. She is now extremely apprehensive. High-quality chest compressions are being given. Atropine 0.5 mg, A patient with sinus bradycardia and heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. A patient Who presents With a possible (or definite) acute syndrome should receive a targeted history and physical exam and initial 12-Iead ECG within _______ Of patient contact (prehospital) or arrival in the emergency department. Epinephrine 3 mg via endotracheal route. Start dopamine at 10 to 20 mcg/kg per minute. A postoperative patient in the ICU reports new chest pain. Delivering the largest breath you can, Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. Obtain a 12-lead ECG. An IV has been initiated. 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 1. 3 AV block p and qrs completely separate Identify the rhythm. He is receiving oxygen and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. Ventilating as quickly as you can The gas may be assumed to have the properties of air at atmospheric pressure. A patient becomes unresponsive. Is used to slow the ventricular rate in narrow-QRS tachycardias, b. 4. A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. 3. Which action do you take next? Which is the next drug/dose to anticipate to administer? Produces a small amount of blood flow to the heart. Lidocaine 1 to 1.5 mg IV; star infusion. ACLS Pretest. A patient with STEMI has ongoing chest discomfort. An IV is not in place. Adenosine 12 mg IV slow push (over 1 to 2 minutes)Metoprolol 5 mg IV and repeat if necessary 4. PALS Prehospital. After attaching a cardiac monitor, the responder observes the following rhythm strip. PALS In Hospital. Temporary pacing. Return Practice Test Library. The CT scan is negative for hemorrhage. 1. Comfy says. Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient has increased chest discomfort. You are uncertain if a faint pulse is present with the rhythm He is being evaluated for another acute stroke. High quality CPR is in progress by a Basic Life Support crew. Attempt endotracheal intubation with minimal interruptions in CPR. Gain instant access to all of the practice tests, megacode scenarios, and videos. An IV is in place, and no drugs have been given. 2. B. Select the incorrect statement regarding the automated external defibrillator (AED). Is given rapidly as a 2.5- to 5-mg IV bolus (Over 1 to 3 seconds), c. Can be safely given to patients with impaired ventricular function or heart failure, d. Is the drug Of choice for patients with atrial fibrillation or atrial flutter associated with known preexcitation (Wolff-Parkinson-White [WPW]) syndrome, b. Idioventricular (ventricular escape) rhythm, c. Does anything make the pain better or worse?, c. May be used in the management of ST-segment elevation myocardial infarction, d. Include medications such as metoprolol, atenolol, and propranolol, a. A monophasic waveform defibrillator is available to you. Administer amiodarone 300 mg. 2. An oral airway is in place. What is a chemical bond according to valence bond theory? BP 68/40, R 12. Which of the following statements is most accurate regarding the administration of vasopressin during cardiac arrest? The most common side effects of giving amiodarone are: 5. You are monitoring a patient with chest discomfort who suddenly becomes unresponsive. Your patient is not responsive and is not breathing, You can palpate a carotid pulse. The heart rate has not responded to vagal maneuvers. 4. Providing a good seal between the face and the mask Aspirin was not taken by the patient because he had a history of gastritis treated 5 years ago. 2. Substitute clopidogrel 300 mg loading dose. Your next action will be to: 6. Your next action is to: The Advanced Cardiovascular Life Support (ACLS) Precourse Self-Assessment is an online tool that evaluates a student's knowledge before the course to determine their proficiency and identify any need for additional review and practice in 3 sections: rhythm recognition, pharmacology, and practical application. Vasopressin can be administered twice during cardiac arrest. After resuming high-quality compressions, your next action is to: Administer adenosine 12 mg IV 3. What is the danger of routinely administering high concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC? The cardiac monitor documents the rhythm shown here. Intubate and administer 100% oxygen, You arrive on the scene to find CPR in progress. Start dopamine 10 to 20 mcg/kg per minute. The patient describes her discomfort as a squeezing sensation in the middle Of her chest. Reentry SVT 5. The code cart with all the drugs and transcutaneous pacer are immediately available. Single rescuers should use a compression-to-ventilation ratio of 30 compressions to 2 breaths when giving CPR to victims of any age. 1. During the combustion of 5.00 g of octane, C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18, 1002 kJ is released. Your immediate next order is: 4. After you start an IV, what is the next action? ACLS Pretest. Lidocaine, epinephrine, vasopressin, A patient is in cardiac arrest. About every 8-10 seconds When you arrive at the patients side, you confirm that she is unresponsive. Learn PALS. Hold aspirin for at least 24 hours if rtPA is administered. The rhythm is asystole. An AED has previousy advised "no shock indicated." Two shocks and 1 dose of epinephrine have been given. BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14 breaths/min, and the pulse oximetry reading is 97%. The quiz contains a variety of questions from different cases. Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator). Repeat amiodarone 150 mg IV. Questions and Answers 1. 3. He is being evaluated for another acute stroke. The patients sister states that 15 minutes ago, the patient said she couldnt breathe and then lost consciousness. Which is the first drug/dose to administer? This is a sample copy of the American Heart Association (AHA) Advanced Cardiac Life Support Precourse Self Assessment Question Answers. below. The most common cause of a stroke is: 41. BP is 132/68 mmHg, pulse is 130/min and regular, RR is 12 breaths/min, and pulse oximetry reading is 95%. Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator) Consider sedation and perform synchronized cardioversion with 100 joules, b. Rapid heart rates may produce serious signs and symptoms. Start transcutaneous pacing. Justify your response on the basis of a simple analysis. the rhythm. Epinephrine, vasopressin, amiodarone The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. What is the indication for the use of magnesium in cardiac arrest? 2. When questioned, she denies Chest discomfort or Shortness of breath. 4. b. 3. Full ACLS access starting at $19.95. 2. Begin your free practice exam: BLS 10 Questions ACLS 20 Questions PALS 20 Questions You have placed the patient on oxygen and an IV has been established. On the next rhythm check, you see the rhythm shown here. Give atropine 1 mg IV. If no head or neck trauma is suspected, Which Of the following techniques should healthcare professionals to open the airway? Start epinephrine 2 to 10 mcg/min. Gain IV or IO access. True or False: Simultaneous, bilateral carotid massage should be attempted to try to slow the heart rate of a stable patient with a narrow-QRS tachycardia before medication administration. The preferred site for initial placement of a large IV catheter is the: 24. , () ) : (2020-2025 guidelines) Go to Quiz #2. Adenosine 6 mg 50 to 60 compressions per minute Ventilating too quickly You are evaluating a patient with chest discomfort lasting 15 minutes during transportation to the emergency department. His skin is pale and clammy. How often should the team leader switch chest compressors during a resuscitation attempt? Perform vagal maneuvers. Of the following, which drug and dose should be administered first by the IV/IO route? The monitor shows a regular narrow-complex QRS at a rate of 180/min. Your team looks to you for instructions. Your best course Of action at this time will be to: 27. This rhythm is a narrow-QRS tachycardia, a non-shockable rhythm, c. This rhythm is monomorphic ventricular tachycardia, a shockable rhythm, d. This rhythm is a wide-QRS tachycardia, a non-shockable rhythm, d. The dose recommended by the manufacturer for terminating the rhythm, a. Initiate transcutaneous pacing. Her blood pressure is 120/78mm Hg. Should be given only to patients with narrow-QRS tachycardia or dysrhythmias known with certainty to be Of supraventricular origin, b. Continue monitoring the patient and seek expert consultation. Bag-mask ventilations are producing visible chest rise. ACLS PreTest . What survival advantages does CPR provide to a patient in ventricular fibrillation? What is the initial dose of atropine? The maximum length of time for a suctioning attempt is: 45. 3. Epinephrine 3 mg 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. Two shocks have been delivered, and an IV has been initiated. Conduct a problem-focused history and physical examination. Heparin 4000 units IV bolus was administered, and a heparin infusion of 1000 units per hour is being administered. Your next order is: The next action is to: Give normal Saline 250 mL to 500 ml fluid bolus ACLS PreTest, ACLS PreTest: Pharmacology and Practical. Which drug should be given next? 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. 5. About every 17-18 seconds, Which action is likely to cause air to enter the victim's stomach (gastric inflation) during bag-mask ventilation? 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 187 terms. What is your next action? What is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)? 2. Bradycardia requires treatment when: Which Of the following statements is true Of right ventricular infarction (RVI)? 