ACLS post-test 2023
A. Call for help and begin chest compressions.
A 48-year-old man became unresponsive shortly after presenting to you with nausea
and generalized chest discomfort. You observe gasping breathing and are unsure if you
feel a pulse. You should know:
A. Call for help and begin chest compressions.
B. Wait until breathing stops and then check again for a pulse.
C. Begin chest compressions only if you are certain a pulse is absent.
D. Observe the patient for 2 minutes, then reassess his breathing and pulse.
C. Bradydysrhythmias
Which of the following is the most likely complication of inferior wall myocardial
infarction (MI)?
A. Cardiogenic shock
B. Ventricular rupture
C. Bradydysrhythmias
D. Tachydysrhythmias
D. Procainamide or amiodarone
A 52-year-old man is complaining of palpitations that came on suddenly after walking up
a short flight of stairs. His symptoms have been present for about 20 minutes. He
denies chest pain and is not short of breath. His skin is warm and dry; breath sounds
are clear. His blood pressure (BP) is 144/88 millimeters of mercury (mm Hg), his heart
rate is 186 beats per minute (beats/min), and his ventilatory rate is 18 breaths/min. The
cardiac monitor reveals the rhythm here. Vascular access has been established. Which
of the following medications is most appropriate in this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
C. Assess breathing and determine whether she has a pulse.
Your general impression of a 78-year-old woman reveals that her eyes are closed, she
is not moving, you can see no rise and fall of her chest or abdomen, and her skincolor is
pale. When you arrive at the patient's side, you confirm that she is unresponsive. Your
best action in this situation will be to:
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has a pulse.
D. Prepare the necessary equipment to insert an advanced airway.
C. Gurgling sounds heard over the epigastrium
A 60-year-old woman has suffered a cardiac arrest. A health care professional trained in
endotracheal intubation has intubated the patient. Which of the following findings would
indicate inadvertent esophageal intubation?
A. Jugular vein distention
B. Subcutaneous emphysema
, C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
C. Epinephrine, dopamine, or norepinephrine.
Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of spontaneous
circulation (ROSC) may necessitate the use of:
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
C. The gather phase of the debriefing includes a comparison of the team's actions
with current resuscitation algorithms.
Which of the following is incorrect with regard to a postevent debriefing?
A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive
environment.
C. The gather phase of the debriefing includes a comparison of the team's actions with
current resuscitation algorithms.
D. Team members are given an opportunity to reflect on their performance and how
their performance can be improved.
B. Vagal maneuvers
Assuming there are no contraindications, which of the following can be performed as an
initial intervention for a stable but symptomatic patient with the rhythm shown?
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) diltiazem
D. Administration of IV epinephrine
B. Administer IV antihistamines and steroids.
A 62-year-old man received IV tissue plasminogen activator (tPA) 2 hours ago after a
diagnosis of acute ischemic stroke. While assessing the patient's vital signs, you
observe swelling of the patient's lips and tongue. Your best course of action will be to:
A. Administer aspirin and IV heparin.
B. Administer IV antihistamines and steroids.
C. Observe and reassess the patient every 15 minutes.
D. Request an emergent brain computed tomography scan.
B. Attempt intraosseous access.
During a cardiac arrest, multiple attempts to establish a peripheral IV have proved
unsuccessful. Your best course of action at this time will be to:
A. Insert a central line.
B. Attempt intraosseous access.
C. Discontinue resuscitation efforts.
D. Continue peripheral IV attempts until successful.
B. Delivers a shock during ventricular depolarization.
Synchronized cardioversion:
A. Is used only for atrial dysrhythmias.
B. Delivers a shock during ventricular depolarization.
A. Call for help and begin chest compressions.
A 48-year-old man became unresponsive shortly after presenting to you with nausea
and generalized chest discomfort. You observe gasping breathing and are unsure if you
feel a pulse. You should know:
A. Call for help and begin chest compressions.
B. Wait until breathing stops and then check again for a pulse.
C. Begin chest compressions only if you are certain a pulse is absent.
D. Observe the patient for 2 minutes, then reassess his breathing and pulse.
C. Bradydysrhythmias
Which of the following is the most likely complication of inferior wall myocardial
infarction (MI)?
A. Cardiogenic shock
B. Ventricular rupture
C. Bradydysrhythmias
D. Tachydysrhythmias
D. Procainamide or amiodarone
A 52-year-old man is complaining of palpitations that came on suddenly after walking up
a short flight of stairs. His symptoms have been present for about 20 minutes. He
denies chest pain and is not short of breath. His skin is warm and dry; breath sounds
are clear. His blood pressure (BP) is 144/88 millimeters of mercury (mm Hg), his heart
rate is 186 beats per minute (beats/min), and his ventilatory rate is 18 breaths/min. The
cardiac monitor reveals the rhythm here. Vascular access has been established. Which
of the following medications is most appropriate in this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
C. Assess breathing and determine whether she has a pulse.
Your general impression of a 78-year-old woman reveals that her eyes are closed, she
is not moving, you can see no rise and fall of her chest or abdomen, and her skincolor is
pale. When you arrive at the patient's side, you confirm that she is unresponsive. Your
best action in this situation will be to:
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has a pulse.
D. Prepare the necessary equipment to insert an advanced airway.
C. Gurgling sounds heard over the epigastrium
A 60-year-old woman has suffered a cardiac arrest. A health care professional trained in
endotracheal intubation has intubated the patient. Which of the following findings would
indicate inadvertent esophageal intubation?
A. Jugular vein distention
B. Subcutaneous emphysema
, C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
C. Epinephrine, dopamine, or norepinephrine.
Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of spontaneous
circulation (ROSC) may necessitate the use of:
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
C. The gather phase of the debriefing includes a comparison of the team's actions
with current resuscitation algorithms.
Which of the following is incorrect with regard to a postevent debriefing?
A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive
environment.
C. The gather phase of the debriefing includes a comparison of the team's actions with
current resuscitation algorithms.
D. Team members are given an opportunity to reflect on their performance and how
their performance can be improved.
B. Vagal maneuvers
Assuming there are no contraindications, which of the following can be performed as an
initial intervention for a stable but symptomatic patient with the rhythm shown?
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) diltiazem
D. Administration of IV epinephrine
B. Administer IV antihistamines and steroids.
A 62-year-old man received IV tissue plasminogen activator (tPA) 2 hours ago after a
diagnosis of acute ischemic stroke. While assessing the patient's vital signs, you
observe swelling of the patient's lips and tongue. Your best course of action will be to:
A. Administer aspirin and IV heparin.
B. Administer IV antihistamines and steroids.
C. Observe and reassess the patient every 15 minutes.
D. Request an emergent brain computed tomography scan.
B. Attempt intraosseous access.
During a cardiac arrest, multiple attempts to establish a peripheral IV have proved
unsuccessful. Your best course of action at this time will be to:
A. Insert a central line.
B. Attempt intraosseous access.
C. Discontinue resuscitation efforts.
D. Continue peripheral IV attempts until successful.
B. Delivers a shock during ventricular depolarization.
Synchronized cardioversion:
A. Is used only for atrial dysrhythmias.
B. Delivers a shock during ventricular depolarization.
