acls quizlet pretest acls quizlet pretest

5. The monitor shows a regular wide-QRS at a rate of 180/min. The rhythm is asystole. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. 49 year old man has retrosternal chest pain radiating into the left arm. or laryngeal mask airway, a. High quality CPR is in progress by a Basic Life Support crew. Begin ventilating with a bag-valve-mask, d. Insert an endotracheal tube, Cornbitube. He is asymptomatic, with a blood pressure of 110/70 mm Hg. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. 49. Give an additional 2 mg of morphine sulfate. A patient has a rapid irregular wide-complex tachycardia. . The patients sister states that 15 minutes ago, the patient said she couldnt breathe and then lost consciousness. What survival advantages does CPR provide to a patient in ventricular fibrillation? Normal saline 250 mL to 500 mL bolus, A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. 2. A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The cardiac monitor showed VE The paramedics defibrillated immediately with a successful conversion to a sinus rhythm. Her blood pressure is 134/82, pulse 180, respirations 18. Atropine 1 mg IV, total dose 3 mg as needed. What actions have the highest priority? haileybaret. Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? Prepare for AHA ACLS Today! What should be done to minimize interruptions in chest compressions during CPR? AAOS Terms to Know: Chapter One, EMS Systems, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers, Sports Medicine Essentials: Core Concepts in Athletic Training and Fitness Instruction, Energy Systems Energy System Lecture 3 (Chapt. 4. 1. BP is 130/88 mmHg, HR is 110/min, RR is 22 breaths/min, and pulse oximetry is 95%. Start an IV Blood pressure is 110/70 mm Hg. Administer epinephrine 1 mg. An infusion of 1 to 2 mg/min. . Once you've selected your answers, you will immediately be able to determine your score by using the . Perform immediate electrical cardioversion. ACLS: FINAL TEST QUESTIONS AND ANSWERS Flashcards | Quizlet ACLS: FINAL TEST QUESTIONS AND ANSWERS 4.8 (13 reviews) Term 1 / 45 2. When questioned, she denies Chest discomfort or Shortness of breath. A patient was in refractory ventricular fibrillation. 2. 866+ Math Teachers 9.2/10 Star Rating If no head or neck trauma is suspected, Which Of the following techniques should healthcare professionals to open the airway? 1. He has a history of angina. Which of the following would be a contraindication to the administration of nitrates? 3. 5. 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. Sodium bicarbonate 50 mEq As you shout for help, your next action in this situation should be to: 13. What assessment step is most important now? A responder is caring for a patient with a history of congestive heart failure. Blood pressure is 104/70mm Hg. ACLS Pretest Flashcards. AHA ACLS Written Test. The ventricular rate is 138/min. Establish and IV and give vasopressin 40 units. A 46-year-old woman is found unresponsive, not breathing, and pulseless. Your patient is stable and blood pressure is 120/80 mm Hg. What is the proper order of the BLS Chain of Survival . 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. Acls pretest answers 2020 quizlet - Rhythm Identification Learn with flashcards, games, and more - for free. 4. 1. Give atropine 0.5 mg IV 1. We've all had that dreadful experience where you've studied . What is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? Give adenosine 3 mg IV bolus. He appears cyanotic. Amiodarone, lidocaine, epinephrine BP 68/40, R 12. 4. For that we provide acls review free real test. 4. BP is 132/68 mmHg, pulse is 130/min and regular, RR is 12 breaths/min, and pulse oximetry reading is 95%. Which Of the following could be administered endotracheally if necessary? Intubate and administer 100% oxygen, You arrive on the scene to find CPR in progress. Resume high-quality chest compressions, What is the maximum interval for pausing chest compressions? 2. He suddenly has the persistent rhythm shown below. 4. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. 