At least 1.5 inches What is the next appropriate intervention? Taking a BLS pretest is also a great way to familiarize yourself with the format. The cardiac monitor shows the following rhythm: 8. 3 AV block p and qrs completely separate Identify the rhythm. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. You would first order: Justify your response on the basis of a simple analysis. The lead II ECG displays a wide-complex tachycardia. What is the next action? Intubate and administer 100% oxygen, You arrive on the scene to find CPR in progress. When the patient arrives in the emergency department, the rhythm shown here is seen on the cardiac monitor. Pulseless ventricular tachycardia-associated torsades de pointes. A 35-year-old woman presents to the emergency department with a chief compliant of palpitations. Intubate the patient and give epinephrine 2 to 4 mg via the endotracheal tube. Which is the next drug/dose to anticipate to administer? Two shocks have been delivered, and an IV has been initiated. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. The arrest was not witnessed. 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. 2. You are working in the radiology department as a registered nurse. You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. This is an introduction to content further reviewed in other quizzes. After resuming high-quality compressions, which action do you take next? Immediate management Of this patient should include: 31. The rhythm abnormality is becoming more frequent and increasing in number. The cardiac monitor shows a narrow-CRS tachycardia without visible P waves. A. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. A patent peripheral IV is in place. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. What is the next action after establishing an IV and obtaining a 12-lead ECG? The next action is to: Give normal Saline 250 mL to 500 ml fluid bolus Consider causes of pulseless electrical activity. 1. A 72-year-old man presents with severe substernal chest pain. Acls pretest pharmacology quizlet - Study with Quizlet and memorize flashcards containing terms like 150 mg IV amiodarone, Adenosine 6 mg, Seeking expert. You observe the rhythm below on the monitor. 1. What is the next step in your assessment and management of this patient? Seeking expert consultation A patient is in cardiac arrest. Order immediate endotracheal intubation. Give atropine 1 mg IV. His blood pressure is 104/70, respirations 12/min. aha acls book pdf 2. Give atropine 0.5 mg IV. The CT scan is negative for hemorrhage. He is now unresponsive. Perform vagal maneuvers and repeat adenosine 6 mg IV. Amiodarone 150 mg ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. (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. High-quality chest compressions are being given. The CT scan is negative for hemorrhage. A weak pulse is present at a rate of about 70. Patient is experiencing shortness of breath, a BP of 68/50 mmHg, and HR of 190/min. The blood pressure is less than 100 mm Hg systolic with or without symptoms. You are the team leader. 43. 4. She is receiving oxygen at 4L/min by nasal cannula, and an Iv has been established. About every 5-6 seconds For the given state of stress, determine (a) the principal Give normal saline bolus 250 mL to 500 mL. The rhythm is asystole. What is special about ferromagnetic materials? The pt is intubated, and a IV has been started. Your patient is in cardiac arrest and has been intubated. 4. Perform endotracheal intubation. 5. 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. Squeezing the bag with both hands 1. 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? A bag-valve-mask device should be equipped with a pop-off (pressure release) valve to overcome increased air resistance in cardiac arrest patients, b. The quiz contains a variety of questions from different cases. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. 4. Your team looks to you for instructions. Start an IV and give epinephrine 1 mg IV. A repeat dose of epinephrine 1 mg IV. Vagal maneuvers, After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. 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 Use these answers to prepare yourself for an ACLS online exam. 3. Which intervention below is most important, reducing in-hospital and 30-day mortality? Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator) b. 2. The decision has been made to intubate him and anesthesia has been paged. An IV is in place and no drugs have been given. Nitroglycerin administration He arrives in the department. 2. A patient is in cardiac arrest. 2. A 12-lead ECG confirm a supraventricular tachycardia with no evidence of ischemia or infarction. 1. 3. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. 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. 1. Please identify the rhythm by selecting the best single answer. Two shocks and 1 dose of epinephrine have been given. Patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. 