ACLS Post Test 1 Questions and Answers | Exams Nursing | Docsity (2024)

Download ACLS Post Test 1 Questions and Answers and more Exams Nursing in PDF only on Docsity! ACLS Post Test 1 Questions and Answers You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT was normal with no sign of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment is best? a. start fibrinolytic therapy ASAP b. hold fibrinolytic therapy for 24 hours c. order an echo before fibrinolytic administration d. wait for MRI result correct answera. start fibrinolytic therapy ASAP For STEMI pt, maximum goal time for ED door-to-balloon-inflation time for PCI? a. 150 mins b. 180 mins c. 120 mins d. 90 mins correct answer90 mins Which is the recommended oral dose of ASA for a pt w/ suspected ACS? a. 81 mg b. 325-650 mg c. 160-325 mg d. 40 mg correct answer160-325 mg chest compressions during for adult rate correct answer100-120/min effect of excessive ventilation a. decresed cardiac output a. extubate b. check glucose c. give epi d. initiate targeted temp. management correct answerinitiate targeted temperature management (the guideline no longer has post-arrest optimal glucose level) A 45M has coronary artery stents placed 2 days ago. Today, he is in severe distress & crushing chest discomfort. he is pale, diaphoretic, & cool to the touch. His radial pulse is very weak. Blood pressure is 64/40 mm Hg, respiratory rate is 28 bpm & O2 is 89%. cardiac monitor initially showed ventricular tachycardia, which quickly changed to v-fib. what would you have done first if the patient had not gone into v-fib? a. give atropine 1mg b. establish IV c. do a 12 lead d. performed synchronized cardioversion correct answerperformed synchronized cardioversion During post-cardiac arrest, which is recommended duration of targeted temp. management after reaching the correct temperature range? a. at least 24 hours b. 0-8 hour c. at least 36 hours d. at least 48 hours correct answerat least 24 hours which is the primary purpose of medical emergency team or rapid response team? a. provide diagnostic consultation to emergency department patients b. provide online consultation to EMS personnel c. improving patient outcomes by identifying & treating early clinical deterioration d. improving care for patients admitted to critical care units correct answerc. improving patient outcomes by identifying & treating early clinical deterioration A patient is respiratory distress, 70/50, presents with lead 2 ECG shown. appropriate treatment? a. defibrillation b. perform synchronized cardioversion c. administering adenosine 6mg IV pust d. perform vagal maneuvers correct answerperforming synchronized cardioversion which of these tests should be performed for a patient w/ suspected stroke w/in 25 mins of hospital arrival? a. coagulation studies b. cardiac enzymes c. noncontrast CT scan of the head d. 12 lead ECG correct answernon-contrast CT scan of the head Which of the following signs are likely indicator of cardiac arrest in an unresponsive patient? a. slow, weak pulse rate b. cyanosis c. irregular, weak pulse d. agonal gasps correct answerd. agnoal gasps a patient is being resuscitated in a very noisy environment. A team member thinks he heard an order of 500mg of amiodarone IV. which is the best response from the team member? correct answerI have an order to give 500mg of amiodarone IV. Is this correct? Which is the recommended next step after a defibrillation attempt? correct answerresume CPR, starting with chest compression A responder is caring for a patient with a history of congestive heart failure. The patient is experiencing shortness of breath, 68/50 mmHg, heart rate 190/min. The patient's lead 2 ECG is shown. Which best characterizes this patient's rhythm? correct answerunstable supraventicular tachycardia which is one way to minimize interruptions in chest compressions during CPR? correct answercontinue CPR while the defibrillator charges A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake & responsive but ill- appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready & fast. Your are unable to get a BP. She has no obvious dependent edema, & her neck veins are flat. Her lung sounds are equal w/ moderate rales present bilaterally. The cardiac monitor shows rhythm seen here. Based on the patient's initial assessment, what adult ACLS algorithm should you follow? correct answertachycardia wide complex (monophasic) tachycardia A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake & responsive but ill- appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready & fast. Your are unable to get a BP. She has no obvious dependent edema, & her neck veins are flat. Her lung sounds are equal w/ moderate rales present bilaterally. The cardiac monitor shows rhythm seen here. After your initial assessment, which intervention should be preformed? correct answersynchronized cardioversiion A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake & responsive but ill- appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready & fast. Your are unable to get a BP. She has no obvious dependent edema, & her neck veins are flat. Her lung sounds are equal w/ moderate rales present bilaterally. The cardiac monitor shows rhythm seen here. If the patient became apnic & pulseless but the rhythm remained the same, which would take the highest priority? correct answerperform defibrillation Which best describes the rhythm? correct answermonomorphic ventricular tachycardia