5. High-quality CPR is in progress, and shocks have been given. What is the recommended compression rate for high-quality CPR? Learn ACLS. The next action is to: Give normal Saline 250 mL to 500 ml fluid bolus There are a total of 50 Self Assessment questions on Pharmacology, Rhythm. About every 2 minutes Intubate the patient and give epinephrine 2 to 4 mg via the endotracheal tube. The drug of choice for most forms of narrow-QRS tachycardia is: 2. He was brought to the emergency department. Team members tell you that the patient was well but reported chest discomfort and then collapsed. How often should you provide ventilation? Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? 5. Lidocaine, epinephrine, vasopressin, A patient is in cardiac arrest. Bag-mask ventilations are producing visible chest rise. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IV has been established. The preferred site for initial placement of a large IV catheter is the: 24. Her blood pressure is 128/70 mm Hg. You are called to the home of a 2-year-old little boy whose parents are concerned because he "isn't acting right". 5. Comments. 3. 3. What is the recommended initial airway management technique? Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. 2. He has a history of angina. Give an additional 2 mg of morphine sulfate. 1. . ACLS PreTest Flashcards. Resume high-quality chest compressions. Next intervention is to, Administer 2 to 4 mg of morphine by slow IV bolus. High-quality CPR is in progress. You've reviewed the algorithms, medications and doses, the H's and T's, and case scenarios over and over again. He is being evaluated for another acute stroke. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. A thermocouple junction is inserted in a large duct to calculate the temperature of hot gases flowing through the duct. Patient is unconscious and in respiratory arrest. A patient with STEMI has ongoing chest discomfort. Which of the following may be used for rhythm control of acute myocardial in-fraction? Your patient is a 68-year-old with severe COPD. 1. 10 to 12 ventilations per minute; each ventilation delivered over 1 second, c. 12 to 20 ventilations per minute; each ventilation delivered over 1.5 to 2 seconds, d. 20 to 24 ventilations per minute; each ventilation delivered over 1.5 to 2seconds. c. valence electrons. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes, This patient was admitted to the general medical ward with a history of alcoholism. ACLS PreTest, ACLS PreTest: Pharmacology and Practical 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. The most common side effects of giving amiodarone are: 5. Bag-mask ventilations are producing visible chest rise. Give an immediate unsynchronized high-energy shock (defibrillation dose). Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. ACLS PreTest: Pharmacology and Practical Appl, Developmental Milestones (Codo/Peds Exam), Brunner and Suddarth's Textbook of Medical-Surgical Nursing. She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. Ventilating until you see the chest rise 1. ACLS PreTest . The heart rate has not responded to vagal maneuvers. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. Chapter 18: Drug-Nutrient . High-quality chest compressions are being given. This rhythm is ventricular fibrillation, a shockable rhythm, b. A 37-year-old woman is complaining Of shortness Of breath and palpitations. She has no chest discomfort, shortness of breath, or light-headedness. 4. What is a chemical bond according to valence bond theory? Patient's lead II ECG is displayed above (shows unstable SVT). What is the most common complication in the first few hours of an acute myocardial infarction? What is the recommended next step after a defibrillation attempt? The decision has been made to intubate him and anesthesia has been paged. Giving adenosine 6 mg IV bolus. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Show Answers. The monitor shows a regular wide-complex ORS at a rate of 180/min. His blood pressure is 180/100 mm Hg. You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. . Substitute clopidogrel 300 mg loading dose. Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? Acls pretest answers 2021 quizlet - Study with Quizlet and memorize flashcards containing terms like 3 AV block p and qrs completely separate, Pulseless. Atropine 1 mg IV. Perform elective synchronized cardioversion with presedation. The quiz contains a variety of questions from different cases. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. Note this pretest does not represent the actual examination questions. 4. There is no pulse or spontaneous respirations. 