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2021. 9. 2.

ACLS Post Test (copy) 낱말 카드 | Quizlet

ACLS Post Test (copy)


이 세트의 단어 (44)

You are caring for a patient a. start fibrinolytic therapy ASAP


with a suspected stroke
whose symptoms started 2
hours ago. The CT was normal
with no sign of hemorrhage.
The patient does not have any
contraindications to
fibrinolytic therapy. Which
treatment is best?

a. start fibrinolytic therapy


ASAP

b. hold fibrinolytic therapy for


24 hours

c. order an echo before


fibrinolytic administration

d. wait for MRI result

For STEMI pt, maximum goal d. 90 mins


time for ED door-to-balloon-
inflation time for PCI?

a. 150 mins

b. 180 mins

c. 120 mins

d. 90 mins

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Which is the recommended c. 160-325 mg


oral dose of aspirin for a
patient with suspected acute
coronary syndrome?

a. 81 mg
b. 325-650 mg

c. 160-325 mg

d. 40 mg

chest compressions during for d. 100-120/min


adult rate

a. 40-60/min

b. 60-80/min

c. 80-100/min

d. 100-120/min

What is the effect of a. decreased cardiac output


excessive ventilation?

a. decresed cardiac output

b. decreased intrathoracic
pressure

c. increased perfusion
pressure

d. increased venous return

temperature to achieve b. 32-36C


targeted temperature
management after cardiac
arrest

a. 30-34C

b. 32-36C

c. 36-40C

d. 38-42C

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3 mins into cardiac arrest a. chest compression may not be effective


resuscitation attempt, one
member of your team inserts
an endotracheal tube while
another performs chest
compressions. Capnography
shows a persistent waveform
& a PETCO2 of 8mmHg. What
is the significance of the
finding?

a. chest compression may not


be effective

b. The endotrachael tube is in


the esophagus

c. the team is ventilating the


patient too often

d. the patient meets the


criteria for termination of
efforts

Your patient is in cardiac c. monitor the patient's PETCO2


arrest and has been
intubated. To assess CPR
quality, you should?

a. obtain a chest x-ray

b. check the patient's pulse

c. monitor the patient's


PETCO2

d. obtain a 12-lead ECG

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In addition to clinical d. continuous waveform capnography


assessment, which is the most
reliable method to confirm &
monitor correct placement of
an endotracheal tube?

a. arterial blood gas

b. hemoglobin levels

c. chest radiography

d. continuous waveform
capnography

A 45M had coronary artery answer has to do with acute coronary syndrome
stents placed 2 days ago.
Today he is in severe distress
and reporting "crushing" chest
discomfort. He is pale,
diphoretic, and cool to the
touch. His radial pulse is very
weak, blood pressure is
64/40, respiratory is 28
bpm/min and O2 set is 89%
on room air.

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A 45M had coronary artery a. chest compression


stents placed 2 days ago.
Today he is in severe distress
and reporting "crushing" chest
discomfort. He is pale,
diphoretic, and cool to the
touch. His radial pulse is very
weak, blood pressure is
64/40, respiratory is 28
bpm/min and O2 set is 89%
on room air. When applied,
the cardiac monitor initially
showed ventricular
tachycardia, which then
quickly changed to ventricular
fibrillation.

WhIn addition to
defibrillation, which
intervention should be
performed immediately?

a. chest compression

b. vasoactive meds

c. vascular access

d. advanced airway

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A 45M had coronary artery c. epinephrine 1 mg


stents placed 2 days ago.
Today he is in severe distress
and reporting "crushing" chest
discomfort. He is pale,
diphoretic, and cool to the
touch. His radial pulse is very
weak, blood pressure is
64/40, respiratory is 28
bpm/min and O2 set is 89%
on room air. When applied,
the cardiac monitor initially
showed ventricular
tachycardia, which then
quickly changed to ventricular
fibrillation.

Despite 2 defibrillation
attempts, the patient remains
in V-fib. Which drug and dose
should you administer?

a. lidocaine 1 mg/kg

b. amiodarone 300mg

c. epinephrine 1mg

d. atropine 1 mg

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A 45M had coronary artery c. amiodarone 300mg


stents placed 2 days ago.
Today he is in severe distress
and reporting "crushing" chest
discomfort. He is pale,
diphoretic, and cool to the
touch. His radial pulse is very
weak, blood pressure is
64/40, respiratory is 28
bpm/min and O2 set is 89%
on room air. When applied,
the cardiac monitor initially
showed ventricular
tachycardia, which then
quickly changed to ventricular
fibrillation.

