2. Click the card to flip Definition 1 / 45 A) Monitor the patient's PETCO2 Click the card to flip Flashcards Learn Which drug do you anticipate giving to this patient? A patient with a possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerin tablets. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. They rhythm shown here is seen on the cardiac monitor. About every 3 minutes 3. 1. 136 terms. Reentry SVT 5. Next intervention is to, Administer 2 to 4 mg of morphine by slow IV bolus. From across the room, your first impression Of the patient is that she is not moving, you can see no rise and fall of her chest Or abdomen. Amiodarone 150 mg IV bolus; start infusion. 4. Which is the next drug/dose to anticipate to administer? A 57-year-old woman has palpitations, chest discomfort, and tachycardia. You see an organized, nonshockable rhythm on the ECG monitor. You now observe this rhythm on the cardiac monitor. Atropine 1 mg IV, total dose 3 mg as needed. Perform vagal maneuvers. Level Of responsiveness, airway, breathing, circulation, defibrillation if necessary, c. Temperature, pulse, respiration, blood pressure, d. Oxygen, IV fluid challenge, vital signs, level Of responsiveness, a. 4. A patient is in refractory ventricular fibrillation. Begin CPR, starting with high-quality chest compressions. For the given state of stress, determine (a) the principal What is the most common complication in the first few hours of an acute myocardial infarction? The Advanced Cardiovascular Life Support (ACLS) Precourse Self-Assessment is an online tool that evaluates a student's knowledge before the course to determine their proficiency and identify any need for additional review and practice in 3 sections: rhythm recognition, pharmacology, and practical application. Start epinephrine 2 to 10 mcg/min. Delivering the largest breath you can, Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. The correct dose of vasopressin is 40 units administered by IV or IO. What is the minimum depth of chest compressions for an adult in cardiac arrest? February 15, 2023 at 11: . The patient's 12-lead ECG show an MI. This is an introduction to content further reviewed in other quizzes. Team members tell you that the patient was well but reported chest discomfort and then collapsed. 4. The cardiac monitor shows the following rhythm: 8. At this time you would: c. The rate should be set between 60 and 80; the current should be increased slowly until capture achieved. Despite all of the usual interventions, he remains severely short of breath. Give epinephrine 1 mg IV . This set of BLS questions and answers listed below is an extremely valuable tool to help you gauge how well you understand the material and whether or not you're ready to pass the BLS final exam. Which of the following would be a contraindication to the administration of nitrates? A thermocouple junction is inserted in a large duct to calculate the temperature of hot gases flowing through the duct. High-quality chest compressions are being given. 42. (c) How much energy is released by the combustion of 1.00 mol of C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18 ? Perform vagal maneuvers and repeat adenosine 6 mg IV. ACLS Pretest Rhythms Flashcards | Quizlet ACLS Pretest Rhythms 5.0 (1 review) Term 1 / 20 Sinus Bradycardia Click the card to flip Definition 1 / 20 Click the card to flip Flashcards Learn Test Match Created by catps Just the rhythms Terms in this set (20) Sinus Bradycardia Reentry supraventricular tachycardia Central line Note this pretest does not represent the actual examination questions. She is receiving oxygen at 4L/min by nasal cannula, and an Iv has been established. Whch of the following statements is true about ventilation with a bag-valve-mask? A 35-year-old woman presents to the emergency department with a chief compliant of palpitations. What is the most important early intervention? Administer heparin if CT scan is negative for hemorrhage. At least 1.5 inches What do you administer now? 2. Recommended treatment for this patient includes: Questions $2 through 16 pertain to the following scenario. Application of transcutaneous pacemaker What survival advantages does CPR provide to a patient in ventricular fibrillation? An oral airway is in place. Which action do you take next? The monitor shows a regular wide-complex QRS at a rate of 180 bpm. Start an IV and give a 300-mg dose Of amiodarone, c. Ask the patient to bear down; if unsuccessful, give adenosine IV, d. Begin CPR and then defibrillate with 360 joules as soon as a defibrillator is available, a. Defibrillate once as soon as possible, resume CPR, start an IV, and give epinephrine, b. Order transcutaneous pacing. Note this pretest does not represent the actual examination questions. He has a history of angina. 