ACLS Pretest 2024 Edition Questions & Correct, Verified Answers. Graded A+, Exams of Pharmacy

Download ACLS Pretest 2024 Edition Questions & Correct, Verified Answers. Graded A+ and more Exams Pharmacy in PDF only on Docsity! ACLS Pretest 2024 Edition Questions & Correct, Verified Answers. Graded A+ 0.5 mg - ANSA patient has sinus bradycardia with a heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine? 1 to 2 L of normal saline - ANSA patient has been resuscitated from cardiac arrest and is being prepared for transport. She is intubated and is receiving 100% oxygen. Blood pressure is 80/60 mm Hg. During the resuscitation, she received 2 doses of epinephrine 1 mg and 1 dose of aminodarone 300 mg IV. You now observe the above rhythm on the cardiac monitor. The rhythm abnormality is becoming more frequent and increasing in number. You should order: 150 mg IV push - ANSA patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amidarone IV. The patient is intubated. A second does of amiodarone is now called for. The recommended second dose of amiodarone is Adenosine 6 mg - ANSA 35-year-old woman has palpitations, light-headiness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been effective in terminated the rhythm. An IV has been established. What drug should be administered IV? Administer adenosine 6 mg; seek expert consultation - ANSYou are monitoring a patient. He suddenly has the above persistent rhythm. You ask about symptoms, and he reports that he has mild palpitations, but otherwise he is clinically stable with unchanged vital signs. What is your next action? Administer epinephrine 1 mg. - ANSYou are the code team leader and arrive to find a patient with the above rhythm and CPR in progress. Team members report that the patient was well but reported chest pain and then 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. What would be your next order? Agonal rhythm/asystole - ANSPlease identify the rhythm by selecting the best single answer. Amiodarone 300 mg - ANSA patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which is the next drug/dose to anticipate administering? Atrial Fibrillation - ANSPlease identify the rhythm by selecting the best single answer. Atrial Flutter - ANSPlease identify the rhythm by selecting the best single answer. Atropine 0.5 mg IV - ANSYou arrive on the scene to find a 56-year-old diabetic woman with dizziness. She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg. The cardiac monitor documents the rhythm above. She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. Your next order is: Begin CPR, starting with high-quality chest compressions. - ANSA patient becomes unresponsive. You are uncertain if a faint pulse is present with the above rhythm. What is your next action? Chest pain or shortness of breath is present - ANSBradycardia requires treatment when: Continue monitoring and seek expert consultation. - ANSA patient presents with the above rhythm and reports an irregular heartbeat. She has no other symptoms. Her medical history is significant for a myocardial infarction 7 years ago. Blood pressure is 110/70 mm Hg. What would you do at this time Continue monitoring the patient and seek expert consultation. - ANSYou are evaluating a patient with chest discomfort lasting 15 minutes during transportation to the emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. He reports no other symptoms but appears anxious. Blood pressure is 130/70 mg Hg. You observe the above rhythm on the monitor. What is your next action? Course Ventricular Fibrillation - ANSPlease identify the rhythm by selecting the best single answer. Course Ventricular Fibrillation - ANSPlease identify the rhythm by selecting the best single answer. Do not give aspirin for at least 24 hours if rtPA is administered - ANSA 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. He was brought to the emergency department. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. What are the guidelines for antiplatelet and fibrinolytic therapy? Epinephrine 1 mg - ANSA patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Of the following, which drug and dose should be administered first by the IV/IO route? Epinephrine 1 mg or vasopressin 40 units IV or IO - ANSA patient is in cardiac arrest. High-quality chest compressions are being given. The patient is intubated, and an IV has been started. The rhythm is asystole. Which is the first drug/dose to administer? Reentry supraventricular tachycardia - ANSPlease identify the rhythm by selecting the best single answer. Reentry supraventricular tachycardia - ANSPlease identify the rhythm by selecting the best single answer. Repeat adenosine 12 mg IV. - ANSA 45-year-old woman with a history of palpitations develops light-headedness 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 mm Hg. What is the next appropriate intervention? Reperfusion therapy - ANSA patient's 12-lead ECG was transmitted by the paramedics and showed an acute MI. The above findings are seen on a rhythm strip when a monitor is placed in the emergency department. The patient had resolution of moderate (5/10) chest pain with 3 does of sublingual nitroglycerin. Blood pressure is 104/70 mm Hg. Which intervention below is most important, reducing in-hospital and 30-day mortality? Resume high-quality chest compressions. - ANSA patient was in refractory ventricular fibrillation. A shock has just been administered. Your team looks to you for instructions. Your immediate next order is: Second dose of epinephrine 1 mg - ANSA patient is in refractory ventricular fibrillation. High-quality CPR is in progress, and shocks have been given. One dose of epinephrine was given after the second shock. An antiarrhythmic drug was given immediately after the third shock. What drug should the team leader request to be prepared for administration next? Second-degree AV block (Mobitz I Wenchebach) - ANSPlease identify the rhythm by selecting the best single answer. Second-degree AV block (Mobitz II block) - ANSPlease identify the rhythm by selecting the best single answer. Second-degree AV block (Mobitz II block) - ANSPlease identify the rhythm by selecting the best single answer. Seek expert consultation - ANSFollowing resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. Your patient is stable, and blood pressure is 120/80 mg Hg. She is apprehensive but has no symptoms other than palpitations. At this time you would? Seeking expert consultation - ANSA patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a history of angina. Which of the following actions is recommended? Sinus Bradycardia - ANSPlease identify the rhythm by selecting the best single answer. Sinus Bradycardia - ANSPlease identify the rhythm by selecting the best single answer. Sinus Tachycardia - ANSPlease identify the rhythm by selecting the best single answer. Start epinephrine 2 to 10 mcg/min - ANSA patient has sinus bradycardia with a heart rate of 36/min. Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused, and her blood pressure is 100/60 mm Hg. Which of the following is now indicated? Sublingual nitroglycerin 0.4 mg - ANSA patient in the emergency department 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 IV line is in place. Blood pressure is 160/96 mm Hg. There are no allergies or contraindications to any medication. You would first order: The correct dose of vasopressin is 40 units administered IV or IO. - ANSWhich of the following statements is most accurate regarding the administration of vasopressin during cardiac arrest? Third-Degree AV block - ANSPlease identify the rhythm by selecting the best single answer. Use of phosphodiesterase inhibitor within 12 hours. - ANSA patient with possible ST- segment elevation MI has ongoing chest discomfort. Which of the following would be a contraindication to the administration of nitrates?