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2The following drug used to be the drug of choice but is no longer recommended for
asystole or PEA:
Atropine
Epinephrine
Sodium Bicarbonate
Magnesium
Adenosine
Amiodarone
Epinephrine
Atropine
5Team resuscitation is a focus in the 2010 guidelines. The role of the team leader is
different from the other team members in that a team leader is the person on the team
who must:
PEA
Sinus Rhythm
Sinus Bradycardia
7This rhythm is characterized by a complete dissociation between the P wave and the
QRS:
FALSE
TRUE
TRUE
FALSE
10True or False: The initial recommended dose of atropine for symptomatic bradycardia
is 0.5 mg IV.
TRUE
FALSE
100%
You should insert the OPA so that it curves upward and then rotate it 180
throat
13The most common reversible causes of PEA are called the "H's and T's" and include
all of the following EXCEPT:
Hypoxia
Tamponade
Hypocalcemia
Hypovolemia
14A trained EMT discovers STEMI on a 12 lead ECG in the ambulance. The best option
is to:
Take the patient to a hospital capable of providing fibrinolysis only (not PCI),
5 minutes away
Take the patient to a hospital capable of providing PCI, 20 minutes away
Take the patient to a hospital capable of providing angiography, regardless of
Administer adenosine
12 lead ECG
16A comatose patient with ROSC after cardiac arrest should be:
17Which of the following signs is NOT part of the Cincinnati Prehospital Stroke Scale?
Facial droop
Speech abnormality
Arm drift
Confusion or disorientation
18The goal for initiation of fibrinolytic therapy in appropriate stroke patients is:
19The medication that should NOT be given via endotracheal tube is:
Dopamine
Atropine
Epinephrine
Lidocaine
20The newest AHA ACLS guidelines discuss resuscitation team dynamics, including the
roles of team of team leader and team member. A team member should possess which
of the following?
Atropine
Sodium Bicarbonate
Magnesium
Narrow-complex Supraventricular tachycardia is best treated with:
Adenosine
Amiodarone
Atropine
Epinephrine
The correct sequence for basic life support is:
ABC - Airway, Breathing, Compressions
Sinus Bradycardia
Sinus Rhythm
PEA
FALSE
True or False: The initial recommended dose of atropine for symptomatic bradycardia is
0.5 mg IV.
TRUE
FALSE
During cardiopulmonary resuscitation, deliver oxygen at:
2 Liters per minute via nasal cannula
100%
You are considering use of an oropharyngeal airway (OPA). You know that all of the
following are true EXCEPT:
A too-large OPA may obstruct the larynx
A too-small OPA may obstruct the airway by pushing the tongue into the throat
You should insert the OPA so that it curves upward and then rotate it 180 degrees to
match the curve of the tongue and throat
Hypoxia
Hypocalcemia
Tamponade
A trained EMT discovers STEMI on a 12 lead ECG in the ambulance. The best option is to:
Take the patient to a hospital capable of providing fibrinolysis only (not PCI), 5 minutes
away
Take the patient to a hospital capable of providing PCI, 20 minutes away
Provide fibrinolysis in the ambulance then take the patient to a hospital capable of
providing PCI, 20 minutes away
Your patient in the ED has a strong pulse and regular heart rate of 182 beats per minute
with a normal QRS on the cardiac monitor. Her blood pressure is 112/56. She is awake
and denies any pain. All of the following may be appropriate interventions EXCEPT:
Attempt vagal maneuvers
12 lead ECG
Administer adenosine
Arm drift
Speech abnormality
Confusion or disorientation
The goal for initiation of fibrinolytic therapy in appropriate stroke patients is:
Within 1 hour of arrival to the ED
Epinephrine
Lidocaine
The newest AHA ACLS guidelines discuss resuscitation team dynamics, including the
roles of team of team leader and team member. A team member should possess which of
the following?
The ability to insert an endotracheal tube
Start Compressions at least 100 per minute (Push Fast, Push Hard).
Epinephrine.
Epinephrine.
Amiodarone.
You are in the library when a gentleman who was standing at the
desk collapses. He falls to the ground and does not appear to be
breathing. You send the clerk to call 911 and to get the AED.
Because he is not responding and doesn't appear to be breathing
normally you should immediately
Open the airway, deliver 4 breaths and await the arrival of the AED.Deliver 2 breaths followed by 15
compressions.Start Compressions at least 100 per minute (Push Fast, Push Hard).Do nothing until
the AED arrives.
Continue compressions for at least 5 minutes.Immediately utilize the AED.Continue CPR and await
EMS to defibrillate the patient.Ventilate the patient twice immediately prior to defibrillation.
You have turned the AED on and placed the electrodes. The AED
fails to analyze the rhythm. You should
Put the AED aside and continue with compressions.Call the manufacturer (listed on the back) to talk
you to fix it.Use the second set of pads located in the case.Turn it off and back on again.
ACLS Pretest Overview
Question 4 of 10
The above patient has had high quality CPR for 30 minutes. He
has received multiple doses of Epinephrine and the monitor now
shows Asystole. What would be appropriate at this point?
Contact a medical command physician for possible termination ordersAsk the family what they would
like you to doContinue CPR for an additional 10 minutesLoad the patient in the ambulance with CPR
in progress and transport to the nearest trauma center
Have another nurse to double check the presence of a pulse.Precordial Thump.Defibrillate at 200
joules, or manufacturer guidelines.Ventilate using a BVM.
Magnesium Sulfate.Morphine.Epinephrine.Lidocaine.
ACLS Pretest Overview
Question 9 of 10
Epinephrine.Cardizem.Adenosine.Amiodarone.
You are on your way home when you are called to a wedding
reception at a local hotel. The 82-year-old grandfather of the bride
collapsed while standing in the reception line. He was discussing
his latest project when he started sweating and then lost
consciousness. A family friend started CPR. His son immediately
called 911. You quickly perform the BLS Primary Survey. You
immediately ask for a defibrillator. If the first shock is unsuccessful
and the patient is still unresponsive, which drugs should be
administered first?