ALS FINAL EXAM ADVANCED LIFE SUPPORT
EXAM | ALL QUESTIONS AND CORRECT
ANSWERS | GRADED A+ | VERIFIED ANSWERS |
LATEST VERSION
A patient is brought into the emergency department. The patient does not
have a pulse. The cardiac monitor shows the following rhythm. The team
interprets this as which condition? ------CORRECT ANSWER---------------
Ventricular tachycardia
A member of the resuscitation team is preparing to defibrillate a patient in
cardiac arrest using a biphasic defibrillator. The team member would set
the energy dose according to the manufacturer's recommendations, which
is usually: ------CORRECT ANSWER---------------120 to 200 joules
A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member should follow
each peripherally administered drug dose with a normal saline flush. How
much would the team member give? ------CORRECT ANSWER---------------
10 to 20 ml
A 30-year-old patient has been brought to the emergency department in
cardiac arrest. The cardiac monitor shows the following rhythm.
Interpretation of this rhythm would suggest which of the following as a
possible precipitating factor? ------CORRECT ANSWER---------------
Electrocution
The rhythm is ventricular fibrillation. Precipitating causes of ventricular
fibrillation include electrocution, myocardial ischemia or infarction, shock,
stimulant overdose and ventricular tachycardia.
,Cardiac monitoring of a patient in cardiac arrest reveals ventricular
fibrillation. In addition to high-quality CPR, what intervention should be a
priority for the team? ------CORRECT ANSWER---------------Defibrillation
The resuscitation team suspects that hyperkalemia is the cause of cardiac
arrest in a patient brought to the emergency department. Which finding on
a 12-lead ECG would confirm this suspicion? ------CORRECT ANSWER----
-----------Wide-complex ventricular rhythm and tall, peaked T waves
A patient has experienced return of spontaneous circulation (ROSC) after
cardiac arrest. The healthcare team is conducting a secondary assessment
to determine the possible cause of the patient's cardiac arrest. Before the
arrest, the patient exhibited jugular venous distension, cyanosis, apnea and
hyperresonance on percussion. The patient was also difficult to ventilate
during the response. The team would most likely suspect which condition
as the cause? ------CORRECT ANSWER---------------Tension pneumothorax
A patient in cardiac arrest experiences return of spontaneous circulation.
As part of post-cardiac arrest care, the patient is receiving mechanical
ventilation at an initial rate of 10 breaths/min and a fraction of inspired
oxygen (FiO2) of 0.30. Which finding(s) would indicate the need for change
in the ventilator settings to optimize the patient's ventilation and
oxygenation? ------CORRECT ANSWER---------------ETCO2 55 mmHg
PaCO2 48 mmHg
SaO2 90%
After cardiac arrest and successful resuscitation, the patient has a return of
spontaneous circulation. The patient is unable to follow verbal commands.
, Targeted temperature management is initiated. Which method(s) would be
appropriate for the resuscitation team to use? ------CORRECT ANSWER----
-----------Applying cooling blankets to the patient's body
Giving an ice-cold IV fluid bolus
Using an endovascular catheter
A patient with suspected acute coronary syndromes (ACS) has a pulse
oximetry reading of 86% and is given supplemental oxygen. The provider
determines that the supplemental oxygen dose is correct based on which
SaO2 level? ------CORRECT ANSWER---------------93%
A 35-year-old female patient's ECG is consistent with STEMI. The ECG
reveals a new ST-segment elevation at the J point in leads V2 and V3 of at
least which size? ------CORRECT ANSWER---------------0.15 mV
A patient with STEMI is experiencing chest pain that is refractory to
sublingual nitroglycerin. Intravenous nitroglycerin is prescribed. When
administering this medication, it would be titrated to maintain which systolic
blood pressure? ------CORRECT ANSWER---------------90 mmHg
A patient is being treated in the emergency department and is determined
to have NSTE-ACS. Invasive management is planned based on which
finding? ------CORRECT ANSWER---------------Ventricular tachycardia
A patient is admitted to the emergency department with signs and
symptoms of stroke. The stroke team should complete a comprehensive
neurologic assessment and obtain brain imaging results within what time
frame? ------CORRECT ANSWER---------------Within 20 minutes
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