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ACLS Version B
Questions and Answers
Updated Latest (Verified Answers)
- what condition is an indication to stop of withhold resuscitative efforts?
ANSWERsafety to threat providers?
- After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
ventilation. The patient's lead II ECG appears below. What is your next action?
ANSWER IV or IO access
- After verifying unresponsiveness and abnormal breathing, you activate the emergency
response team. What is your next action?
ANSWER check for a pulse
- what is the recommendation on the use of cricoid pressure to prevent aspiration
during cardiac arrest?
ANSWER not recommended for routine use?
- What survival advantages does CPR provide to a patient in ventricular fibrillation?
- what should be done to minimize interruptions in chest compressio during CPR? ANSWER continue CPR while the defibrillator is charging
re erves n?: de-
ANSWER produces a small amount of blood flow to the heart
- what is the recommended compression rate for performing CPR?
ANSWER at least 100 per minute
- EMS personnel arrive to find a patient in cardiac arrest. Bystanders a performing
CPR. After attaching a cardiac monitor, the responder obs the following rhythm
strip. What is the most important early interventio fibrillation
- a patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous
CPR. the next intervention is to
ANSWER administer a second shock
- what is the recommended next step after a defibrillation attempt?
ANSWER begin CPR, starting with chest compressions
- which of the following is the recommended first choice for establishing intravenous
access during the attempted resuscitation of a patient in cardiac arrest?
ANSWER antecubital vein
- what is the recommended first intravenous dose of amiodarone for a patient with
refractory ventricular fibrillation?
ANSWER 300 mg
- IV/IO drug administration during CPR should be
- A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges
when the medication is administered. What element of effective resuscitation team dynamics
does this represent?
ANSWER closed-loop communication
- how long should it take to perform a pulse check during the BLS survey?
ANSWER 1 to 5 seconds
- Your rescue team arrives to find a 59-year-old man lying on the kitchen floor.You
determine that he is unresponsive and notice that he is taking agonal breaths. What is the next
step in your assessment and management of this patient?
ANSWER apply the AED
- Which treatment or medication is appropriate for the treatment of a patient in asystole?
ANSWER atropine
- An AED advises a shock for a pulseless patient lying in snow. What is the next action?
ANSWER administer the shock immediately and continue as directed by the AED
- what is the minimum depth of chest compressions for an adult in cardiac arrest?
ANSWER 2 inches
- a patient with pulseless ventricular tachycardia is defibrillated. what is the next action?
ANSWER start chest compressions at a rate of at least 100/min.
- You have completed your first 2-minute period of CPR. You see an orga- nized,
eak- 30/min, %. The s the
nonshockable rhythm on the ECG monitor. What is the next action?
ANSWER have a team member attempt to palpate a carotid pulse
- emergency medical responders are unable to obtain a peripheral IV for a patient in
cardiac arrest. what is the next most preferred route for drug administration?
ANSWER Intraosseous (IO)
- what is the appropriate rate of chest compressions for an adult in cardiac arrest?
ANSWER at least 100/min
- You are receiving a radio report from an EMS team en route with a patient who may be
having an acute stroke. The hospital CT scanner is not working at this time. What should
you do in this situation?
ANSWER divert the pt. to a hospital 15 minutes away with CT capabilities
- a 53 - year-old man has shortness of breath, chest discomfort, and w ness. the
patient's blood pressure is 10 2 /5 9 mm Hg, the heart rate is 2 the respiratory rate is
16 breaths/min, and pulse oximetry reading is 96 lead II ECG is displayed below. a
patent peripheral IV is in place. what i next action?
ANSWER vagal maneuvers
- ag 49 - year-oldgmanghasgretrosternalgpaingradiatinggintogthegleftgarm.gthegpa-
gtientgisgdiaphoretic,gwithgassociatedgshortnessgofgbreath.gthegbloodgpressuregisg 130 /8 8 mmghg,gtheg
heartgrategisg 110 /min,gthegrespiratorygrategisg 22 gbreaths/min,
ailure. / d
patient
- whatgisgthegrecommendedgoralgdosegofgaspiringforgpatientsgsuspectedgofghavinggonegofgthe
gacutegcoronarygsyndromes?
ANSWER 160 to 325 mg
- agrespondergisgcaringgforgagpatientgwithgaghistorygofgcongestivegheartgfgthegpatientgisgex
periencinggshortnessgofgbreath,gagbloodgpressuregofg 68 gmmghg,gandgagheartgrategofg 190 /mi
n.gthegpatient'sgleadgIIgECGgisgdisplayegbelow
gANSWERgunstablegsupraventriculargtachycardia
- what is the most appropriate intervention for a rapidly deteriorating who has
this lead II ECG?
ANSWER synchronized cardioversion
- what is the purpose of a medical emergency team (MET) or rapid response team (RRT)?
ANSWER improving patient outcomes by identifying and treating early clinical
deterioration
- what is the recommended assisted ventilation rate for patients in respira- tory arrest
with a perfusing rythm?
ANSWER 10 to 12 breaths per minute
ANSWER defibrillation
- what is the recommended energy dose for biphasic synchronized car- dioversion of
atrial fibrillation?
ANSWER 120 to 200 j
- which of the following is an acceptable method of selecting an appropri- ately sized
oropharyngeal airway (OPA)?
ANSWER measure from the corner of the mouth to the angle of the mandible.
- which is a contraindication to nitroglycerin administration in the manage- ment of
acute coronary syndromes?
ANSWER heart rate greater than 80/min
- what is the recommended initial intervention for managing hypotension in the
immediate period after return of spontaneous circulation (ROSC)?
ANSWER at- ropine Bolus
- Which is an appropriate and important intervention to perform for a patient who
achieves ROSC during an out-of-hospital resuscitation?
ANSWER initiate antiar- rhythmic infusion
- what is the immediate danger of excessive ventilation during the post-car- diac arrest
period for patients who achieve ROSC?
ANSWER decreased cerebral blood flow
- what is the recommended target temperature range for achieving thera- peutic
hypothermia after cardiac arrest?
ANSWER 32 degrees C to 34 degrees C.
- what is the recommended duration of therapeutic hypothermia after reach- ing the target
temperature?
ANSWER 12 to 24 hours