1. ACLS PreTest . Give adenosine 12 mg IV slow push (over 1 to 2 minutes). She is receiving oxygen at 4 L/min by nasal cannula and an IV has been established. 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. ACLS PreTest, ACLS PreTest: Pharmacology and Practical Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, Reentry supraventricular tachycardia, Second-degree AV block (Mobitz II Give adenosine 3 mg IV bolus. Which therapy is now indicated? Divert the patient to a hospital 15 minutes away with CT capabilities. After resuming high-quality compressions, your next action is to: The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38mm Hg, and the pulse oximetry reading is 98%. ACLS, PALS & BLS Quizzes Pass five quizzes (84% or higher score) and get 20% off your ACLS certification with us. ACLS Practice Test Library Prepare for AHA ACLS Today! Dopamine at 10 to 20 mcg/kg per minute Sublingual nitroglycerin 0.4 mg. A rhythm check now finds asystole. 4. We have selected 20 questions (10 questions for BLS) that cover many topics which will be tested on the certification examination. Full ACLS access starting at $19.95. The patient responds to a painful stimulus but does not respond to verbal stimuli. He is being evaluated for another acute stroke. Call for a pulse check. 1. Give epinephrine 1 mg IV/IO A patient is in cardiac arrest. Full PALS access starting at $19.95. About every 4 minutes Perform immediate electrical cardioversion. 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. Pain described as a 8/10 and unrelieved after 3 doses of nitroglycerin. Give atropine 1 mg IV Despite all of the usual interventions, he remains severely short of breath. Amiodarone 150 mg IV bolus; start infusion. Give normal saline 250 mL to 500 mL fluid bolus. 49 year old man has retrosternal chest pain radiating into the left arm. Start an IV and give atropine 1 mg. 3. 4. You now observe this rhythm on the cardiac monitor. You are working in the Emergency Department when you are notified by EMS that they are in route with a 2-year-old who has been pulled from a swimming pool. 2. The monitor shows a regular wide-complex ORS at a rate of 180/min. 49. (e) How many kilojoules are released by the combustion of 17.0 g of C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18 ? Team members tell you that the patient was well but reported chest discomfort and then collapsed. What do you administer next? Bystanders are performing CPR. Adenosine 6 mg Administer adenosine 6 mg; seek expert consultation. 19. ACLS PRETEST ANSWER KEY RHYTHM IDENTIFICATION (PART I) 1. Atropine 0.5 mg IV, total dose 2 mg as needed. Acls pretest quizlet - Study with Quizlet and memorize flashcards containing terms like Chest compressions for an adult are performed: a. at a rate between . 4. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. 3. Your next action is to: When you arrive at the patients side, you confirm that she is unresponsive. 136 terms. ACLS PreTest: Pharmacology and Practical Application Study with Quizlet and memorize flashcards containing terms like A patient is in refractory ventricular fibrillation. 2. Dopamine 2 to 20 mcg/kg per minute IV or IO. Continue monitoring the patient and seek expert consultation. Reentry SVT 5. 3. , () ) : (2020-2025 guidelines) Go to Quiz #2. An electron dot diagram shows an atom's number of a. protons. Perform immediate synchronized cardioversion. 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. You are monitoring a patient with chest discomfort who suddenly becomes unresponsive. 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 What should you do in this situation? Nursing staff report that the patient was recovering from a pulmonary embolism and suddenly collapsed. 42. How often should the team leader switch chest compressors during a resuscitation attempt? On the next rhythm check, you see the rhythm shown here. Start dopamine at 2 g/kg per minute and titrate to BP 100 systolic. Give aspirin 160 mg and clopidogrel 75 mg orally. A patient has sinus bradycardia with a heart rate of 36/min. Course Ventricular Fibrillation 4. She is apprehensive but has no symptoms other than palpitations. Check the carotid pulse Transport the patient to a facility capable of performing PCI. The patients baseline temperature should be obtained and warming measures should be started until the patients temperature reaches 1010 F, b. vfib Morphine sulfate 4 mg IV, How often should you switch chest compressors to avoid fatigue? Perform immediate electrical cardioversion. Administer aspirin 160 to 325 mg chewed immediately. Ventricular fibrillation has been refractory to a second shock. AHA Basic Life Support Provider Manual, p. 19 Acls Pretest Code 2021 Quizlet. After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. What is the recommended initial airway management technique? A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. You should order: . Level Of