22. Start dopamine at 2 g/kg per minute and titrate to BP 100 systolic. The cardiac monitor documents the rhythm shown here. Fibrinolytic therapy has been ordered. Begin transcutaneous pacing. Patient is unconscious and in respiratory arrest. She has no pulse or respirations. Give atropine 0.5 mg IV Endotracheal tube 32. Start an IV and give atropine 1 mg. 3. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. 4. What should be done to minimize interruptions in chest compressions during CPR? An IV has been established. A patient has a rapid irregular wide-complex tachycardia. ACLS PreTest, ACLS PreTest: Pharmacology and A pt is in cardiac arrest. Which of the following is now indicated? Which of the following factors reduces transthoracic resistance and enhances the chance for successful defibrillation in cardiac arrest? The cardiac monitor shows the following rhythm: 8. Which best describe the recommended second does of amiodarone for this patient? What is your next action? Which condition is an indication to stop or withhold resuscitative efforts? Sodium bicarbonate 50 mEq Start rescue breathing, A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Supraventricular Tachycardia, Atrial fibrillation, Second deg AV block: Mobitz 1 and more. Click a quiz link in any scenarios below to open a quiz for that PALS case. 18. What should you do in this situation? Vagal maneuvers, After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. Next you would: 866+ Math Teachers 9.2/10 Star Rating Which medication do you order next? The rate should be Set between 40 and 100; the current should increased rapidly to a maximum Of 160 milliamps. Repeat amiodarone 300 mg IV. Give an immediate unsynchronized shock. 3. 2. What is the next appropriate intervention? aha acls book pdf Atropine has been administered to a total of 3 mg. A transcutaneous pacemaker has failed to capture. Administer lidocaine 1mg/kg IV. What is the purpose of a medical emergency team (MET) or rapid response team (RRT)? What is your next action? A 35-year old woman has palpitations, lightheadedness, and a stable tachycardia. 3. Bag-mask ventilations are producing visible chest rise. acls practical application answers Advanced cardiac life support, or advanced cardiovascular life support, often referred to by its abbreviation as "ACLS", refers to a set of clinical algorithms for the urgent treatment of cardiac arrest, stroke, myocardial infarction (also known as a heart attack), and other life-threatening cardiovascular emergencies. A patent peripheral IV is in place. A rhythm check now finds asystole. What is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? ACLS PRETEST ANSWER KEY RHYTHM IDENTIFICATION (PART I) 1. ACLS PreTest: Pharmacology and Practical Appl, Developmental Milestones (Codo/Peds Exam), Brunner and Suddarth's Textbook of Medical-Surgical Nursing. Measure from the corner of the mouth to the angle of the mandible. Atropine 0.5 mg IV, total dose 2 mg as needed. Use of a phosphodiesterase inhibitor within 12 hours, A patient is in cardiac arrest. Blood pressure is 130/70 mm Hg. 4. She has no chest discomfort, shortness of breath, or light-headedness. Angiotensin-converting-enzyme (ACE) inhibitors: 39. The child is lying on the couch. 2. 5. Escalating dose of epinephrine 3 mg. 2. 3. You can palpate a carotid pulse. Reply. Obtain a 12-lead ECG His wife tells you that they were talking and he suddenly got a funny look on his face and collapsed. 1. Give an additional 2 mg of morphine sulfate. We discuss in these advanced cardiac life support test from different topics like acls scenarios pdf, acls pre assessment test. What is the proper order of the BLS Chain of Survival . She has no chest discomfort, shortness of breath, or light-headedness. Transcutaneous pacing, What is the recommended depth of chest compressions for an adult victim? 1. Breathing is shallow at 8 to 12 breaths/minute. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IV has been established. Epinephrine Sotalol Amiodarone Procainamide When should an unconscious patient receive only rescue breaths and not CPR? 1. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. Which drug should be administered first? Lidocaine 1 mg/kg IV and infusion 2 mg/min. Atropine 0.5 mg IV . Full PALS access starting at $19.95. You are providing bag-mask ventilations to a patient in respiratory arrest. Blood pressure is 104/70mm Hg. Vagal maneuvers have not been effective in terminating the rhythm. The patient is intubated and an IV has been started. Two shocks have been delivered, and an IV has been initiated. Click the card to flip Definition 1 / 45 A) Monitor the patient's PETCO2 Click the card to flip Flashcards Learn 2. Recommended treatment for this patient includes: Questions $2 through 16 pertain to the following scenario. Which finding is a sign of ineffective CPR? 3. The monitor shows a regular wide-QRS at a rate of 180/min.
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