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. 4. 5. The pt is intubated, and a IV has been started. There is no pulse or spontaneous respirations. The lead II ECG displays a wide-complex tachycardia. Ventilating as quickly as you can About every 2 minutes Dopamine at 10 to 20 mcg/kg per minute Give sedation and perform synchronized cardioversion. Usually, it consists of 20 questions, but we've collected many more. Morphine sulfate 4 mg IV. Give an additional 2 mg of morphine sulfate. Is given in doses of 1 mg to a maximum Of 3 mg in asystole or slow pulseless electrical activity, c. Is most effective for atrioventricular (AV) blocks below the level Of the AV node, d. Is given in doses Of 1 to 1.5 mg/kg for symptomatic bradycardia, a. Your patient is stable and blood pressure is 120/80 mm Hg. About Us; ACLS & BLS Courses; 1-484-464-2882 1-484-464-2882 Scan to call; Login; PMT Pretests. 1. 4. How often should the team leader switch chest compressors during a resuscitation attempt? 5. BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14 breaths/min, and the pulse oximetry reading is 97%. 43. Which drug should be administered first? Perform immediate unsynchronized cardioversion. Give an immediate synchronized shock. IV/IO access is not available. 3. Which of the following actions is recommended? The rhythm is asystole. 3. Vasopressin can be administered twice during cardiac arrest. . 4. Reentry SVT 9. Blood pressure is 104/70mm Hg. During the resuscitation, she received 2 doses of epinephrine 1 mg and 1 does of amiodarone 300 mg IV. 5. 4. His blood pressure is 180/100mm Hg. What is the most common complication in the first few hours of an acute myocardial infarction? ACLS PreTest, ACLS PreTest: Pharmacology and A 57-year-old woman has palpitations, chest discomfort, and tachycardia. How often should you provide ventilations? Which drug do you anticipate giving to this patient? Atropine 1 mg IV/IO 2. A patient has a rapid irregular wide-complex tachycardia. AHA ACLS Written Test. ACLS Pretest Flashcards | Quizlet. Take our free practice exam and test your knowledge. IV or IO Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? Epinephrine 1 mg or vasopressin 40 units IV or IO. Vasopressin is recommended instead of epinephrine for the treatment of asystole. Your patient is not responsive and is not breathing, You can palpate a carotid pulse. Her blood pressure is 128/70 mm Hg. Administer lidocaine 1mg/kg IV. When questioned, she denies Chest discomfort or Shortness of breath. Administer sedation and begin immediate transcutaneous pacing at 80/min. Immediate management Of this patient should include: 31. The cardiac monitor shows a narrow-CRS tachycardia without visible P waves. The cardiac monitor reveals the following rhythm. At least 2.5 inches Give amiodarone 300 mg IV. Pulseless ventricular tachycardia-associated torsades de pointes. The patient is confused, and her blood pressure is 88/56 mm Hg. Repeat adenosine 3 mg IV. 2. When they arrived at the patients home, the patient was complaining of a severe chest pain. 1. Step-by-Step Training ACLS Interactive Course Guide Accreditation and CEU Information ACLS Quizzes & Scenarios ACLS Megacode Simulator ACLS Practice Tests Ventricular tachycardia associated with a normal QT interval 3. The patient is intubated. Give epinephrine 1 mg IV/IO Atropine has been administered to a toal does of 3 mg. A transcutaneous pacemaker has failed to capture. You are uncertain if a faint pulse is present. (c) How much energy is released by the combustion of 1.00 mol of C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18 ? 3. 50 to 60 compressions per minute Which intervention is most appropriate for the treatment of a patient in asystole? Which medication do you order next. 2. What is recommended depth of chest compressions for an adult victim? Your patient is a 68-year-old with severe COPD. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. A 56-year-old woman is complaining Of palpitations. 50 terms. Start dopamine at 10 to 20 mcg/kg per minute. Take up the test below and see how much you understand ACLS Medications in preparation for your exam. She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. Atropine 1 mg Which of the following should be done at this time? Lidocaine 1 to 1.5 mg IV; star infusion. Atropine 0.5 mg IV or IO. A 35-year old woman has palpitations, lightheadedness, and a stable tachycardia. Ventricular fibrillation has been refractory to a second shock. Temporary pacing. She is pale and diaphoretic. 1. 2ND Degree Type II (Mobitz) 8. 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. c. The rate should be set between 60 and 80; the current should be increased slowly until capture achieved. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The first antiarrhythmic administered in the management Of the patient in pulseless ventricular tachycardia or ventricular fibrillation is: 11. A code is in progress and he has recurrent episodes of this rhythm. Full ACLS access starting at $19.95. 1. A 65-year-old woman is found unresponsive and not breathing. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. High-quality chest compressions are being given. The maximum length of time for a suctioning attempt is: 45. The cardiac monitor shows the following rhythm: 8. She now states she is asymptomatic after walking around. She is receiving oxygen at 4L/min by nasal cannula, and an Iv has been established. 2. A patient becomes unresponsive. Get immediate feedback while you prepare for your exam. Administer adenosine 6 mg; seek expert consultation. How do insects contribute beneficially to agriculture? Sedate and perform synchronized cardioversion. 