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ACLS POST-TEST (2023) |50 QUESTIONS AND ANSWERS
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ACLS POST-TEST (2023) 50 QUESTIONSAND ANSWERS
A 48-year-old man became unresponsive shortly after presenting to you with nausea and
generalized chest discomfort. You observe gasping breathing and are unsure if you feel a pulse.
You should know:
A. Call for help and begin chest compressions.
B. Wait until breathing stops and then check again for a pulse.
C. Begin chest compressions only if you are certain a pulse is absent.
D. Observe the patient for 2 minutes, then reassess his breathing and pulse. - answer A. Call for
help and begin chest compressions.
Which of the following is the most likely complication of inferior wall myocardial infarction (MI)?
A. Cardiogenic shock
B. Ventricular rupture
C. Bradydysrhythmias
D. Tachydysrhythmias - answer C. Bradydysrhythmias
A 52-year-old man is complaining of palpitations that came on suddenly after walking up a short
flight of stairs. His symptoms have been present for about 20 minutes. He denies chest pain and
is not short of breath. His skin is warm and dry; breath sounds are clear. His blood pressure (BP)
is 144/88 millimeters of mercury (mm Hg), his heart rate is 186 beats per minute (beats/min),
and his ventilatory rate is 18 breaths/min. The cardiac monitor reveals the rhythm here.
Vascular access has been established. Which of the following medications is most appropriate in
this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone - answer D. Procainamide or amiodarone
,Your general impression of a 78-year-old woman reveals that her eyes are closed, she is not
moving, you can see no rise and fall of her chest or abdomen, and her skincolor is pale. When
you arrive at the patient's side, you confirm that she is unresponsive. Your best action in this
situation will be to:
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has a pulse.
D. Prepare the necessary equipment to insert an advanced airway. - answer C. Assess breathing
and determine whether she has a pulse.
A 60-year-old woman has suffered a cardiac arrest. A health care professional trained in
endotracheal intubation has intubated the patient. Which of the following findings would
indicate inadvertent esophageal intubation?
A. Jugular vein distention
B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest - answer C. Gurgling sounds heard over
the epigastrium
Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of spontaneous circulation
(ROSC) may necessitate the use of:
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol. - answer C. Epinephrine, dopamine, or
norepinephrine.
Which of the following is incorrect with regard to a postevent debriefing?
A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive environment.
, C. The gather phase of the debriefing includes a comparison of the team's actions with current
resuscitation algorithms.
D. Team members are given an opportunity to reflect on their performance and how their
performance can be improved. - answer C. The gather phase of the debriefing includes a
comparison of the team's actions with current resuscitation algorithms.
Assuming there are no contraindications, which of the following can be performed as an initial
intervention for a stable but symptomatic patient with the rhythm shown?
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) diltiazem
D. Administration of IV epinephrine - answer B. Vagal maneuvers
A 62-year-old man received IV tissue plasminogen activator (tPA) 2 hours ago after a diagnosis
of acute ischemic stroke. While assessing the patient's vital signs, you observe swelling of the
patient's lips and tongue. Your best course of action will be to:
A. Administer aspirin and IV heparin.
B. Administer IV antihistamines and steroids.
C. Observe and reassess the patient every 15 minutes.
D. Request an emergent brain computed tomography scan. - answer B. Administer IV
antihistamines and steroids.
During a cardiac arrest, multiple attempts to establish a peripheral IV have proved unsuccessful.
Your best course of action at this time will be to:
A. Insert a central line.
B. Attempt intraosseous access.
C. Discontinue resuscitation efforts.
D. Continue peripheral IV attempts until successful. - answer B. Attempt intraosseous access.
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