1. In this situation, the groper rate for bag-valve-mask. Start an IV and give epinephrine 1 mg IV. 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. (1) $ 42.45 $ 20.49 9x sold 5 items 1. Endotracheal intubation Consider causes of pulseless electrical activity. 22. BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14 breaths/min, and the pulse oximetry reading is 97%. Reperfusion therapy. Questions and Answers 1. 5. Atropine has been administered to a toal does of 3 mg. A transcutaneous pacemaker has failed to capture. 2. Dose of 1 mg Amiodarone 300 mg IV. 1. Your next action is to: A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. ACLS PreTest: Pharmacology and Practical Application. Atropine 1 mg They rhythm shown here is seen on the cardiac monitor. Ventilating as quickly as you can Conduct a problem-focused history and physical examination. . Dopamine at 2 to 10 mcg/kg per minute. What is the recommended compression rate for performing CPR? about 3-5 minutes. (e) How many kilojoules are released by the combustion of 17.0 g of C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18 ? Resume chest compressions A patient is in pulseless ventricular tachycardia. A patient is in refractory ventricular fibrillation. Is used to slow the ventricular rate in narrow-QRS tachycardias, b. 2. The child is lying on the couch. 1. Recommended 1st IV dose of amiodarone for a patient with refractory ventricular fibrillation? 3. A 62-year-old man suddenly experienced difficulty speaking and left-side weakness. Begin transcutaneous pacing. Your patient is not responsive and is not breathing, You can palpate a carotid pulse. Administer amiodarone 300 mg. 2. What is the next appropriate intervention? Examination Of the patient reveals no signs of trauma. A third shock has just been administered. What should you do in this situation? Escalating dose of epinephrine 3 mg. 2. 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. However, if you found this pretest to be successful . When the patient arrives in the emergency department, the rhythm shown here is seen on the cardiac monitor. You are unable to feel a pulse. 3. She is receiving oxygen at 4L/min by nasal cannula, and an Iv has been established. After attaching a cardiac monitor, the responder observes the following rhythm strip. Get ACLS recertification online, BLS renewal, and PALS recert online. 2. 2. At least 2.5 inches Acute Coronary Syndromes Practice Test Want to test your knowledge of Acute Coronary Syndromes? First responders administered 160 mg aspirin, and there is a patent peripheral IV. Begin CPR, starting with chest compressions. The primary survey reveals that the patient is unresponsive and not breathing. A patient was in refractory ventricular fibrillation. Administer adenosine 6 mg; seek expert consultation. Lidocaine may be lethal if administered for which of the following rhythms? 5. About every 3 minutes The practice test consists of 10 multiple-choice questions that are derived from the ACLS provider handbook and adhere to the latest ILCOR and ECC guidelines. Which intervention below is most important, reducing in-hospital and 30-day mortality? Her blood pressure is 80/60 mm Hg. ACLS pretest Flashcards. aha acls book pdf Amiodarone 150 mg Rapid heart rates may produce serious signs and symptoms. Asystole now Give metoprolol 5 mg IV and repeat if necessary. ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. 10 seconds He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain si ordered. She is pale and diaphoretic. Vagal maneuvers have not been effective in terminating the rhythm. 5. You observe the following rhythm on the cardiac monitor. A patient in the emergency department develops recurrent chest discomfort (8/10) suspicious for ischemia. Dose of 0.5mg. Two shocks and 1 dose of epinephrine have been given. She is alert and oriented. Amiodarone 150 mg IV. When they arrived at the patients home, the patient was complaining of a severe chest pain. Your best course Of action at this time will be to: 27. Team members report that the patient was well but reported chest pain and then collapsed. What is your next action? planes, (b) the principal stresses. Administer adenosine 6 mg; seek expert consultation. The arrest was not witnessed. A code is in progress and he has recurrent episodes of this rhythm. Whch of the following statements is true about ventilation with a bag-valve-mask? Initiate epinephrine at 2 to 10 mcg/kg per minute. Vasopressin 40 units Give sodium bicarbonate 50 mEq IV. A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. Start epinephrine 2 to 10 mcg/min and titrate to patient response. Which medication do you order next. Administer heparin if CT scan is negative for hemorrhage. An oral airway is in place. 