AHA ACLS Test Answers 2024 Precourse Self Assessment Answers 2024

question one you find an unresponsive patient who is not breathing after activating the emergency response system you determine that there is no pulse what is your next action a open the airway with a head tilt chin lift B administer epinephrine at a dose of 1 mgram per kilogram C deliver two rescue breaths each over 1 second D start chest compressions at a rate of at least 100 per minute answer D start chest compressions at a rate of at least 100 per minute question two you are evaluating a 58-year-old man with chest pain the blood pressure is 9250 millimet of mercury the heart rate is 92 per minute the non- labored respiratory rate is 14 breath / Min and the pulse oxymetry reading is 97% what assessment step is most most important now a Petco 2 B chest x-ray C Laboratory Testing D obtaining a 12 lead ECG answer D obtaining a 12 lead ECG question three what is the preferred method of access for epinephrine Administration during cardiac arrest in most patients a intra oous B endot tral C Central intravenous D peripheral intravenous answer D peripheral intravenous question four an activated AED does not promptly analyze the Rhythm what is your next action a begin chest compressions B discontinue the resuscitation attempt C check all AED connections and reanalyze D root rotate AED electrodes to an alternate position answer a begin chest compressions question five you have completed 2 minutes of CPR the ECG monitor displays the lead 2 Rhythm below and the patient has no pulse another member of your team resumes chest compressions and in four is in place what management step is your next priority a give 0.5 mg of atropine B insert an advanced Airway C administer 1 mgram of epinephrine D administer a dopamine infusion answer C administer 1 mgram of epinephrine question six during a pause in CPR you see this lead 2 ECG Rhythm on the monitor the patient has no pulse what is the next action a establish vascular access B obtain the patient's history C resume chest compressions D terminate the recitative effort answer C resume chest compressions question s what is a common but sometimes fatal mistake in cardiac or rest management a failure to obtain vascular access B prolonged periods of no ventilations C failure to per form endot tracheal intubation D prolonged interruptions in chest compressions answer D prolonged interruptions in chest compressions question eight which action is a component of highquality chest compressions a allowing complete chest recoil B chest compressions without ventilation C 60 to 100 compressions per minute with a 15 to2 ratio d uninterrupted compressions at a depth of 1 and 1/2 in answer a allowing complete chest recoil question nine which action increases the chance of successful conversion of ventricular fibrillation a pausing chest compressions immediately after a defibrillation attempt B administering four quick ventilations immediately before a defibrillation attempt C using manual defibrillator paddles with light pressure against the chest D providing quality compressions immediately before a defibrillation attempt answer D providing quality compressions immediately before a defibrillation attempt question 10 which situation best describes pulseless electrical activity a a syy without a pulse B sinus rhythm without a pulse C pads to points with a pulse d ventricular tacac cardia with a pulse answer B sinus rhythm without a pulse question 11 what is the best strategy for performing highquality CPR on a patient with an advanced Airway in place a provide compressions and ventilations with a 15 to2 ratio B provide compressions and ventilations with a 30 to2 ratio C provide a single ventilation every 6 seconds during the compression pause D provide continuous chest compressions without pauses and 10 ventilations per minute answer D provide continuous chest compressions without pauses and 10 ventilations per minute question 12 3 minutes after witnessing a cardiac arrest one member of your team inserts an endot tracheal tube while another performs continuous chest compressions during subsequent ventilation you notice the presence of a waveform on the capnography screen and a PCO 2 level of 8 mm of mercury what is the significance of this finding a chest compressions may not be effective B the endot tracheal tube is no longer in the trachea C the patient meets the criteria for termination of efforts D the team is ventilating the patient too often hyperventilation answer a chest compressions may not be effective question 13 the use of quantitative capnography in intubated patients a allows for monitoring of CPR quality B measures oxygen levels at the Alvi level C determines inspired carbon dioxide relating