ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025), Exams of Nursing

Download ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025) and more Exams Nursing in PDF only on Docsity! ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025) A pt with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and heparin infusion of 1000 units/hr are being administered. The pt did not take ASA because he has a hx of gastritis, which was tx 5 years ago. What is the next action? A. Give ASA 160 to 325 mg to chew B. Give clopidogrel 300 mg PO C. Give enteric-coated ASA 75 mg PO D. Give enteric-coated ASA 325 mg rectally - Correct Answer ✅A. Give ASA 160 to 325 mg to chew A pt is in pulseless ventricular tachycardia. 2 shocks and 1 dose of epinephrine have been given. Which drug should be given next? A. Adenosine 6 mg B. Amiodarone 300 mg C. Epinephrine 3 mg D. Lidocaine 0.5 mg/kg - Correct Answer ✅B. Amiodarone 300 mg ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025) A pt is in cardiac arrest. V fib has been refractory to an initial shock. If no pathway for medication administration is in place, which method is preferred A. Central line B. Endotracheal tube C. External Jugular vein D. IV or IO - Correct Answer ✅D. IV or IO What is the indicatio for the use of Mg in cardiac arrest? A. V tach associated with a normal QT interval B. shock-refractory monomorphic v tach C. Pulseless v tach-associated torsades de pointes D. shock-refractory v fib - Correct Answer ✅C. Pulseless v tach-associated torsades de pointes ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025) A monitored pt in the ICU developed a sudden onset of narrow-complex tachycardia at 220/min. The pt BP is 128/58. The PETCO2 is 38 mm Hg, and the puse Ox is 98%. There is a vascular access in the L arm, and the pt has not been given any vasoactive drugs. An ECG confirms supraventricular tachycardia with no evidence of ischemia or infarction. The HR has not responsed to vagal maneuvers. What is the next action? A. Administer adenosine 6 mg IV push B. Administer amiodarone 300 mg IV push C. perform synchronized cardioversion at 50 J D. perform synchronized cardioversion at 200 J - Correct Answer ✅A. Administer adenosine 6 mg IV push A pt has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min. He is asx with a BP of 110/70. PMHx of angina. What action is recommended next? A. Give adenosine 6 mg IV bolus B. Give lidocaine 1 to 1.5 mg IV bolus C. performing synchronized cardioversion ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025) D. Seeking expert consultation - Correct Answer ✅D. Seeking expert consultation at 61yoM suddenly experienced difficulty speaking and L sided weakness. HE meet initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best describes the guidelines for anti-platelet and fibrinolytic therapy? A. give ASA 160-325 to be chewed immediately B. give ASA 160 mg and clopidogrel 75 mg orally C. Give heparin if the CT scan is negative for hemorrhage D. Hold ASA for at least 24 hours if rtPA is administered - Correct Answer ✅D. Hold ASA for at least 24 hours if rtPA is administered Which intervention is most appropriate for the tx of a pt in asystole? A. atropine B. defibrillation C. epinephrine ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025) D. transcutaneous pacing - Correct Answer ✅C. epinephrine you are caring for a 66 yo M with hx of a large ICH 2 months ago. He is being evaluated for another acute stroke. The CT scan is neg. for hemorrhage. The pt is getting O2 via nasal cannula at 2 L/min and has an IV. His BP is 180/100. Which drug do you anticipate giving the pt? A. ASA B. glucose C. nicardipine D. rtPA - Correct Answer ✅A. ASA Pt in refractory v fib and has gotten multiple debribillations, epinephrine 1 mg IV x 2 and amiodarone 300 mg IV x 1. Pt is intubated. Which best describes the recommended 2nd dose of amiodarone? A. 1 mg/kg IV push B. 1 to 2 mg/min infusion C. 150 mg IV push ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025) When does bradycardia need tx? A. 12-lead ECG with NSR B. hypotension C. DBP > 90 D. SBP > 100 - Correct Answer ✅B. hypotension PT has sinus brady with HR 36. Atropine administered to a total dose of 3 mg. A trancutaneous pacemaker has failed to capture. Pt is confused and BP is 88/56. What therapy is now indicated? A. atropine 1 mg B. epinephrine 2 t0 10 mcg/min C. adenosine 6 mg D. NS 250 mL to 500 mL bolus - Correct Answer ✅B. epinephrine 2 t0 10 mcg/min What is the recommended depth of chest compressions for an adult victim? ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025) A. at least 1.5 inches B. at least 2 inches C. at least 2.5 inches D. at least 3 inches - Correct Answer ✅B. at least 2 inches Your patient is not responsive and is not breathing. You can palpate the carotid pulse. Which action do you take next? A. apply and AED B. Obtain a 12-lead ECG C. Start an IV D. Start rescue breathing - Correct Answer ✅D. Start rescue breathing How often should you switch chest compressions to avoid fatigue? A. about every 2 minutes B. about every 3 minutes C. about every 4 minutes ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025) D. about every 5 minutes - Correct Answer ✅ How does complete chest recoil contribute to effective CPR? A. Allows maximum blood return to the heart B. Reduces rescuer fatigue C. Reduces the risk of rib fractures D. increases the rate of chest compressions - Correct Answer ✅A. Allows maximum blood return to the heart EKG shows STEMI. When pt arrives to ED, the pt has resolution of moderate (5/10) chest pain after 3 doses of Nitro SL. BP is 104/70. Which intervention is most important in reducing this pt's in-hospital day mortality rate? A. application of transcutaneous pacemaker B. Atropine administration C. Nitro D. Reperfusion therapy - Correct Answer ✅D. Reperfusion therapy ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025) You arrive to find a pt with CPR in progress. On next rhythm check you see NSR. Team members tell you that the pt was well but reported chest discomfort and then collapsed. She has no pulse or respirations. Bag mask ventilations are producing visible chest rise and IO access has been established. Which intervention would be your next action? A. Atropine 1 mg B. Dopamine at 10 to 20 mcg/kg per min C. Epinephrine 1 mg D. Intubation and administration of 100% O2 - Correct Answer ✅C. Epinephrine 1 mg bag valve mask ventilations are about every ______ seconds? - Correct Answer ✅5 - 6 seconds What action should you take immediately after providing an AED shock? A. Check pulse rate ACLS Recertification Exam Questions WITH VERIFIED SOLUTIONS (2024-2025) B. prepare to deliver a second shock C. Resume chest compressions D. Start rescue breathing - Correct Answer ✅C. Resume chest compressions What is the max interval for pausing chest compressions? A. 10 sec B. 15 sec C. 20 sec D. 25 sec - Correct Answer ✅A. 10 sec What are the 2 shockable rhythms that a defibrillator will work on? - Correct Answer ✅1. ventricular fibrillation 2. pulseless ventricular tachycardia