Sedate and perform synchronized cardioversion. A code is in progress and he has recurrent episodes of this rhythm. d, The rate should be set between 80 and 100; the current should be increased rapidly to maximum, a. Bag-mask ventilations are producing visible chest rise. A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. Which best describes the guidelines for antiplatelet and fibrinolytic therapy? , () ) : (2020-2025 guidelines) Go to Quiz #2. 37. You arrive on the scene with the code team. For quiz acls you must go through real exam. He has a history of angina. Gain IV or IO access. Based on the average satisfaction rating of 4.8/5, it can be said that the customers are highly satisfied with the product. You are working in the radiology department as a registered nurse. Prepare to give amiodarone 300 mg IV. A second shock is given and chest compressions are resumed immediately. 3. Patient's 12 lead ECG shows ST segment elevation in the anterior leads. High quality CPR is in progress by a Basic Life Support crew. She is pale and diaphoretic. The ventricular rate is 138/min. Nitroglycerin administration A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. Continue CPR while the defibrillator is charging. Whch of the following statements is true about ventilation with a bag-valve-mask? Start rescue breathing, A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. Left ventricular infarct with bilateral rales. ACLS pretest Flashcards. 1. Gain instant access to all of the practice tests, megacode scenarios, and videos. Hold aspirin for at least 24 hours if rtPA is administered, Hold aspirin for at least 24 hours if rtPA is administered, What is the indication for the use of magnesium in cardiac arrest? 2. Ventilating as quickly as you can Conduct a problem-focused history and physical examination. Chest pain or shortness of breath is present. Level Of responsiveness, airway, breathing, circulation, defibrillation if necessary, c. Temperature, pulse, respiration, blood pressure, d. Oxygen, IV fluid challenge, vital signs, level Of responsiveness, a. Cause significant peripheral vasoconstriction, b. Neutralize acid accumulated during cardiac arrest, c. Slow conduction through the atrioventricular node, d. Cause profound peripheral vasodilation, a. What is your next action? When you arrive at the patients side, you confirm that she is unresponsive. 3. The heart rate has not responded to vagal maneuvers. The patient is intubated and an IV has been started. Order immediate endotracheal intubation. Select the incorrect statement regarding the automated external defibrillator (AED). 1. Which drug should be given next? A patient in respiratory distress and with a BP of 70/50 mmHg presents with the following lead II ECG rhythm. 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. b. electrons. ACLS Pretest Questions and Answers 2023 (Full Practice Test) ACLS Pretest Questions and Answers 2023 (Free Full Practice Test). 3 AV block p and qrs completely separate Identify the rhythm. PALS Prehospital. 2ND . Key Term acls pretest quizlet 2018; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. A rhythm check now finds asystole. What is the minimum depth of chest compressions for an adult in cardiac arrest? Administer atropine 1 mg. 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. 18. Good luck! Asystole now Give atropine 1 mg IV. She has received adensoine 6mg IV for the rhythm shown here, without conversion of the rhythm. Lidocaine 0.5 mg/kg, Your patient has been intubated. Sodium bicarbonate 50 mEq. Epinephrine 1 mg What is your next action? Produces a small amount of blood flow to the heart. Start dopamine at 2 g/kg per minute and titrate to BP 100 systolic. 2. Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. 1. Her BP is 102/72 mmHg. Shock-refractory ventricular fibrillation, Pulseless ventricular tachycardia-associated torsades de pointes, A patient is in cardiac arrest. His blood pressure is 180/100 mm Hg. A third shock has just been administered. What is the next action? B. Blood pressure is 108/70 mm Hg. Your patient is stable and blood pressure is 120/80 mm Hg. Start epinephrine 2 to 10 mcg/min. Begin ventilating with a bag-valve-mask, d. Insert an endotracheal tube, Cornbitube. She has an IV in place. AHA ACLS Practice Test. He arrives in the department. As you shout for help, your next action in this situation should be to: 13. In which situation does bradycardia require treatment? A second dose of amiodarone is now called for. A patient is in cardiac arrest. Attempts to establish a peripheral IV have been unsuccessful. Shock-refractory monomorphic ventricular tachycardia Give 75 mg enteric-coated aspirin orally. The CT scan is negative for hemorrhage. 4. During the resuscitation, amiodarone 300 mg was administered. 1. 