Despite the drug provided


above and continued CPR,
the patient remains in v-fib.
Which drug should be
administered next?

a. atropine 1mg

b. mag sulfate 1g

c. amiodarone 300mg

d. epi 1 mg

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A 45M had coronary artery d. initiate targeted temperature management


stents placed 2 days ago.
Today he is in severe distress
and reporting "crushing" chest
discomfort. He is pale,
diphoretic, and cool to the
touch. His radial pulse is very
weak, blood pressure is
64/40, respiratory is 28
bpm/min and O2 set is 89%
on room air. When applied,
the cardiac monitor initially
showed ventricular
tachycardia, which then
quickly changed to ventricular
fibrillation.

The patient has return of


spontaneous circulation and
is not able to follow
commands. Which immediate
post-cardiac arrest care
intervention do you choose
for the patient?

a. extubate

b. check the glucose level

c. administer epinephrine

d. initiate targeted
temperature management

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A 45M had coronary artery d. performed synchronized cardioversion


stents placed 2 days ago.
Today he is in severe distress
and reporting "crushing" chest
discomfort. He is pale,
diphoretic, and cool to the
touch. His radial pulse is very
weak, blood pressure is
64/40, respiratory is 28
bpm/min and O2 set is 89%
on room air. When applied,
the cardiac monitor initially
showed ventricular
tachycardia, which then
quickly changed to ventricular
fibrillation.

Which would you have done


first if the patient had not
gone into ventricular
fibrillation?

a. given atropine 1mg

b. established IV access

c. obtained a 12 lead
d. performed synchronized
cardioversion

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During post-cardiac arrest, a. at least 24 hours


which is recommended
duration of targeted temp.
management after reaching
the correct temperature
range?

a. at least 24 hours

b. 0-8 hour

c. at least 36 hours

d. at least 48 hours

which is the primary purpose c. improving patient outcomes by identifying &


of medical emergency team treating early clinical deterioration
or rapid response team?

a. provide diagnostic
consultation to emergency
department patients

b. provide online consultation


to EMS personnel

c. improving patient
outcomes by identifying &
treating early clinical
deterioration

d. improving care for patients


admitted to critical care units

Which of these tests should c. non-contrast CT scan of the head


be performed for a patient
with suspected stroke within
25 mins of hospital arrival?

a. coagulation studies

b. cardiac enzymes

c. noncontrast CT scan of the


head

d. 12 lead ECG

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Which of the following signs d. agnoal gasps


are likely indicator of cardiac
arrest in an unresponsive
patient?

a. slow, weak pulse rate

b. cyanosis

c. irregular, weak pulse

d. agonal gasps

a patient is being resuscitated I have an order to give 500mg of amiodarone IV.


in a very noisy environment. A Is this correct?
team member thinks he heard
an order of 500mg of
amiodarone IV. Which is the
best response from the team
member?

Which is the recommended c. resume CPR, starting with chest compressions


next step after a defibrillation
attempt?

a. check the ECG for


evidence of a rhythm

b. determine if a carotid pulse


is present

c. resume CPR, starting with


chest compressions

d. open the patient's airway

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A responder is caring for a unstable supraventicular tachycardia


patient with a history of
congestive heart failure. The
patient is experiencing
shortness of breath, 68/50
mmHg, heart rate 190/min.
The patient's lead 2 ECG is
shown. Which best
characterizes this patient's
rhythm?

which is one way to minimize continue CPR while the defibrillator charges
interruptions in chest
compressions during CPR?

A 68F lightheadedness, tachycardia

nausea, chest discomfort. wide complex (monophasic) tachycardia


Your assessment finds her
awake & responsive but ill-
appearing, pale, and grossly
diaphoretic. Her radial pulse
is weak, thready & fast. Your
are unable to get a BP. She
has no obvious dependent
edema, & her neck veins are
flat. Her lung sounds are
equal w/ moderate rales
present bilaterally. The
cardiac monitor shows rhythm
seen here. Based on the
patient's initial assessment,
what adult ACLS algorithm
should you follow?

