricular tachyarrhythmia, vagal maneu-
plex supraventricular tach- vers are attempted first. If ineffective, adenosine is given.
yarrhythmia. The patient
is hemodynamically stable.
Which intervention would be
initiated first?
2. A patient's capnogram re- A-B
veals the following wave-
form. Which segment would The A-B segment is the respiratory baseline that represents the
the healthcare provider in- beginning of exhalation.
terpret as reflecting the be-
ginning of exhalation?
3. A patient experiencing an Administration of an epinephrine infusion.
unstable bradyarrhythmia
does not respond to at- Epinephrine or dopamine may be administered to patients with
ropine or transcutaneous symptomatic bradycardia if atropine and transcutaneous pacing
pacing. Which interven- are not effective.
tion would the healthcare
provider use next?
4. A patient with a suspected 7:30 p.m.
stroke arrives at the emer-
gency department at 7:10 In accordance with National Institute of Neurological Disorders
p.m. The stroke team en- and Stroke guidelines, the stroke team, emergency physician or
sures that a neurologic as- other expert must conduct a neurologic assessment and obtain
sessment and brain comput- computed tomography or magnetic resonance imaging within 20
, Advanced Life Support (ALS) Online Session Final Exam
Study online at https://quizlet.com/_fp9112
ed tomography or magnet- minutes after the patient's arrival in the emergency department.
ic resonance imaging is ob- That would be 7:30 p.m. for this patient.
tained by which time?
5. A patient in the telemetry Synchronized cardioversion
unit is stable. Cardiac mon-
itoring indicates the patient For a patient with ventricular tachycardia who is stable, has a
has ventricular tachycardia pulse and has a corrected QT interval greater than 0.46 seconds,
with a pulse. Further assess- synchronized cardioversion is the recommended treatment.
ment reveals that the cor-
rected QT interval is greater
than 0.46 seconds. Which
treatment would be appro-
priate at this time?
6. A resuscitation team is de- "We delivered 1 ventilation every 6 seconds and chest compres-
briefing following a recent sions at a rate of 100 to 120 compressions per minute."
event. A patient experienced
cardiac arrest, and advanced When an advanced airway has been placed in a patient who is in
cardiac life support was cardiac arrest, compressions and ventilations are delivered con-
initiated. The patient re- tinuously with no interruptions. One provider delivers 1 ventilation
quired the placement of an every 6 seconds, while the second provider performs compres-
advanced airway to main- sions at a rate of 100 to 120 compressions per minute.
tain airway patency. Which
statement indicates that the
team performed high-quali-
ty CPR?
7. A healthcare provider ini- 35 to 45 mmHg
tiates ventilations to en-
sure adequate breathing End-tidal carbon dioxide values in the range of 35 to 45 mmHg
and oxygenation. While ven- confirm adequacy of ventilation.
, Advanced Life Support (ALS) Online Session Final Exam
Study online at https://quizlet.com/_fp9112
tilations are being per-
formed, capnography is es-
tablished to evaluate the ad-
equacy of the ventilations.
The healthcare provider de-
termines that ventilations
are adequate based on
which end-tidal carbon diox-
ide (ETCO2) value?
8. An ECG strip of a pa- Absence of discrete P waves and presence of irregularly irregular
tient in the emergency de- QRS complexes.
partment reveals the fol-
lowing rhythm. Which fea- The two key features of atrial fibrillation on ECG are the absence
ture would the healthcare of discrete P waves and the presence of irregularly irregular QRS
provider interpret as indicat- complexes.
ing atrial fibrillation?
9. A patient in cardiac arrest 1. ETCO2 50 mmHg
experiences return of spon- 2. PaCO2 35 mmHg
taneous circulation. As part 3. SaO2 92%
of post-cardiac arrest care,
the patient is receiving me- Mechanical ventilation should be started at a rate of 10 to 12
chanical ventilation. Which breaths per minute and adjusted as necessary to keep ETCO2
finding(s) would indicate the levels in the range of 35 to 40 mmHg and PaCO2 levels in the
need for change in the venti- range of 40 to 45 mmHg. The minimum fraction of inspired
lator settings to optimize the oxygen necessary to maintain an SaO2 of at least 94% is used.
patient's ventilation and oxy-
genation?
10. The following capnogram is D
from a patient experienc-
