A bag-valve-mask device should be equipped with a pop-off (pressure release) valve to overcome increased air resistance in cardiac arrest patients, b. A rhythm check now finds asystole. 1 mg/kg IV push. What is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? 4. The patient is confused, and her blood pressure is 88/56 mm Hg. Administer the shock immediately and continue as directed by the AED. High-quality CPR is in progress. 2. Seeking expert consultation. What is your next action? The heart rate is less than 60/min with or without symptoms. True or False: Rapid, wide-QRS rhythms associated with pulselessness, shock, or congestive heart failure should be presumed to be ventricular tachycardia. Endotracheal tube What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II ECG? The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. True or False: Simultaneous, bilateral carotid massage should be attempted to try to slow the heart rate of a stable patient with a narrow-QRS tachycardia before medication administration. 3. Get immediate feedback while you prepare for your exam. You now observe this rhythm on the cardiac monitor. A quick glance at the cardiac monitor reveals the rhythm below. The most common cause of a stroke is: 41. The arrest was not witnessed. Which Of the following approaches is recommended during an initial patient evaluation? Write a Lewis structure for N2_22H4_44. Two shocks have been delivered, and an IV has been initiated. Marie Georgette Ngo Tonye says. 1. Consider causes of pulseless electrical activity. True or False: Side effects associated with transcutaneous pacing are most often related to muscle contraction, pain, and patient intolerance of the pacing stimulus. b. You are the team leader. 3. Give atropine 1 mg IV. (a) If the duct surface temperature TsT_sTs is less than the gas temperature TgT_gTg, will the thermocouple sense a temperature that is less than, equal to, or greater than TgT_gTg ? In Hospital Ventricular Fibrillation. Administer adenosine 6 mg; seek expert consultation. The cardiac monitor displays asystole. What is recommended depth of chest compressions for an adult victim? The monitor shows a regular narrow-complex QRS at a rate of 180/min. What is the recommended assisted ventilation rate for patients in respiratory arrest with a perfusing rhythm? If the thermocouple senses a temperature of 320C320^{\circ} \mathrm{C}320C when the duct surface temperature is 175C175^{\circ} \mathrm{C}175C, what is the actual gas temperature? For the given state of stress, determine (a) the principal 4. Establish an IV and give epinephrine 1 mg. Fibrinolytic therapy has been ordered. Do not give aspirin for at least 24 hours if rtPA is administered. Which condition is an indication to stop or withhold resuscitative efforts? Give an immediate unsynchronized high-energy shock (defibrillation dose). The patient describes her discomfort as a squeezing sensation in the middle Of her chest. Epinephrine 1 mg IV below. Which Of the following statements is true Of right ventricular infarction (RVI)? ACLS pretest Flashcards. 1. How do insects contribute beneficially to agriculture? 42. He was admitted about an hour ago after coming to the emergency department with shortness of breath. High-quality CPR is in progress, and shocks have been given. Prepare to give epinephrine 1 mg IV. During the combustion of 5.00 g of octane, C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18, 1002 kJ is released. February 17, 2023 at 6:10 am. Lidocaine may be lethal if administered for which of the following rhythms? Acls precourse self assessment answers 2020 quizlet - Study with Quizlet and memorize flashcards containing terms like 3 AV block p and qrs completely. This ACLS quiz covers general information that may be found on the ACLS written test. ) If a fully automated AED is used and a shockable rhythm is detected, the AED will instruct the AED operator to press the shock control to deliver a shock, c. Some AEDs have adapters available for many popular manual defibrillators, enabling the AED pads to remain on the patient when patient care is transferred, d. AEDs will recommend a shock for monomorphic ventricular tachycardia, polymorphic ventricular tachycardia, and ventricular fibrillation, a. Providing a good seal between the face and the mask Give atropine 0.5 mg IV 3. He is being evaluated for another acute stroke. 4. Obtain a 12-lead ECG D. Give normal saline 250 mL to 500 mL fluid bolus. You can palpate a carotid pulse. Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? This patient has been resuscitated from cardiac arrest. You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. You are called to the home of a 2-year-old little boy whose parents are concerned because he "isn't acting right". Transport the patient to a facility capable of performing PCI. High-quality chest compressions are being given. 1. On the next rhythm check, you see the rhythm shown here. Start The Quiz about 3-5 minutes # % Follow us for daily quizzes and nursing banter. Solve Now The primary survey reveals that the patient is unresponsive and not breathing. Reply. 3. How often should you provide ventilation? 