4. ACLS PreTest, ACLS PreTest: Pharmacology and A 57-year-old woman has palpitations, chest discomfort, and tachycardia. Administer the shock immediately and continue as directed by the AED. 2. Steam at 3MPa3\ \mathrm{MPa}3MPa and 400C400^{\circ} \mathrm{C}400C is expanded to 30kPa30\ \mathrm{kPa}30kPa in an adiabatic turbine with an isentropic efficiency of 929292 percent. His monitored rhythm becomes irregular as seen above. After resuming high-quality compressions, which action do you take next? Obtain a 12-lead ECG. One dose of epinephrine was given after the second shock. Which Of the following approaches is recommended during an initial patient evaluation? 4. Key Term acls pretest quizlet 2018; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. On the next rhythm check, you see the rhythm shown here. Epinephrine Sotalol Amiodarone Procainamide When should an unconscious patient receive only rescue breaths and not CPR? 4. This is an introduction to content further reviewed in other quizzes. Her BP is 102/72 mmHg. (c) How much energy is released by the combustion of 1.00 mol of C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18 ? At least 3 inches, You are the code team leader and arrive to find a patient with CPR in progress. She has no chest discomfort, shortness of breath, or light-headedness. Nursing staff report that the patient was recovering from a pulmonary embolism and suddenly collapsed. Epinephrine 1 mg IV She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. The patient should be cooled to 89.60 F to 93.20 F (320 C to 340 C) for 12 to 24 hours, c. Heat packs should be applied to the patients axilla, neck, and groin to prevent hypothermia, d. Give 50% dextrose in water IV push to make sure sufficient glucose is available for adequate brain function. ACLS Practice Test Library Prepare for AHA ACLS Today! Oxygen has been applied, an IV has been started, and the cardiac monitor reveals the rhythm below. The cardiac monitor shows a narrow-CRS tachycardia without visible P waves. 5. Start dopamine at 2 mcg/kg per minute and titrate to a systolic blood pressure reading of 100 mm Hg. Providing just enough volume for the chest to rise, A patient was in refractory ventricular fibrillation. The lead II ECG is displayed below. What is the initial does of atropine? She is now extremely apprehensive. Blood pressure is 108/70 mm Hg. Recommended treatment for this patient includes: Questions $2 through 16 pertain to the following scenario. Paramedics arrive in the emergency department with a 40-year-old man. Immediate management Of this patient should include: 31. Establish an IV and give epinephrine 1 mg. 1. Continue CPR while the defibrillator is charging. What action minimizes the risk of air entering the victim's stomach during-bag mask ventilation? After resuming high-quality compressions, which action do you take next? 19. Divert the patient to a hospital 15 minutes away with CT capabilities. Take our BLS pretest. Usually, it consists of 20 questions, but we've collected many more. The gotestprep.com provides free unofficial review materials for a variety of exams. Bradycardia requires treatment when: Temporary pacing. Femoral vein 3. The cardiac monitor documents the rhythm below. Q5. 4. 2. F. C is doubled, G. C is increased by four times, H. C is decreased by 1/4, J. 32. Start rescue breathing, What action minimizes the risk of air entering the victim's stomach during bag-mask ventilation? AHA ACLS Practice Test. At least 1.5 inches ACLS Pre Test with Answers and Explanations. Atropine 1 mg, A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. Amiodarone 150 mg IV bolus; start infusion. 2. He is asymptomatic, with a blood pressure of 110/70 mm Hg. A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. C does not change. She is pale and diaphoretic. PALS Prehospital. The ventricular rate is 138/min. She is receiving oxygen at 4 L/min by nasal cannula and an IV has been established. 