Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

ACLS Precourse Self Assessment, Exams of Nursing

Champlain CollegeNursing

Which intervention below is most important, reducing in-hospital and 30-day mortality? 1. Reperfusion therapy. 2. IV nitroglycerin for 24 hours. 3. Temporary pacing. 4. Atropine 0.5 mg IV, total dose 2 mg as

Typology: Exams

2024/2025

Available from 03/17/2025

carol-kimachu
carol-kimachu 🇺🇸

11 documents

1 / 33

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
ACLS Precourse self assesment
1
ACLS Precourse Self Assessment Question
and Answer 100% pass.
1. 3˚ AV block
p and qrs completely separate
Identify the rhythm.
2. Pulseless electrical activity (PEA)
Identify the rhythm.
3. Coarse ventricular fibrillation
Identify the rhythm.
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe
pff
pf12
pf13
pf14
pf15
pf16
pf17
pf18
pf19
pf1a
pf1b
pf1c
pf1d
pf1e
pf1f
pf20
pf21

Partial preview of the text

Download ACLS Precourse Self Assessment and more Exams Nursing in PDF only on Docsity!

ACLS Precourse Self Assessment Question

and Answer 100% pass.

  1. 3 ˚ AV block p and qrs completely separate Identify the rhythm.
  2. Pulseless electrical activity (PEA) Identify the rhythm.
  3. Coarse ventricular fibrillation Identify the rhythm.
  1. Reentry supraventricualr tachycardia (SVT) Identify the rhythm.
  2. Sinus bradycardia Identify the rhythm.
  3. Polymorphic ventricular tachycardia Identify the rhythm.
  1. 2 ˚ AV block (Mobitz type II) no p-r prolonged, random drops Identify the rhythm.
  2. Sinus bradycardia Identify the rhythm.
  3. Atrial flutter Identify the rhythm.
  4. Reentry supraventricular tachycardia (SVT) Identify the rhythm.
  1. 2 ˚ AV block (Mobitz type I Wenckebach) Identify the rhythm.
  2. Normal sinus rhythm Identify the rhythm.
  3. Sinus tachycardia Identify the rhythm.
  4. Atrial fibrillation irreg, irreg Identify the rhythm.

Identify the rhythm.

  1. Agonal rhythm/asystole Identify the rhythm.
  2. Coarse ventricular fibrillation Identify the rhythm.
  3. Monomorphic Ventricular tachycardia

Identify the rhythm.

    1. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. Which of the following statements about the use of magnesium in cardiac arrest is most accurate?
  2. Magnesium is indicated for shock-refractory monomorphic VT.
  3. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes.
  4. Magnesium is contraindicated for VT associated with a normal QT interval.
  5. Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine.
    1. Give aspirin 160 to 325 mg chewed immediately. A patient with ST-segment elevation MI has ongoing chest discomfort. Fibrinolytic therapy has been ordered. Heparin 4000 units IV bolus was administered, and a heparin infusion of 1000 units per hour is being administered.

therapy?

  1. Do not give aspirin for at least 24 hours if rtPA is administered.
  2. Give aspirin 160 mg and clopidogrel 75 mg orally.
  3. Administer heparin if CT scan is negative for hemorrhage.
  4. Administer aspirin 160 to 325 mg chewed immediately.
    1. Use of a phosphodiesterase inhibitor within 12 hours A patient with possible ST-segment elevation MI has ongoing chest discomfort. Which of the following would be a contraindication to the administration of nitrates?
  6. Heart rate 90/min.
  7. Left ventricular infarct with bilateral rales.
  8. Blood pressure greater than 180 mm Hg.
  9. Use of a phosphodiesterase inhibitor within 12 hours
    1. Epinephrine 1 mg A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Of the following, which drug and dose should be administered first by the IV/IO route?
  11. Epinephrine 1 mg
  12. Vasopressin 20 units
  1. Sodium bicarbonate 50 mEq
  2. Atropine 1 mg
    1. Adenosine 6 mg A 35-year-old woman has palpitations, light- headedness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. What drug should be administered IV?
  4. Lidocaine 1mg/kg
  5. Adenosine 6 mg
  6. Epinephrine 2 to 10 mcg/kg per minute
  7. Atropine 0.5 mg
    1. Dose of 0.5mg A patient with sinus bradycardia and heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
  9. Dose of 0.1mg
  10. Dose of 3 mg
  11. Dose of 1 mg
  12. Dose of 0.5mg
    1. 150 mg IV push. A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV

A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a history of angina. Which of the following actions is recommended?

