3. The cardiac monitor reveals the following rhythm. Pulseless Electrical Activity 3. The recommended second dose of amiodarone is: 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. 3. V fib 2. Your next action will be to: 6. Lidocaine 1 to 1.5 mg IV; star infusion. Perform immediate unsynchronized cardioversion. 3rd Degree Block (Complete Heart Block) 2. You ask about symptoms and he reports that he has mild palpitations, but otherwise he is clinically stable with unchanged vital signs. Adenosine 6 mg A patient is in refractory ventricular fibrillation. Ventilating as quickly as you can 4. Transcutaneous pacing, What is the recommended depth of chest compressions for an adult victim? Her blood pressure is 80/66mm Hg. You arrive on the scene with the code team. Her blood pressure is 134/82, pulse 180, respirations 18. Temporary pacing. Team members report that the patient was well but reported chest pain and then collapsed. 3. 2. Give 75 mg enteric-coated aspirin orally. You determine that he is unresponsive and notice that he is taking agonal breaths. High-quality chest compressions are being given. His blood pressure is 180/100mm Hg. The heart rate has not responded to vagal maneuvers. Prepare to give epinephrine 1 mg IV. Which Of the following could be administered endotracheally if necessary? Study with Quizlet and memorize flashcards containing terms like 3 AV block p and qrs completely separate, Pulseless electrical activity (PEA) 3.Give 325 mg enteric-coated aspirin rectally. Solve Now Give an immediate unsynchronized high-energy shock (defibrillation dose). Comments. Which intervention would be your next action? 4. The patient is confused, and her blood pressure is 88/56 mm Hg. Oxygen is being administered by nasal cannula at 4 L/min, and an IV line is in place. IV/IO drug administration during CPR should be. 3. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38mm Hg, and the pulse oximetry reading is 98%. 2020 | All Rights Reserved Should be given only to patients with narrow-QRS tachycardia or dysrhythmias known with certainty to be Of supraventricular origin, b. 18. Learn PALS. A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. The patient has a history Of congestive heart failure and asthma. 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. His wife tells you that they were talking and he suddenly got a funny look on his face and collapsed. What is your next intervention? A patient's 12-lead ECG was transmitted by the paramedics and showed an acute MI. Give lidocaine 1 to 1.5 mg/kg IV. The cardiac monitor documents the rhythm below. Marie Georgette Ngo Tonye says. An antiarrhythmic drug was given immediately after the third shock. PALS Prehospital. Blood pressure is 80/60 mm Hg. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. She has no pulse or respirations. 4. Once you've selected your answers, you will immediately be able to determine your score by using the . Substitute clopidogrel 300 mg loading dose. Check the pulse rate PEA Comfy says. In which situation does bradycardia require treatment? Questions and Answers 1. In this situation, the groper rate for bag-valve-mask. CPR is in progress. Give an immediate synchronized shock. Give atropine 0.5 mg IV . A patient becomes unresponsive. To assess CPR quality, which should you do? At doses recommended for use in cardiac arrest, epinephrine and vasopressin: 9. Cause significant peripheral vasoconstriction, b. Neutralize acid accumulated during cardiac arrest, c. Slow conduction through the atrioventricular node, d. Cause profound peripheral vasodilation, a. A patient has a rapid irregular wide-complex tachycardia. Atropine 1 mg What is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients who achieve ROSC? You are evaluating a patient with chest discomfort lasting 15 minutes during transportation to the emergency department. Your next order is: 5. You have completed your first 2-minute period of CPR. Epinephrine 2 to 10 mcg/kg per minute Resume high-quality chest compressions, What is the maximum interval for pausing chest compressions? The cardiac monitor documents the rhythm shown here. She has no pulse or respirations. 5. haileybaret. Her blood pressure is 80/60 mm Hg. This is an introduction to content further reviewed in other quizzes. About every 4 minutes Vasopressin is recommended instead of epinephrine for the treatment of asystole. Order transcutaneous pacing. Write a Lewis structure for N2_22H4_44. 10 seconds 100 to 120 compressions per minute, A 35-year-old woman presents with a chief complaint of palpitations. 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. 4. Repeat amiodarone 150 mg IV. The next action is to: Give normal Saline 250 mL to 500 ml fluid bolus If no pathway for medication administration is in place, which method is preferred? Epinephrine, vasopressin, amiodarone Acute Coronary Syndromes Practice Test Want to test your knowledge of Acute Coronary Syndromes? What is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)? She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Full PALS access starting at $19.95. 