A patient with possible STEMI has ongoing chest discomfort. Consider causes of pulseless electrical activity. 49 year old man has retrosternal chest pain radiating into the left arm. Your next action is to: When you arrive, the parents inform you that he has been sick with a fever, diarrhea and vomiting for the past 48 hours. What action minimizes the risk of air entering the victim's stomach during-bag mask ventilation? Sublingual nitroglycerin 0.4 mg. 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. 22. Vasopressin, amiodarone, lidocaine CPR is in progress. The lead II ECG is displayed below. This is a sample copy of the American Heart Association (AHA) Advanced Cardiac Life Support Precourse Self Assessment Question Answers. The patient has a history Of congestive heart failure and asthma. High-quality CPR is in progress. An antiarrhythmic drug was given immediately after the third shock. ACLS Pharmacology Pretest SET-2. Give epinephrine 1 mg IV . 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. The two small spheres of mass m each are connected by the light rigid rod which lies in the x-z plane. There are a total of 50 questions with answer keys designed to help ACLS 2022 candidates for their better test prep. 2. Sodium bicarbonate 50 mEq IV/IO, Which action should you take immediately after providing an AED shock? The gas may be assumed to have the properties of air at atmospheric pressure. . 3. IV nitroglycerin for 24 hours. 3. Start rescue breathing, What action minimizes the risk of air entering the victim's stomach during bag-mask ventilation? Dose of 0.1mg A patient Who presents With a possible (or definite) acute syndrome should receive a targeted history and physical exam and initial 12-Iead ECG within _______ Of patient contact (prehospital) or arrival in the emergency department. 49. Which condition is an indication to stop or withhold resuscitative efforts? Is Of proper size if it extends from the tip Ot the nose to the tip Of the ear, c. Is usually well-tolerated in responsive or semi-responsive patients, d. Can only be used in spontaneously patients, a. Perform emergency synchronized cardioversion. The maximum length of time for a suctioning attempt is: 45. Which intervention below is most important, reducing in-hospital and 30-day mortality? When questioned, she denies Chest discomfort or Shortness of breath. Take our BLS pretest. Administer sedation and begin immediate transcutaneous pacing at 80/min. Merci. b. electrons. A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. Which combination of drugs can be administered by the endotracheal route? The CT scan is negative for hemorrhage. Do not give aspirin for at least 24 hours if rtPA is administered. About every 12-14 seconds Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? ORG ACLS CODES!, In which situation does bradycardia require treatment?, During your assessment, your patient suddenly loses . Ventricular fibrillation has been refractory to an initial shock. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far. The patient did not take aspirin because he has a history of gastritis, with was treated 5 years ago. An AED has previously advised "no shock indicated." Escalating dose of epinephrine 3 mg. 2. She is now extremely apprehensive. 4. Obtain a 12-lead ECG. A patient has been resuscitated from cardiac arrest and is being prepared for transport. D. Give normal saline 250 mL to 500 mL fluid bolus. C does not change. She has no chest discomfort, shortness of breath, or light-headedness. 1. The blood pressure is less than 100 mm Hg systolic with or without symptoms. 29. Which drug should be given next? 2. 4. 1. EMS personnel arrive to find a patient in cardiac arrest. Atropine administration Continue CPR, start an IV, intubate using the largest endotracheal tube available, and give epinephrine and atropine, c. Stop CPR and attempt transcutaneous pacing, then start an IV and begin a dopamine infusion, d. Attempt synchronized cardioversion using 100 joules; if the rhythm is unchanged, start an IV, and intubate using the largest endotracheal tube available, b. AHA ACLS Practice Test. The most common side effects of giving amiodarone are: 5. Her blood pressure is 80/60 mm Hg. below. Basic ACLS Practice Test Improve your ACLS knowledge and skills with our free practice test. . 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. 2. Epinephrine 1 mg FreedomRiderDonny. Recognizing Connections Why is a third-degree burn dangerous because it obliterates the skin's epidermis and dermis? 1. If the thermocouple senses a temperature of 320C320^{\circ} \mathrm{C}320C when the duct surface temperature is 175C175^{\circ} \mathrm{C}175C, what is the actual gas temperature? A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. What is the next action? Your course Of action Will be to: 16. about 3-5 minutes. The monitor shows a. regular narrow-complex QRS at a rate of 180/min. At least 2.5 inches 4. ACLS PreTest, ACLS PreTest: Pharmacology and Practical. Her blood pressure is 126/72, respirations 14. Breathing is shallow at 8 to 12 breaths/minute. 1. A postoperative patient in the ICU reports new chest pain. The ventricular rate is 138/min. Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? We have selected 20 questions (10 questions for BLS) that cover many topics which will be tested on the certification examination. Solve Now 1-5 & 7-9 Practice Test review. Next you would: What should be done to minimize interruptions in chest compressions during CPR? A third shock has just been administered. A patient in the emergency department develops recurrent chest discomfort (8/10) suspicious for ischemia. 4. what is your next action? His pulse is weak and fast. An 80-year-old woman presents to the emergency department with dizziness. Justify your response on the basis of a simple analysis. 2. What is the next action? A 78-year-old woman is found unresponsive. 4. Taking a BLS pretest is also a great way to familiarize yourself with the format. You've reviewed the algorithms, medications and doses, the H's and T's, and case scenarios over and over again. What is the next action? What is the appropriate next intervention? Administer epinephrine 1 mg. 2. What is the appropriate rate of chest compressions for an adult in cardiac arrest? Vagal maneuvers have not been effective in terminating. When you arrive at the patients side, you confirm that she is unresponsive. 4. 1. 4. AHA ACLS Written Test. The next action is to: Your immediate next order is: A patient has a rapid irregular wide-complex tachycardia. An IV is in place, and no drugs have been given. 1. Which best describe the recommended second does of amiodarone for this patient? Give adenosine 12 mg IV slow push (over 1 to 2 minutes). 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. . Epinephrine, vasopressin, amiodarone Start dopamine at 2 mcg/kg per minute and titrate to a systolic blood pressure reading of 100 mm Hg. What action is recommended next? She has dizziness and her blood pressure is 80/40 mm Hg. About every 3 minutes Take our free practice exam and test your knowledge. Which drug do you anticipate giving to this patient? Intubate the patient and give epinephrine 2 to 4 mg via the endotracheal tube. Which action do you take next? About every 8-10 seconds 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. Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. What is the next indicated action? 2. Dopamine at 2 to 10 mcg/kg per minute. vfib Sodium bicarbonate 50 mEq. A. A patient becomes unresponsive. What would you order for his next medication? Substitute clopidogrel 300 mg loading dose. Which best describes the guidelines for antiplatelet and fibrinolytic therapy? 4. The code cart with all the drugs and transcutaneous pacer are immediately available. 50 terms. He is asymptomatic, with a blood pressure of 110/70 mm Hg. 3. 2ND . BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14 breaths/min, and the pulse oximetry reading is 97%. Chest compressions should never be interrupted, c. Interruptions in chest compressions to analyze the ECG, Charge the defibrillator, place an advanced airway, check a pulse, or other procedures must be kept to a minimum, d. Chest compressions and ventilations should be interrupted every 3 to 5 minutes to permit the members Of the resuscitation team to change positions, a. Airway, breathing, circulation (ABCs); 02; IV; sedation; and synchronized cardioversion with 200 joules, b. ABCs, 02, IV, vagal maneuvers, and lidocaine 1- to 1.5-mg/kg IV bolus, c. ABCs, 02, IV, and atropine -mg IV every 3 to 5 minutes to a maximum Of 3 mg, d. ABCs, 02, IV, vagal maneuvers, and adenosine 6-mg rapid IV bolus, d. Prepare the to insert an advanced airway, b. You should: 1. The cardiac monitor showed VE The paramedics defibrillated immediately with a successful conversion to a sinus rhythm. 100 to 120 compressions per minute, A 35-year-old woman presents with a chief complaint of palpitations. Heart rate 90/min. $________________$, Reentry supraventricualr tachycardia (SVT), Reentry Supraventricular tachycardia (SVT), Reentry supraventricular tachycardia (SVT). Obtain a 12-lead ECG and administer aspirin if not contraindicated. Full PALS access starting at $19.95. 4. What is the recommended compression rate for high-quality CPR? Which is a contraindication to nitroglycerin administration in the management of acute coronary syndromes? Note this pretest does not represent the actual examination questions. 2. 1. Magnesium is contraindicated for VT associated with a normal QT interval. What is the next action after establishing an IV and obtaining a 12-lead ECG? V fib Repeat amiodarone 150 mg IV. Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. 7. Asystole now This ACLS pretest offers a comprehensive set of practice exam questions and answers to help you prepare for your upcoming ACLS exam. ACLS Pretest. Amiodarone 150 mg ACLS pretest Flashcards. Delivering the largest breath you can, Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. The rate should be Set between 40 and 100; the current should increased rapidly to a maximum Of 160 milliamps. How often should you switch chest compressors to avoid fatigue? External jugular vein, A patient is in refractory ventricular fibrillation. 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. Paramedics arrive in the emergency department with a 40-year-old man. 3. Start The Quiz about 3-5 minutes # % Follow us for daily quizzes and nursing banter. 