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ACLS Version A Questions and Answers: Updated Latest (Verified Answers), Exams of Nursing

The Courtauld Institute of Art, University of LondonNursing

A comprehensive set of questions and answers related to advanced cardiac life support (acls) version a. It covers a wide range of topics, including cardiac arrest management, defibrillation, cpr, drug administration, and other critical care procedures. Designed to help healthcare professionals prepare for acls certification exams and enhance their knowledge and skills in emergency medical care.

Typology: Exams

2024/2025

Available from 01/30/2025

NurseTakshif
NurseTakshif šŸ‡¬šŸ‡§

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essions and
dminister one
ACLS version A
Questions and Answers
Updated Latest (Verified Answers)
1. you find an unresponsive patient who is not breathing. after activating the
emergency response system, you determine that there is no pulse. what is your next
action?
ANSWER start chest compressions at a rate of at least 100/min.
2. you are evaluating a 58-year-old man with chest pain. the blood pressure is 92/50
mm hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 97%. what assessment step is most important now?
ANSWER obtaining 12-lead ecg.
3. what is the preferred method of access for epinephrine administration during
cardiac arrest in most patients?
ANSWER peripheral intravenous
4. An activated AED does not promptly analyze the rhythm. What is your next
action?
ANSWER begin chest compressions.
5. You have completed 2 min of CPR. The ECG monitor displays the lead below and the
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Download ACLS Version A Questions and Answers: Updated Latest (Verified Answers) and more Exams Nursing in PDF only on Docsity!

essions and dminister one

ACLS version A

Questions and Answers

Updated Latest (Verified Answers)

  1. you find an unresponsive patient who is not breathing. after activating the emergency response system, you determine that there is no pulse. what is your next action? ANSWER start chest compressions at a rate of at least 100/min.
  2. you are evaluating a 58-year-old man with chest pain. the blood pressure is 92/ mm hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. what assessment step is most important now? ANSWER obtaining 12-lead ecg.
  3. what is the preferred method of access for epinephrine administration during cardiac arrest in most patients? ANSWER peripheral intravenous
  4. An activated AED does not promptly analyze the rhythm. What is your next action? ANSWER begin chest compressions.
  5. You have completed 2 min of CPR. The ECG monitor displays the lead below and the

ons or. The

pt. has no pulse. another member resumes chest compr an IV is in place. What management step is your next priority? ANSWER a mg of epinephrine

  1. During a pause in CPR, you see this lead II ECG rhythm on the monit patient has no pulse. What is the next action? ANSWER resume chest compressi
  2. what is a common but sometimes fatal mistake in cardiac arrest manage- ment? ANSWER prolonged interruptions of chest compressions
  3. what action is a component of high-quality chest compressions? ANSWER uninter- rupted compressions at a depth of 1 1/2 inches
  4. Which action increases the chance of successful conversion of ventricular fibrillation? ANSWER ventricular tachycardia with a pulse
  5. which situation BEST describes pulseless electrical activity? ANSWER sinus rhythm without a pulse
  6. What is the best strategy for perfoming high-quality CPR on a pt.with an
  1. Forgthegpastg 25 gmin,gEMSgcrewsghavegattemptedgresuscitationgofgagptgwhogoriginallyg presentedgwithgventriculargfibrillation.gAftergtheg1stgshock,gthegECGgscreengdisplayedgas ystole,gwhichghasgpersistedgdespiteg 2 gdosesgofgepi,gagfluidgbolus,gandghighgqualitygCPR.gWha tgisgyourgnextgtreatment? ANSWER consider terminating resuscitative efforts after consulting medical control.
  2. Whichgisgagsafegandgeffectivegpracticegwithingthegdefibrillationgsequence?-

ANSWER be sure oxygen is now blowing over the patient's chest during the shock

  1. During your assessment, your pt suddenly loses consciousness. After calling for help and determining that the pt. is not breathing, you are unsure whether the pt. has a pulse. What is your next action? ANSWER Begin chest compres- sions
  2. what is the advantage of using hands-free defibrillation pads instead of defibrillation paddles? ANSWER hands-free pads allow for a more rapid defibrillation
  3. What action is recommended to help minimize interruptions in chest com- pressions during CPR? ANSWER continue CPR while charging the defibrillator
  4. what action is included in the bls survey?

