ACLS Final Test ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct
- 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?Select the correct answer to this question.Defibrillation.Insert an advanced airway.Initiate capnography.Perform a pulse check.
Answer: Defibrillation.
- A patient with suspected stroke arrives at the emergency department. The patient is
diagnosed with acute ischemic stroke and is a candidate for fibrinolytic therapy. To achieve the best outcomes, this therapy should be initiated within what time frame?
Within 30 minutes of the patient's arrival Within 1 hour of the patient's arrival Within 2 hours of the patient's arrival Within 3 hours of the patient's arrival
Answer: Within 1 hour of the patient's arrival
For patients with ischemic stroke who meet the eligibility criteria, fibrinolytic therapy is the first-line treatment. Administration of IV recombinant tissue plasminogen activator (rtPA) within 1 hour of the patient's arrival and within 3 hours of the onset of signs and symptoms is optimal.
- 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?
0.10 mV 0.15 mV 0.2 mV 0.25 mV
Answer: 0.15 mV
- A 28-year-old pregnant patient who resides in transitional housing presents to the emergency
department with complaints of feeling feverish and very faint. The patient tells the emergency nurse that she does not know when she became pregnant. Upon palpation, the fundus is not at or above the umbilicus. The patient's condition quickly deteriorates and she goes into cardiac arrest. If available and able to be used without impeding or delaying the resuscitation effort, what 1 / 2
diagnostic tool could be used to guide decision-making in the care of this patient?Abdominal radiograph Fetal monitoring Point-of-care ultrasound Fetal echocardiogram
Answer: Point-of-care ultrasound
Gestational age is an important consideration when determining the approach to a pregnant patient in cardiac arrest. If the gestational age is not known and point-of-care ultrasound is available and able to be performed without impeding or delaying the resuscitation effort, it can be used to quickly estimate gestational age and guide decision-making.
- An ECG strip of a patient in the emergency department reveals the following rhythm. Which
feature would the healthcare provider interpret as indicating atrial fibrillation?
Presence of flutter waves and sawtooth patterns Narrow QRS complex with PP interval constant or slightly irregular Absence of discrete P waves and presence of irregularly irregular QRS complexes Presence of wide QRS complexes that are bizarrely and consistently shaped- Answer: Absence of discrete P waves and presence of irregularly irregular QRS complexes
- A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a
bag-valve-mask (BVM) resuscitator. The development of which condition during the provision of care would lead the team to suspect that improper BVM technique is being used?
Pneumothorax Hypertension Esophageal injury Rib fracture
Answer: Pneumothorax
- Which statements accurately reflect the recommendations for post-cardiac arrest patient
care?
Select all correct options that apply.
Perfusion should be assessed and maintained to ensure the best outcome for the post-cardiac arrest patient.Arterial blood gases may be used to guide ventilation and oxygenation in the post-cardiac arrest patient.Targeted temperature management (TTM) should not be initiated in a post-cardiac arrest patient who is receiving mechanical circulatory support.
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