Test Prep Test Prep Certifications ACLS Questions & Answers

• Question 91:

  SIMULATION

  The patient has been in the following rhythm for 2? minutes. Treatment?

  

  A. CPR, epinephrine, atropine, consider transcutaneous pacemaker. (The rhythm above shows asystole.)

  Correct Answer: A

• Question 92:

  SIMULATION

  A patient in the CCU complains of sudden dizziness, nausea, vomiting, Difficulty breathing. Exam reveals rates throughout both lung fields, BP is 80/50, and respirations are 40/min. The monitor shows the following rhythm. Treatment?

  

  A. IV access, O2, monitor, IV sedation followed by synchronized cardioversion at 100 J. (The rhythm above shows paroxysmal supraventricular tachycardia.)

  Correct Answer: A

• Question 93:

  SIMULATION

  An 80-year-old complains of chest pain that began 1 hour ago. The patient is pale and diaphoretic. BP is 80/50 and respiratory rate is 24. The monitor shows the following rhythm. Treatment?

  

  A. Consider sedation and synchronized countershock with 100 J. (The rhythm above is ventricular tachycardia.)

  Correct Answer: A

• Question 94:

  SIMULATION

  A patient complains of nausea, weakness, and shortness of breath. The patient is cool and clammy. BP is 70/50, pulse is 30, respirations 28. The monitor shows the following rhythm. What is the order of treatment?

  

  A. O2, atropine, external pacemaker, dopamine, epinephrine, transvenous pacemaker (The rhythm above is third-degree AV block.)

  Correct Answer: A

• Question 95:

  SIMULATION

  The patient is pulseless and apneic with the following rhythm. Bag-mask ventilations and chest compressions are begun. Treatment?

  

  A. CPR, intubate, and administer epinephrine. (The rhythm above reveals pulseless electrical activity or PEA.)

  Correct Answer: A

• Question 96:

  SIMULATION

  A patient is apneic and pulseless. The following is the presenting rhythm. Treatment?

  

  A. Defibrillate with 200 J, 200?00 J, then 360 J (checking pulse and rhythm after each defibrillation), intubate, IV access. If spontaneous rhythm and pulse are not restored, begin CPR and give epinephrine 1 mg IV push. (The rhythm above shows ventricular fibrillation.)

  Correct Answer: A

• Question 97:

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  A 5-year-old child is evaluated by paramedics for "difficulty breathing." Paramedics find the child is not breathing, is pulseless, and apneic. The monitor shows a bradyarrhythmia at 30 beats/min. What should be the first intervention?

  A. Check the airway.

  Correct Answer: A

• Question 98:

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  During cardiac arrest from pulseless electrical activity, the exam reveals distended neck veins. How should cardiac tamponade be ruled out?

  A. Pericardiocentesis

  Correct Answer: A

• Question 99:

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  Potentially treatable causes of asystole include:

  A. hypoxia, acidosis, hyperkalemia, and tension pneumothorax

  Correct Answer: A

• Question 100:

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  Following successful resuscitation from ventricular fibrillation, patients should be treated with:

  A. oxygen, lidocaine

  Correct Answer: A