Lidocaine 1 to 1.5 mg IV and start infusion 2 mg/min. Rapid heart rates may produce serious signs and symptoms. On the next rhythm check, you see the rhythm shown here. Dopamine at 10 to 20 mcg/kg per minute The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. Your immediate next order is: Cardiac monitoring, supplementary oxygen, and an IV have been initiated. ACLS PreTest . Q5. Amiodarone 150 mg IV bolus; start infusion. Apply an AED Use these answers to prepare yourself for an ACLS online exam. 2. The most common cause of a stroke is: 41. 4. below. The physiologic reason for ventricular filling time, which frequently this is that increases in heart rate result in results in stroke volume. Transport the patient to a facility capable of performing PCI. Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator) Perform immediate unsynchronized cardioversion. Which action do you take next? Administer heparin if CT scan is negative for hemorrhage. 1. Which intervention is indicated first? 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. How often should you provide ventilations? Step-by-Step Training ACLS Interactive Course Guide Accreditation and CEU Information ACLS Quizzes & Scenarios ACLS Megacode Simulator ACLS Practice Tests Take the free PALS pretest below to prepare you for either of our official online exams. Her blood pressure is 128/70 mm Hg. 4. Your patient is a 68-year-old with severe COPD. His blood pressure is 104/70, respirations 12/min. Taking a BLS pretest is also a great way to familiarize yourself with the format. What is the next indicated action? Should be given only to patients with narrow-QRS tachycardia or dysrhythmias known with certainty to be Of supraventricular origin, b. An IV is in place and no drugs have been given. Which is the first drug/dose to administer? AHA ACLS Written Test. At least 2.5 inches A patient has a rapid irregular wide-complex tachycardia. An IV is in place, and no drugs have been given. Giving lidocaine 1 to 1.5 mg IV bolus. Start dopamine 10 to 20 mcg/kg per minute. 1. Perform endotracheal intubation; administer 100% oxygen. Which best describe the recommended second does of amiodarone for this patient? How often should you provide ventilation? You are the code team leader and arrive to find a patient with above rhythm and CPR in progress. Give magnesium sulfate 1 to 2 g over 20 minutes. Vagal maneuvers have not been effective in terminating the rhythm. Questions and Answers 1. 1. 4. C. Give nitroglycerin 0.4 mg sublingually. What actions have the highest priority? . 17. 22. An AED has previously advised "no shock indicated." Of the following, which drug and dose should be administered first by the IV/IO route? A postoperative patient in the ICU reports new chest pain. Most myocardial infarctions occur because of: Questions 21 through 25 pertain to the following scenario. 5. Establish and IV and give vasopressin 40 units. He is asymptomatic, with a blood pressure of 110/70 mm Hg. Vasopressin may be used in the management of: 3. (b) A thermocouple junction in the shape of a 2-mm-diameter sphere with a surface emissivity of 0.600.600.60 is placed in a gas stream moving at 3m/s3 \mathrm{~m} / \mathrm{s}3m/s. Which drug should be administered first? 2. Your patient is in cardiac arrest and has been intubated. Magnesium is contraindicated for VT associated with a normal QT interval. 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. Your patient is stable and blood pressure is 120/80 mm Hg. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. He has a history of angina. The rate should be Set between 40 and 100; the current should increased rapidly to a maximum Of 160 milliamps. When a shockable rhythm is present during cardiac arrest and a biphasic manual defibrillator is available, the initial energy level selected should be: 23. What is your next intervention? What is the danger of routinely administering high concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC? 19. 5. 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? Adenosine 6 mg Which finding is a sign of ineffective CPR? Call for a pulse check. A patient has a rapid irregular wide-complex tachycardia. Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? An AED has previousy advised "no shock indicated." Give atropine 1 mg IV. or laryngeal mask airway, a. Hamdy says. ACLS PreTest: Pharmacology and Practical Application 4.9 (19 reviews) Term 1 / 32 You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. Which intervention is most appropriate for the treatment of a patient in asystole? The monitor shows a regular wide-QRS at a rate of 180/min. A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. 1. Endotracheal tube This ACLS pretest offers a comprehensive set of practice exam questions and answers to help you prepare for your upcoming ACLS exam. Return Practice Test Library. Recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest, Performing a head tilt chin lift maneuver. A patient's 12-lead ECG was transmitted by the paramedics and showed an acute MI. Morphine sulfate 4 mg IV. During the combustion of 5.00 g of octane, C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18, 1002 kJ is released. Intubation and administration of 100% oxygen, Your patient is not responsive and is not breathing. The rate should be set between 20 and 60; the current (milliamps) should be increased slowly to maximum Output. Lidocaine, epinephrine, vasopressin, A patient is in cardiac arrest. ACLS EXAM PACKET FOR VERSIONS A AND B COMP,LETE WITH A TEST BANK AND EXAM PACK FOR BOTH VERSIONS LATEST UPDATE NOVEMBER 2022. Which action do you take next? Central line 3 AV block p and qrs completely separate Identify the rhythm. 2. 