to cardiac output D detects electrolyte abnormalities early in code management answer a allows for monitoring of CPR quality question 14 for the past 25 minutes an EMS crew has attempted resuscitation of a patient who originally presented in ventricular fibrillation after the first shock the ECG screen displayed ay which has persisted despite two doses of epinephrine a fluid Bolis and highquality CPR what is your next treatment a apply a transcutaneous pacemaker B administer 1 mgram of intravenous atropine C administer 40 units of intravenous vasopressin D consider terminating resuscitative efforts after Consulting medical control answer D consider terminating resuscitative efforts after Consulting medical control question 15 which is a safe and effective practice within the defibrillation sequence a stop chest compressions as you charge the defibrillator B be sure oxygen is not blowing over the patient's chest during the shock C assess for the presence of a pulse immediately after the shock D commandingly announce clear after you deliver the defibrillation shock answer B be sure oxygen is not blowing over the patient's chest during the shock question 16 during your assessment your patient suddenly loses Consciousness after calling for help and determining that the patient is not breathing you are unsure whether the patient has a pulse what is your next action a leave and get an AE D B begin chest compressions C deliver two quick ventilations D check the patient's mouth for the presence of a foreign body answer B begin chest compressions question 17 what is an advantage of using hands-free defibrillation pads instead of defibrillation paddles a hands-free pads deliver more energy than paddles B hands-free pads increase electrical Arc C hands-free pads allow for a more rapid defibrillation D hands-free pads have Universal adapters that can work with any machine answer C hands-free pads allow for a more rapid defibrillation question 18 what action is recommended to help minimize interruptions and chest compressions during CPR a continue CPR while charging the defibrillator B perform pulse checks immediately after defibrillation C administer four medications only when delivering breaths D continue to use an AED even after the arrival of a manual defibrillator answer a continue CPR while charging the defibrillator question 19 which action is included in the BLS survey a early defibrillation B Advanced Airway management C rapid medication administration D preparation for therapeutic hypothermia answer a early defibrillation question 20 which drug and dose are recommended for the management of a patient in refractory ventricular fibrillation a atropine 2 mg b amoon 300 mg C oo pressin 1 mg per kilg D dopamine 2 mg per kg per minute answer b aoron 300 mg question 21 what is the appropriate interval for an interruption in chest compressions a 10 seconds or less B 10 to 15 seconds C 15 to 20 seconds D interruptions are never accept cable answer a 10 seconds or less question 22 which of the following is a sign of effective CPR a peto2 greater than or equal to 10 mm of mercury B measured urine output of 1 ml per kilg per hour C patient temperature greater than 32° C 89.6 de f d diastolic intraarterial pressure less than 20 mm of mercury answer a Petco 2 greater than or equal to 10 mm of mercury question 23 what is the primary purpose of a medical emergency team met or rapid response team rrt a identifying and treating early clinical deterioration B rapidly intervening with patients admitted through emergency department triage C responding to patients during a disaster or multiple patient situ situation D responding to patients after activation of the emergency response system answer a identifying and treating early clinical deterioration question 24 which action improves the quality of chest compressions delivered during a resuscitation attempt a observe ECG Rhythm to determine depth of compressions B do not allow the chest to fully recoil with each compression C compress the upper half of the sternum at a rate of 150 compressions per minute D switch providers about every 2 minutes or every five compression Cycles answer D switch providers about every 2 minutes or every five compression Cycles question 25 what is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse rate of 80 per minute a one breath every 3 to 4 seconds B one breath every 5 to 6 seconds C two breaths every 5 to 6 seconds D two breaths every 6 to 8 seconds answer B one breath every 5 to 6 seconds question 26 a patient presents to the emergency department with new onset of dizziness and fatigue on examination the patient's heart rate is 35 per minute the blood pressure is 7050 mm HG the respiratory rate is 22 breath slid Min