  1. Giving adenosine 6 mg IV bolus.
  2. Seeking expert consultation.
  3. Giving lidocaine 1 to 1.5 mg IV bolus.
  4. Immediate synchronized cardioversion.
    1. Gain IV or IO access. You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previously advised "no shock indicated." A rhythm check now finds asystole. After resuming high-quality compressions, your next action is to:
  6. Gain IV or IO access.
  7. Place an esophageal-tracheal tube or laryngeal mask airway.
  8. Attempt endotracheal intubation with minimal interruptions in CPR.
  9. Call for a pulse check.
    1. Amiodarone 300 mg A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which is the next drug/dose to anticipate to administer?
  11. Amiodarone 300 mg
  1. Amiodarone 150 mg
  2. Vasopressin 40 units
  3. Epinephrine 3 mg
  4. Lidocaine 0.5 mg/kg
    1. Lidocaine, epinephrine, vasopressin Your patient has been intubated. IV/IO access is not available. Which combination of drugs can be administered by the endotracheal route?
  6. Vasopressin, amiodarone, lidocaine
  7. Amiodarone, lidocaine, epinephrine
  8. Epinephrine, vasopressin, amiodarone
  9. Lidocaine, epinephrine, vasopressin
    1. IV or IO A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. What is the recommended route for drug administration during CPR?
  11. Femoral vein
  12. IV or IO
  13. Central line
  14. Endotracheal
  15. External jugular vein
    1. Second dose of epinephrine 1 mg A patient is in refractory ventricular fibrillation. High-quality CPR is in progress, and shocks have been given. One does of epinephrine was given after the second shock. An
  1. The patient's 12-lead ECG show an MI.
  2. Chest pain or shortness of breath is present.
    1. The correct dose of vasopressin is 40 units administered by IV or IO. Which of the following statements is most accurate regarding the administration of vasopressin during cardiac arrest?
  4. Vasopressin can be administered twice during cardiac arrest.
  5. Vasopressin is indicated for VF and pulseless VT before delivery of the first shock.
  6. The correct dose of vasopressin is 40 units administered by IV or IO.
  7. Vasopressin is recommended instead of epinephrine for the treatment of asystole.
    1. Epinephrine 1 mg or vasopressin 40 units IV or IO. A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is intubated and an IV has been started. The rhythm is asystole. Which is the first drug/dose to administer?
  9. Epinephrine 1 mg or vasopressin 40 units IV or IO.
  10. Atropine 1 mg IV or IO.
  11. Atropine 0.5 mg IV or IO.
  12. Epinephrine 3 mg via endotracheal route.
  13. Dopamine 2 to 20 mcg/kg per minute IV or IO.
    1. Repeat adenosine 12 mg IV. A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. She has received adenosine 6 mg IV for the rhythm shown above without conversion of the rhythm. She is now extremely apprehensive. Blood pressure is 108/70 mm Hg. What is the next appropriate intervention?
  2. Repeat adenosine 3 mg IV.
  3. Perform immediate unsynchronized cardioversion.
  4. Sedate and perform synchronized cardioversion.
  5. Repeat adenosine 12 mg IV.
  6. Perform vagal maneuvers and repeat adenosine 6 mg IV.
    1. Sublingual nitroglycerin 0.4 mg. A patient in the emergency department develops recurrent chest discomfort (8/10) suspicious for ischemia. His monitored rhythm
  1. Prepare to give amiodarone 300 mg IV.
  2. Administer 3 sequential (stacked) shocks at 200 J (biphasic defibrillator).
  3. Perform endotracheal intubation; administer 100% oxygen.
  4. Prepare to give epinephrine 1 mg IV.
    1. Atropine 0.5 mg IV. You arrive on the scene to find a 56-year-old diabetic woman with dizziness. She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg. The cardiac monitor documents the rhythm below. She is receiving oxygen at 4 L/min by nasal cannula and an IV has been established. Your next order is:
  6. Dopamine at 2 to 10 mcg/kg per minute.
  7. Sublingual nitroglycerin 0.4 mg.
  8. Morphine sulfate 4 mg IV.
  9. Atropine 0.5 mg IV.
  10. Atropine 1 mg IV.
    1. Begin CPR, starting with high-quality chest compressions. A patient becomes unresponsive. You are uncertain if a faint pulse is present with the rhythm below. What is your next action?
  2. Order transcutaneous pacing.
  3. Begin CPR, starting with high-quality chest compressions.
  4. Start an IV and give epinephrine 1 mg IV.
  5. Consider causes of pulseless electrical activity.
  6. Start an IV and give atropine 1 mg.
    1. Give an immediate unsynchronized high- energy shock (defibrillation dose).