Which is an appropriate and important intervention to perform for a patient who achieves ROSC during an out-of-hospital resuscitation? What is the next action? (e) How many kilojoules are released by the combustion of 17.0 g of C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18 ? 1. The ventricular rate is 138/min. Perform endotracheal intubation. A patient with STEMI has ongoing chest discomfort. 1 to 2 L of normal saline. Intubate and administer 100% oxygen, You arrive on the scene to find CPR in progress. AHA Basic Life Support Provider Manual, p. 19 3. Which drug do you anticipate giving to this patient? The patient is confused, and her blood pressure is 110/60 mm Hg. 1. Repeat amiodarone 150 mg IV. She now states she is asymptomatic after walking around. Her blood pressure si 128/70mm Hg. 5. Blood pressure is 104/70 mm Hg. We have selected 20 questions (10 questions for BLS) that cover many topics which will be tested on the certification examination. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. c. The rate should be set between 60 and 80; the current should be increased slowly until capture achieved. 4. 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. An AED has previously advised "no shock indicated." Start chest compressions at a rate of at least 100/min. What is your next action? 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. 4. The rhythm abnormality is becoming more frequent and increasing in number. Patient's lead II ECG is displayed above (shows unstable SVT). Establish IV access. a. 2. Which drug should be given next? What is the danger of routinely administering high concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC? The monitor shows a regular wide-QRS at a rate of 180/min. 1. Adenosine 3 mg IV bolus ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. What is the next appropriate intervention? A rhythm check now finds asystole. The code cart with all the drugs and transcutaneous pacer are immediately available. Start The Quiz. You now observe this rhythm on the cardiac monitor. Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator). What is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Which of the following statements about the use of magnesium in cardiac arrest is most accurate? 3. Perform synchronized cardioversion starting with 50 joules, c. Perform CPR for 2 minutes, then defibrillate with 200 joules, d. Perform CPR and give epinephrine 1 mg IV push, a. Pulseless ventricular tachycardia-associated torsades de pointes. 43. On the next rhythm check, you see the rhythm shown here. 3rd Degree Block (Complete Heart Block) 2. The rate should be Set between 40 and 100; the current should increased rapidly to a maximum Of 160 milliamps. 5. Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. Which condition is an indication to stop or withhold resuscitative efforts? 1. Attempts to establish a peripheral IV have been unsuccessful. She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. Cause significant peripheral vasoconstriction, b. Neutralize acid accumulated during cardiac arrest, c. Slow conduction through the atrioventricular node, d. Cause profound peripheral vasodilation, a. Repeat adenosine 12 mg IV . The heart rate is less than 60/min with or without symptoms. About every 12-14 seconds This rhythm is ventricular fibrillation, a shockable rhythm, b. 29. 4. This is an introduction to content further reviewed in other quizzes. Next you would: Second dose of epinephrine 1 mg The cardiac monitor shows the following rhythm: 8. 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. (c) How much energy is released by the combustion of 1.00 mol of C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18 ? You arrive on the scene to find CPR in progress. A 57-year-old woman has palpitations, chest discomfort, and tachycardia. Ventilating as quickly as you can ACLS: FINAL TEST QUESTIONS AND ANSWERS Flashcards | Quizlet ACLS: FINAL TEST QUESTIONS AND ANSWERS 4.8 (13 reviews) Term 1 / 45 2. Gain instant access to all of the practice tests, megacode scenarios, and videos. Her blood pressure is 80/60 mm Hg. Notes about the 12-lead ECG say 2. Shock-refractory ventricular fibrillation, Pulseless ventricular tachycardia-associated torsades de pointes, A patient is in cardiac arrest. ACLS PreTest, ACLS PreTest: Pharmacology and Practical Study with Quizlet and memorize flashcards containing terms like Chest compressions for an adult are performed: a. at a rate between 60-80 compressions b. Give epinephrine 1 mg IV/IO Repeat adenosine 3 mg IV. The patient's BP is 102/59 mmHg, HR is 230/min, the RR is 16 breaths/min, and the pulse oximetry reading is 96%. 3. 5. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. This ACLS quiz covers general information that may be found on the ACLS written test. ) A patient has been resuscitated from cardiac arrest. You should: The rate should be set between 20 and 60; the current (milliamps) should be increased slowly to maximum Output. Check the carotid pulse vfib 3. What is the initial dose of atropine? Oxygen is being administered by nasal cannula at 4 L/min, and an IV line is in place. A patient is in cardiac arrest. 