acls quizlet pretest acls quizlet pretest

Vagal maneuvers have not been effective in terminating the rhythm. Administer epinephrine 1 mg. The patient should be cooled to 89.60 F to 93.20 F (320 C to 340 C) for 12 to 24 hours, c. Heat packs should be applied to the patients axilla, neck, and groin to prevent hypothermia, d. Give 50% dextrose in water IV push to make sure sufficient glucose is available for adequate brain function. You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. You arrive on the scene with the code team. A 46-year-old woman is found unresponsive, not breathing, and pulseless. 3. About every 8-10 seconds Establish IV access. IV/IO access is not available. Place an esophageal-tracheal tube or laryngeal mask airway. IV/IO drug administration during CPR should be. Advanced cardiac life support, or advanced cardiovascular life support, often referred to by its abbreviation as "ACLS", refers to a set of clinical algorithms for the urgent treatment of cardiac arrest, stroke, myocardial infarction (also known as a heart attack), and other life-threatening cardiovascular emergencies. A patient's 12-lead ECG was transmitted by the paramedics and showed an acute MI. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. Atropine 0.5 mg IV, total dose 2 mg as needed. Give an additional 2 mg of morphine sulfate. What actions have the highest priority? 1. You've reviewed the algorithms, medications and doses, the H's and T's, and case scenarios over and over again. High quality compressions are given. A 72-year-old man presents with severe substernal chest pain. What is your next action? Atropine 1 mg IV/IO Repeat amiodarone 300 mg IV. You are unable to feel a pulse. For the given state of stress, determine (a) the principal Intubate and administer 100% oxygen, You arrive on the scene to find CPR in progress. Attempt endotracheal intubation with minimal interruptions in CPR. Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. How should this patient be managed? 1. Give sodium bicarbonate 50 mEq IV. 4. Learn ACLS. High-quality chest compressions are being given. An antiarrhythmic drug was given immediately after the third shock. Giving lidocaine 1 to 1.5 mg IV bolus. A responder is caring for a patient with a history of congestive heart failure. This ACLS pretest offers a comprehensive set of practice exam questions and answers to help you prepare for your upcoming ACLS exam. A weak pulse is present at a rate of about 70. 2. d. chemical bonds. A patient with ST-segment elevation MI has ongoing chest discomfort. Ventricular fibrillation has been refractory to a second shock. Do not give aspirin for at least 24 hours if rtPA is administered. The CT scan is negative for hemorrhage. Give epinephrine 1 mg IV . They rhythm shown here is seen on the cardiac monitor. The decision has been made to intubate him and anesthesia has been paged. The lead II ECG displays a wide-complex tachycardia. Which of the following factors reduces transthoracic resistance and enhances the chance for successful defibrillation in cardiac arrest? Vasopressin 40 units You arrive on the scene to find CPR in progress. Is given rapidly as a 2.5- to 5-mg IV bolus (Over 1 to 3 seconds), c. Can be safely given to patients with impaired ventricular function or heart failure, d. Is the drug Of choice for patients with atrial fibrillation or atrial flutter associated with known preexcitation (Wolff-Parkinson-White [WPW]) syndrome, b. Idioventricular (ventricular escape) rhythm, c. Does anything make the pain better or worse?, c. May be used in the management of ST-segment elevation myocardial infarction, d. Include medications such as metoprolol, atenolol, and propranolol, a. (sinus brady) ACLS PRETEST ANSWER KEY RHYTHM IDENTIFICATION (PART I) 1. Take the free PALS pretest below to prepare you for either of our official online exams. Atropine 0.5 mg IV . 300 mg IV push. Adenosine 6 mg 4. 3. Central line ACLS Practice Test Library Prepare for AHA ACLS Today! Establish and IV and give vasopressin 40 units. The patient is confused, and her blood pressure is 88/56 mm Hg. The physiologic reason for ventricular filling time, which frequently this is that increases in heart rate result in results in stroke volume. Which is the first drug/dose to administer? 3 AV block p and qrs completely separate Identify the rhythm. What is your next action? Perform immediate synchronized cardioversion. A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. Give an immediate unsynchronized high-energy shock (defibrillation dose). Begin CPR, starting with high-quality chest compressions. She has received adensoine 6mg IV for the rhythm shown here, without conversion of the rhythm. Hold aspirin for at least 24 hours if rtPA is administered, Hold aspirin for at least 24 hours if rtPA is administered, What is the indication for the use of magnesium in cardiac arrest? Continue monitoring and seek expert consultation. A defibrillator is present. What is the indication for the use of magnesium in cardiac arrest? Perform endotracheal intubation; administer 100% oxygen. About every 5-6 seconds What is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)? This patient has been resuscitated from cardiac arrest. Should be given IV or endotracheally in cardiac arrest due to pulseless electrical activity, c. Is given as a loading dose of 150-mg IV bolus over 10 minutes in cardiac arrest, d. Should be given only if there is a return of spontaneous circulation after cardiac arrest, a. What is the danger of routinely administering high concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC? The patients sister states that 15 minutes ago, the patient said she couldnt breathe and then lost consciousness. Your next order is: The monitor shows a regular wide-QRS at a rate of 180/min. Lidocaine may be lethal if administered for which of the following rhythms? A patient is in pulseless ventricular tachycardia. Initiate dopamine at 10 to 20 mcg/kg per minute and to patient response. Improving patient outcomes by identifying and treating early clinical deterioration. High-quality CPR is in progress. c. valence electrons. 