ACLS Exam A -with 100% verified solutions 2024-2025-tutor verified.docx, Exams of Nursing

Download ACLS Exam A -with 100% verified solutions 2024-2025-tutor verified.docx and more Exams Nursing in PDF only on Docsity! ACLS Exam A -with 100% verified solutions 2024-2025- tutor verified 1. Which of these tests should be performed for a patient with suspected stroke as soon as possible but no more than 20 minutes after hospital arrival? Noncontrast CT scan of the head 2. Which best describes this rhythm? Monomorphic ventricular tachycardia 3. Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? Measure from the corner of the mouth to the angle of the mandible You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment approach is best for this patient? Give fibrinolytic therapy as soon as possible and consider endovascular therapy 5. Which is the recommended next step after a defibrillation attempt? Resume CPR, starting with chest compressions 6. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? Agonal gasps 7. You are evaluating a 58-year-old man with chest discomfort. His blood pressure is 92/50 mm Hg, his heart rate is 92/min, his nonlabored respiratory rate is 14 breaths per minute, and his pulse oximetry reading is 97%. Which assessment step is most important now? Obtaining a 12-lead ECG 8. During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range? At least 24 hours 9. Which type of atrioventricular block best describes this rhythm? Second-degree atrioventricular block type I 10. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is unresponsive. Which is the next step in your assessment and management of this patient? Check the patient's breathing and pulse Use this scenario to answer the next 6 questions: A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths per minute, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. 11. On the basis of this patient's initial presentation, which condition do you suspect led to the cardiac arrest? Acute coronary syndrome 12. In addition to defibrillation, which intervention should be performed immediately? 26. Which is the primary purpose of a medical emergency team or rapid response team? Improving patient outcomes by identifying and treating early clinical deterioration We have an expert-written solution to this problem! 27. A patient is being resuscitated in a very noisy environment. A team member thinks he heard an order for 500 mg of amiodarone IV. Which is the best response from the team member? "I have an order to give 500 mg of amiodarone IV. Is this correct?" 28. Which is the recommended oral dose of aspirin for a patient with a suspected acute coronary syndrome? 162 to 325 mg 29. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm shown here, (3rd degree rythym (PEA)) and the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place. Which do you do next? Give epinephrine 1 mg IV What is the minimum systolic blood pressure one should attempt to achieve with fluid administration or vasoactive agents in a hypotensive post-cardiac arrest patient who achieves return of spontaneous circulation? 90mmHg 31. What should be the primary focus of the CPR Coach on a resuscitation team? To ensure high-quality CPR Use this scenario to answer the next 4 questions: A 68-year-old woman presents with light-headedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but appearing ill, pale, and grossly diaphoretic. Her radial pulse is weak, thready, and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rales present bilaterally. The cardiac monitor shows the rhythm seen here. (V-tach with a pulse) 32. On the basis of this patient's initial assessment, which ACLS algorithm should you follow? Adult Tachycardia With a Pulse 33. The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take? Give oxygen 34. After your initial assessment of this patient, which intervention should be performed next? Synchronized cardioversion 35. If the patient became apneic and pulseless but the rhythm remained the same, which would take the highest priority? Perform defibrillation 36. You instruct a team member to give 1 mg atropine IV. Which response is an example of closed-loop communication? "I'll draw up 1 mg of atropine." 37. Which best describes an action taken by the Team Leader to avoid inefficiencies during a resuscitation attempt? Clearly delegate tasks 38. What is an effect of excessive ventilation? Decreased cardiac output 39. Which best describes the length of time it should take to perform a pulse check during the BLS Assessment? 5 to 10 seconds 40. Which is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? 300 mg 41. Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved return of spontaneous circulation in the field? Coronary reperfusion-capable medical center