1. A. Epinephrine .5 mg Q 3-5 minutes B. Epinephrine 1 mg Q 3-5 minutes C. Lidocaine 1-1.5 mg/KG 2. 1. c. valence electrons. Give metoprolol 5 mg IV and repeat if necessary. 1. 3. Give magnesium sulfate 1 to 2 g over 20 minutes. After resuming high-quality compressions, which action do you take next? Study with Quizlet and memorize flashcards containing terms like 3 AV block p and qrs completely separate, Pulseless electrical activity (PEA) 32. A patient presents with the rhythm below and reports an irregular heartbeat. Which is a contraindication to nitroglycerin administration in the management of acute coronary syndromes? 4. Successful placement of an endotracheal tube in an adult usually results in the depth marking on the side of the tube lying between the _______ mark at the front teeth. 2. High-quality CPR is in progress. Giving breaths over 1 second ACLS, PALS & BLS Quizzes Pass five quizzes (84% or higher score) and get 20% off your ACLS certification with us. For soal post test acls 2023 you must go through real exam. 48. 5. 3. Give an immediate unsynchronized high-energy shock (defibrillation dose). The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38mm Hg, and the pulse oximetry reading is 98%. Ventricular fibrillation has been refractory to an initial shock. A 57-year-old woman has palpitations, chest discomfort, and tachycardia. Consider causes of pulseless electrical activity. A patient with a possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerin tablets. The rhythm is asystole. She has no pulse or respirations. Epinephrine Sotalol Amiodarone Procainamide When should an unconscious patient receive only rescue breaths and not CPR? There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. 4. Atropine 0.5 mg IV or IO. 866+ Math Teachers 9.2/10 Star Rating What is a contraindication to nitrate administration? One dose of epinephrine was given after the second shock. Two shocks and 1 dose of epinephrine have been given. 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. May help in the delivery Of adequate ventilation With a device by preventing the tongue from blocking the airway, b. Which of the following is now indicated? Which of the following statements is most accurate regarding the administration of vasopressin during cardiac arrest? 2. D. Give normal saline 250 mL to 500 mL fluid bolus. Which therapy is now indicated? A second dose of amiodarone is now called for. A code is in progress and he has recurrent episodes of this rhythm. Ventricular fibrillation has been refractory to a second shock. An AED has previousy advised "no shock indicated." Acute Coronary Syndromes Practice Test Want to test your knowledge of Acute Coronary Syndromes? He has a history of angina. 3. Is the drug Of choice in the treatment Of symptomatic narrow-QRS bradycardia, c. May result in asystole when given in high doses, d. Is given as a 2- to 20-mcg/kg IV bolus, a. Vagal maneuvers and adenosine rapid IV push, b. Nitroglycerin, morphine, lidocaine Or amiodarone, and aspirin, d. Vagal maneuvers and an amiodarone IV infusion, a. What minimum speed must an electron have in a liquid with index of refraction 1.541.541.54 in order to radiate? An IV has been established. Obtain a 12-lead ECG and administer aspirin if not contraindicated. Take our free practice exam and test your knowledge. SVT A patient's 12-lead ECG was transmitted by the paramedics and showed an acute MI. Initiate dopamine at 10 to 20 mcg/kg per minute and to patient response. Atropine 0.5 mg IV Prepare to deliver a second shock Merci. At this time you would: What is the next indicated action? What would you order for his next medication? Family members found a 45 year old woman unresponsive in bed. 4. Her blood pressure is 120/78 mm Hg. The patient describes her discomfort as a squeezing sensation in the middle Of her chest. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. Providing just enough volume for the chest to rise, A patient was in refractory ventricular fibrillation. A patient has a rapid irregular wide-complex tachycardia. Continue monitoring and seek expert consultation. Administer sublingual nitroglycerin 0.4 mg. An IV has been established. 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 The first drug and dosage for Ventricular Fibrillation (other than Oxygen) is what? A patient has a rapid irregular wide-complex tachycardia. Reply. He is asymptomatic, with a blood pressure of 110/70 mm Hg. Transcutaneous pacing, What is the recommended depth of chest compressions for an adult victim? What is recommended depth of chest compressions for an adult victim? B. After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. 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. Initiate transcutaneous pacing (TCP). When you arrive at the patients side, you confirm that she is unresponsive. What is the next action after establishing an IV and obtaining a 12-lead ECG? When an electron moves through a medium at a speed exceeding the speed of light in that medium, the electron radiates electromagnetic energy (the Cerenkov effect). Gain instant access to all of the practice tests, megacode scenarios, and videos. High-quality CPR is in progress. What is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients who achieve ROSC? IV/IO drug administration during CPR should be. Start an IV and give epinephrine 1 mg IV. d. chemical bonds. 