2. Shock-refractory monomorphic ventricular tachycardia Bag-mask ventilations are producing visible chest rise. Acls pretest answers 2021 quizlet - Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a 4. ACLS PreTest, ACLS PreTest: Pharmacology and A 57-year-old woman has palpitations, chest discomfort, and tachycardia. Bag-mask ventilations are producing visible chest rise, high-quality CPR is in progress, and an IV has been established. B. A repeat dose of epinephrine 1 mg IV. 3. Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 2. ACLS PreTest, ACLS PreTest: Pharmacology and A pt is in cardiac arrest. The patients baseline temperature should be obtained and warming measures should be started until the patients temperature reaches 1010 F, b. The Advanced Cardiovascular Life Support (ACLS) Precourse Self-Assessment is an online tool that evaluates a student's knowledge before the course to determine their proficiency and identify any need for additional review and practice in 3 sections: rhythm recognition, pharmacology, and practical application. Bradycardia requires treatment when: 4. He was brought to the emergency department. Vasopressin may be used in the management of: 3. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. Give atropine 0.5 mg IV . ACLS PreTest Flashcards. Your team looks to you for instructions. Chest pain or shortness of breath is present. High-quality CPR is in progress. He has a history of angina. Begin CPR, starting with chest compressions. Defibrillation is indicated in the management Of: 35. Most myocardial infarctions occur because of: Questions 21 through 25 pertain to the following scenario. A patient becomes unresponsive. Gain IV or IO access. Start an IV Reperfusion therapy. Vasopressin is recommended instead of epinephrine for the treatment of asystole. Ventricular fibrillation has been refractory to an initial shock. Examination Of the patient reveals no signs of trauma. 5. Gain instant access to all of the practice tests, megacode scenarios, and videos. A patient with STEMI has ongoing chest discomfort. Perform synchronized cardioversion, What is the recommended compression rate for high-quality CPR? 5. 33. AAOS Terms to Know: Chapter One, EMS Systems, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers, Sports Medicine Essentials: Core Concepts in Athletic Training and Fitness Instruction, Energy Systems Energy System Lecture 3 (Chapt. Perform unsynchronized cardioversion 4. You've studied the material inside and out. Which therapy is now indicated? This is an introduction to content further reviewed in other quizzes. . Magnesium is contraindicated for VT associated with a normal QT interval. What do you administer next? 3. Repeat the above problem for a horizontal space filled with water. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38mm Hg, and the pulse oximetry reading is 98%. She becomes diaphoretic, and her blood pressure is 80/60 mm HG/ Which action do you take next? ACLS pretest Flashcards. Dose of 0.5mg. 4. What is the next indicated action? Initiate epinephrine at 2 to 10 mcg/kg per minute. 3. Give atropine 0.5 mg IV What drug should the team leader request to be prepared for administration next? The ventricular rate is 138/min. After attaching a cardiac monitor, the responder observes the following rhythm strip. EMS personnel arrive to find a patient in cardiac arrest. The patient is intubated, and an IV has been started. 2. PEA What is a contraindication to nitrate administration? On the next rhythm check, you see the rhythm shown here. A 65-year-old woman is found unresponsive and not breathing. Perform immediate electrical cardioversion. As you shout for help, your next action in this situation should be to: 13. Once you've selected your answers, you will immediately be able to determine your score by using the . Successful placement of an endotracheal tube in an adult usually results in the depth marking on the side of the tube lying between the _______ mark at the front teeth. Administer adenosine 6 mg; seek expert consultation. What is the first drug/dose to administer? Give lidocaine 1 to 1.5 mg/kg IV. She is now extremely apprehensive. Two shocks have been delivered, and an IV has been initiated. A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. Give an immediate unsynchronized high-energy shock (defibrillation dose). There are no allergies or contraindications to any medication. Obtain a 12-lead ECG and administer aspirin if not contraindicated. Start dopamine at 2 g/kg per minute and titrate to BP 100 systolic. Your patient is a 68-year-old with severe COPD. At least 2.5 inches A patient is in cardiac arrest. You are the code team leader and arrive to find a patient with above rhythm and CPR in progress. The patient describes her discomfort as a squeezing sensation in the middle Of her chest. A patient is in refractory ventricular fibrillation. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. Give an immediate synchronized shock. Your best course Of action at this time will be to: 27. 1. 36. Which of the following is indicated first? Prepare to deliver a second shock Stimulates alpha, beta-1 , and beta-2 receptors, b. The heart rate has not responded to vagal maneuvers. 