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ACLS PRACTICE QUESTIONS WITH 100% ACCURATE ANSWERS
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Rate of chest compressions for adults - Accurate answers 100-120 compressions per minute Ratio of compressions to breaths in adults - Accurate answers 30: Rate of bag valve mask ventilation for adults in respiratory arrest - Accurate answers Once every 5- 6 seconds or 10-12 times per minute Treatments for hypotension following cardiac arrest - Accurate answers IV dopamine infusion, IV epinephrine infusion IV Ringer's lactate, IV normal saline The leader in team resuscitation must be able to perform all the skills if needed. - Accurate answers Recommended ED door-to-balloon inflation time for a STEMI patient - Accurate answers No longer than 90 minutes Ways to estimate effectiveness of CPR - Accurate answers Arterial diastolic blood pressure, quantitative waveform capnography, central venous oxygen saturation Best drug used for narrow complex supraventricular tachycardia - Accurate answers Adenosine Drug used for pulseless electrical activity - Accurate answers Epinephrine Sequence of basic life support - Accurate answers Compressions, airway, breathing (CAB) Initial dose of adenosine for treatment of supraventricular tachycardia - Accurate answers 6 mg IV Heart rate at which tachycardia usually becomes symptomatic - Accurate answers 150 bpm Longest duration for pulse check - Accurate answers 10 seconds Recommended initial dosage of atropine for symptomatic bradycardia - Accurate answers 0.5 mg IV Recommended dose of oxygen during CPR - Accurate answers 100% Goal for initiation of fibrinolytic therapy in stroke patients - Accurate answers Within 1 hour of ED arrival
Common reversible causes of cardiac arrest ("H's and T's") - Accurate answers Hypotension, hypoxia, hypothermia, hydrogen ions (acidosis), hypo-/hyperkalemia Tension pneumothorax, tamponade, thrombosis (coronary), thrombosis (pulmonary), toxins Best option for treatment of STEMI diagnosed in ambulance via 12-lead ECG - Accurate answers Transport to PCI-capable hospital Components of Cincinnati Prehospital Stroke Scale (CPSS) - Accurate answers Facial droop, arm drift, speech abnormality Asystole should be treated with all of the following EXCEPT: CPR Ventilations Defibrillation Epinephrine - Accurate answers Asystole should be treated with all of the following EXCEPT: CPR Ventilations Defibrillation Epinephrine Appropriate response to an AED that is having problems analyzing rhythm - Accurate answers Continue chest compressions Which of the following is treated with synchronized shocks? Unstable atrial fibrillation Sinus tachycardia VT without a pulse VF - Accurate answers Which of the following is treated with synchronized shocks? Unstable atrial fibrillation Sinus tachycardia VT without a pulse VF Dose for procainamide - Accurate answers 20-50 mg/min Drug that should be given to all acute coronary syndrome (ACS) patients - Accurate answers Aspirin Concentration of maintenance amiodarone drip - Accurate answers 900 mg amiodarone in 500 mL D5W (1.8 mg/mL) EMS dispatchers who recognize ACS symptoms should instruct patients to: - Accurate answers Take aspirin
Nitroglycerin - Accurate answers Which of the following is not a recommended agent to be administered to patients under evaluation for ACS? Morphine Epinephrine Aspirin Nitroglycerin Standard treatment procedure for patients with STEMI - Accurate answers Reperfusion therapy Rhythm disorder with a heart rate less than 60 bpm - Accurate answers Bradycardia Which of the following is an adverse sign of bradycardia? Congestive heart failure Hypertension Chest pain Impaired speech - Accurate answers Which of the following is an adverse sign of bradycardia? Congestive heart failure Hypertension Chest pain Impaired speech Indications for transcutaneous pacing (TCP) - Accurate answers Standby pacing, bradycardia with escape rhythms, hemodynamically significant bradyarrhythmia Rhythm disorder with a heart rate greater than 100 bpm - Accurate answers Tachyarrythmia Which of the following is a recommended agent to be administered to patients under evaluation for unstable tachycardia? No agents are recommended Morphine Oxygen Aspirin - Accurate answers Which of the following is a recommended agent to be administered to patients under evaluation for unstable tachycardia? No agents are recommended Morphine Oxygen Aspirin Symptoms of unstable tachycardia - Accurate answers Shortness of breath, altered mental status, fatigue 8 D's of stroke care - Accurate answers Detection, dispatch, delivery, door, data, decision, drug/device, disposition
Percentage of strokes that are caused by occlusion of an artery to a region of brain (ischemic) - Accurate answers 85% Warning signs and symptoms of stroke - Accurate answers Trouble speaking, dizziness, sudden severe headache, sudden confusion Treatment for bradycardia due to acetylcholine - Accurate answers Atropine Adverse effects of excess use of sodium bicarbonate during CPR - Accurate answers Hyperosmolarity, hypernatremia, cerebral vasoconstriction Thrombolytic door-to-drug administration time in a patient with acute MI - Accurate answers Within 30 minutes Primary goal in initial resuscitation of a cardiac arrest - Accurate answers Brain perfusion