and the oxygen saturation is 95% what is the appropriate first medication a atropine 0.5 mg B oxygen 12 to 15 L per minute C epinephrine 0.5 mg D aspirin 160 Mig chewed answer a atropine 0.5 mg question 27 a patient presents SS to the emergency department with dizziness and shortness of breath with a sinus Bri cardia of 40 per minute the initial atropine dose was ineffective and your monitor SL defibrillator is not equipped with a transcutaneous pacemaker what is the appropriate dose of dopamine for this patient a 2 to 10 milligram per minute b 2 to 10 microgr per kilogram per minute C 10 to 15 Mig per minute D 10 to 15 microG per kilog per minute answer b 2 to 10 microG per kilg per minute question 28 a patient has sudden onset of dizziness the patient's heart rate is 180 per minute blood pressure is 110/70 mmhg respiratory rate is 18 breath SL Min and pulse oximetry reading is 98% on rare the lead to ECG is shown below what is the next appropriate intervention a vagal Maneuvers B metoprolol 5 mg 4 C adenosine 6 Mig 4 d normal saline 1 El Bolis answer a vagal Maneuvers question 29 a monitored patient in the ICU developed a sudden onset of narrow complex tacac cardia at a rate of 220 per minute the patient's blood pressure is 128/58 mmh the Petco 2 is 38 mm of mercury and the pulse oximetry reading is 98% the heart rate has not responded to vagal Maneuvers what is the next recommended intervention a adenosine 6 mg for push B aoron 300 mg for push C synchronized cardiov version at 50j D synchronized cardiov version at 200 J answer a a Denine 6 Mig for push question 30 you are receiving a radio report from an EMS team on Route with a patient who may be having an acute stroke the hospital CT scanner is not working at this time what should you do in this situation a contact the patient family to see what they would prefer B have the EMS crew choose an appropriate patient disposition C accept the report and provide care with within your present capability D divert the patient to a hospital 15 minutes away with court capabilities answer D divert the patient to a hospital 15 minutes away with court capabilities question 31 choose an appropriate indication to stop or withhold resuscitative efforts a arrest not witnessed B evidence of rigor mortise C patient age greater than 85 years D No Return of spontaneous circulation after 10 minutes of CPR answer B evidence of rigor mortise question 32 a 49-year-old woman arrives in the emergency department with persistent epigastric pain she had been taking oral antacids for the past 6 hours because she thought she had heartburn the initial blood pressure is 118/72 mmhg the heart rate is 92 per minute and regular the non- labored respiratory rate is 14 breath SL Min and the pulse oxymetry reading is 96% which is the most appropriate intervention to perform next a administer oxygen B obtain a 12 lead ECG C evaluate for fibrinolytic eligibility D administer sublingual nitroglycerin answer B obtain a 12 lead ECG question 30 33 a patient in respiratory failure becomes apneic but continues to have a strong pulse the heart rate is dropping rapidly and now shows a sinus Bri cardia at a rate of 30 per minute what intervention has the highest priority a atropine for push B epinephrine for Infusion C application of a transcutaneous pacemaker D simple Airway Maneuvers and assisted ventilation answer D simple Airway Maneuvers and assisted ventilation question 34 what is the appropriate procedure for endot tral tube suctioning after the appropriate catheter is selected a suction during insertion but for no longer than 30 seconds B suction the mouth and nose for no longer than 30 seconds C suction during withdrawal but for no longer than 10 seconds D hyperventilate before catheter in insertion and then suction during withdrawal answer C suction during withdrawal but for no longer than 10 seconds question 35 while treating a patient with dizziness a blood pressure of 683 mm HG and cool clammy skin you see this lead to ECG Rhythm what is the most appropriate first intervention a aspirin B atropine C lidocaine d nitroglycerin answer B atropine question 36 a 68-year-old woman experienced a sudden onset of right arm weakness EMS Personnel measure a blood pressure of 140/90 mmhg a heart rate of 78 per minute a non- labored respiratory rate of 14 breath SL Min and a pulse oximetry reading of 97% the lead 2 ECG displays sinus rhythm what is the most appropriate action for for the EMS team to perform next a 12 lead ECG assessment B administration of 100% supplementary oxygen C Cincinnati prehospital Stroke Scale assessment d administration of a low-d does aspirin answer C Cincinnati prehospital Stroke Scale assessment question 37 EMS is transporting a patient with a positive