1. Administer lidocaine 1mg/kg IV. What is a contraindication to nitrate administration? 4. Acls precourse self assessment answers 2020 quizlet - Study with Quizlet and memorize flashcards containing terms like 3 AV block p and qrs completely. The heart rate has not responded to vagal maneuvers. ACLS pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Chest compressions for an adult are performed: a. at a rate between 60-80 compressions b. Start dopamine 10 to 20 mcg/kg per minute. Bystanders are performing CPR. HeartCode ACLS Product Number : 20-3554 ISBN: 978-1-61669-787-7 Blended and eLearning Online Course Student ACLS CE Notes: After completing the online portion of this course, you must complete a hands-on session (sold separately) with an AHA Training Center to obtain a course completion card. Start rescue breathing, What action minimizes the risk of air entering the victim's stomach during bag-mask ventilation? Give normal saline 250 mL to 500 mL fluid bolus. 2020 | All Rights Reserved Perform endotracheal intubation. Start transcutaneous pacing. Do not give aspirin for at least 24 hours if rtPA is administered. How often should you provide ventilations? Which finding is a sign of ineffective CPR? After verifying unresponsiveness and abnormal breathing, you activate emergency response team. Which drug should be administered? Give metoprolol 5 mg IV and repeat if necessary. 4. Attempt endotracheal intubation with minimal interruptions in CPR. 2. Measure from the corner of the mouth to the angle of the mandible. 49 year old man has retrosternal chest pain radiating into the left arm. 3. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. Resume high-quality chest compressions, What is the maximum interval for pausing chest compressions? Which Of the following approaches is recommended during an initial patient evaluation? 22. After resuming high-quality compressions, your next action is to: 32. Second dose of epinephrine 1 mg Her initial blood pressure was 148/70. The lead II ECG is displayed below. 4. The patient had resolution of moderate (5.10) chest pain with 3 doses of sublingual nitroglycerin. What do you administer next? Should be given IV or endotracheally in cardiac arrest due to pulseless electrical activity, c. Is given as a loading dose of 150-mg IV bolus over 10 minutes in cardiac arrest, d. Should be given only if there is a return of spontaneous circulation after cardiac arrest, a. For quiz acls you must go through real exam. Have a team member attempt to palpate a carotid pulse. A patient presents with the rhythm below and reports an irregular heartbeat. If the area of the plates of a parallel-plate capacitor is doubled while the spacing between the plates is halved, how is the capacitance affected? Temporary pacing. ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. 4. Give aspirin 160 mg and clopidogrel 75 mg orally 2. You arrive on the scene with the code team. Magnesium is indicated for shock-refractory monomorphic VT. The monitor shows a regular wide-complex QRS at a rate of 180/min. In this situation, the groper rate for bag-valve-mask. Which of the following is indicated first? According to the law of reflection, if the angle of incidence of an incoming ray of light hitting a mirror is 46 degrees, what is the angle of reflection for the same ray leaving the mirror? She has no pulse or respirations. 4. Which condition is an indication to stop or withhold resuscitative efforts? Repeat amiodarone 300 mg IV. Cardiac monitoring, supplementary oxygen, and an IV have been initiated. Your immediate next order is: c. valence electrons. 1. You should: 1. Dopamine 2 to 20 mcg/kg per minute IV or IO. A 35-year-old woman presents with a chief complaint of palpitations. He is asymptomatic, with a blood pressure of 110/70 mm Hg. Ventricular fibrillation has been refractory to an initial shock. 3rd Degree Block (Complete Heart Block) 2. What is the recommended compression rate for performing CPR? 2. Continue CPR, start an IV, intubate using the largest endotracheal tube available, and give epinephrine and atropine, c. Stop CPR and attempt transcutaneous pacing, then start an IV and begin a dopamine infusion, d. Attempt synchronized cardioversion using 100 joules; if the rhythm is unchanged, start an IV, and intubate using the largest endotracheal tube available, b. Ventilating as quickly as you can There are a total of 50 Self Assessment questions on Pharmacology, Rhythm. 5. He is asymptomatic, with a blood pressure of 110/70 mm Hg. A third shock has just been administered. Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 Average satisfaction rating 4.8/5. Two shocks have been delivered, and an IV has been initiated. Comfy says. 1. Epinephrine 3 mg via endotracheal route. AHA ACLS Questions. 4. Prepare to give epinephrine 1 mg IV. 2. A postoperative patient in the ICU reports new chest pain. Give heparin if the CT scan is negative for hemorrhage ST Elevation 50 terms. 3. She is pale and diaphoretic. High-quality CPR is in-progress. 4. Dopamine at 2 to 10 mcg/kg per minute. Atropine 0.5 mg IV ACLS: FINAL TEST QUESTIONS AND ANSWERS Flashcards | Quizlet ACLS: FINAL TEST QUESTIONS AND ANSWERS 4.8 (13 reviews) Term 1 / 45 2. Obtain a 12-lead ECG F. C is doubled, G. C is increased by four times, H. C is decreased by 1/4, J. You can palpate a carotid pulse. 7. He has a history of angina. SVT Full PALS access starting at $19.95. 1. Give normal saline 250 mL to 500 mL fluid bolus. 3. The next action is to: 4. Second-degree AV block (Mobitz II block) . She has an IV in place. FreedomRiderDonny. A patient is in refractory ventricular fibrillation and has received multiple appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg IV. A patient is in pulseless ventricular tachycardia. His wife tells you that they were talking and he suddenly got a funny look on his face and collapsed. Establish IV access. The ventricular rate is 138/min. You ask about symptoms and he reports that he has mild palpitations, but otherwise he is clinically stable with unchanged vital signs. One does of epinephrine was given after the second shock. 1. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38mm Hg, and the pulse oximetry reading is 98%. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. Which of the following statements is true about this rhythm? PEA High-quality CPR is in progress. A defibrillator is present. 1. We have selected 20 questions (10 questions for BLS) that cover many topics which will be tested on the certification examination. Which action do you take next? In which situation does bradycardia require treatment? When a shockable rhythm is present during cardiac arrest and a biphasic manual defibrillator is available, the initial energy level selected should be: 23. Sublingual nitroglycerin 0.4 mg. Exam (elaborations) - Acls exam pack version a and b 2022 update complete with all the correct answers 2. Blood pressure greater than 180 mm Hg. The ventricular rate is 138/min. Polymorphic Ventricular Tachycardia 7. Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient has increased chest discomfort. Merci. High-quality CPR is in progress. When you arrive, the parents inform you that he has been sick with a fever, diarrhea and vomiting for the past 48 hours. D. Give normal saline 250 mL to 500 mL fluid bolus. 5. Bradycardia requires treatment when: Her blood pressure is 126/72, respirations 14. Atropine 0.5 mg IV or IO. A 75-year-old man has suffered a cardiac arrest. About Us; ACLS & BLS Courses; 1-484-464-2882 1-484-464-2882 Scan to call; Login; PMT Pretests. 25 seconds, ACLS PreTest, ACLS PreTest: Pharmacology and, CEN: Cardio- Hypovolemic and Obstructive Shock, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman. Perform emergency synchronized cardioversion. Asystole now ACLS PreTest, ACLS PreTest: Pharmacology and A 57-year-old woman has palpitations, chest discomfort, and tachycardia. Pulseless ventricular tachycardia-associated torsades de pointes. Vagal maneuvers have not been effective in terminating. What is the recommended dose of epinephrine for the treatment of hypotension in a post-cardiac arrest patient who achieves ROSC? She has no chest discomfort, shortness of breath, or light-headedness. A 35-year old woman has palpitations, lightheadedness, and a stable tachycardia. The code cart with all the drugs and transcutaneous pacer are immediately available. 19. A patient in respiratory distress and with a BP of 70/50 mmHg presents with the following lead II ECG rhythm. What is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? Giving breaths over 1 second The patient suddenly becomes unconscious and has a weak carotid pulse. 