2. A patient in the emergency department develops recurrent chest discomfort (8/10) suspicious for ischemia. 2. Measure from the corner of the mouth to the angle of the mandible. 5. Endotracheal intubation 1. She is receiving oxygen at 4 L/min by nasal cannula and an IV has been established. 4. A 35-year old woman has palpitations, lightheadedness, and a stable tachycardia. Apply an AED A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. What is your next action? 4. Is used to slow the ventricular rate in narrow-QRS tachycardias, b. Perform immediate unsynchronized cardioversion. ACLS Practice Quiz Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. or laryngeal mask airway, a. His blood pressure is 104/70, respirations 12/min. 150 mg IV push. What do you administer now? 4. aha acls book pdf ACLS Pharmacology Pretest SET-2. PALS Quizzes 2023 Complete a precourse self-assessment using these PALS pretest examinations. Which action is likely to cause air to enter the victim's stomach (gastric inflation) during bag-mask ventilation? 4. He is asymptomatic, with a blood pressure of 110/70 mm Hg. A 56-year-old woman presents with a Sudden onset Of chest discomfort that has been present for about 1 hour. Lidocaine 1 to 1.5 mg IV and start infusion 2 mg/min. 1. Dopamine 2 to 20 mcg/kg per minute IV or IO. Patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. We discuss in these sample acls test from different topics like practice acls test questions, acls test answers quizlet. (1) $ 42.45 $ 20.49 9x sold 5 items 1. 1. 1. A patient is in cardiac arrest. The patient responds to a painful stimulus but does not respond to verbal stimuli. 20 seconds ACLS Pretest Flashcards. What is your next action? This preview shows page 1 - 7 out of 41 pages. The hospital CT scanner is not working at this time. An IV is in place and no drugs have been given. Start dopamine at 2 to 10 mcg/kg per minute and titrate to patient response. The ventricular rate is 138/min. The patient suddenly becomes unconscious and has a weak carotid pulse. PALS Prehospital. He appears cyanotic. Which combination of drugs can be administered by the endotracheal route? Which of the following reflects the operation Of a transcutaneous pacemaker for a patient experiencing asymptomatic bradycardia? On the next rhythm check, you see the rhythm shown here. Give atropine 0.5 mg IV Which action do you take next? The child is lying on the couch. He arrives in the department. An infusion of 1 to 2 mg/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. Administer aspirin 160 to 325 mg chewed immediately. Sodium bicarbonate 50 mEq 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. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. ACLS. The lead II ECG displays a wide-complex tachycardia. Glucose 50% IV push After resuming high-quality compressions, which action do you take next? The actual exam may differ from our materials. A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. The most common side effects of giving amiodarone are: 5. Repeat amiodarone 300 mg IV. Administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. Repeat the antiarrhythmic drug ACLS Pretest. The patient did not take aspirin because he has a history of gastritis, which was treated 5 years ago. The patient had resolution of moderate (5.10) chest pain with 3 doses of sublingual nitroglycerin. Blood pressure is 110/70 mm Hg. The BLS practice exam includes questions and answers covering common questions found in the certification exam. A patient has a rapid irregular wide-complex tachycardia. Which of the following is an acceptable method of selecting an appropriately sized oropharyngeal airway (OPA)? planes, (b) the principal stresses. What action is recommended next? She has received adenosine 6 mg IV for the rhythm shown above without conversion of the rhythm. 3. Repeat amiodarone 300 mg IV. What element of effective resuscitation team dynamics does this represent? C. Give nitroglycerin 0.4 mg sublingually. A patient with ST-segment elevation MI has ongoing chest discomfort. Perform unsynchronized cardioversion Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. Give amiodarone 300 mg IV This is a sample copy of the American Heart Association (AHA) Advanced Cardiac Life Support Precourse Self Assessment Question Answers. You arrive on the scene with the code team. Epinephrine 2 to 10 mcg/min 19. 3. 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. A patient is in refractory ventricular fibrillation and has received multiple appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg IV. Questions and Answers 1. After resuming high-quality compressions, your next action is to: About every 17-18 seconds, Which action is likely to cause air to enter the victim's stomach (gastric inflation) during bag-mask ventilation? 5. Give an immediate synchronized shock. About Us; ACLS & BLS Courses; 1-484-464-2882 1-484-464-2882 Scan to call; Login; PMT Pretests. A 75-year-old man has suffered a cardiac arrest. Squeezing the bag with both hands ACLS PreTest, ACLS PreTest: Pharmacology and Practical Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, Reentry supraventricular tachycardia, Second-degree AV block (Mobitz II 1. 