1. Sodium bicarbonate 50 mEq A patient presents with the rhythm below and reports an irregular heartbeat. He has a history of angina. Second-degree AV block (Mobitz II block) . The patient had resolution of moderate (5.10) chest pain with 3 doses of sublingual nitroglycerin. Whch of the following statements is true about ventilation with a bag-valve-mask? Bag-mask ventilations are producing visible chest rise, and IV access has been established, Which intervention would be your next action? Continue monitoring the patient and seek expert consultation. The heart rate is less than 60/min with or without symptoms. Chapter 18: Drug-Nutrient . 1 to 2 L of normal saline. Start an IV and give a 300-mg dose Of amiodarone, c. Ask the patient to bear down; if unsuccessful, give adenosine IV, d. Begin CPR and then defibrillate with 360 joules as soon as a defibrillator is available, a. Defibrillate once as soon as possible, resume CPR, start an IV, and give epinephrine, b. 4. Transport the patient to a facility capable of performing PCI. Comments. 3. Atropine 1 mg What is the proper order of the BLS Chain of Survival . A patient is in pulseless ventricular tachycardia. Vasopressin may be used in the management of: 3. Pulseless Electrical Activity 3. Administer sublingual nitroglycerin 0.4 mg. 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. A rhythm check now finds asystole. Gain instant access to all of the practice tests, megacode scenarios, and videos. (1) $ 42.45 $ 20.49 9x sold 5 items 1. Examination Of the patient reveals no signs of trauma. Study with Quizlet and memorize flashcards containing terms like 3 AV block p and qrs completely separate, Pulseless electrical activity (PEA) 3. What do you administer next? What is the recommended oral dose of aspirin for patients suspected of having one of the acute coronary syndromes? 8 to 10 ventilations minute; each ventilation delivered 1 second, b. Your team looks to you for instructions. A patient was in refractory ventricular fibrillation. May help in the delivery Of adequate ventilation With a device by preventing the tongue from blocking the airway, b. Use these answers to prepare yourself for an ACLS online exam. Give 75 mg enteric-coated aspirin orally. You are monitoring the patient and note the rhythm below on the cardiac monitor. What is your next intervention? 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. ACLS Pretest Flashcards | Quizlet. Course Ventricular Fibrillation 4. Vasopressin is recommended instead of epinephrine for the treatment of asystole. 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. Begin CPR, starting with chest compressions. Begin your free practice exam: BLS 10 Questions ACLS 20 Questions PALS 20 Questions You are uncertain if a faint pulse is present with the rhythm The rhythm abnormality is becoming more frequent and increasing in number. 3. Lidocaine 1mg/kg Gain instant access to all of the practice tests, megacode scenarios, and knowledge base. A weak pulse is present at a rate of about 70. 150 mg IV push. Patient is unconscious and in respiratory arrest. 5. A 35-year-old woman presents with a chief complaint of palpitations. Central line A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60mm Hg. 5. 10 to 12 ventilations per minute; each ventilation delivered over 1 second, c. 12 to 20 ventilations per minute; each ventilation delivered over 1.5 to 2 seconds, d. 20 to 24 ventilations per minute; each ventilation delivered over 1.5 to 2seconds. A second shock is given, and chest compressions are resumed immediately. Give atropine 1 mg IV ACLS Pretest Overview. A patient is in pulseless ventricular tachycardia. Once you've selected your answers, you will immediately be able to determine your score by using the . An IV is not in place. We discuss in these sample acls test from different topics like practice acls test questions, acls test answers quizlet. 42. Resume high-quality chest compressions. You arrive on the scene with the code team. Note this pretest does not represent the actual examination questions. Bradycardia requires treatment when: A 53-year-old man has shortness of breath, chest discomfort, and weakness. d, The rate should be set between 80 and 100; the current should be increased rapidly to maximum, a. What is the recommended initial airway management technique? An AED advises a shock for a pulseless patient lying in snow. 4. For that we provide acls review free real test. Administer the shock immediately and continue as directed by the AED. 4. Ventricular tachycardia associated with a normal QT interval 1. 3.Give 325 mg enteric-coated aspirin rectally. 3. He has a history of angina. 1. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. This ACLS quiz covers general information that may be found on the ACLS written test. ) He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Transcutaneous pacing, What is the recommended depth of chest compressions for an adult victim? 4. An infusion of 1 to 2 mg/min. She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. Which drug should be administered first? You have placed the patient on oxygen and an IV has been established. Measure from the corner of the mouth to the angle of the mandible. She rates her discomfort an 8 on a O to 10 scale. Pulseless ventricular tachycardia-associated torsades de pointes The rhythm is asystole. 2. 2. Which medication do you order next. . 