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. A third shock has just been administered. Sodium bicarbonate 50 mEq Reply. Intubate and administer 100% oxygen, You arrive on the scene to find CPR in progress. Improving patient outcomes by identifying and treating early clinical deterioration. Angiotensin-converting-enzyme (ACE) inhibitors: 39. You see an organized, nonshockable rhythm on the ECG monitor. Continue monitoring and seek expert consultation. High-quality CPR is in progress, and shocks have been given. The CT scan is negative for hemorrhage. Start dopamine at 10 to 20 mcg/kg per minute. You are unable to feel a pulse. A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV. Administer nitroglycerin 0.4 sublingual or spray. C does not change. You are uncertain if a faint pulse is present. 136 terms. After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. Give adenosine 3 mg IV bolus. 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. Patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. Application of transcutaneous pacemaker The ventricular rate is 138/min. There are no allergies or contraindications to any medication. You are the code team leader and arrive to find a patient with CPR in progress. One dose of epinephrine was given after the second shock. What drug should be administered IV? What is the next action after establishing an IV and obtaining a 12-lead ECG? What assessment step is most important now? AHA ACLS Questions. Sublingual nitroglycerin 0.4 mg. 4. She is alert and oriented. What is the next action after establishing an IV and obtaining a 12-lead ECG? What would you do at this time? Bag-mask ventilations are producing visible chest rise, and IO access has been established. Order immediate endotracheal intubation. We discuss in these advanced cardiac life support test from different topics like acls scenarios pdf, acls pre assessment test. . Divert the patient to a hospital 15 minutes away with CT capabilities. The patient is intubated and an IV has been started. What is a contraindication to nitrate administration? Good luck! This ACLS quiz covers general information that may be found on the ACLS written test. ) Give magnesium sulfate 1 to 2 g over 20 minutes. You are providing bag-mask ventilations to a patient in respiratory arrest. Your team looks to you for instructions. What drug should the team leader request to be prepared for administration next? 1. Rapid heart rates may produce serious signs and symptoms. Which is an appropriate and important intervention to perform for a patient who achieves ROSC during an out-of-hospital resuscitation? Start chest compressions at a rate of at least 100/min. a. A patient has been resuscitated from cardiac arrest. She becomes diaphoretic, and her blood pressure is 80/60 mm HG/ Which action do you take next? 22. Ventricular fibrillation has been refractory to a second shock. A patient is in cardiac arrest. 3. A 53-year-old man has shortness of breath, chest discomfort, and weakness. A 57-year-old woman has palpitations, chest discomfort, and tachycardia. Administer adenosine 6 mg; seek expert consultation. ACLS Pretest Overview. 1. Repeat amiodarone 150 mg IV. 1. 21 . 36. 3. When an electron moves through a medium at a speed exceeding the speed of light in that medium, the electron radiates electromagnetic energy (the Cerenkov effect). ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm), ASVAB Paragraph Comprehension Practice Test 2023, IAHCSMM CRCST Practice Test Chapter 3 [UPDATED 2023], IAHCSMM CRCST Practice Test Chapter 1 [UPDATED 2023], CRCST Practice Test Chapter 1 [UPDATED 2023], CRCST Practice Test 2023 (UPDATED ALL CHAPTERS), a. Symptomatic first-degree atrioventricular block, d. Atrial fibrillation with a rapid ventricular response, a. Amiodarone, dopamine, procainamide, naloxone, and adenosine, b. Naloxone, atropine, vasopressin, epinephrine, and lidocaine, c. Lidocaine, amiodarone, procainamide, vasopressin, and naloxone, d. Procainamide, epinephrine, lidocaine, adenosine, and dopamine, a. Which of the following statements about the use of magnesium in cardiac arrest is most accurate? Course Ventricular Fibrillation 4. 5. 1. A code is in progress and he has recurrent episodes of this rhythm. 32. 1 mg/kg IV push. What is the next appropriate intervention? you do now? Morphine sulfate 2 to 4 mg IV. Obtain a 12-lead ECG and administer aspirin if not contraindicated. 4. 48. Lidocaine 1 to 1.5 mg IV and start infusion 2 mg/min. She has received adenosine 6 mg IV for the rhythm shown here, without conversion of the rhythm. 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. What is your next action? 