3. What is the danger of routinely administering high concentrations of oxygen during post-cardiac arrest period for patients who achieve ROSC? What is the initial dose of atropine? Perform synchronized cardioversion, What is the recommended compression rate for high-quality CPR? Atropine 0.5 mg IV Which is an appropriate and important intervention to perform for a patient who achieves ROSC during an out-of-hospital resuscitation? What would Heparin 4000 units IV bolus was administered, and a heparin infusion of 1000 units per hour is being administered. We discuss in these sample acls test from different topics like practice acls test questions, acls test answers quizlet. The physiologic reason for ventricular filling time, which frequently this is that increases in heart rate result in results in stroke volume. Give a single shock. Which of the following is indicated first? May help in the delivery Of adequate ventilation With a device by preventing the tongue from blocking the airway, b. 1. 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. What is your next action? , () ) : (2020-2025 guidelines) Go to Quiz #2. There are a total of 50 questions with answer keys designed to help ACLS 2022 candidates for their better test prep. The actual exam may differ from our materials. Which action is indicated next? Your team looks to you for instructions. A second shock is given, and chest compressions are resumed immediately. A patient has a rapid irregular wide-complex tachycardia. Check the pulse rate A patient becomes unresponsive. 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. Justify your response on the basis of a simple analysis. The patient suddenly becomes unconscious and has a weak carotid pulse. 1. You are uncertain if a faint pulse is present. 3 AV block p and qrs completely separate Identify the rhythm. 44. The gas may be assumed to have the properties of air at atmospheric pressure. FreedomRiderDonny. He reports no other symptoms but appears anxious. Which drug should be administered first? The patient is intubated and an IV has been started. A 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 amiodarone IV. Her medical history is significant for a myocardial infarction 7 years ago. IV or IO, A patient has sinus bradycardia with a heart rate of 36/min. ACLS Pretest Overview. Very helpful thank you. 20 seconds 4. February 15, 2023 at 11: . Defibrillation is indicated in the management Of: 35. 2. You are uncertain if a faint pulse is present with the rhythm c. The rate should be set between 60 and 80; the current should be increased slowly until capture achieved. Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. Which of the following statements is true about this rhythm? When an electron moves through a medium at a speed exceeding the speed of light in that medium, the electron radiates electromagnetic energy (the Cerenkov effect). C. Give nitroglycerin 0.4 mg sublingually. Apakah Anda lagi mencari postingan seputar Acls Pretest Code 2021 Quizlet tapi belum ketemu? He is now unresponsive. 1. 5. A patient with STEMI has ongoing chest discomfort. Give 75 mg enteric-coated aspirin orally. His pulse is weak and fast. The monitor shows a regular wide-complex QRS at a rate of 180/min. 3. A patient with pulseless ventricular tachycardia is defibrillated. Calculate the power produced by this turbine, in kW\mathrm{kW}kW, when the mass flow rate is 2kg/s2 \mathrm{~kg} / \mathrm{s}2kg/s. How often should you provide ventilations? Intubation and administration of 100% oxygen, Your patient is not responsive and is not breathing. ACLS, PALS & BLS Quizzes Pass five quizzes (84% or higher score) and get 20% off your ACLS certification with us. Additional ACLS Study Material: How To Pass Your ACLS Certification Exam; 6 Effective Ways to Prepare for the ACLS Exam; Conclusion: If you struggled with this particular ACLS pretest, we suggest looking into additional ACLS practice exam questions and answers and reviewing your ACLS study material thoroughly before taking your ACLS exam. One does of epinephrine was given after the second shock. Which action is likely to cause air to enter the victim's stomach (gastric inflation) during bag-mask ventilation? 4. 5. Which treatment or medication is appropriate for the treatment of a patient in asystole? 