ACLS Exam Bundle Questions and Answers 100^% Accurate

Which are the elements of a system of care? - ANSWER-Structure, processes, system, patient outcome What element of a system of care is represented by properly functioning resuscitation equipment? - ANSWER-Structure Among others, which factor has been associated with improved survival in patie...

What are the H's of Cardiac Arrest? - ANSWER-Hypovolemia Hypoxia Hydrogen Ion (Acidosis) Hyper/Hypokalemia Hypothermia Hypoglycemia What are the T's of Cardiac Arrest - ANSWER-Toxins (Overdose) Tamponade (Cardiac) Tension Pneumothorax Trauma Thrombosis How do you manage a V-Fib/Pul...

Interruptions in chest compressions are only justifiable for the following interventions - ANSWER-Rhythm/pulse checks, defibrillation, and intubation Interruptions in chest compressions should be limited to how many seconds? - ANSWER-10 seconds or less Name three reasons why excessive ventila...

Your patient is in cardiac arrest and has been intubated. to assess CPR quality, what should you do? - ANSWER-monitor the patients PETCO2 Which facility is the most appropriate EMS destination for a patient with sudden Cardiac Arrest who achieved return of spontaneous circulation in the field? -...

Cardiac Arrest VF/Pulseless VT drugs--names - ANSWER-Epinephrine, Vasopressin, Amiodarone Cardiac Arrest VF/Pulseless VT drugs--details - ANSWER-1. Epinephrine 1 mg Q 3-5 minutes 2. Vasopressin 40 U can replace first or second dose of Epi 3. Amiodarone: first dose 300 mg bolus, second dose 150...

Lesson1: system of care. Which quality improvement component of systems of care best describes the capture and review of data related to resuscitation education, processes, and outcomes? - ANSWER-Measurement Lesson1: system of care.Which one of the following is an interdependent component of sys...

What element of a system of care is represented by properly functioning resuscitation equipment? System Structure Process Patient outcome - ANSWER-Structure What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? Activation of emergency response Defibril...

Which class of medications commonly given to patients with acute coronary syndromes may be adversely affected by morphine administration A. Phosphodiesterase inhibitors B. Oral antiplatelet medications C. Beta blockers D. Calcium channel blockers - ANSWER-Oral antiplatelet medications What is...

Rate of chest compressions for adults - ANSWER-100-120 compressions per minute Ratio of compressions to breaths in adults - ANSWER-30:2 Rate of bag valve mask ventilation for adults in respiratory arrest - ANSWER-Once every 5-6 seconds or 10-12 times per minute Treatments for hypotension f...

High Performance Teams - Resuscitation Triangle - ANSWER-Compressions, AED/Monitor Defibrillator, Airway Resuscitation Triangle: Compressions - ANSWER-Assess, 5 cycles of compressions, alternates with AED/defibrillator Resuscitation Triangle: AED/Monitor/Defibrillator - ANSWER-Brings and oper...

12. Which is the primary purpose of a medical emergency team or rapid response team? A Improving care for patients admitted to critical care units B. Improving patient outcomes C. Providing diagnostic consultation to emergency department patients D. Providing online consultation to EMS perso...

You are providing bag-mask ventilations to a patient in respiratory arrest. How often should you provide ventilations? - ANSWER-About every 5-6 seconds A 45-year-old woman with a history of palpitations develops light headedness and palpitations. She has recieved adenosine 6 mg IV for the rhythm ...

A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing continuous high-quality CPR, what is the other priority intervention for this patient? - ANSWER-Administering epinephrine as early as possible A patient has experienced return of spontaneous circulation ...

-An adult patient in respiratory arrest with a pulse is ventilated via bag valve mask: -ANSWER- Chest compressions for an adult are performed: -ANSWER-At a rate between 100 and 120 compressions per minute -The ratio of compressions to breaths in adults is: -ANSWER-30:2 An adult patient in...

Systematic approach- Unconscious patient - ANSWER-BLS assessment, primary assessment, secondary assessment Systematic approach conscious patient - ANSWER-Primary assessment - secondary assessment Do you start CPR if you're not sure about a pulse - ANSWER-Yes exclamation unnecessary compressi...

Amiodarone 300mg - ANSWER-A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which drug should be given next? Gain IV or IO access - ANSWER-You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previously adv...

2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? - ANSWER-A) Monitor the patient's PETCO2 3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who achieved return of spontaneous circulation in the fie...

What is the purpose of defibrillation - ANSWER-Stuns the heart and briefly stops all electrical activity- if the heart is still viable, its normal pacemakers may eventually resume electrical activity What is the initial tx of VF and pulseless VT? - ANSWER-Defibrillation. CPR until defibrillator ...

What rhythm is most common following cardiac arrest in adults? - ANSWER-VF For adult patients with ROSC, targeted temperature management is recommended. What is the goal body temperature and length of time of cooling? - ANSWER-a. Begin at 32 to 36 degrees C (89.6-96.8 F) b. For 24 hours Du...

common Causes of PEA that start with "H" - ANSWER-Hypovolemia, hypoxia, hydrogen ion, hyper/hypokalemia, hypothermia Common Causes of PEA that start with "T" - ANSWER-Tension pneumo, tamponade, thrombosis (pulmonary), thrombosis (Coronary) ST elevations - ANSWER-indicating Injury ST dep...

Components of the BLS assessment - ANSWER-1. Check responsiveness 2. Shout for help and get AED 3. Check pulse and breathing 4. If no pulse, start CPR 5. If pulse, start rescue breathing 6. Check for shockable rhythm and defibrillate as needed Interruptions in chest compressions should be li...

