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AHA ACLS Written Test Questions and Answers 2024/2025, Exams of Nursing

University of CumbriaNursing

AHA ACLS Written Test Questions and Answers 2024/2025 You find an unresponsive patient who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? Correct answers: Start chest compressions of at least 100 per min.

Typology: Exams

2023/2024

Available from 08/16/2024

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AHA ACLS Written Test Questions and
Answers 2024/2025
You find an unresponsive patient who is not breathing. After activating the
emergency response system, you determine there is no pulse. What is
your next action?
Correct answers: Start chest compressions of at least 100
per min. correct answers
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a
heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the
pulse O2 is 97%. What assessment step is most important now?
correct answers:
Obtaining a 12 lead ECG.correct answersWhat is the preferred method of
access for epi administration during cardiac arrest in most pts?
Correct answers:
Peripheral IV correct
answers
An AED does not promptly analyze a rythm. What is your
next step? Correct answers: Begin chest compressions.
correct answers
You have completed 2 min of CPR. The ECG monitor displays the lead below
(PEA) and the pt. has no pulse. You partner resumes chest compressions and an
IV is in place. What management step is your next priority?
Correct answers: Administer 1mg of
epinepherine correct answers
During a pause in CPR, you see a narrow complex rythm on the monitor. The
pt. has no pulse. What is the next action?
correct answers: Resume
compressions correct answers
What is a common but sometimes fatal mistake in cardiac arrest
management? correct answers:Prolonged interruptions in chest
compressions.
correct answers
Which action is a component of high-quality chest
compressions? correct answers:Allowing complete chest
recoil
correct answers
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AHA ACLS Written Test Questions and

Answers 2024/

You find an unresponsive patient who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? Correct answers: Start chest compressions of at least 100 per min. correct answers You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most important now? correct answers: Obtaining a 12 lead ECG.correct answersWhat is the preferred method of access for epi administration during cardiac arrest in most pts? Correct answers: Peripheral IV correct answers An AED does not promptly analyze a rythm. What is your next step? Correct answers: Begin chest compressions. correct answers You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the pt. has no pulse. You partner resumes chest compressions and an IV is in place. What management step is your next priority? Correct answers: Administer 1mg of epinepherine correct answers During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse. What is the next action? correct answers: Resume compressions correct answers What is a common but sometimes fatal mistake in cardiac arrest management? correct answers:Prolonged interruptions in chest compressions. correct answers Which action is a component of high-quality chest compressions? correct answers:Allowing complete chest recoil correct answers

in Which action increases the chance of successful conversion of ventricular fibrillation? correct answers: Providing quality compressions immediately before a defibrillation attempt. correct answers Which situation BEST describes PEA? correct answers: Sinus rythm without a pulse correct answers What is the best strategy for performing high-quality CPR on a pt. with an advanced airway correct answers: provide continuous chest compressions without pauses and 10 ventilations per minute. correct answers 3 min after witnessing a cardiac arrest, one member of your team inserts an ET tube while another performs continuous chest comressions. During subsequent bentilation, you notice the presence of a wavefom on the capnography screen and a PETCO2 of 8 mm Hg. What is the significance of this finding? correct answers: Chest compressions may not be effective. correct answers The use of quantitative capnography in intubated pt's does what? correct answers: Allows for monitoring CPR quality correct answers For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which has persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next treatment? correct answers: Consider terminating resuscitative efforts after consulting medical control. correct answers Which is a safe and effective practice within the defibrillation sequence? correct answers: Be sure O2 is NOT blowing over the pt's chest during shock. correct answers During your assessment, your pt suddenly loses consciousness. After calling for help and determining that the pt. is not breathing, you are unsure whether the pt. has a pulse. What is your next action? correct answers: Begin chest compressions.correct answersWhat is an advantage of using hands-free d-fib pads instead of d-fib paddles? correct answers

correct A pt. presents to the ER with dizziness and SOB with a sinus brady of 40/min. The initial atropine dose was ineffective and your monitor does not provide TCP. What is the appropriate dose of Dopamine for this pt? correct answers: 2-10mcg/kg/min A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow complex tach rythm. What is the next intervention? correct answers:Vagal manuever. correct answers A monitored pt. in the ICU developed a sudden onset of narrow complex tach at a rate of 220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ established for vascular access. The pt. denies taking any vasodialators. A 12 lead shows no ischemia or infarction. Vagal maneuvers are ineffective. What is the next interventio correct answers: Adenosine 12mg IV correct answers You received a radio report from an EMS team enroute with a pt. who may be having a stroke. The hospital CT scanner is broken. What should you do? correct answers: Divert the pt. to a hospital 15 min away with CT capabilities. correct answers Choose an appropriate inidication to stop or withhold resuscitative efforts. correct answers: Evidence of rigor mortis. correct answers A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been taking antacids PO for the past 6 hours because she had heartburn. BP is 118/72, heart rate is 92/min, resp. rate is 14 non-labored and O2 sat is 96%. What is the most appropriate next action? correct answers: Obtain a 12 lead ECG. correct answers A pt. in respiratory failure becomes apneic but continues to have a strong pulse. The heart rate is dropping paridly and now shows a sinus brady rate at 30/min. What intervention has the highest priority? correct answers: Simple airway manuevers and assisted ventilations. correct answers What is the appropriate procedure for ET suctioning after the catheter is selected? correct answers: Suction during withdrawl, but not for longer than 10 seconds. correct answers

is 78/min, resp rate is non-labored 14/min, 02 sat is 97%. Lead 2 in the ECG shows a sinus While treating a stable pt for dizziness, a BP of 68/30, cool and clammy, you see a brady rythm on the ECG. How do you treat this? correct answersAtropine 0.5mg correct answers: A 68 y/o female pt. experienced a sudden onset of right arm weakness. BP is 140/90, pulse rythm. What would be your next action?

correct correct correct correct correct answers Which conditionis a contraindication to theraputic hypothermia during the post- cardiac arrest period for pt's who achieve return of spontaneous circulation (ROSC)? correct answers: Responding to verbal commands What is the potential danger to using ties that pass circumferentially around the pt's neck when securing an advanced airway? correct answers:Obstruction of veneous return from the brain What is the most reliable method of confirming and montioring correct placement of an ET tube? correct answers: Continuous waveform capnography What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves ROSC but is hypotensive during the post-cardiac arrest period? correct answers:1 to 2 Liters What is the minimum systolic BP one should attempt to achieve with fluid, Inotropic, or vasopressor administration in a hypotensive post-cardiac arrest who achieves ROSC? correct answers: 90mm Hg What is the 1st treatment priority for a pt. who achieves ROSC? correct answers: Optimizing ventilation and oxygenation.