1. High quality CPR is in progress by a Basic Life Support crew. The gas may be assumed to have the properties of air at atmospheric pressure. An IV is not in place. Administer sedation and begin immediate transcutaneous pacing at 80/min. External jugular vein, A patient is in refractory ventricular fibrillation. Your patient is stable and blood pressure is 120/80 mm Hg. About every 12-14 seconds 1. Your best course Of action in this situation will be to: 40. about 3-5 minutes. Vagal maneuvers have not been effective in terminating the rhythm. Patient's lead II ECG is displayed above (shows unstable SVT). Consider sedation and perform synchronized cardioversion with 100 joules, b. Perform endotracheal intubation. d, The rate should be set between 80 and 100; the current should be increased rapidly to maximum, a. 1. 1-5 & 7-9 Practice Test review. 3. Give aspirin 160 mg and clopidogrel 75 mg orally She has no chest discomfort, shortness of breath, or light-headedness. A second shock is given, and chest compressions are resumed immediately. 3. 1. Which intervention is indicated first?SVT May help in the delivery Of adequate ventilation With a device by preventing the tongue from blocking the airway, b. What is your next action? What would you order for his next medication? The patient is confused, and her blood pressure is 110/60 mm Hg. 3. The patient is receiving oxygen via nasal cannula at 2L/min, and an IV has been established. Get ACLS recertification online, BLS renewal, and PALS recert online. Gain instant access to all of the practice tests, megacode scenarios, and videos. Blood pressure is 104/70 mm Hg. Note this pretest does not represent the actual examination questions. Dopamine at 2 to 10 mcg/kg per minute Shock-refractory monomorphic ventricular tachycardia 2. Based on the average satisfaction rating of 4.8/5, it can be said that the customers are highly satisfied with the product. 4. Her blood pressure is 126/72, respirations 14. The patient did not take aspirin because he has a history of gastritis, which was treated 5 years ago. He is asymptomatic, with a blood pressure of 110/70 mm Hg. 1. A 62-year-old man suddenly experienced difficulty speaking and left-side weakness. She has no other symptoms. 4. CPR is in progress. A patent peripheral IV is in place. or laryngeal mask airway, a. planes, (b) the principal stresses. 5. Perform unsynchronized cardioversion 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. . 1. An IV is in place, and no drugs have been given. Which is the first drug/dose to administer? What is the maximum interval for pausing chest compressions? 42. Central line Administer the shock immediately and continue as directed by the AED. 1. Whch of the following statements is true about ventilation with a bag-valve-mask? At least 1.5 inches What is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? Attempt endotracheal intubation with minimal interruptions in CPR. Start epinephrine 2 to 10 mcg/min. She has no chest discomfort, shortness of breath, or light-headedness. What is your next order? 5. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. 4. Establish an IV and give epinephrine 1 mg. A rhythm check now finds asystole. Which of the following actions is recommended? She is apprehensive but has no symptoms other than palpitations. 43. Adenosine 6 mg The practice test consists of 10 multiple Courses 387 View detail Preview site The patient had resolution of moderate (5.10) chest pain with 3 doses of sublingual nitroglycerin. An IV is in place and no drugs have been given. Usually, it consists of 20 questions, but we've collected many more. About every 3 minutes 4. Learn ACLS. Please identify the rhythm by selecting the best single answer. About every 5-6 seconds Begin CPR, starting with high-quality chest compressions. Which therapy is now indicated? However, if you found this pretest to be successful . The preferred site for initial placement of a large IV catheter is the: 24. 1. The decision has been made to intubate him and anesthesia has been paged. 44. A thermocouple junction is inserted in a large duct to calculate the temperature of hot gases flowing through the duct. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. 2ND Degree Type II (Mobitz) 8. Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? 3. Next intervention is to, Administer 2 to 4 mg of morphine by slow IV bolus. Administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. Vasopressin 40 units Immediate management Of this patient should include: 31. Perform synchronized cardioversion starting with 50 joules, c. Perform CPR for 2 minutes, then defibrillate with 200 joules, d. Perform CPR and give epinephrine 1 mg IV push, a. 1. Obtain a 12-lead ECG. Start rescue breathing, What action minimizes the risk of air entering the victim's stomach during bag-mask ventilation? ACLS Pretest. Which therapy is now indicated? Your immediate next order is: Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. Which drug should be administered first? The rate should be Set between 40 and 100; the current should increased rapidly to a maximum Of 160 milliamps. Perform immediate electrical cardioversion. ACLS pretest Flashcards. 