5. You determine that he is unresponsive and notice that he is taking agonal breaths. Transcutaneous pacing, What is the recommended depth of chest compressions for an adult victim? Course Ventricular Fibrillation 4. b. electrons. Sodium bicarbonate 50 mEq. The actual exam may differ from our materials. All material on this website is for reference purposes only and does not represent the actual format, pattern from respective official authority. Stimulates alpha, beta-1 , and beta-2 receptors, b. ACLS, PALS & BLS Quizzes Pass five quizzes (84% or higher score) and get 20% off your ACLS certification with us. c. The rate should be set between 60 and 80; the current should be increased slowly until capture achieved. An AED has previously advised "no shock indicated." High-quality CPR is in progress. There are no contraindications, and 4 mg of morphine sulfate was administered. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. 33. Administer aspirin 160 to 325 mg chewed immediately. Step-by-Step Training ACLS Interactive Course Guide Accreditation and CEU Information ACLS Quizzes & Scenarios ACLS Megacode Simulator ACLS Practice Tests You have completed your first 2-minute period of CPR. Give metoprolol 5 mg IV and repeat if necessary. Morphine sulfate 4 mg IV, How often should you switch chest compressors to avoid fatigue? What element of effective resuscitation team dynamics does this represent? Your course Of action Will be to: 16. The ventricular rate is 138/min. Team members report that the patient was well but reported chest pain and then collapsed. 1. 1. Recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest, Performing a head tilt chin lift maneuver. 1. A. Giving lidocaine 1 to 1.5 mg IV bolus. What do you administer next? Level Of responsiveness, airway, breathing, circulation, defibrillation if necessary, c. Temperature, pulse, respiration, blood pressure, d. Oxygen, IV fluid challenge, vital signs, level Of responsiveness, a. An infusion of 1 to 2 mg/min. By the endotracheal route whenever possible, c. By IV bolus and followed with a 20-mL flush of IV fluid, d. By IV bolus over 2 to 3 minutes and then followed with a 10-mL flush of IV fluid, c. Continue peripheral IV attempts until successful, a. Continue CPR while the defibrillator is charging. . Continue monitoring the patient and seek expert consultation. Continue CPR, start an IV, intubate using the largest endotracheal tube available, and give epinephrine and atropine, c. Stop CPR and attempt transcutaneous pacing, then start an IV and begin a dopamine infusion, d. Attempt synchronized cardioversion using 100 joules; if the rhythm is unchanged, start an IV, and intubate using the largest endotracheal tube available, b. Your patient is in cardiac arrest and has been intubated. Additional ACLS Study Material: How To Pass Your ACLS Certification Exam; 6 Effective Ways to Prepare for the ACLS Exam; Conclusion: If you struggled with this particular ACLS pretest, we suggest looking into additional ACLS practice exam questions and answers and reviewing your ACLS study material thoroughly before taking your ACLS exam. A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. Gain instant access to all of the practice tests, megacode scenarios, and knowledge base. A thrid shock has just been administered. ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, Reentry supraventricular tachycardia, Second-degree AV block (Mobitz II 2. Two shocks and 1 dose of epinephrine have been given. 3. planes, (b) the principal stresses. Seeking expert consultation A patient is in cardiac arrest. Chest compressions should never be interrupted, c. Interruptions in chest compressions to analyze the ECG, Charge the defibrillator, place an advanced airway, check a pulse, or other procedures must be kept to a minimum, d. Chest compressions and ventilations should be interrupted every 3 to 5 minutes to permit the members Of the resuscitation team to change positions, a. Airway, breathing, circulation (ABCs); 02; IV; sedation; and synchronized cardioversion with 200 joules, b. ABCs, 02, IV, vagal maneuvers, and lidocaine 1- to 1.5-mg/kg IV bolus, c. ABCs, 02, IV, and atropine -mg IV every 3 to 5 minutes to a maximum Of 3 mg, d. ABCs, 02, IV, vagal maneuvers, and adenosine 6-mg rapid IV bolus, d. Prepare the to insert an advanced airway, b. A patient has a rapid irregular wide-complex tachycardia. Epinephrine 3 mg 4. A patient is in pulseless ventricular tachycardia. Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 Average satisfaction rating 4.8/5. Amiodarone, lidocaine, epinephrine Intubate the patient and give epinephrine 2 to 4 mg via the endotracheal tube. For that we provide acls review free real test. Initiate dopamine at 2 to 10 mcg/kg per minute and titrate to patient response. The patient is intubated. Two shocks and 1 dose of epinephrine have been given. Perform endotracheal intubation. Patient's 12 lead ECG shows ST segment elevation in the anterior leads. About every 5-6 seconds There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. Dose of 3 mg Resume high-quality chest compressions, What is the maximum interval for pausing chest compressions? What is the next action after establishing an IV and obtaining a 12-lead ECG? 4. She has no pulse or respirations. When you arrive, the parents inform you that he has been sick with a fever, diarrhea and vomiting for the past 48 hours. (b) A thermocouple junction in the shape of a 2-mm-diameter sphere with a surface emissivity of 0.600.600.60 is placed in a gas stream moving at 3m/s3 \mathrm{~m} / \mathrm{s}3m/s. The CT scan is negative for hemorrhage. His monitored rhythm becomes irregular as seen above. A patient with ST-segment elevation MI has ongoing chest discomfort. Patient is unconscious and in respiratory arrest. Your patient is a 68-year-old with severe COPD. Give atropine 0.5 mg IV. 2020 | All Rights Reserved . ACLS PreTest: Pharmacology and Practical Application 4.9 (19 reviews) Term 1 / 32 You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. The blood pressure is less than 100 mm Hg systolic with or without symptoms. A 56-year-old woman is complaining Of palpitations. 5. 5. Please identify the rhythm by selecting the best single answer. and her skin color is pale. 2. For that we provide aha written exam 2023 real test. Lidocaine 1 mg/kg IV and infusion 2 mg/min. Prepare to give amiodarone 300 mg IV. A patient Who presents With a possible (or definite) acute syndrome should receive a targeted history and physical exam and initial 12-Iead ECG within _______ Of patient contact (prehospital) or arrival in the emergency department. Nitroglycerin administration Your next action is to: Atropine 0.5 mg IV . If no pathway for medication administration is in place, which method is preferred? The patient suddenly becomes unconscious and has a weak carotid pulse. His blood pressure is 180/100mm Hg. 3. Ventricular fibrillation has been refractory to a second shock. Give sublingual nitroglycerin 0.4 mg. He appears cyanotic. 4. What is the next action? Reentry SVT 5. vfib Give amiodarone 300 mg IV and start infusion. 4. 3. 43. External jugular vein 4. ST Elevation 2. A 53-year-old man has shortness of breath, chest discomfort, and weakness. Adenosine 12 mg IV slow push (over 1 to 2 minutes)Metoprolol 5 mg IV and repeat if necessary 2. ACLS Pretest Flashcards. What assessment step is most important now? We've all had that dreadful experience where you've studied . The practice test consists of 10 multiple-choice questions that are derived from the ACLS provider handbook and adhere to the latest ILCOR and ECC guidelines. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. . 2. SVT Begin your free practice exam: BLS 10 Questions ACLS 20 Questions PALS 20 Questions How often should the team leader switch chest compressors during a resuscitation attempt? You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. 3. Atropine 1 mg IV or IO. The patient is intubated, and an IV has been started. The most common side effects of giving amiodarone are: 5. 25 seconds, ACLS PreTest, ACLS PreTest: Pharmacology and, CEN: Cardio- Hypovolemic and Obstructive Shock, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman. A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60mm Hg. PALS Quizzes 2023 Complete a precourse self-assessment using these PALS pretest examinations. Is given in doses of 1 mg to a maximum Of 3 mg in asystole or slow pulseless electrical activity, c. Is most effective for atrioventricular (AV) blocks below the level Of the AV node, d. Is given in doses Of 1 to 1.5 mg/kg for symptomatic bradycardia, a. Start epinephrine 2 to 10 mcg/min. 1. What would you do at this time? The rate should be set between 20 and 60; the current (milliamps) should be increased slowly to maximum Output. 1. A thermocouple junction is inserted in a large duct to calculate the temperature of hot gases flowing through the duct. Give aspirin 160 to 325 mg to be chewed immediately Epinephrine 1 mg IV/IO What is your next action? When questioned, she denies Chest discomfort or Shortness of breath. IV/IO access is not available. 187 terms. 4. Central line She has no other symptoms. Atropine 1 mg Lidocaine 1mg/kg He is receiving oxygen and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. Asystole now Vasopressin is indicated for VF and pulseless VT before delivery of the first shock. Your team looks to you for instructions. What drug should the team leader request to be prepared for administration next? His wife tells you that they were talking and he suddenly got a funny look on his face and collapsed. Perform emergency synchronized cardioversion. 51 terms. 3. One does of epinephrine was given after the second shock. You've studied the material inside and out. Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. You see an organized, nonshockable rhythm on the ECG monitor. Which is the next drug/dose to anticipate to administer? Which is a contraindication to nitroglycerin administration in the management of acute coronary syndromes? High-quality CPR is in progress. 3. What is the initial dose of atropine? What is the appropriate rate of chest compressions for an adult in cardiac arrest? Giving adenosine 6 mg IV bolus. Reentry SVT 9. d, The rate should be set between 80 and 100; the current should be increased rapidly to maximum, a. PALS Prehospital. An IV has been established. The quiz contains a variety of questions from different cases. A postoperative patient in the ICU reports new chest pain. What is the proper order of the BLS Chain of Survival . Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient has increased chest discomfort. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. His blood pressure is 180/100 mm Hg. 1. Blood pressure is 110/70 mm Hg. Whch of the following statements is true about ventilation with a bag-valve-mask? 18. 5. Vagal maneuvers have not been effective in terminating the rhythm. Ventricular tachycardia associated with a normal QT interval Give lidocaine 1 to 1.5 mg IV and start infusion. The child is lying on the couch. 2. What is the recommended route for drug administration during CPR? 4. A 35-year-old woman presents to the emergency department with a chief compliant of palpitations. 22. Team members tell you that the patient was well but reported chest discomfort and then collapsed. The decision has been made to intubate him and anesthesia has been paged. He suddenly gasps a few times and stops breathing. 1. 90 to 100 compressions per minute 1. Seek expert consultation. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. Usually, it consists of 20 questions, but we've collected many more. Amiodarone 300 mg 4. Adenosine 3 mg IV bolus 2. aha acls book pdf Which of the following may be used for rhythm control of acute myocardial in-fraction? 2. Give an additional 2 mg of morphine sulfate. Sodium bicarbonate 50 mEq Ventricular fibrillation has been refractory to an initial shock. Free acls quizes to pass pretest for acls with answers. Justify your response on the basis of a simple analysis. Give heparin if the CT scan is negative for hemorrhage Breathing is shallow at 8 to 12 breaths/minute. One dose of epinephrine was given after the second shock. C. Give nitroglycerin 0.4 mg sublingually. His level Of consciousness suddenly decreased as an alarm sounded on the monitor. Heparin 4000 units IV bolus was administered, and a heparin infusion of 1000 units per hour is being administered. Which best describes the guidelines for antiplatelet and fibrinolytic therapy? Which intervention is most appropriate for the treatment of a patient in asystole? Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator) Patient is diaphoretic, with associated shortness of breath. Second-degree AV block (Mobitz II block) . She has no chest discomfort, shortness of breath, or light-headedness. 2. 2. Which action do you take next? haileybaret. Give additional 1 mg atropine. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. Administer nitroglycerin 0.4 sublingual or spray. 2. 2. 2. 1. If no pathway for medication administration is in place, which method is preferred? Give atropine 0.5 mg IV . She has no chest discomfort, shortness of breath, or light-headedness. The CT scan is negative for hemorrhage. The correct dose of vasopressin is 40 units administered by IV or IO. She has no pulse or respirations. A second shock is given, and chest compressions are resumed immediately. She is pale and diaphoretic. What is special about ferromagnetic materials? The first antiarrhythmic administered in the management Of the patient in pulseless ventricular tachycardia or ventricular fibrillation is: 11. A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. About every 2 minutes The rhythm is asystole. Rapid heart rates may produce serious signs and symptoms. ACLS pretest Flashcards. The patient did not take aspirin because he has a history of gastritis, which was treated 5 years ago. Prepare for AHA ACLS Today! You arrive on the scene to find CPR in progress. Magnesium is contraindicated for VT associated with a normal QT interval. Give normal saline 250 mL to 500 mL fluid bolus. Most myocardial infarctions occur because of: Questions 21 through 25 pertain to the following scenario. 2. Intubate and administer 100% oxygen, You arrive on the scene to find CPR in progress. Perform synchronized cardioversion, What is the recommended compression rate for high-quality CPR? Atropine 1 mg IV, total dose 3 mg as needed. 4. Dose of 0.5mg. 1. A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV. He has a history of angina. 1. Obtain a 12-lead ECG and administer aspirin if not contraindicated. IV or IO, A patient has sinus bradycardia with a heart rate of 36/min. The use of lower energy levels (10 to 25 joules), c. Giving calcium chloride before each defibrillation attempt, d. The delivery of shocks in sets of three when a shock is indicated, a. At this time you would: Ventilating until you see the chest rise Start chest compressions at a rate of at least 100/min. Substitute clopidogrel 300 mg loading dose. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. What action is recommended next? Repeat the above problem for a horizontal space filled with water. She now states she is asymptomatic after walking around. Administer lidocaine 1mg/kg IV. 4. Give adenosine 12 mg IV slow push (over 1 to 2 minutes). 1. Epinephrine 1 mg or vasopressin 40 units IV or IO. Administer amiodarone 300 mg. 2. Amiodarone 150 mg IV bolus; start infusion. What is your next action? 4. 3. 17. Give amiodarone 300 mg IV Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine.