There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. Give magnesium sulfate 1 to 2 g over 20 minutes. Start an IV and give atropine 1 mg. 3. 2. A 35-year-old woman presents to the emergency department with a chief compliant of palpitations. A patient presents with the rhythm below and reports an irregular heartbeat. Recognizing Connections Why is a third-degree burn dangerous because it obliterates the skin's epidermis and dermis? This ACLS quiz covers general information that may be found on the ACLS written test. ) One does of epinephrine was given after the second shock. She is alert and oriented. 2. 1. 1. FreedomRiderDonny. 1. Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. Epinephrine 1 mg IV 2. 49 year old man has retrosternal chest pain radiating into the left arm. The patients baseline temperature should be obtained and warming measures should be started until the patients temperature reaches 1010 F, b. 3. Gain IV or IO access. About every 2 minutes A patient is in refractory ventricular fibrillation. Perform vagal maneuvers and repeat adenosine 6 mg IV. An endotracheal dose of 2 to 4 mg/kg. Providing a good seal between the face and the mask Atropine 0.5 mg, A patient with sinus bradycardia and heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. Atropine 1 mg, A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. An IV is in place, and no drugs have been given. Intubate and administer 100% oxygen, You arrive on the scene to find CPR in progress. 2. Administer nitroglycerin 0.4 sublingual or spray. AAOS Terms to Know: Chapter One, EMS Systems, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers, Sports Medicine Essentials: Core Concepts in Athletic Training and Fitness Instruction, Energy Systems Energy System Lecture 3 (Chapt. Which is a contraindication to nitroglycerin administration in the management of acute coronary syndromes? Give atropine 1 mg IV. 5. 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. 3. Administer adenosine 6 mg; seek expert consultation. Give aspirin 160 to 325 mg to be chewed immediately Give amiodarone 300 mg IV/IO Heparin 4000 units IV bolus was administered, and a heparin infusion of 1000 units per hour is being administered. A. Left ventricular infarct with bilateral rales. Seeking expert consultation A patient is in cardiac arrest. Consider sedation and perform synchronized cardioversion with 100 joules, b. For quiz acls you must go through real exam. A patient has a rapid irregular wide-complex tachycardia. After resuming high-quality compressions, which action do you take next? A patient is in cardiac arrest. Which is the first drug/dose to administer? For soal post test acls 2023 you must go through real exam. Return Practice Test Library. ACLS PreTest . Sodium bicarbonate 50 mEq. Sedate and perform synchronized cardioversion. Select the question that best evaluates the quality of the patients pain. A patient in the emergency department develops recurrent chest discomfort (8/10) suspicious for ischemia. 150 mg IV push. She becomes diaphoretic, and her blood pressure is 80/60 mm HG/ Which action do you take next? The CT scan is negative for hemorrhage. IV or IO, A patient has sinus bradycardia with a heart rate of 36/min. You observe the following rhythm on the cardiac monitor. A 35-year old woman has palpitations, lightheadedness, and a stable tachycardia. 1. Chest pain or shortness of breath is present. 3. Which intervention is indicated first?SVT An antiarrhythmic drug was given immediately after the third shock. Polymorphic Ventricular Tachycardia 7. c. The rate should be set between 60 and 80; the current should be increased slowly until capture achieved. True or False: Rapid, wide-QRS rhythms associated with pulselessness, shock, or congestive heart failure should be presumed to be ventricular tachycardia. High-quality chest compressions are being given. Give an immediate unsynchronized high-energy shock (defibrillation dose). You've reviewed the algorithms, medications and doses, the H's and T's, and case scenarios over and over again. A patient with pulseless ventricular tachycardia is defibrillated. How does complete chest recoil contribute to effective CPR? Which medication do you order next. 300 mg IV push. Pulseless Electrical Activity 3. What is the initial does of atropine? What should you do in this situation? On the next rhythm check, you see the rhythm shown here. Continue monitoring and seek expert consultation. Show Answers. ACLS Pretest. 42. Blood pressure greater than 180 mm Hg. Establish IV access. Prepare to give amiodarone 300 mg IV. Chest compressions should be interrupted for 2 to 3 minutes to start an IV and insert an advanced airway, b. Should be given IV or endotracheally in cardiac arrest due to pulseless electrical activity, c. Is given as a loading dose of 150-mg IV bolus over 10 minutes in cardiac arrest, d. Should be given only if there is a return of spontaneous circulation after cardiac arrest, a. A 12-lead ECG confirm a supraventricular tachycardia with no evidence of ischemia or infarction. ACLS PreTest, ACLS PreTest: Pharmacology and A pt is in cardiac arrest. What is a contraindication to nitrate administration? Patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. 4. 70 to 80 compressions per minute Administer amiodarone 300 mg. 2. 3. Reply. Reperfusion therapy. A patient is in cardiac arrest. Prepare to deliver a second shock She is now extremely apprehensive. Begin ventilating with a bag-valve-mask, d. Insert an endotracheal tube, Cornbitube. a. 5. Giving breaths over 1 second 5. You should: 4. Which of the following best describes this patient? Transcutaneous pacing, What is the recommended depth of chest compressions for an adult victim? Her blood pressure is 80/60 mm Hg. A second dose of amiodarone is now called for. 3. 1. After resuming high-quality compressions, which action do you take next? Take our BLS pretest. What survival advantages does CPR provide to a patient in ventricular fibrillation? Atropine 0.5 mg IV . Atropine 1 mg ACLS Pretest Questions and Answers Which of these is NOT a recommended pharmacological treatment for a stable patient with a wide complex ventricular tachycardia (monomorphic)? What is the recommended compression rate for high-quality CPR? Start dopamine at 2 mcg/kg per minute and titrate to a systolic blood pressure reading of 100 mm Hg. Which drug do you anticipate giving to this patient? . Your patient is in cardiac arrest and has been intubated. What is the next appropriate intervention? You can palpate a carotid pulse. Repeat the above problem for a horizontal space filled with water. You observe the rhythm below on the monitor. What assessment step is most important now? ACLS PreTest Flashcards. Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator) 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. When you arrive, the parents inform you that he has been sick with a fever, diarrhea and vomiting for the past 48 hours. 3. Team members tell you that the patient was well but reported chest discomfort and then collapsed. ACLS pretest Flashcards. Nursing staff report that the patient was recovering from a pulmonary embolism and suddenly collapsed. Nitroglycerin administration Atropine 1 mg Perform endotracheal intubation. You are evaluating a patient with chest discomfort lasting 15 minutes during transportation to the emergency department. How long should it take to perform a pulse check during the BLS Survey? This ACLS pretest offers a comprehensive set of practice exam questions and answers to help you prepare for your upcoming ACLS exam. 1. Resume chest compressions The heart rate has not responded to vagal maneuvers. Shock-refractory ventricular fibrillation, Pulseless ventricular tachycardia-associated torsades de pointes, A patient is in cardiac arrest. 1. He suddenly has the persistent rhythm shown below. Give amiodarone 300 mg IV. Give 75 mg enteric-coated aspirin orally. This is an introduction to content further reviewed in other quizzes. Apply an AED After resuming high-quality compressions, your next action is to: A patient with possible STEMI has ongoing chest discomfort. She is receiving oxygen at 4 L/min by nasal cannula and an IV has been established. Give atropine 0.5 mg IV . Which drug do you anticipate giving to this patient? What is recommended depth of chest compressions for an adult victim? What is the recommended duration of therapeutic hypothermia after reaching the target temperature? The patient is intubated. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. What is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? The actual exam may differ from our materials. 3. An infusion of 1 to 2 mg/min. Bradycardia requires treatment when: You are the code team leader and arrive to find a patient with CPR in progress. One of the best ways to prepare for your ACLS exam, whether you'll be taking the initial certification exam . Which best describes the guidelines for antiplatelet and fibrinolytic therapy? The patient did not take aspirin because he has a history of gastritis, with was treated 5 years ago. A 75-year-old man has suffered a cardiac arrest. Her blood pressure is 134/82, pulse 180, respirations 18. 1. 5. 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. 4. Seeking expert consultation. Ventricular fibrillation has been refractory to a second shock. . Immediate management Of this patient should include: 31. Blood pressure is 108/70 mm Hg. Providing just enough volume for the chest to rise, A patient was in refractory ventricular fibrillation. How often should the team leader switch chest compressors during a resuscitation attempt? Atropine has been administered to a toal does of 3 mg. A transcutaneous pacemaker has failed to capture. 3. 5. 5. 1. About every 3 minutes 4. A 58-year-old man is complaining of chest pain. The patient is receiving oxygen via nasal cannula at 2L/min, and an IV has been established. 2ND Degree Type II (Mobitz) 8. Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine. Some AEDs are programmed to detect spontaneous movement by the patient or others, b. Which drug should be given next? Which drug should be administered first? Her BP is 102/72 mmHg. Blood pressure is 130/70 mm Hg. Hamdy says. This rhythm is ventricular fibrillation, a shockable rhythm, b. Delivering the largest breath you can, Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. She has no chest discomfort, shortness of breath, or light-headedness. Which best describes the guidelines for antiplatelet and fibrinolytic therapy? 100 to 120 compressions per minute, A 35-year-old woman presents with a chief complaint of palpitations. 4. There are no allergies or contraindications to any medication. 3. What is the recommended route for drug administration during CPR? What is the next action? All our courses Why choose us How our courses . Chapter 18: Drug-Nutrient . He is being evaluated for another acute stroke. What is the next appropriate intervention? Her mental status is rapidly decreasing and she is very pale. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. EMS personnel arrive to find a patient in cardiac arrest. Sinus Bradycardia 6. The gas may be assumed to have the properties of air at atmospheric pressure. You are monitoring a patient with chest discomfort who suddenly becomes unresponsive. He has a history of angina. Fibrinolytic therapy has been ordered. 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.
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