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ADVANCED LIFE SUPPORT (ALS) ONLINE SESSION
FINAL EXAM NEWEST 2024 -2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A patient is brought into the emergency department. The patient does not have a pulse. The cardiac monitor shows the following rhythm. The team interprets this as which condition? - ANSWER- Ventricular tachycardia
A member of the resuscitation team is preparing to defibrillate a patient in cardiac arrest using a biphasic defibrillator. The team member would set the energy dose according to the
manufacturer's recommendations, which is usually: - ANSWER-
120 to 200 joules
A member of the resuscitation team is preparing to administer medications intravenously to a patient in cardiac arrest. The team member should follow each peripherally administered drug dose with a normal saline flush. How much would the team member give? - ANSWER- 10 to 20 ml
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A 30-year-old patient has been brought to the emergency department in cardiac arrest. The cardiac monitor shows the following rhythm. Interpretation of this rhythm would suggest which of the following as a possible precipitating factor? - ANSWER- Electrocution
The rhythm is ventricular fibrillation. Precipitating causes of ventricular fibrillation include electrocution, myocardial ischemia or infarction, shock, stimulant overdose and ventricular tachycardia.
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? - ANSWER- Defibrillation
The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a patient brought to the emergency department. Which finding on a 12-lead ECG would confirm this suspicion? - ANSWER- Wide-complex ventricular rhythm and tall, peaked T waves
A patient has experienced return of spontaneous circulation (ROSC) after cardiac arrest. The healthcare team is conducting a secondary assessment to determine the possible cause of the patient's cardiac arrest. Before the arrest, the patient exhibited 2 / 4
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jugular venous distension, cyanosis, apnea and hyperresonance on percussion. The patient was also difficult to ventilate during the response. The team would most likely suspect which condition as the cause? - ANSWER- Tension pneumothorax
A patient in cardiac arrest experiences return of spontaneous circulation. As part of post-cardiac arrest care, the patient is receiving mechanical ventilation at an initial rate of 10 breaths/min and a fraction of inspired oxygen (FiO2) of 0.30.Which finding(s) would indicate the need for change in the ventilator settings to optimize the patient's ventilation and oxygenation? - ANSWER- ETCO2 55 mmHg
PaCO2 48 mmHg
SaO2 90%
After cardiac arrest and successful resuscitation, the patient has a return of spontaneous circulation. The patient is unable to follow verbal commands. Targeted temperature management is initiated. Which method(s) would be appropriate for the resuscitation team to use? - ANSWER- Applying cooling blankets to the patient's body
Giving an ice-cold IV fluid bolus 3 / 4
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Using an endovascular catheter
A patient with suspected acute coronary syndromes (ACS) has a pulse oximetry reading of 86% and is given supplemental oxygen. The provider determines that the supplemental oxygen dose is correct based on which SaO2 level? - ANSWER- 93%
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? - ANSWER- 0.15 mV
A patient with STEMI is experiencing chest pain that is refractory to sublingual nitroglycerin. Intravenous nitroglycerin is prescribed. When administering this medication, it would be titrated to maintain which systolic blood pressure? - ANSWER- 90 mmHg
A patient is being treated in the emergency department and is determined to have NSTE-ACS. Invasive management is planned based on which finding? - ANSWER- Ventricular tachycardia
A patient is admitted to the emergency department with signs and symptoms of stroke. The stroke team should complete a
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