Test Prep Test Prep Certifications ACLS Questions & Answers

• Question 221:

  T/F: Defibrillation "jump starts" the heart?

  A. False

  B. True

  Correct Answer: A

  Defibrillation actually produces temporary asystole.

• Question 222:

  A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138. He is asymptomatic with a blood pressure of 110/70 mmHg. He has a history of angina. Which of the following actions is pF recommended?

  A. Give adenosine 6 mg IV bolus

  B. Immediate synchronized cardioversion

  C. Give lidocaine 1 to 1.5 mg IV bolus

  D. Seek expert consultation

  Correct Answer: D

• Question 223:

  

  A patient becomes unresponsive and you are uncertain if a faint pulse is present with the above rhythm. You next action is

  A. Start an IV and give epinephrine 1 mg IV

  B. Consider causes for pulseless electrical activity

  C. Start an IV and give atropine 1 mg

  D. Order transcutaneous pacing

  E. Begin CPR with high-quality chest compressions

  Correct Answer: D

• Question 224:

  T/F: A poor result after resuscitation is evidence of negligence.

  A. False

  B. True

  Correct Answer: A

• Question 225:

  

  This patient has been resuscitated from cardiac arrest. During the resuscitation amiodarone 300 mg was administered. The patient developed severe chest discomfort with diaphoresis. He is now unresponsive. What is the next indicated action?

  A. Repeat amiodarone 150 mg IV

  B. Give tidocaine 1 to 1.5 mg/kg IV

  C. Give immediate unsynchronized high-energy shock {defibrillation dosis)

  D. Perform immediate synchronized cardioversion

  E. Repeat amiodarone 300 mg IV

  Correct Answer: C

• Question 226:

  

  You are the code team leader and arrive finding the above rhythm with CPR in progress. Team members

  report that the patient was well but complained of chest pain and collapsed. She has no pulse or respirations. Bag-mask ventilations are producing visible chest rise, high-quality CPR is in progress, and an IV has been established. Your next order would be

  A. Start dopamine at 10 to 20 ug/kg per minute

  B. Administer atropine 1 mg

  C. Administer epinephrine 1 mg

  D. Administer amiodarone 300 mg

  E. Perform endotracheal intubation

  Correct Answer: C

• Question 227:

  

  You are monitoring a patient. Chest discomfort has been relieved with sublingual nitrates and morphine sulfate 4 mg IV. He suddenly has the above persistent rhythm. You ask about symptoms and he reports mild palpitations, but otherwise he is clinically stable with unchanged vital signs. Your next action is:

  A. Give sedation and perform synchronized cardioversion

  B. Administer amiodarone 150 mg over 10 minutes; seek expert consultation

  C. Give immediate synchronized shock

  D. Give immediate unsynchronized shock

  E. Administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes

  Correct Answer: B

• Question 228:

  

  You are monitoring this patient after successful resuscitation. You note the above rhythm on the cardiac monitor and document a rhythm strip for the patient's chart. She has no complaints and blood pressure if 110/70 mmHg.

  Now you would:

  A. Give Atropine 1 mg IV

  B. Give Atropine 0.5 mg IV

  C. Administer sedation and begin immediate transcutaneous pacing at 80 per minute

  D. Start dopamine 2 to 10 ug/kg per minute and titrate heart rate

  E. Prepare for transcutaneous pacing (place pacing pads, do not pace)

  Correct Answer: E

• Question 229:

  

  You are monitoring a patient with chest discomfort who becomes suddenly unresponsive. You observe the following rhythm on the cardiac monitor. A monophasic defibrillator is present. What is your first action?

  A. Give a single shock with 360 J

  B. Incubate the patient and give epinephrine 2 to 4 mg via ET tube

  C. Begin CPR with chest compressions for 2 minutes or about 5 cycles of compressions and ventilations

  D. Establish an IV and give epinephrine 1 mg IV

  E. Give a single shock with 200 J

  Correct Answer: A

• Question 230:

  T/F: Atropine is used to treat ventricular tachycardia.

  A. False

  B. True

  Correct Answer: B