ACLS
ACLS: Qquestion and Answer by (NHCPS)
ACLS: Qquestion and Answer by (NHCPS)
True or False: Synchronized cardioversion is appropriate for treating an unknown wide complex tachycardia.
Your Answer: True
CORRECT
True or False: Fibrinolytic therapy is the treatment of choice for hemorrhagic stroke.
Your Answer: False
CORRECT
True or False: A nasopharyngeal airway (NPA) can be used on a semi-conscious or conscious individual, while an oropharyngeal airway (OPA) should only be used on an unconscious individual.
Your Answer: True
CORRECT
True or False: Therapeutic hypothermia should be considered in the comatose adult after cardiac arrest.
Your Answer: True
CORRECT
True or False: Transcutaneous pacing should be used on an individual with bradycardia and inadequate perfusion if atropine is ineffective and the individual is exhibiting severe symptoms.
Your Answer: True
CORRECT
True or False: The definition of stable tachycardia is a fast but constant heart rate between 80 and 120 beats per minute.
Your Answer: FALSE
CORRECT
True or False: The time of first response to treatment of an acute stroke may determine the outcome and survival of the individual.
Your Answer: True
CORRECT
True or False: Fibrinolytic therapy within three hours (in some cases 4.5 hours) of first onset of symptoms is the standard when treating ischemic stroke.
Your Answer: True
CORRECT
True or False: If atropine is unsuccessful in treating bradycardia, it is doubtful that the individual will respond to any other interventions.
Your Answer: False
CORRECT
True or False: Transcutaneous pacing should be used on a bradycardic individual with insufficient perfusion before any other intervention.
Your Answer: False
CORRECT
True or False: Medication is the only treatment for an unstable tachycardic individual.
Your Answer: False
CORRECT
Hyperventillation (over ventillation) can be harmful because it:
Increases intrathoracic pressure
Decreases venous return to the heart
Diminishes cardiac output
*All of the above
CORRECT
What item is NOT an example of Advanced Airways?
Endotracheal tube (ET tube)
*Oropharyngeal airway (OPA)
Esophageal-tracheal tube (combitube)
Laryngeal mask airway (LMA)
CORRECT
The compression-to-ventilation ratio during CPR prior to placement of an advanced airway is:
*30:02:00
20:01
30:01:00
15:02
CORRECT
The proper steps for operating an AED are:
Power on the AED, analyze the rhythm, attach electrode pads, and shock the individual.
Power on the AED, shock the individual, attach electrode pads, and analyze the
Power on the AED, attach electrode pads, shock the individual, and analyze the rhythm.
*Power on the AED, attach electrode pads, analyze the rhythm, and shock the individual.
CORRECT
For persistent VF/pulseless VT, vasopressors that may be given during CPR include:
Magnesium and potassium
Amiodarone and diltiazem
*Epinephrine
Epinephrine and dopamine
CORRECT
The IV route is preferred for drug administration. If IV access is not available, the next preferred route is:
Endotracheal
Transdermal
None of the above
*Intraosseous
CORRECT
The two most common and easily reversible causes of PEA are:
Hypovolemia and hypoxia
Acidosis and hypokalemia
Hypoglycemia and cardiac tamponade
Toxins and trauma
CORRECT
The cardiac arrest rhythm associated with NO discernible electrical activity on the ECG is termed as _________?
Pulseless electrical activity
*Asystole
Ventricular tachycardia
Bradycardia
CORRECT
Symptoms suggestive of ACS may include all of the following EXCEPT:
*Headache and blurry vision
Chest discomfort with lightheadedness, sweating, or nausea
Unexplained shortness of breath with or without chest discomfort
Uncomfortable pressure in the center of the chest
CORRECT
What is the only means of identifying ST-elevation MI (STEMI)?
Fibrinolytic checklist
Coronary angiography
None of the above
*12-lead ECG
CORRECT
Indications for transcutaneous pacing (TCP) include all of the following EXCEPT:
Unstable third-degree AV block
Bradycardia with symptomatic ventricular escape rhythms
*Asystole
Hemodynamically unstable bradycardia
CORRECT
Tachycardia is defined as a heart rate greater than:
*100 beats per minute
120 beats per minute
90 beats per minute
150 beats per minute
CORRECT
If uncertain whether or not an individual is an appropriate candidate for synchronized cardioversion, the ACLS trained provider should:
*Seek expert consultation.
Defer cardioversion until symptoms become irreversible.
Obtain a coronary CT scan.
Provide increased oxygenation.