prehospital stroke assessment upon arrival in the emergency department the initial blood pressure is 138/78 mmhg the pulse rate is 80 per minute the respiratory rate is 12 breath SL Min and the pulse oximetry reading is 95% on room air the lead 2 ECG displays sinus rhythm the blood glucose level is within normal limits what intervention should you perform next a head C scan B transfer to the stroke unit c immediate rtpa Administration D administration of 100% oxygen answer a head C scan question 38 what is the proper ventilation rate for a patient in Cardiac Arrest who has an advanced Airway in place a four to six breaths per minute B 8 to 10 breaths per minute C 12 to 14 breath per minute d 16 to 18 breaths per minute answer B 8 to 10 breaths per minute question 39 a 62-year-old man in the emergency department says that his heart is beating fast he says he has no chest pain or shortness of breath the blood pressure is 142/98 mmhg the pulse is 200 per minute the respiratory rate is 14 breath SL Min and pulse oximetry is 95 % on room air what intervention should you perform next a obtain a 12 lead ECG B give 150 mg of amiodaron C administer 160 mg of aspirin D administer 6 Mig of adenosine answer a obtain a 12 lead ECG question 40 you are evaluating a 48-year-old man with crushing substance alal chest pain the patient is pale diaphoretic cool to the touch and slow to respond to your questions the blood pressure is 58 302s millimeter of mercury the heart rate is 190 per minute the respiratory rate is 18 breath Min and the pulse oximeter is unable to obtain a reading because there is no radial pulse the lead 2 ECG displays a regular wide complex tardia what intervention should you perform next a proceed procedural sedation B 12 lead ECG C aoron Administration D synchronized cardio version answer D synchronized cardio version question 41 what is the initial priority for an unconscious patient with any tardia on the monitor a review the patients home medications B evaluate the breath sounds C determine whether pulses are present D administer sedative drugs answer C determine whether pulses are present question 42 which Rhythm requires synchronized cardi version a unstable supr ventricular tacac cardia B atrial fibrillation C sinus tachicardia D NSR on monitor but no pulse answer a unstable super ventricular tacac cardia question 43 what is the recommended second dose of adenosine for patients in refractory but stable narrow complex tardia a 3 Mig B 6 mg C 9 mg D 12 Mig answer D 12 milligram question 44 what is the usual post Cardiac Arrest target range for Petco 2 when ventilating a patient who achieves return of spontaneous circulation r c a 30 to 35 mm of mercury B 35 to 40 mm of mercury C 40 to 45 mm of mercury D 45 to 50 mm of mercury answer B 35 to 40 mm of mercury question question 45 which condition is a contraindication to therapeutic hypothermia during the post Cardiac Arrest period for patients who achieve return of spontaneous circulation R osc A initial rhythm of asy B responding to verbal commands C patient age greater than 60 years D desire to provide coronary reperfusion EG PCI answer B responding to verbal command question 46 what is the potential danger of using ties that pass circumferentially around the patient neck when securing an advanced Airway a May interfere with effective ventilation B places the patient cervical spine at risk C obstruction of Venus return from the brain D does not adequately secure the airway device answer C obstruction of Venus return from the brain question 47 what is the most reliable method of confirming and monitoring correct placement of an endral tube a fivepoint oscilation b colorometric capnography c continuous waveform capnography D use of esophageal detection devices answer C continuous waveform capnography question 48 what is the recommended four fluid normal saline or ringer lactate Bolis do for a patient who achieves RC but is hypotensive during the post Cardiac Arrest period a 250 to 500 milliliters B 500 to 1, m c 1 to 2 l d 2 to 3 l answer c 1 to 2 L question 49 what is the minimum systolic blood pressure one should attempt to achieve with fluid inotropic or vasopressor Administration in a hypotensive post Cardiac Arrest patient who achieves RC a 90 mm of mercury B 85 mm of mercury C 80 mm of mercury D 75 mm of mercury answer a 90 mm of mercury question 5050 what is the first treatment priority for a patient who achieves RC a coronary reperfusion B theraputic hypothermia C maintaining blood glucose less than 185 mg per deciliter D optimizing ventilation and oxygenation answer D optimizing ventilation and oxygenation

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Length: 27min 57sec (1677 seconds)

Published: Wed Mar 13 2024