3. She is intubated and is receiving 100% oxygen. During the resuscitation, she received 2 doses of epinephrine 1 mg and 1 does of amiodarone 300 mg IV. Atropine 0.5 mg, A patient with sinus bradycardia and heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. An oral airway is in place. Note this pretest does not represent the actual examination questions. External jugular vein, A patient is in refractory ventricular fibrillation. Lidocaine 1 mg/kg IV and infusion 2 mg/min. 1. a. She has received adenosine 6 mg IV for the rhythm shown above without conversion of the rhythm. She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 Explain mathematic question Math understanding that gets you Figure out math equations . A patient is in refractory ventricular fibrillation. What drug should be administered IV? A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. We have selected 20 questions (10 questions for BLS) that cover many topics which will be tested on the certification examination. He has a history of angina. 2. An IV has been initiated. What action is recommended next? 3. . planes, (b) the principal stresses. Key Term acls pretest quizlet 2018; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. Just send a screenshot of your scores to support@ACLS.net New Airway management A patient was admitted to the emergency department with shortness of breath, the sitution has deteriorated and now he is unresponsive. Which best describes the guidelines for antiplatelet and fibrinolytic therapy? Administer adenosine 12 mg IV Ventricular fibrillation has been refractory to an initial shock. Family members found a 45 year old woman unresponsive in bed. You arrive on the scene with the code team. The correct dose of vasopressin is 40 units administered by IV or IO. 22. A 58-year-old man is complaining of chest pain. Which finding is a sign of ineffective CPR? Providing just enough volume for the chest to rise, A patient was in refractory ventricular fibrillation. 1. The monitor shows a regular wide-complex ORS at a rate of 180/min. A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. He appears cyanotic. The patient's lead II ECG appears below. Begin your free practice exam: BLS 10 Questions ACLS 20 Questions PALS 20 Questions When the patient arrives in the emergency department, the rhythm shown here is seen on the cardiac monitor. 3. What is your next action? 5. Begin ventilating with a bag-valve-mask, d. Insert an endotracheal tube, Cornbitube. The cardiac monitor showed VE The paramedics defibrillated immediately with a successful conversion to a sinus rhythm. Start epinephrine 2 to 10 mcg/min and titrate to patient response. BP is 130/88 mmHg, HR is 110/min, RR is 22 breaths/min, and pulse oximetry is 95%. you do now? 4. 25 seconds, ACLS PreTest, ACLS PreTest: Pharmacology and, CEN: Cardio- Hypovolemic and Obstructive Shock, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman. When an advanced airway is in place, ventilations with a bag-valve-mask must be synchronized with compressions during cardiac arrest, c. Bag-valve-mask ventilation can produce gastric distention that can lead to vomiting and subsequent aspiration, d. Bag-valve-mask ventilation can be used only for patients who are not breathing, a. Nitrates, diuretics, and other vasodilators should be avoided in RVI because severe hypotension may result, b. 1. Which of the following statements about the use of magnesium in cardiac arrest is most accurate? Which drug do you anticipate giving to this patient? Normal saline 250 mL to 500 mL bolus, A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. 5. An antiarrhythmic drug was given immediately after the third shock. 3. Reentry SVT 5. Additional ACLS Study Material: How To Pass Your ACLS Certification Exam; 6 Effective Ways to Prepare for the ACLS Exam; Conclusion: If you struggled with this particular ACLS pretest, we suggest looking into additional ACLS practice exam questions and answers and reviewing your ACLS study material thoroughly before taking your ACLS exam. Lidocaine 0.5 mg/kg, Your patient has been intubated. Click the card to flip Flashcards Learn Test Match Created by BRhodes7 Terms in this set (62) 3 AV block p and qrs completely separate Identify the rhythm. ACLS PreTest: Pharmacology and Practical Application Study with Quizlet and memorize flashcards containing terms like A patient is in refractory ventricular fibrillation. The BLS practice exam includes questions and answers covering common questions found in the certification exam. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. Which intervention is most appropriate for the treatment of a patient in asystole? 4. Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. First responders administered 160 mg aspirin, and there is a patent peripheral IV. ACLS PreTest . 21 . 44. By the endotracheal route whenever possible, c. By IV bolus and followed with a 20-mL flush of IV fluid, d. By IV bolus over 2 to 3 minutes and then followed with a 10-mL flush of IV fluid, c. Continue peripheral IV attempts until successful, a. What is the next action? The hospital CT scanner is not working at this time. Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes, This patient was admitted to the general medical ward with a history of alcoholism. Give an immediate unsynchronized shock. At least 3 inches, You are the code team leader and arrive to find a patient with CPR in progress. She is pale and diaphoretic. What is the next action after establishing an IV and obtaining a 12-lead ECG? C. Give nitroglycerin 0.4 mg sublingually. 2. Give sedation and perform synchronized cardioversion. What is your next action? High-quality CPR and effective bag-mask ventilation are being provided.