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A 68F lightheadedness, synchronized cardioversiion


nausea, chest discomfort.
Your assessment finds her
awake & responsive but ill-
appearing, pale, and grossly
diaphoretic. Her radial pulse
is weak, thready & fast. Your
are unable to get a BP. She
has no obvious dependent
edema, & her neck veins are
flat. Her lung sounds are
equal w/ moderate rales
present bilaterally. The
cardiac monitor shows rhythm
seen here. After your initial
assessment, which
intervention should be
preformed?

A 68F lightheadedness, perform defibrillation


nausea, chest discomfort.
Your assessment finds her
awake & responsive but ill-
appearing, pale, and grossly
diaphoretic. Her radial pulse
is weak, thready & fast. Your
are unable to get a BP. She
has no obvious dependent
edema, & her neck veins are
flat. Her lung sounds are
equal w/ moderate rales
present bilaterally. The
cardiac monitor shows rhythm
seen here. If the patient
became apnic & pulseless but
the rhythm remained the
same, which would take the
highest priority?

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monomorphic ventricular tachycardia

Which best describes the


rhythm?

A patient in stable narrow- 12mg


complex tachycardia with a
peripheral IV in place is
refractory to the 1st dose of
adenosine. Which dose would
you administer next?

You instruct a team member I'll draw up 0.5mg of atropine


to give 0.5mg atropine IV.
Which response is an
example of closed-loop
communication?

defibrillation
A patient has a witnessed loss
of consciousness. The lead 2
ECG is shown. appropriate
treatment?

You have completed 2 mins Give epi 1mg IV


of CPR. The ECG monitor
shows the lead 2 rhythm, and
the patient has no pulse.
Another member of your
team resumes chest
compression, and an IV is in
place. Which do you do next?

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to properly ventilate a patient b. once every 5-6 seconds


w/ perfusing rhythm, how
often do you squeeze the
bag?

a. once every 10 seconds

b. once every 5 to 6 seconds

c. once every 3 to 4 seconds

d. once every 12 seconds

Which is the recommended c. 300mg


1st IV dose of amiodarone for
a patient w/ refractory
ventricular fibrillation?

a. 150 mg

b. 250 mg

c. 300 mg

d. 100 mg

Which best describes the b. 5 to 10 seconds


length of time it should take
to perform a pulse check
during BLS assessment?

a. 1 to 4 seconds

b. 5 to 10 seconds

c. 11 to 15 seconds

d. 16 to 20 seconds

Which best describes an clearly delegate tasks


action taken by the team
leader to avoid inefficiencies
during a resuscitation
attempt?

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Which is the maximum interval 10 seconds


you should allow for an
interruption in chest
compression?

If a team member is about to a. address the team member immediately


make a mistake during a
resuscitation attempt, which
best describes the action that
the team leader or other team
members should take?

a. address the team member


immediately

b. conduct a debriefing after


the resuscitation attempt

c. remove the team member


from the area

d. reassign the team members

Which facility is the most coronary reperfusion-capable medical center


appropriate EMS destination
for a patient w/ a sudden
cardiac arrest who achieved
return of spontaneous
circulation in the field?

which is an acceptable measure from the corner of the mouth to the


method of selecting an angle of the mandible
appropriately sized
oropharyngeal airway?

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A team member is unable to ask for a new task or role


perform an assigned task
because it is beyond the team
member's scope of practice.
Which action should the team
member take?

What is the minimum systolic 90 mmHg


blood pressure one should
attempt to achieve w/ fluid
administration or vasoactive
agents in a hypotensive post-
cardiac arrest patient who
achieves return of
spontaneous circulation?

You are evaluating a 58M w/ obtaining a 12 lead


chest discomfort, BP 92/50,
heart rate 92/min, his non-
labored respiratory rate is 14
bpm, and his pulse oximetry
reading is 97%. Which
assessment step is most
important now?

As a team leader, when do a. about every 2 minutes


you tell the chest
compressors to switch?

a. about every 2 minutes

b. about every 5 minutes

c. only when they tell you that


they are fatigued

d. about every 7 minutes

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The patient's pulse ox shows a apply oxygen

reading of 84% on room air. (I think I put Bag valve mask for this and I got it
Which initial action do you wrong)
take?

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