1. Asystole now The monitor shows a regular narrow-complex QRS at a rate of 180/min. You can palpate a carotid pulse. Epinephrine 1 mg IV Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. Amiodarone 300 mg Good luck! Match each description on the left with the appropriate term on the right. You review his chart. Which of the following statements about the use of magnesium in cardiac arrest is most accurate? Q5. Begin ventilating with a bag-valve-mask, d. Insert an endotracheal tube, Cornbitube. His monitored rhythm becomes irregular as seen above. A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. Blood pressure greater than 180 mm Hg. This rhythm is ventricular fibrillation, a shockable rhythm, b. This ACLS pretest offers a comprehensive set of practice exam questions and answers to help you prepare for your upcoming ACLS exam. She has no other symptoms. Begin transcutaneous pacing. What is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients who achieve ROSC? A quick glance at the cardiac monitor reveals the rhythm below. Dopamine at 2 to 10 mcg/kg per minute. What would you order for his next medication? 3. 2. Atropine has been administered to a total of 3 mg. A transcutaneous pacemaker has failed to capture. High-quality CPR is in progress. The use of lower energy levels (10 to 25 joules), c. Giving calcium chloride before each defibrillation attempt, d. The delivery of shocks in sets of three when a shock is indicated, a. Have a team member attempt to palpate a carotid pulse. The correct dose of vasopressin is 40 units administered by IV or IO. PALS Prehospital. Cause significant peripheral vasoconstriction, b. Neutralize acid accumulated during cardiac arrest, c. Slow conduction through the atrioventricular node, d. Cause profound peripheral vasodilation, a. What is the recommended initial intervention for managing hypotension in the immediate period after return of spontaneous circulation (ROSC)? You are working in the radiology department as a registered nurse. Sublingual nitroglycerin 0.4 mg. Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. The physiologic reason for ventricular filling time, which frequently this is that increases in heart rate result in results in stroke volume. Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator) 1. What is the recommended duration of therapeutic hypothermia after reaching the target temperature? Resume high-quality chest compressions. 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). He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain si ordered. 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. A 62-year-old man suddenly experienced difficulty speaking and left-side weakness. 2. May help in the delivery Of adequate ventilation With a device by preventing the tongue from blocking the airway, b. 1. Improving patient outcomes by identifying and treating early clinical deterioration. Shock-refractory monomorphic ventricular tachycardia 5. Check the carotid pulse. Which drug should be administered first? 1. A patient's 12-lead ECG was transmitted by the paramedics and showed an acute MI. Start dopamine at 2 mcg/kg per minute and titrate to a systolic blood pressure reading of 100 mm Hg. 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. 3. 38. 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. If no pathway for medication administration is in place, which method is preferred? Give aspirin 160 mg and clopidogrel 75 mg orally 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. The heart rate is less than 60/min with or without symptoms. What would be your next order? A 46-year-old woman is found unresponsive, not breathing, and pulseless. High-quality CPR is in progress, and shocks have been given. . Start epinephrine 2 to 10 mcg/min and titrate to patient response. 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. Adenosine 12 mg IV slow push (over 1 to 2 minutes)Metoprolol 5 mg IV and repeat if necessary When you arrive at the patients side, you confirm that she is unresponsive. Acls pretest answers 2021 quizlet - Study with Quizlet and memorize flashcards containing terms like 3 AV block p and qrs completely separate, Pulseless. Consider sedation and perform synchronized cardioversion with 100 joules, b. Seeking expert consultation. 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. 1. Transcutaneous pacing, What is the recommended depth of chest compressions for an adult victim? Rapid heart rates may produce serious signs and symptoms. Pain described as a 8/10 and unrelieved after 3 doses of nitroglycerin. 4. External jugular vein Administer amiodarone 300 mg. 2. Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac arrest. 4. The patient responds to a painful stimulus but does not respond to verbal stimuli. 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. A 57-year-old woman has palpitations, chest discomfort, and tachycardia. Chest compressions should be interrupted for 2 to 3 minutes to start an IV and insert an advanced airway, b. 5. Obtain a 12-lead ECG The two small spheres of mass m each are connected by the light rigid rod which lies in the x-z plane. 3. 2. Repeat amiodarone 300 mg IV. Get ACLS recertification online, BLS renewal, and PALS recert online. Resume chest compressions He reports no other symptoms but appears anxious. 3. Recommended 1st IV dose of amiodarone for a patient with refractory ventricular fibrillation? 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. . His pulse is weak and fast. Sample ACLS tests. When a shockable rhythm is present during cardiac arrest and a biphasic manual defibrillator is available, the initial energy level selected should be: 23. How often should you provide ventilation? The patients baseline temperature should be obtained and warming measures should be started until the patients temperature reaches 1010 F, b. Which action do you take next? She has no chest discomfort, shortness of breath, or light-headedness. 