ANSWER early defibrillation

  1. which drug and dose are recommended for the management of a patient in refractory ventricular fibrillation? ANSWER amiodarone 300mg
  2. what is the appropriate interval for an interruption in chest compression?-

ANSWER 10 seconds or less

  1. which of the following is a sign of effective CPR? ANSWER PETCO2 greater than or equal to 10mm hg
  2. what is the primary purpose of a medical emergency team (MET) or rapid response team (RRT)? ANSWER identifying and treating early clinical deterioration
  3. Which action improves the quality of chest compressions delivered during resuscitave attemepts? ANSWER switch providers about every 2 minutes or every 5 com- pression cycles.
  4. what is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse rate of 80/min? ANSWER 1 breath every 5 to 6 seconds
  5. a patient presents to the emergency department with new onset of dizzi- ness and
  1. a patient has sudden onset of dizziness. the patients heart rate is 1 blood 80/min,pulse pressure is 110/70 mm hg, respiratory rate is 18 breaths/min, and oximetry reading is 98% on room air. the lead II ecg is shown below ANSWER what is the appropriate intevention? ANSWER vagal maneuvers
  2. a monitored patient in the ICU developed a sudden onset of narrow-com- plex tachycardia at a rate of 220/min. the patient/s blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm hg, and the pulse oximetry reading is 98%. there is vascular access at the left internal jugular vein, and the tachycardia with no evidence of ischemia or infarction. the heart rate has not responded to vagal maneuvers. what is the next recommended intervention. ANSWER adenosine 6mg IV push
  3. 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 patient to a hospital 15 minutes away with ct capabilities
  4. Choose an appropriate inidication to stop or withhold resuscitive efforts.-

m Hg,t

ANSWER evidence of rigor mortis

  1. a 49-year-old woman arrives in the emergency department with persis- tent epigastric pain. she had been taking oral antacids for the past 6 hours because she thought she had heartburn. the initial blood pressure is 118/72 mm Hg, the heart rate is 92/min and regular, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 96%. which is the most appropriate intervention to perform next. ANSWER obtain a 12 lead ecg
  2. a patient in respiratory failure becomes apneic but continues to have a strong pulse. the heart rate is dropping rapidly and now shows sinus brady- cardia at a rate of 30/min. what intervention has the highest priority? ANSWER simple airway maneuvers and assisted ventilation
  3. What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is selected? ANSWER suction during withdrawal but for longer than 10 seconds.
  4. Whilegtreatinggagpatientgwithgdizziness,gagbloodgpressuregofg68/30gmgandgcool,g clammygskin,gyougseegthisgleadgIIgECGgrhythm ANSWERWhatgisgthegfirsginterventiong? ANSWERgatropine

oximetry is 95% on room air. what intervention should you perform next? ANSWER obtain a 12-lead ECG

  1. You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale, diaphretic, and slow to respond to your questions. BP is 58/32, pulse is 190/min, resp rate is 18, and you are unable to obtain an 02 sat due to no radial pulse. The ECG shows a wide complex tach rythm. What intervention should be next? ANSWER synchronized cardioversion
  2. What is the initial priority for an unconscious pt. with any tachycardia on the monitor? ANSWER determine whether pulses are present
  3. Which rythm requires synchronized cardioversion? ANSWER unstable supraventric- ular tachycardia
  4. what is the recommended second dose of adenosine for patients in refrac- tory by stable narrow-complex tachycardia? ANSWER 12 mg
  5. What is the usual post-cardiac arrest target range for PETCO2 who achieves return of spontaneous circulation (ROSC)? ANSWER 35 to 40 mm Hg
  6. which condition is a contraindication to therapeutic hypothermia during the post-

cardiac arrest period for patients who achieve return of spontaneous circulation ROSC? ANSWER Responding to verbal commands

  1. what is the potential danger of using ties that pass circumferentially around the patient's neck when securing an advanced airway? ANSWER obstruction of venous return from the brain