ACLS Post-Test Questions Answers

ACLS Post-Test Questions & Answers

Question:

An 89-year-old man is complaining of a "racing heart." He states his symptoms began while playing a card game with friends. He had an MI 15 years ago and a coronary artery bypass graft 5 years ago. His BP is 140/90 mm Hg and his ventilatory rate is 16 breaths/min. Breath sounds are clear and his tidal volume is adequate. His SpO2 on room air is 88%.You have started an IV and placed the patient on the cardiac monitor, which

reveals the following rhythm:

This rhythm can best be described as a:

• Regular, polymorphic, wide-QRS tachycardia.
• Regular, monomorphic, wide-QRS tachycardia.
• Irregular, polymorphic, wide-QRS tachycardia.
• Irregular, monomorphic, wide-QRS tachycardia

Answer:

• Regular, monomorphic, wide-QRS tachycardia.

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Question:

A 72-year-old woman presented with a sudden onset of shortness of breath and collapsed. After confirming the patient was unresponsive, apneic, and pulseless, CPR was begun.

Which of the following ACLS treatment guidelines should be used in the initial treatment of this patient?

• Symptomatic bradycardia
• Narrow-QRS tachycardia
• Pulseless electrical activity (PEA)
• ACSs

Answer:

• Pulseless electrical activity (PEA)

Question:

A 72-year-old woman presented with a sudden onset of shortness of breath and collapsed. After confirming the patient was unresponsive, apneic, and pulseless, CPR was begun.An IV has been established and the patient is being ventilated with a bag- mask device (BMD). You observe gentle bilateral chest rise with ventilations.

Your next action should be to:

• Defibrillate immediately.
• Give 0.5 mg of atropine IV.
• Give 1 mg of epinephrine IV.
• Begin transcutaneous pacing.

Answer:

• Give 1 mg of epinephrine IV. 2 / 4

Question:

A 73-year-old woman presents with symptoms of acute stroke 3.5 hours after symptom onset. She has a history of an acute MI 6 years ago, chronic atrial fibrillation, and diabetes mellitus. The patient'sBPis 168/100 mmHg, her heart rateis 88 to 100 beats/min, and her ventilations are 12 breaths/min. Her National Institutes of Health Stroke Scale (NIHSS) score is

• Daily medications include lisinopril, metformin, and warfarin. Which of

the following statements with regard to fibrinolytic therapy for this patient is true?

• This patient is not a candidate for fibrinolytic therapy because of her age.
• This patient is not a candidate for fibrinolytic therapy because she is

hypertensive.

• This patient is not a candidate for fibrinolytic therapy because she is

taking an oral anticoagulant.

• This patient is not a candidate for fibrinolytic therapy because too much

time has lapsed between symptom onset and hospital ar

Answer:

• This patient is not a candidate for fibrinolytic therapy because she is

taking an oral anticoagulant.

Question:

Which of the following is true with regard to procainamide?

• Procainamide is a potent vasoconstrictor.
• Procainamide may cause widening of the QRS complex.
• Procainamide is indicated in the treatment of asystole and slow PEA.
• Procainamide is a first-line drug in the management of torsades de

pointes (TdP).

Answer:

• Procainamide may cause widening of the QRS complex.
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Question:

A BMD that is used with supplemental oxygen set at a flow rate of 10 to 15 L/min delivers about _____oxygen to the patient when a reservoir is not used.

A. 21%

• 40% to 60%
• 60% to 90%
• 90% to 100%

Answer:

• 40% to 60%

Question:

A 35-year-old woman presents with a narrow-QRS tachycardia. She is stable but symptomatic. Vagal maneuvers and an initial dose of adenosine were

ineffective. You should now:

• Perform synchronized cardioversion.
• Administer 6 mg of adenosine rapid IV push.
• Administer 12 mg of adenosine rapid IV push.
• Administer diltiazem 0.25 mg/kg IV over 2 minutes.

Answer:

• Administer 12 mg of adenosine rapid IV push

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