3. What assessment step is most important now? There are a total of 50 Self Assessment questions on Pharmacology, Rhythm. Atropine 1 mg IV, total dose 3 mg as needed. (i) msoluteVsolution100%\frac{m_{\text {solute }}}{V_{\text {solution }}} \times 100 \%Vsolutionmsolute100%, (ii) msolutemsolutson1012\frac{m_{\text {solute }}}{m_{\text {solutson }}} \times 10^{12}msolutsonmsolute1012, (iii) VsoluteVsolutibon100%\frac{V_{\text {solute }}}{V_{\text {solutibon }}} \times 100 \%VsolutibonVsolute100%, (iv) msolutemsolution106\frac{m_{\text {solute }}}{m_{\text {solution }}} \times 10^6msolutionmsolute106, (v) msolutemsolution100%\frac{m_{\text {solute }}}{m_{\text {solution }}} \times 100 \%msolutionmsolute100%, (vi) msolutemsolution109(8.8)km\frac{m_{\text {solute }}}{m_{\text {solution }}} \times 10^9(8.8) \mathrm{km}msolutionmsolute109(8.8)km. You determine that he is unresponsive and notice that he is taking agonal breaths. Second dose of epinephrine 1 mg BP is 132/68 mmHg, pulse is 130/min and regular, RR is 12 breaths/min, and pulse oximetry reading is 95%. c. valence electrons. BP is 132/68 mmHg, pulse is 130/min and regular, RR is 12 breaths/min, and pulse oximetry reading is 95%. Reperfusion therapy. Conduct a problem-focused history and physical examination. Two shocks have been delivered, and an IV has been initiated. Blood pressure is 108/70 mm Hg. Blood pressure greater than 180 mm Hg. 47. 32. Get ACLS recertification online, BLS renewal, and PALS recert online. 70 to 80 compressions per minute An IV has been established. 2. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. A. Epinephrine .5 mg Q 3-5 minutes B. Epinephrine 1 mg Q 3-5 minutes C. Lidocaine 1-1.5 mg/KG 2. What is the initial does of atropine? 1. ACLS Pretest. Start transcutaneous pacing. Give lidocaine 1 to 1.5 mg/kg IV. You arrive on the scene with the code team. High-quality CPR and effective bag-mask ventilation are being provided. 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)? February 15, 2023 at 11: . Questions and Answers 1. Continue monitoring the patient and seek expert consultation. He is asymptomatic, with a blood pressure of 110/70 mm Hg. A patient has a witnessed loss of consciousness. Establish an IV and give epinephrine 1 mg. This rhythm is a narrow-QRS tachycardia, a non-shockable rhythm, c. This rhythm is monomorphic ventricular tachycardia, a shockable rhythm, d. This rhythm is a wide-QRS tachycardia, a non-shockable rhythm, d. The dose recommended by the manufacturer for terminating the rhythm, a. High-quality chest compressions are being given. What is the minimum depth of chest compressions for an adult in cardiac arrest? You now observe this rhythm on the cardiac monitor. 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. 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. 5. True or False: Rapid, wide-QRS rhythms associated with pulselessness, shock, or congestive heart failure should be presumed to be ventricular tachycardia. Give atropine 0.5 mg IV What do you administer next? A patient is in cardiac arrest. What is the next most preferred route for drug administration? What minimum speed must an electron have in a liquid with index of refraction 1.541.541.54 in order to radiate? You are unable to feel a pulse. After you start an IV, what is the next action? What is your next action? Definitely not the PALS precourse assessment, ACLS PreTest: Pharmacology and Practical Appl, Julie S Snyder, Linda Lilley, Shelly Collins. Administer adenosine 12 mg IV 37. BP 68/40, R 12. Normal saline 250 mL to 500 mL bolus, A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. Which of the following statements is true about this rhythm? Get immediate feedback while you prepare for your exam. From across the room, your first impression Of the patient is that she is not moving, you can see no rise and fall of her chest Or abdomen. Pulseless electrical activity (PEA) Identify the rhythm. IV/IO access is not available. Epinephrine 1 mg or vasopressin 40 units IV or IO. Atropine 0.5 mg IV 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 is the recommended duration of therapeutic hypothermia after reaching the target temperature? Prepare to give epinephrine 1 mg IV. The cardiac monitor documents the rhythm shown here. Dopamine 2 to 20 mcg/kg per minute IV or IO. Sublingual nitroglycerin 0.4 mg. What survival advantages does CPR provide to a patient in ventricular fibrillation? Epinephrine 1 mg IV Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? His level Of consciousness suddenly decreased as an alarm sounded on the monitor. The correct dose of vasopressin is 40 units administered by IV or IO. What is your next action? Acls pretest answers 2020 quizlet - Rhythm Identification Learn with flashcards, games, and more - for free. You are the code team leader and arrive to find a patient with above rhythm and CPR in progress. Give an immediate unsynchronized high-energy shock (defibrillation dose). 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. Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. Oxygen is being administered by nasal cannula at 4 L/min, and an IV line is in place. ACLS PreTest, ACLS PreTest: Pharmacology and Practical 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.
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