ROSC - ANSWER-Normal state Hypovolemia Management - ANSWER-Iv fluids Hypoxia management - ANSWER-Ventilation, oxygen Lack of electrical activity in the heart and appears as a flat line - ANSWER-Asystole Hydrogen ion (acidosis) management - ANSWER-Sodium bicarbonate hyper/hypokalemia m...

A pt with STEMI has ongoing chest dicomfort. Heparin 4000 units IV bolus and heparin infusion of 1000 units/hr are being administered. The pt did not take ASA because he has a hx of gastritis, which was tx 5 years ago. What is the next action? A. Give ASA 160 to 325 mg to chew B. Give clopidogr...

Sinus bradycardia - ANSWER_ Atrial fibrillation - ANSWER_ Normal Sinus Rhythm - ANSWER_ Sinus Tachycardia - ANSWER_ Monomorphic ventricular tachycardia - ANSWER_ Coarse ventricular fibrillation - ANSWER_ Atrial Flutter - ANSWER_ Second Degree AV Block Mobitz II - ANSWER_ Reen...

What are the 6 principles behind AHA's definition of "High-Quality CPR". (ie. What needs to be done to achieve "high-quality" CPR?) - ANSWER_High-quality CPR means: - Rate of at least 100 chest compressions/minute. - Compression depth of at least 2" in the adult victim. - Complete che...

What are the 6 principles behind AHA's definition of "High-Quality CPR". (ie. What needs to be done to achieve "high-quality" CPR?) - ANSWER-High-quality CPR means: - Rate of at least 100 chest compressions/minute. - Compression depth of at least 2" in the adult victim. - Complete c...

ACLS Drugs - ANSWER-VF/VT: -Epinephrine -vasopressin -amiodarone -lidocaine Asystole/PEA: -Epinephrine -Vasopressin Bradycardia: -Atropine -Epinephrine Tachycardia: -adenosine -amiodarone Adenosine - ANSWER-6 mg over 1-2 seconds followed by 20 ml NS bolus. If not successful,...

Patient presents to ED with ACS. What are initial steps? - ANSWER-Assessment for perfusion (mental status, skin signs, chest pain, shortness of breath) Place on cardiac monitoring. Make sure patient has IV access. What do you treat the ACS patient with? - ANSWER-Oxygen Nitroglycerin ...

Who Makes Up the Guidelines? - ANSWER-American Heart Association Two subcommittees ACLS Subcommittees EKG Subcommittees In JAMA every 2 years Whats the most common cause of death in adults? - ANSWER-Coronary Artery Disease (CAD) Narrowing of small blood vessels which supplies blood and oxyg...

Adenosine - ANSWER-This medication is used to treat Superventricular Tachycardia First Dose of Adenosine is - ANSWER-6mg IV push for Super-ventricular Tachycardia 2nd Dose of Adenosine - ANSWER-12mg IV push for Super ventricular tachycardia Fist Dose of Amiodarone to treat VTech or VFib is...

Adenosine - ANSWER-1: SVT, wide QRS complex tachycardia 2: Rapid 6mg bolus, second dose 12mg if needed. Amiodarone (For cardiac arrest) - ANSWER-1: Cardiac Arrest: VF, pulseless VT 2: 300mg IV/IO push, second dose 150mg IV/IO push Amiodarone (Arrhythmias- Rapid, slow, and maintenance)...

Within the first 10 minutes, on the basis of the patient showing symptoms suggestive of myocardial ischemia, what will your first actions include (if not completed by EMS before arrival)? o Obtain a 12-lead electrocardiogram (ECG) o Administer a blood thinner o Administer aspirin and establish I...

For poor perfusion with Bradycardia Treat with which first line treatment? - ANSWER-Atropine 1mg IV (repeat to a total of 3mg IV) For poor perfusion with Bradycardia Treat, if the first line of treatment is ineffective, what should be provided and what med should be given? - ANSWER-Transcutane...

Adult Cardiac Arrest Algorithm - ANSWER- What are the shockable rhythms? - ANSWER-VF and pulseless VT What are nonshockable rhythms? - ANSWER-Asystole/ PEA Reversible causes of cardiac arrest (H's) - ANSWER-Hypovolemia Hypothermia Hypo/Hyperkalemia Hydrogen Ion (Acidosis) Hypoxia R...

Patient complains of chest pain: first step? - ANSWER--assess for perfusion What instructions do you give your team as soon as you arrive on scene? - ANSWER-1. start IV 2. start O2 3. start monitoring What medications do you provide your patient with right away? - ANSWER-1. oxygen w/ nonr...

pulse check should be no longer than - ANSWER-10-15s rate of good compression - ANSWER-100-120 depth of good compression - ANSWER-2inches, no more than 2.4 switch compressors every - ANSWER-2min with a perfusing rhythm squeeze bag every - ANSWER-5-6s excessive ventilation dec - ANSW...

the HR is 92/min RR is 14/min, BP is 130/86 mmhg, spo2 is 97% and atrial fibrillation is on the monitor what additional assessment and stabilization activities should be completed ? - ANSWER-check glucose, perform validated prehospital stroke screen and stroke severity tool, provide prehospital...

in cardiac arrest when do you first introduce medical intervention? which drug? - ANSWER-after 2 rounds of CPR/shock after 2nd shock give 1 mg epinephrine every 3-5 minutes when do you introduce amiodarone during cardiac arrest? - ANSWER-after the 3rd shock give 300 mg bolus of amiodarone if s...

if there is no advanced airway in place, what is the compression to ventilation ratio? - ANSWER-30:2 if PETCO2 is less than _____, attempt to improve CPR quality - ANSWER-10 what dose of epi should be given to patients in cardiac arrest - ANSWER-1mg every 3-5 minutes What dose of amiodaro...