4. ACLS Practice Quiz Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. 1. 1. 150 mg IV push. Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. What is your next action? Give atropine 0.5 mg IV 1. 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. What is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? 3. Prepare to deliver a second shock A patient with possible STEMI has ongoing chest discomfort. Acls test quizlet - Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, Reentry supraventricular tachycardia, Second-degree AV . There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. Perform endotracheal intubation. An endotracheal dose of 2 to 4 mg/kg. Start an IV A third shock has just been administered. 1. Stimulates alpha, beta-1 , and beta-2 receptors, b. b. PEA Administer sublingual nitroglycerin 0.4 mg. (d) How many grams and how many moles of octane must be burned to release 1.90 103\times 10^3103 kJ? A patient has a rapid irregular wide-complex tachycardia. 4. 3. Establish and IV and give vasopressin 40 units. Patient is diaphoretic, with associated shortness of breath. Initiate epinephrine at 2 to 10 mcg/kg per minute. What is the proper order of the BLS Chain of Survival . Administer epinephrine 1 mg. Atropine 0.5 mg IV The correct dose of vasopressin is 40 units administered by IV or IO. Return Practice Test Library. Give 75 mg enteric-coated aspirin orally. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. 1. Bag-mask ventilations are producing visible chest rise, and IV access has been established, Which intervention would be your next action? After verifying unresponsiveness and abnormal breathing, you activate emergency response team. 4. Perform endotracheal intubation. Polymorphic Ventricular Tachycardia 7. Start an IV and give epinephrine 1 mg IV. 4. Paramedics arrive in the emergency department with a 40-year-old man. Establish IV access. The rhythm abnormality is becoming more frequent and increasing in number. What is the next action after establishing an IV and obtaining a 12-lead ECG? About every 4 minutes Bag-mask ventilations are producing visible chest rise, high-quality CPR is in progress, and an IV has been established. An antiarrhythmic drug was given immediately after the third shock. One of the best ways to prepare for your ACLS exam, whether you'll be taking the initial certification exam . Oxygen has been applied, an IV has been started, and the cardiac monitor reveals the rhythm below. A patient is in cardiac arrest. Perform vagal maneuvers and repeat adenosine 6 mg IV. Lidocaine 1 mg/kg IV and infusion 2 mg/min. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. ACLS Pretest. Take our BLS pretest. 1. 3. Comfy says. planes, (b) the principal stresses. They rhythm shown here is seen on the cardiac monitor. Learn PALS. Cardiac monitoring, supplementary oxygen, and an IV have been initiated. A patient is in cardiac arrest. About every 8-10 seconds A rhythm check now finds asystole. The cardiac monitor documents the rhythm below. A repeat dose of epinephrine 1 mg IV. Perform vagal maneuvers 4. Give an immediate unsynchronized high-energy shock (defibrillation dose). Give normal saline 250 mL to 500 mL fluid bolus. Which action should you take immediately after providing an AED shock? 2. The rate should be Set between 40 and 100; the current should increased rapidly to a maximum Of 160 milliamps. A 57-year-old woman has palpitation, chest discomfort, and tachycardia. His wife tells you that they were talking and he suddenly got a funny look on his face and collapsed. An AED has previousy advised "no shock indicated." Dopamine at 2 to 10 mcg/kg per minute February 17, 2023 at 6:10 am. For that we provide aha written exam 2023 real test. Which is the next drug/dose to anticipate to administer? A. Epinephrine .5 mg Q 3-5 minutes B. Epinephrine 1 mg Q 3-5 minutes C. Lidocaine 1-1.5 mg/KG 2. AHA ACLS Practice Test. Next you would: She has received adenosine 6 mg IV for the rhythm shown above without conversion of the rhythm. High quality CPR is in progress by a Basic Life Support crew. A patient has a rapid irregular wide-complex tachycardia. Her blood pressure is 120/78 mm Hg. ACLS PreTest: Pharmacology and Practical Application Study with Quizlet and memorize flashcards containing terms like A patient is in refractory ventricular fibrillation. Do not give aspirin for at least 24 hours if rtPA is administered. 14. A patient is in cardiac arrest. He is now unresponsive. 5. Atropine 1 mg IV, total dose 3 mg as needed. What is the next action? Acls Pretest Code 2021 Quizlet. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. 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. Administer heparin if CT scan is negative for hemorrhage. What is your next action? Which of the following factors reduces transthoracic resistance and enhances the chance for successful defibrillation in cardiac arrest? 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 About every 12-14 seconds Giving adenosine 6 mg IV bolus. ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. Endotracheal tube ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. Recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest, Performing a head tilt chin lift maneuver. 4. Her blood pressure si 128/70mm Hg. 3. Her blood pressure is 120/78mm Hg. Apply an AED An antiarrhythmic drug was given immediately after the third shock. Determine the mass moments of inertia of the assembly about the x-, y-, and z- axes.
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