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 3. Notes about the 12-lead ECG say 3. Lidocaine 1 to 1.5 mg IV and start infusion 2 mg/min. Sedate and perform synchronized cardioversion. Shock-refractory ventricular fibrillation, Pulseless ventricular tachycardia-associated torsades de pointes, A patient is in cardiac arrest. ACLS Pretest Questions and Answers Which of these is NOT a recommended pharmacological treatment for a stable patient with a wide complex ventricular tachycardia (monomorphic)? An electron dot diagram shows an atom's number of a. protons. Hold aspirin for at least 24 hours if rtPA is administered. You are evaluating a 58-year-old man with chest pain. The code cart with all the drugs and transcutaneous pacer are immediately available. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60mm Hg. What is your next action? Which therapy is now indicated? Which intervention is most appropriate for the treatment of a patient in asystole? What do you administer next? How often should you switch chest compressors to avoid fatigue? Most myocardial infarctions occur because of: Questions 21 through 25 pertain to the following scenario. BP is 132/68 mmHg, pulse is 130/min and regular, RR is 12 breaths/min, and pulse oximetry reading is 95%. She is pale and diaphoretic. What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II ECG? Perform vagal maneuvers. Do not give aspirin for at least 24 hours if rtPA is administered. A 72-year-old man presents with severe substernal chest pain. Order immediate endotracheal intubation. Take up the test below and see how much you understand ACLS Medications in preparation for your exam. 2. Providing a good seal between the face and the mask 5. Vasopressin, amiodarone, lidocaine The patient developed severe chest discomfort with diaphoresis. Definitely not the PALS precourse assessment, ACLS PreTest: Pharmacology and Practical Appl, Julie S Snyder, Linda Lilley, Shelly Collins. Start chest compressions at a rate of at least 100/min. True or False: Rapid, wide-QRS rhythms associated with pulselessness, shock, or congestive heart failure should be presumed to be ventricular tachycardia. The practice test consists of 10 multiple-choice questions that are derived from the ACLS Study Guide and adhere to the latest ILCOR and ECC guidelines. Give epinephrine 1 mg IV/IO She is now extremely apprehensive. True or False: Simultaneous, bilateral carotid massage should be attempted to try to slow the heart rate of a stable patient with a narrow-QRS tachycardia before medication administration. Repeat amiodarone 150 mg IV. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. 42. Perform endotracheal intubation. Your team looks to you for instructions. Sublingual nitroglycerin 0.4 mg. Is given rapidly as a 2.5- to 5-mg IV bolus (Over 1 to 3 seconds), c. Can be safely given to patients with impaired ventricular function or heart failure, d. Is the drug Of choice for patients with atrial fibrillation or atrial flutter associated with known preexcitation (Wolff-Parkinson-White [WPW]) syndrome, b. Idioventricular (ventricular escape) rhythm, c. Does anything make the pain better or worse?, c. May be used in the management of ST-segment elevation myocardial infarction, d. Include medications such as metoprolol, atenolol, and propranolol, a. What is a contraindication to nitrate administration? 4. Give atropine 1 mg IV. 3. His blood pressure is 180/100mm Hg. One does of epinephrine was given after the second shock. Administer nitroglycerin 0.4 sublingual or spray. Give heparin if the CT scan is negative for hemorrhage What element of effective resuscitation team dynamics does this represent? Administer 3 sequential (stacked) shocks at 200 J (biphasic defibrillator). What is the next step in your assessment and management of this patient? 2. Which of the following factors reduces transthoracic resistance and enhances the chance for successful defibrillation in cardiac arrest? Which finding is a sign of ineffective CPR? The patient is intubated. Give normal saline bolus 250 mL to 500 mL. When a shockable rhythm is present during cardiac arrest and a biphasic manual defibrillator is available, the initial energy level selected should be: 23. Perform unsynchronized cardioversion An AED has previously advised "no shock indicated." What is the next action? Second dose of epinephrine 1 mg Improving patient outcomes by identifying and treating early clinical deterioration. Use of a phosphodiesterase inhibitor within 12 hours, A patient with possible ST-segment elevation MI has ongoing chest discomfort.