3. A patient is in refractory ventricular fibrillation and has received multiple appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg IV. 1. Give a 2.5- to 5-mg IV bolus Of verapamil over 3 minutes, c. Deliver a single shock using 360 joules after 5 cycles of CPR and then immediately resume CPR, d. Give magnesium sulfate 1 to 2 g IV over 10 minutes, b. Family members found a 45 year old woman unresponsive in bed. Morphine sulfate 4 mg IV, How often should you switch chest compressors to avoid fatigue? What is the most important early intervention? Acls pretest answers 2021 quizlet - Study with Quizlet and memorize flashcards containing terms like 3 AV block p and qrs completely separate, Pulseless. Use of a phosphodiestrase inhibitor within the previous 24 hours. Administer adenosine 6 mg; seek expert consultation. All trademarks are property of their respective owners. Vasopressin is indicated for VF and pulseless VT before delivery of the first shock. About every 2 minutes 1. . Obtain a 12-lead ECG and administer aspirin if not contraindicated. What is the next action? The monitor shows a regular wide-complex ORS at a rate of 180/min. Her mental status is rapidly decreasing and she is very pale. Atropine 1 mg IV or IO. Reply. What is the next action? Angiotensin-converting-enzyme (ACE) inhibitors: 39. 21 . There is no pulse or spontaneous respirations. 1 to 2 L of normal saline. An IV is in place, and no drugs have been given. Administer lidocaine 1mg/kg IV. High-quality CPR is in progress. Lidocaine 1 mg/kg IV/IO Give sublingual nitroglycerin 0.4 mg. Give metoprolol 5 mg IV and repeat if necessary. ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Supraventricular Tachycardia, Atrial fibrillation, Second deg AV block: Mobitz 1 and more. Give sodium bicarbonate 50 mEq IV. The monitor shows a regular narrow-complex QRS at a rate of 180/min. She is pale and diaphoretic. 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 Perform emergency synchronized cardioversion. You have placed the patient on oxygen and an IV has been established. During the resuscitation, amiodarone 300 mg was administered. February 17, 2023 at 6:10 am. Which intervention would be your next action? Immediate synchronized cardioversion. She is now extremely apprehensive. Start dopamine at 2 g/kg per minute and titrate to BP 100 systolic. Amiodarone, lidocaine, epinephrine All material on this website is for reference purposes only and does not represent the actual format, pattern from respective official authority. PALS In Hospital. IV/IO access is not available. . 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. Continue CPR while the defibrillator is charging. 2. 2. What is the initial dose of atropine? The ACLS Post Test Answer Key quiz and case studies presented as follows are provided to help you integrate the information presented in this chapter. High quality compressions are given. Pulseless electrical activity (PEA) Identify the rhythm. Epinephrine 2 to 10 mcg/min A patient is in cardiac arrest. 4. This practice course is contrived of 20 questions with multiple-choice answers that follow current ECC guidelines and PALS provider manuals. Ventricular fibrillation has been refractory to an initial shock. What is the proper order of the BLS Chain of Survival . you do now? Recommended treatment for this patient includes: Questions $2 through 16 pertain to the following scenario. Oxygen is being administered by nasal cannula at 4 L/min, and an IV line is in place. Learn about ACLS recertification cost. Resume high-quality chest compressions. The child is lying on the couch. 5. Your team looks to you for instructions. Which Of the following statements is true Of right ventricular infarction (RVI)? 1. She is receiving oxygen at 4L/min by nasal cannula, and an Iv has been established. A 56-year-old woman presents with a Sudden onset Of chest discomfort that has been present for about 1 hour. An AED advises a shock for a pulseless patient lying in snow. Please identify the rhythm by selecting the best single answer. You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. 3. BP is 130/88 mmHg, HR is 110/min, RR is 22 breaths/min, and pulse oximetry is 95%. Which of the following best describes this patient? 2. They rhythm shown here is seen on the cardiac monitor. A third shock has just been administered. 1. The patient is confused, and her blood pressure is 110/60 mm Hg. Atropine 0.5 mg IV ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Chest compressions for an adult are performed: a. at a rate between 60-80 compressions b. HeartCode ACLS Product Number : 20-3554 ISBN: 978-1-61669-787-7 Blended and eLearning Online Course Student ACLS CE Notes: After completing the online portion of this course, you must complete a hands-on session (sold separately) with an AHA Training Center to obtain a course completion card. ACLS pretest Flashcards | Quizlet ACLS pretest 4.6 (38 reviews) Term 1 / 62 3 AV block p and qrs completely separate Click the card to flip Definition 1 / 62 Identify the rhythm. 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. Begin ventilating with a bag-valve-mask, d. Insert an endotracheal tube, Cornbitube. Atropine has been administered to a total of 3 mg. A transcutaneous pacemaker has failed to capture. 1. Pulseless ventricular tachycardia-associated torsades de pointes We discuss in these sample acls test from different topics like practice acls test questions, acls test answers quizlet. Seeking expert consultation A patient is in cardiac arrest. 4. Give adenosine 3 mg IV bolus. What is the next appropriate intervention? An IV has been established. ACLS Pretest Questions and Answers Which of these is NOT a recommended pharmacological treatment for a stable patient with a wide complex ventricular tachycardia (monomorphic)? 8 to 10 ventilations minute; each ventilation delivered 1 second, b. There are no contraindications, and 4 mg of morphine sulfate was administered. Improving patient outcomes by identifying and treating early clinical deterioration. 4. Select the incorrect statement regarding the automated external defibrillator (AED). Repeat amiodarone 300 mg IV. Seek expert consultation. His skin is pale and clammy. Bag-mask ventilations are producing visible chest rise. 4. b. electrons. A patient is in cardiac arrest. 5. Write a Lewis structure for N2_22H4_44. Sublingual nitroglycerin 0.4 mg. Begin CPR, starting with high-quality chest compressions. 50. . Prepare to give epinephrine 1 mg IV. What is your first action? A 12-lead ECG confirm a supraventricular tachycardia with no evidence of ischemia or infarction. Which combination of drugs can be administered by the endotracheal route? What is the next action after establishing an IV and obtaining a 12-lead ECG? Repeat the above problem for a horizontal space filled with water.
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