ACLS Exam Version B 2020-2021 questions with answers complete solution | Exams Nursing | Docsity (2024)

Download ACLS Exam Version B 2020-2021 questions with answers complete solution and more Exams Nursing in PDF only on Docsity! ACLS Exam Version B 2020-2021 Advanced Cardiovascular Life Support Exam Version B (50 questions) Please do not mark on this exam. Record the best answer on the separate answer sheet. 1. What should be done to minimize interruptions in chest compressions during CPR? A. Perform pulse checks only after defibrillation. B. Continue CPR while the defibrillator is charging. C. Administer IV medications only when breaths are given. D. Continue to use AED even after the arrival of a manual defibrillator. 2. Which condition is an indication to stop or withhold resuscitative efforts? A. Unwitnessed arrest B. Safety threat to providers C. Patient age greater than 85 years D. No return of spontaneous circulation after 10 minutes of CPR 3. 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? A. IV or IO access B. Endotracheal tube placement C. Consultation with cardiology for possible PCI D. Application of a transcutaneous pacemaker 4. After verifying unresponsiveness and abnormal breathing, you activate the emergency response team. What is your next action? A. Retrieve an AED. B. Check for a pulse. C. Deliver 2 rescue breaths. D. Administer a precordial thump. ACLS Exam Version B 2020-2021HeartAssociations 13. IV/IO drug administration during CPR should be A. given rapidly during compressions. B. administered slowly during the pause for a pulse check. C. given by infusion. D. given before any defibrillation attempts. 14. How often should the team leader switch chest compressors during a resuscitation attempt? A. Every minute B. Every 2 minutes C. Every 3 minutes D. Every 4 minutes 15. Which finding is a sign of ineffective CPR? A. PETCO2 <10 mm Hg B. Patient temperature >32°C (89.6°F) C. Diastolic intra-arterial pressure ≥20 mm Hg D. Measured patient urine output of 1 mL/kg per hour 22. A patient with pulseless ventricular tachycardia is defibrillated. What is the next action? A. Check for a pulse. B. Administer an IV antiarrhythmic. C. Start chest compressions at a rate of at least 100/min. D. Repeat the unsynchronized shock, increasing to 200 J. 23. You have completed your first 2-minute period of CPR. You see an organized, nonshockable rhythm on the ECG monitor. What is the next action? A. Administer normal saline at 20 mL/kg. B. Administer epinephrine at 1 mg/kg IV. C. Obtain a blood pressure and oxygen saturation. D. Have a team member attempt to palpate a carotid pulse. 24. 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? A. Intraosseous (IO) B. Endotracheal (ET) C. Intramuscular (IM) D. Central venous access 25. What is the appropriate rate of chest compressions for an adult in cardiac arrest? A. At least 150/min B. At least 100/min C. Approximately 100/min D. Approximately 120/min 26. 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? A. Contact the patient’s family to see what they would prefer. B. Have the EMS crew choose an appropriate patient disposition. C. Accept the report and provide care within your present capability. D. Divert the patient to a hospital 15 minutes away with CT capabilities. 27. A 53-year-old man has shortness of breath, chest discomfort, and weakness. The patient’s blood pressure is 102/59 mm Hg, the heart rate is 230/min, the respiratory rate is 16 breaths/min, and the pulse oximetry reading is 96%. The lead II ECG is displayed below. A patent peripheral IV is in place. What is the next action? A. Acquisition of a 12-lead ECG B. Vagal maneuvers C. Procedural sedation D. Immediate defibrillation 28. A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient is diaphoretic, with associated shortness of breath. The blood pressure is 130/88 mm Hg, the heart rate is 110/min, the respiratory rate is 22 breaths/min, and the pulse oximetry value is 95%. The patient’s 12-lead ECG shows ST- segment elevation in the anterior leads. First responders administered 160 mg of aspirin, and there is a patent peripheral IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses of nitroglycerin. What is the next action? A. Administer an additional dose of aspirin. B. Administer an additional nitroglycerin tablet. C. Administer high-flow oxygen via an oxygen mask. D. Administer 2 to 4 mg of morphine by slow IV bolus. 29. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. The blood pressure is 132/68 mm Hg, the pulse is 130/min and regular, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95%. The lead II ECG displays a wide-complex tachycardia. What is the next action after establishing an IV and obtaining a 12-lead ECG? A. Administration of IV epinephrine B. Seeking expert consultation C. Procedural sedation D. Synchronized cardioversion 30. A postoperative patient in the ICU reports new chest pain. What actions have the highest priority? A. Administer an IV fluid bolus and obtain arterial blood gas. B. Start dopamine at 2 mcg/kg per minute and obtain a chest x-ray. C. Send blood to the laboratory for chemistry and cardiac enzymes. D. Obtain a 12-lead ECG and administer aspirin if not contraindicated. D. Performing a jaw thrust without head extension 39. A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with the following lead II ECG rhythm: What is the appropriate next intervention? A. Defibrillation B. Amiodarone 150 mg IV C. Adenosine 6 mg IV push D. Synchronized cardioversion 40. A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm: What is the appropriate next intervention? A. Defibrillation B. Adenosine 6 mg IV push C. Epinephrine 1 mg IV push D. Synchronized cardioversion 41. What is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? A. 50 to 75 J B. 75 to 100 J C. 120 to 200 J D. 200 to 300 J 42. Which of the following is an acceptable method of selecting an appropriately sized oropharyngeal airway (OPA)? A. Estimate by using the size of the patient’s thumb. B. Estimate by using the formula Weight (kg)/8 + 2. C. Measure from the thyroid cartilage to the angle of the mandible. D. Measure from the corner of the mouth to the angle of the mandible. 43. Which is a contraindication to nitroglycerin administration in the management of acute coronary syndromes? A. Heart rate greater than 80/min B. Right ventricular infarction and dysfunction C. Phosphodiesterase inhibitor use more than 72 hours ago D. Systolic blood pressure greater than 100 mm Hg 44. What is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)? A. Atropine bolus B. Administration of IV or IO fluid bolus C. Placement of a central line to monitor pulmonary wedge pressure D. Phenylephrine hydrochloride titrated to keep systolic blood pressure >100 mm Hg 45. Which is an appropriate and important intervention to perform for a patient who achieves ROSC during an out-of-hospital resuscitation? A. Initiate an antiarrhythmic infusion. B. Transport the patient to a facility capable of performing PCI. C. Replace any supraglottic airway with an endotracheal tube. D. Place a central venous catheter for hemodynamic monitoring. 46. What is the immediate danger of excessive ventilation during the post–cardiac arrest period for patients who achieve ROSC? A. Oxygen toxicity B. Pulmonary hypertension C. Decreased cerebral blood flow D. Ventilation/perfusion mismatch 47. What is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? A. 26C to 28C B. 29C to 31C C. 32C to 34C D. 35C to 37C