responsiveness, airway, breathing, circulation, defibrillation if necessary, c. Temperature, pulse, respiration, blood pressure, d. Oxygen, IV fluid challenge, vital signs, level Of responsiveness, a. 4. On the next rhythm check, you see the rhythm shown here. 2. She has no chest discomfort, shortness of breath, or light-headedness. A patient with STEMI has ongoing chest discomfort. Perform unsynchronized cardioversion Deliver three stacked shocks using 200, 300, and 360 joules after 5 cycles (about 2 minutes) of CPR, b. What is the recommended dose of epinephrine for the treatment of hypotension in a post-cardiac arrest patient who achieves ROSC? You are the team leader. Administer atropine 1 mg. 4. About every 3 minutes She is pale and diaphoretic. The recommended second dose of amiodarone is: One dose of epinephrine was given after the second shock. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. . This preview shows page 1 - 7 out of 41 pages. Give aspirin 160 mg and clopidogrel 75 mg orally A second shock is given and chest compressions are resumed immediately. Establish IV access. The gas may be assumed to have the properties of air at atmospheric pressure. 46. B. How often should you provide ventilations? Sodium bicarbonate 50 mEq IV/IO, Which action should you take immediately after providing an AED shock? 4. There are a total of 50 questions with answer keys designed to help ACLS 2022 candidates for their better test prep. Blood pressure is 104/70mm Hg. Give heparin if the CT scan is negative for hemorrhage Prepare for AHA ACLS Today! Attempt endotracheal intubation with minimal interruptions in CPR. Administer lidocaine 1mg/kg IV. 4. 4. Initiate transcutaneous pacing. Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? Epinephrine 3 mg via endotracheal route. There are no allergies or contraindications to any medication. The above findings are seen on rhythm strip when a monitor is placed in emergency department. 8 to 10 ventilations minute; each ventilation delivered 1 second, b. 18. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. What is your next intervention? He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain si ordered. Note this pretest does not represent the actual examination questions. Lead II ECG reveals this rhythm. Use of a phosphodiesterase inhibitor within 12 hours, A patient is in cardiac arrest. Epinephrine, vasopressin, amiodarone 4. Which of the following reflects the operation Of a transcutaneous pacemaker for a patient experiencing asymptomatic bradycardia? What is the recommended duration of therapeutic hypothermia after reaching the target temperature? Bag-mask ventilations are producing visible chest rise. Which drug do you anticipate giving to this patient? 3. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. At doses recommended for use in cardiac arrest, epinephrine and vasopressin: 9. Epinephrine 1 mg Start rescue breathing, A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. 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. 3. ACLS PreTest: Pharmacology and Practical Application. She is pale and diaphoretic. Measure from the corner of the mouth to the angle of the mandible. The code cart with all the drugs and transcutaneous pacer are immediately available. What survival advantages does CPR provide to a patient in ventricular fibrillation? A patient with pulseless ventricular tachycardia is defibrillated. A 62-year-old man suddenly experienced difficulty speaking and left-side weakness. Glucose 50% IV push 1. Giving adenosine 6 mg IV bolus. What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II ECG? 4. A patient has been resuscitated from cardiac arrest. Blood pressure is 130/70 mm Hg. When the patient arrives in the emergency department, the rhythm shown here is seen on the cardiac monitor. 3. What is your next action? Step-by-Step Training ACLS Interactive Course Guide Accreditation and CEU Information ACLS Quizzes & Scenarios ACLS Megacode Simulator ACLS Practice Tests True or False: Rapid, wide-QRS rhythms associated with pulselessness, shock, or congestive heart failure should be presumed to be ventricular tachycardia. ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. 4. Start epinephrine 2 to 10 mcg/min. Sodium bicarbonate 50 mEq. Amiodarone, lidocaine, epinephrine How often should you provide ventilation? 3. 3. Vasopressin can be administered twice during cardiac arrest. 4. What is the appropriate next intervention? This set of BLS questions and answers listed below is an extremely valuable tool to help you gauge how well you understand the material and whether or not you're ready to pass the BLS final exam. To assess CPR quality, which should you do? Bag-mask ventilations are producing visible chest rise. For quiz acls you must go through real exam. Give aspirin 160 to 325 mg chewed immediately. However, if you found this pretest to be successful . haileybaret. 2. Magnesium is indicated for shock-refractory monomorphic VT.