2. Bag-mask ventilations are producing visible chest rise, and IV access has been established, Which intervention would be your next action? Your team looks to you for instructions. Begin CPR, starting with chest compressions. About every 5 minutes, A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. A patient with STEMI has ongoing chest discomfort. 300 mg IV push. 5. Start dopamine 10 to 20 mcg/kg per minute. Shock-refractory ventricular fibrillation, Pulseless ventricular tachycardia-associated torsades de pointes, A patient is in cardiac arrest. Match each description on the left with the appropriate term on the right. Recognizing Connections Why is a third-degree burn dangerous because it obliterates the skin's epidermis and dermis? 20 seconds 4. We have selected 20 questions (10 questions for BLS) that cover many topics which will be tested on the certification examination. What is the recommended initial airway management technique? He was brought to the emergency department. IV or IO, A patient has sinus bradycardia with a heart rate of 36/min. Give an additional 2 mg of morphine sulfate. 5. Which best describe the recommended second does of amiodarone for this patient? The most common cause of a stroke is: 41. Which of the following statements is true about this rhythm? 1. A postoperative patient in the ICU reports new chest pain. What is your next action? Following initiation of CPR and 1 shock for VF, this rhythm is present on the next rhythm check. 2. On the next rhythm check, you see the rhythm shown here. Place an esophageal-tracheal tube or laryngeal mask airway. 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. Glucose 50% IV push Apakah Anda lagi mencari postingan seputar Acls Pretest Code 2021 Quizlet tapi belum ketemu? 2. What is your next action? An oral airway is in place. 5. The gotestprep.com provides free unofficial review materials for a variety of exams. The monitor shows a regular wide-complex QRS at a rate of 180 bpm. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. 5. Atropine has been administered to a total of 3 mg. A transcutaneous pacemaker has failed to capture. 5. Repeat the antiarrhythmic drug You are monitoring the patient and note the rhythm below on the cardiac monitor. Which condition is an indication to stop or withhold resuscitative efforts? The quiz contains a variety of questions from different cases. Is used to slow the ventricular rate in narrow-QRS tachycardias, b. Atropine 1 mg, A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. Epinephrine 1 mg or vasopressin 40 units IV or IO. An antiarrhythmic drug was given immediately after the third shock. If no pathway for medication administration is in place, which method is preferred? The patient is receiving oxygen via nasal cannula at 2 L/min, and an IV has been established. 5. High-quality chest compressions are being given. Amiodarone 150 mg IV. High-quality CPR is in progress. You would first order: Hamdy says. ACLS Pretest Rhythms Flashcards | Quizlet ACLS Pretest Rhythms 5.0 (1 review) Term 1 / 20 Sinus Bradycardia Click the card to flip Definition 1 / 20 Click the card to flip Flashcards Learn Test Match Created by catps Just the rhythms Terms in this set (20) Sinus Bradycardia Reentry supraventricular tachycardia Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. What is the next action? Calculate the power produced by this turbine, in kW\mathrm{kW}kW, when the mass flow rate is 2kg/s2 \mathrm{~kg} / \mathrm{s}2kg/s. 5. Perform vagal maneuvers. 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. High-quality CPR is in progress. After resuming high-quality compressions, which action do you take next? 2. Steam at 3MPa3\ \mathrm{MPa}3MPa and 400C400^{\circ} \mathrm{C}400C is expanded to 30kPa30\ \mathrm{kPa}30kPa in an adiabatic turbine with an isentropic efficiency of 929292 percent. All material on this website is for reference purposes only and does not represent the actual format, pattern from respective official authority. BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14 breaths/min, and the pulse oximetry reading is 97%. 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. These quizzes cover the latest PALS algorithms and are designed to test the scenarios you will encounter when practicing PALS. The drug of choice for most forms of narrow-QRS tachycardia is: 2. 4. The hospital CT scanner is not working at this time. FreedomRiderDonny. Very helpful thank you. What is the danger of routinely administering high concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC? A 75-year-old man has suffered a cardiac arrest. Femoral vein A 57-year-old woman has palpitations, chest discomfort, and tachycardia.