90 to 100 compressions per minute 10 to 12 ventilations per minute; each ventilation delivered over 1 second, c. 12 to 20 ventilations per minute; each ventilation delivered over 1.5 to 2 seconds, d. 20 to 24 ventilations per minute; each ventilation delivered over 1.5 to 2seconds. A thrid shock has just been administered. KC_WALLS. He suddenly has the persistent rhythm shown below. Give heparin if the CT scan is negative for hemorrhage An endotracheal dose of 2 to 4 mg/kg. Amiodarone 150 mg Resume high-quality chest compressions. Her lead II ECG is below. Amiodarone, lidocaine, epinephrine The rhythm abnormality is becoming more frequent and increasing in number. 70 to 80 compressions per minute Hamdy says. Heart rate 90/min. 3. Use these answers to prepare yourself for an ACLS online exam. Give lidocaine 1 to 1.5 mg IV and start infusion. Epinephrine 2 to 10 mcg/kg per minute Reply. Transcutaneous pacing, What is the recommended depth of chest compressions for an adult victim? . 3. 4. Which drug do you anticipate giving to this patient? A patient is in pulseless ventricular tachycardia. Being CPR with chest compressions for 2 minutes or about 5 cycles of compressions and ventilations. Her initial blood pressure was 148/70. a. 50 terms. Perform vagal maneuvers and repeat adenosine 6 mg IV. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. The lead II ECG is displayed below. A second shock is given, and chest compressions are resumed immediately. Temporary pacing. Gain instant access to all of the practice tests, megacode scenarios, and knowledge base. This ACLS quiz covers general information that may be found on the ACLS written test. ) Which drug should be administered first? About every 12-14 seconds 1. 1. Obtain a 12-lead ECG and administer aspirin if not contraindicated. Reentry SVT 5. Please identify the rhythm by selecting the best single answer. The cardiac monitor documents the rhythm below. Atropine 1 mg IV. A 57-year-old woman has palpitations, chest discomfort, and tachycardia. A patient presents with the rhythm below and reports an irregular heartbeat. An IV is in pace. What is the purpose of a medical emergency team (MET) or rapid response team (RRT)? What is the next action? His blood pressure is 104/70, respirations 12/min. Start an IV . Take up the test below and see how much you understand ACLS Medications in preparation for your exam. Bystanders are performing CPR. There are a total of 50 Self Assessment questions on Pharmacology, Rhythm. If the thermocouple senses a temperature of 320C320^{\circ} \mathrm{C}320C when the duct surface temperature is 175C175^{\circ} \mathrm{C}175C, what is the actual gas temperature? What is your first action? Recommended treatment for this patient includes: Questions $2 through 16 pertain to the following scenario. One does of epinephrine was given after the second shock. Glucose 50% IV push He is asymptomatic, with a blood pressure of 110/70 mm Hg. Which of the following should be done at this time? Typical signs and symptoms Of RVI include hypertension, jugular venous distention, and bilateral rales/crackles, c. RV infarction or ischemia usually occurs in patients with an anterior wall infarction, d. Caution should be used when administering IV fluids because the development Of pulmonary edema is increased in patients with RVI, a. Asystole and pulseless electrical activity, b. Pulseless ventricular tachycardia and ventricular fibrillation, d. Pulseless ventricular tachycardia and pulseless electrical activity, a. A patient is in cardiac arrest. He appears cyanotic. Questions and Answers 1. You observe the following rhythm on the cardiac monitor. February 18, 2023 at 7:37 pm. 1. What action minimizes the risk of air entering the victim's stomach during-bag mask ventilation? Resume high-quality chest compressions, What is the maximum interval for pausing chest compressions? Pain described as a 8/10 and unrelieved after 3 doses of nitroglycerin. 5. What is the most important early intervention? What is the appropriate next intervention? Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes, This patient was admitted to the general medical ward with a history of alcoholism. 5. February 17, 2023 at 6:10 am. A patient is in pulseless ventricular tachycardia. $________________$, Reentry supraventricualr tachycardia (SVT), Reentry Supraventricular tachycardia (SVT), Reentry supraventricular tachycardia (SVT). A 75-year-old man has suffered a cardiac arrest. Which is the next drug/dose to anticipate to administer? 3. If the area of the plates of a parallel-plate capacitor is doubled while the spacing between the plates is halved, how is the capacitance affected? What action is recommended next? Dopamine at 10 to 20 mcg/kg per minute What is your next action? A patient was in refractory ventricular fibrillation. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered.
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