2. Sublingual nitroglycerin 0.4 mg. Give an immediate unsynchronized shock. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, Reentry supraventricular tachycardia, Second-degree AV block (Mobitz II Give 75 mg enteric-coated aspirin orally. Ventricular fibrillation has been refractory to an initial shock. Establish and IV and give vasopressin 40 units. Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator) You've studied the material inside and out. Seek expert consultation. You are monitoring a patient. An antiarrhythmic drug was given immediately after the third shock. 3. 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. 1. You are monitoring the patient and note the rhythm below on the cardiac monitor. You are monitoring a patient with chest discomfort who suddenly becomes unresponsive. Next intervention is to, Administer 2 to 4 mg of morphine by slow IV bolus. 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. Vagal maneuvers have not been effective in terminating. ACLS Pretest Questions and Answers 2023 (Full Practice Test) ACLS Pretest Questions and Answers 2023 (Free Full Practice Test). (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 ? What is the initial does of atropine? Match each description on the left with the appropriate term on the right. Give amiodarone 300 mg IV. Which action do you take next? Start rescue breathing, What action minimizes the risk of air entering the victim's stomach during bag-mask ventilation? 44. You are uncertain if a faint pulse is present. Learn ACLS. What is the recommended route for drug administration during CPR? Which treatment or medication is appropriate for the treatment of a patient in asystole? Use of a phosphodiesterase inhibitor within 12 hours, A patient with possible ST-segment elevation MI has ongoing chest discomfort. 3. Chest pain or shortness of breath is present. A patient has been resuscitated from cardiac arrest and is being prepared for transport. What should be done to minimize interruptions in chest compressions during CPR? If no pathway for medication administration is in place, which method is preferred? What assessment step is most important now? Ventricular tachycardia associated with a normal QT interval Learn PALS. BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14 breaths/min, and the pulse oximetry reading is 97%. Being CPR with chest compressions for 2 minutes or about 5 cycles of compressions and ventilations. Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. Second-degree AV block (Mobitz II block) . 3. A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60mm Hg. To assess CPR quality, which should you do? After verifying unresponsiveness and abnormal breathing, you activate emergency response team. Left ventricular infarct with bilateral rales. Full PALS access starting at $19.95. Whether you need help with a product or just have a question, our customer support team is always available to lend a helping hand. You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. 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. When an advanced airway is in place, ventilations with a bag-valve-mask must be synchronized with compressions during cardiac arrest, c. Bag-valve-mask ventilation can produce gastric distention that can lead to vomiting and subsequent aspiration, d. Bag-valve-mask ventilation can be used only for patients who are not breathing, a. Nitrates, diuretics, and other vasodilators should be avoided in RVI because severe hypotension may result, b. 1. A patient with pulseless ventricular tachycardia is defibrillated. You are evaluating a patient with chest discomfort lasting 15 minutes during transportation to the emergency department. Oxygen has been applied, an IV has been started, and the cardiac monitor reveals the rhythm below. A 12-lead ECG confirm a supraventricular tachycardia with no evidence of ischemia or infarction. Epinephrine 1 mg d, The rate should be set between 80 and 100; the current should be increased rapidly to maximum, a. Dopamine at 10 to 20 mcg/kg per minute 4. He suddenly has the persistent rhythm shown below. Your next action is to: 3. The CT scan is negative for hemorrhage. Normal saline 250 mL to 500 mL bolus, A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. Which best describe the recommended second does of amiodarone for this patient? Acls pretest quizlet - Study with Quizlet and memorize flashcards containing terms like Chest compressions for an adult are performed: a. at a rate between . The ACLS Post Test Answer Key quiz and case studies presented as follows are provided to help you integrate the information presented in this chapter. His skin is pale and clammy. Vasopressin is recommended instead of epinephrine for the treatment of asystole. What is your next action? A patient is in cardiac arrest. 3. Atropine 1 mg IV, total dose 3 mg as needed. 5. Give aspirin 160 mg and clopidogrel 75 mg orally. 46. Her blood pressure is 126/72, respirations 14. An endotracheal dose of 2 to 4 mg/kg. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far.