ACLS REVISED Test Quiz Bank MOD 015 GRADED
A+ Questions & Answers 2023/2024 VERIFIED
Interruptions in chest compressions are only justifiable for the following interventions correct answers
Rhythm/pulse checks, defibrillation, and intubation
Interruptions in chest compressions should be limited to how many seconds? correct answers 10
seconds or less
Name three reasons why excessive ventilation should be avoided in cardiac arrest patients correct
answers 1. Adverse hemodynamic effects from increased intrathoracic pressures
2. Potential decreases in cerebral blood flow when the PaCO2 drops (causing cerebral vasoconstriction)
3. Increased risk of gastric inflation and resultant aspiration
Providers should be aware that when a patient's temperature is below normal, lab values for PaCO2 may
be _________ than the actual values. correct answers Higher
Providers should titrate FiO2 during the post cardiac arrest phase to the lowest level required to achieve
an arterial oxygen saturation of ___ or greater. correct answers 94%
A mean arterial pressure of ____ or greater is the goal following cardiac arrest. correct answers 65
mmHg
True or false: A post-cardiac arrest patient who is undergoing targeted temperature management is an
acceptable candidate for PCI. correct answers True. Concurrent PCI and hypothermia are safe and have
good outcomes.
In patients undergoing TTM, prognostication using clinical examination should be delayed until at least
_______ hours after return to normothermia. correct answers 72 hours
True or False: Survival rates are poor for arrests associated with rhythms other than Vfib/pulseless Vtach
correct answers True.
True or False: Many in-hospital arrests are preceded by easily recognizable physiologic changes, many of
which are evident with routine monitoring of vital signs. correct answers True. there is often a period of
increasing instability before the arrest.
In an isolated respiratory arrest, provide rescue breathing with a BVM and check pulse about every
_______. correct answers 2 minutes
, Coronary perfusion pressure (CPP) is _______ minus ________. correct answers Aortic diastolic pressure
minus right atrial diastolic pressure.
PetCO2 less than ______ indicates inadequate CPR quality correct answers 10 mmHg
In a patient with an arterial line, diastolic pressure less than _____ indicates inadequate CPR quality
correct answers 20 mmHg
In the secondary assessment to determine potential causes of the arrest, the acronym SAMPLE stands
for correct answers Signs and symptoms, allergies, medications, past medical history, last meal
consumed, and events.
Five H's correct answers Hypovolemia, hypoxia, hydrogen ion (acidosis), hypo/hyper-kalemia,
hypothermia
Five T's correct answers Tension pneumothorax, tamponade (cardiac), toxins, thrombosis (pulmonary),
thrombosis (coronary)
What are the two most common underlying and potentially reversible causes of PEA? correct answers
Hypovolemia and hypoxia
Three causes of cardiac arrest that bedside ultrasound identifies correct answers 1. Cardiac tamponade
2. Massive PE
3. Tension pneumothorax
True or False: If a patient has an intact cough/gag reflex, it is ok to use an oropharyngeal airway (OPA)
correct answers False!
Measure from ______ to _______ to select a properly sized OPA correct answers the corner of the
mouth; the angle of the mandible
True or False: nasopharyngeal airways (NPAs) may be used in conscious as well as unconscious patients
correct answers True
The use of an NPA is indicated when.... correct answers Insertion of an OPA would be difficult or
dangerous, or when the patient is conscious and needs adjunct support
Measure from ______ to _______ to select a properly sized NPA correct answers nose; earlobe
A+ Questions & Answers 2023/2024 VERIFIED
Interruptions in chest compressions are only justifiable for the following interventions correct answers
Rhythm/pulse checks, defibrillation, and intubation
Interruptions in chest compressions should be limited to how many seconds? correct answers 10
seconds or less
Name three reasons why excessive ventilation should be avoided in cardiac arrest patients correct
answers 1. Adverse hemodynamic effects from increased intrathoracic pressures
2. Potential decreases in cerebral blood flow when the PaCO2 drops (causing cerebral vasoconstriction)
3. Increased risk of gastric inflation and resultant aspiration
Providers should be aware that when a patient's temperature is below normal, lab values for PaCO2 may
be _________ than the actual values. correct answers Higher
Providers should titrate FiO2 during the post cardiac arrest phase to the lowest level required to achieve
an arterial oxygen saturation of ___ or greater. correct answers 94%
A mean arterial pressure of ____ or greater is the goal following cardiac arrest. correct answers 65
mmHg
True or false: A post-cardiac arrest patient who is undergoing targeted temperature management is an
acceptable candidate for PCI. correct answers True. Concurrent PCI and hypothermia are safe and have
good outcomes.
In patients undergoing TTM, prognostication using clinical examination should be delayed until at least
_______ hours after return to normothermia. correct answers 72 hours
True or False: Survival rates are poor for arrests associated with rhythms other than Vfib/pulseless Vtach
correct answers True.
True or False: Many in-hospital arrests are preceded by easily recognizable physiologic changes, many of
which are evident with routine monitoring of vital signs. correct answers True. there is often a period of
increasing instability before the arrest.
In an isolated respiratory arrest, provide rescue breathing with a BVM and check pulse about every
_______. correct answers 2 minutes
, Coronary perfusion pressure (CPP) is _______ minus ________. correct answers Aortic diastolic pressure
minus right atrial diastolic pressure.
PetCO2 less than ______ indicates inadequate CPR quality correct answers 10 mmHg
In a patient with an arterial line, diastolic pressure less than _____ indicates inadequate CPR quality
correct answers 20 mmHg
In the secondary assessment to determine potential causes of the arrest, the acronym SAMPLE stands
for correct answers Signs and symptoms, allergies, medications, past medical history, last meal
consumed, and events.
Five H's correct answers Hypovolemia, hypoxia, hydrogen ion (acidosis), hypo/hyper-kalemia,
hypothermia
Five T's correct answers Tension pneumothorax, tamponade (cardiac), toxins, thrombosis (pulmonary),
thrombosis (coronary)
What are the two most common underlying and potentially reversible causes of PEA? correct answers
Hypovolemia and hypoxia
Three causes of cardiac arrest that bedside ultrasound identifies correct answers 1. Cardiac tamponade
2. Massive PE
3. Tension pneumothorax
True or False: If a patient has an intact cough/gag reflex, it is ok to use an oropharyngeal airway (OPA)
correct answers False!
Measure from ______ to _______ to select a properly sized OPA correct answers the corner of the
mouth; the angle of the mandible
True or False: nasopharyngeal airways (NPAs) may be used in conscious as well as unconscious patients
correct answers True
The use of an NPA is indicated when.... correct answers Insertion of an OPA would be difficult or
dangerous, or when the patient is conscious and needs adjunct support
Measure from ______ to _______ to select a properly sized NPA correct answers nose; earlobe