3. What is your next action? The patient responds to a painful stimulus but does not respond to verbal stimuli. Perform synchronized cardioversion, What is the recommended compression rate for high-quality CPR? The rhythm is asystole. A patient with STEMI has ongoing chest discomfort. Which of the following may be used for rhythm control of acute myocardial in-fraction? Chest compressions should never be interrupted, c. Interruptions in chest compressions to analyze the ECG, Charge the defibrillator, place an advanced airway, check a pulse, or other procedures must be kept to a minimum, d. Chest compressions and ventilations should be interrupted every 3 to 5 minutes to permit the members Of the resuscitation team to change positions, a. Airway, breathing, circulation (ABCs); 02; IV; sedation; and synchronized cardioversion with 200 joules, b. ABCs, 02, IV, vagal maneuvers, and lidocaine 1- to 1.5-mg/kg IV bolus, c. ABCs, 02, IV, and atropine -mg IV every 3 to 5 minutes to a maximum Of 3 mg, d. ABCs, 02, IV, vagal maneuvers, and adenosine 6-mg rapid IV bolus, d. Prepare the to insert an advanced airway, b. 3. A bag-valve-mask device should be equipped with a pop-off (pressure release) valve to overcome increased air resistance in cardiac arrest patients, b. Your team looks to you for instructions. Immediate management Of this patient should include: 31. Administer adenosine 6 mg; seek expert consultation. Basic ACLS Practice Test Improve your ACLS knowledge and skills with our free practice test. What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II ECG? 4. Take up the test below and see how much you understand ACLS Medications in preparation for your exam. Ventilating until you see the chest rise Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. 5. Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? Which drug do you anticipate giving to this patient? An antiarrhythmic drug was given immediately after the third shock. Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 Select the incorrect statement regarding the automated external defibrillator (AED). Blood pressure is 104/70 mm Hg. When you arrive at the patients side, you confirm that she is unresponsive. ACLS Study with Quizlet and memorize flashcards containing terms like Polymorphic ventricular tachycardia, Ventricular fibrillation, Second-degree 24/7 support We're here for you 24/7. She has no pulse or respirations. 2. High-quality CPR is in progress. Ventricular fibrillation has been refractory to a second shock. What minimum speed must an electron have in a liquid with index of refraction 1.541.541.54 in order to radiate? haileybaret. Perform vagal maneuvers Give an additional 2 mg of morphine sulfate. The blood pressure is less than 100 mm Hg systolic with or without symptoms. Epinephrine 1 mg This ACLS pretest offers a comprehensive set of practice exam questions and answers to help you prepare for your upcoming ACLS exam. Free acls guidelines 2023 pdf to pass quizlet acls test. The cardiac monitor documents the rhythm shown here. Order immediate endotracheal intubation. His blood pressure is 180/100mm Hg. He is receiving oxygen and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. Notes about the 12-lead ECG say 5. 4. 3. You have placed the patient on oxygen and an IV has been established. Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. Which drug should be given next? . A patient is in cardiac arrest. Full ACLS access starting at $19.95. Administer adenosine 12 mg IV (a) If the duct surface temperature TsT_sTs is less than the gas temperature TgT_gTg, will the thermocouple sense a temperature that is less than, equal to, or greater than TgT_gTg ? A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. He suddenly has the persistent rhythm shown below. Reperfusion therapy. 2. What is your next intervention? Pulseless Electrical Activity 3. Give lidocaine 1 to 1.5 mg IV and start infusion. She is alert and oriented. An IV has been initiated. 43. Epinephrine Sotalol Amiodarone Procainamide When should an unconscious patient receive only rescue breaths and not CPR? What should be done to minimize interruptions in chest compressions during CPR? Which action do you take next? 4. 2. 1. She has no chest discomfort, shortness of breath, or light-headedness. 3. A quick glance at the cardiac monitor reveals the rhythm below. 70 to 80 compressions per minute She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. IV nitroglycerin initiated at 10 mcg/min and titrated to patient response. She is intubated and is receiving 100% oxygen. Her BP is 102/72 mmHg. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. Give additional 1 mg atropine. His monitored rhythm becomes irregular as seen above. If the thermocouple senses a temperature of 320C320^{\circ} \mathrm{C}320C when the duct surface temperature is 175C175^{\circ} \mathrm{C}175C, what is the actual gas temperature? Intubate and administer 100% oxygen, You arrive on the scene to find CPR in progress. What is the initial dose of atropine? Gain IV or IO access. Adenosine 12 mg IV slow push (over 1 to 2 minutes)Metoprolol 5 mg IV and repeat if necessary