Test Prep Test Prep Certifications ACLS Questions & Answers

• Question 241:

  T/F: Hypothermia reduces the effect of most drugs.

  A. False

  B. True

  Correct Answer: B

• Question 242:

  T/F: In a hypothermic patient, endotracheal intubation should be withheld as it may precipitate cardiac arrest.

  A. True

  B. False

  Correct Answer: B

• Question 243:

  

  A patient was in refractory ventricular fibrillation. A third shock has just been administered. Your team looks at you for instruction. Your immediate next order is:

  A. Give atropine 1 mg IV

  B. Resume high-quality chest compressions

  C. Give amiodarone 300 mg IV

  D. Perform endotracheal intubation

  E. Give epinephrine 1 mg IV

  Correct Answer: B

• Question 244:

  T/F: During cardiac arrest, sodium bicarbonate should be administered every 5 minutes to prevent metabolic acidosis.

  A. True

  B. False

  Correct Answer: B

• Question 245:

  

  A patient presents with the above rhythm complaining of an irregular heartbeat. She has no other complaints. Past medical history is significant for a myocardial infarction 7 years ago. Blood pressure is 110/70 mmHg. At this time you would

  A. Continue monitoring and seek expert consultation

  B. Administer nitroglycerin 0.4 mg sublingual or spray

  C. Perform emergency synchronized cardioversion

  D. Administer lidocaine 1 mo/kg IV E. Perform elective synchronized cardioversion with presedation

  Correct Answer: A

• Question 246:

  

  You arrive on-scene to find CPR in progress. Nursing staff report that the patient was recovering from a pulmonary embolism and suddenly collapsed. There is no pulse or spontaneous respirations. High-quality CPR is in progress, and effective ventilation is being provided with bag-mask. An IV has been initiated. You would now

  A. Initiate transcutaneous pacing

  B. Give epinephrine 1.0 mg IV

  C. Order immediate endotracheal intubation

  D. Give atropine 0.5 mg IV

  E. Give atropine 1 mg IV

  Correct Answer: B

• Question 247:

  T/F: Nitroglycerin may be harmful to patients on digitalis.

  A. True

  B. False

  Correct Answer: B

• Question 248:

  

  A 45-year-old woman with a history of palpitations develops lightheadedness and palpitations. She has received adenosine 6 mg IV for the rhythm shown above without conversion of the rhythm. She is now extremely apprehensive. Blood pressure is 108/70 mmHg. The next appropriate intervention is

  A. Perform vagal maneuvers and repeat adenosine 6 mg IV

  B. Perform immediate unsynchronized cardioversion

  C. Repeat adenosine 12 mg IV

  D. Repeat adenosine 3 mg IV

  E. Sedate and perform synchronized cardioversion

  Correct Answer: C

• Question 249:

  

  You arrive on-scene and find a 56-year-old diabetic woman complaining of chest discomfort. She is pale and diaphoretic, complaining of lightheadedness. Her blood pressure is 80/60 mmHg. The cardiac monitor documents the rhythm above. She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. Transcutaneous pacing has been requested but is not yet available. Your next order is

  A. Give morphine sulfate 4 mg IV

  B. Start dopamine at 2 to 10 ug/kg per minute

  C. Give atropine 0.5 mg IV

  D. Give atropine 1 mg IV

  E. Give nitroglycerin 0.4 mg SL

  Correct Answer: C

• Question 250:

  

  A patient in the ED develops recurrent chest discomfort (8/10) suspicious for ischemia. His monitored rhythm becomes irregular as seen above. Oxygen is being administered by nasal cannula at 4 L/min and an intravenous line is patent. Blood pressure is 160/96 mmHg. There are no allergies or contraindications to any medication. You would first order

  A. Lidocaine 1 mg/kg IV and infusion 2 mg/min

  B. Morphine sulfate 2 to 4 mg IV

  C. Nitroglycerin 0.4 mg SL

  D. Amiodarone 150 mg IV

  E. Intravenous nitroglycerin initiated at 10 ug/min and titrated

  Correct Answer: C