CORRECT
All of the following are found within the 8 D’s of Stroke Care EXCEPT:
Decision
*Debilitation
Delivery
Detection
CORRECT
The chambers of the heart responsible for circulating deoxygenated blood from the systemic circulation to the pulmonary circulation are the following:
Left atrium and left ventricle
Left atrium and right ventricle
Left ventricle and right atrium
*Right atrium and right ventricle
CORRECT
The normal sinus rhythm of the heart starts in the:
Purkinje system
*Sinoatrial node
Right ventricle
Atrioventricular node
CORRECT
Under normal circumstances, what is the largest chamber of the heart?
Right ventricle
Left atrium
Right atrium
*Left ventricle
CORRECT
Which wave represents repolarization of the ventricles?
P wave
QRS complex
PR interval
*T wave
CORRECT
You are alone when you encounter an individual in what appears to be cardiac or respiratory arrest. What are the first three steps you should take to stabilize them? Check for danger, check for response, and ____________.
*Send for help.
Administer an initial shock.
Insert an advanced airway.
Start CPR.
CORRECT
What item is NOT an example of Advanced Airways?
Laryngeal tube
Laryngeal mask airway (LMA)
*Nasopharyngeal airway (NPA)
Endotracheal tube (ET)
CORRECT
According to the 2015 AHA update, high-quality CPR is defined as:
80 chest compressions per minute at a depth of at least one inch
*100-120 chest compressions per minute at a depth of at least two inches, but not greater than 2.4 inches
100 chest compressions per minute at a depth of at least one inch
80 chest compressions per minute at a depth of at least two inches
CORRECT
ACLS recommends minimizing interruption of chest compressions for which of the following:
Ventilation
Rhythm checks
Shock delivery
*All of the above
CORRECT
According to the 2015 AHA Guidelines, stopping chest compressions for any reason, such as pulse checks, should be limited to less than:
*10 seconds
60 seconds
30 seconds
3 seconds
CORRECT
After performing CPR for two minutes on an individual in asystole, what is the ACLS trained provider’s next intervention?
IV or IO access for atropine administration
AED shock administration
*IV or IO access for epinephrine administration
Advanced airway insertion
CORRECT
Which of the following can be a result of prolonged asystole?
Severe brain damage
Lack of oxygen to vital organs
Severe myocardial ischemia
*All of the above
CORRECT
Which of the following can represent a correct treatment choice for an individual in asystole?
A. Synchronized shock with an AED
B. Epinephrine
C. Vasopressin
*D. Both B and C
CORRECT
Individuals experiencing a suspected ACS should be transported to:
A center that has a dedicated stroke team
*A facility that performs PCI
An appropriate center for triage
A facility with trauma care
CORRECT
The following drugs and/or interventions may be used in the ACS individual for cardiac reperfusion:
A. Fibrinolytic therapy
B. Atropine
C. Percutaneous coronary intervention (PCI)
*D. Both A and C
CORRECT
All of the following are categories of unstable angina EXCEPT:
High-risk UA
*No-risk UA
Low-risk UA
Intermediate-risk UA
CORRECT
All of the following are bradycardic rhythms EXCEPT:
*Ventricular fibrillation
First-degree heart block
Third-degree heart block
All of the above are bradycardic rhythms.
CORRECT
Which of the following is an alternative to atropine in treating bradycardia?
Dopamine
Epinephrine
Transcutaneous pacing
*All of the above are alternatives.
CORRECT
During a tachycardic episode, if the individual ____________ at any point, you must switch algorithms.
Salivates
Urinates
*Loses a pulse
Vomits
CORRECT
Acute strokes are a result of:
A. Blockage of an artery in the heart
B. Blockage of an artery in the brain
C. Rupture of an artery in the brain
*D. Either B or C
CORRECT
Which of the following is correct regarding individuals with acute stroke?
Hemorrhagic stroke is caused by the rupture of a blood vessel.
Ischemic stroke is caused by the occlusion of an artery.
Time between symptoms onset and time of arrival at an ED are critical to individual's survival.
*All of the above
CORRECT
In confirming and monitoring placement of the ET tube, the 2015 ACLS guidelines suggest what?
*Quantitative waveform capnography
Glucose check
Pulse oximetry
Blood pressure monitoring
CORRECT
Which of the following side effects may be expected during amiodarone infusion?
Hypotension
Bradycardia
Gastrointestinal toxicity
*All of the above
CORRECT
If bradycardia is symptomatic, what is the most likely heart rate exhibited?
*Below 50 bpm
Above 50 bpm
Below 100 bpm
Above 60 bpm
CORRECT
Which of the following would be appropriate actions following transcutaneous pacing?
Administer amiodarone.
Follow VT/VF algorithm
*Consult a specialist.
Confirm ET tube placement with quantitative waveform capnography.
CORRECT
){kind=link}