ACLS: Qquestion and Answer by (NHCPS)



ACLS: Qquestion and Answer by (NHCPS)


True or False: Synchronized cardioversion is appropriate for treating an unknown wide complex tachycardia.
Your Answer: True

CORRECT
True or False: Fibrinolytic therapy is the treatment of choice for hemorrhagic stroke.
Your Answer: False

CORRECT
True or False: A nasopharyngeal airway (NPA) can be used on a semi-conscious or conscious individual, while an oropharyngeal airway (OPA) should only be used on an unconscious individual.
Your Answer: True

CORRECT
True or False: Therapeutic hypothermia should be considered in the comatose adult after cardiac arrest.
Your Answer: True

CORRECT
True or False: Transcutaneous pacing should be used on an individual with bradycardia and inadequate perfusion if atropine is ineffective and the individual is exhibiting severe symptoms.
Your Answer: True

CORRECT
True or False: The definition of stable tachycardia is a fast but constant heart rate between 80 and 120 beats per minute.
Your Answer: FALSE

CORRECT 
True or False: The time of first response to treatment of an acute stroke may determine the outcome and survival of the individual.
Your Answer: True

CORRECT
True or False: Fibrinolytic therapy within three hours (in some cases 4.5 hours) of first onset of symptoms is the standard when treating ischemic stroke.
Your Answer: True

CORRECT
True or False: If atropine is unsuccessful in treating bradycardia, it is doubtful that the individual will respond to any other interventions.
Your Answer: False

CORRECT
True or False: Transcutaneous pacing should be used on a bradycardic individual with insufficient perfusion before any other intervention.
Your Answer: False

CORRECT
True or False: Medication is the only treatment for an unstable tachycardic individual.
Your Answer: False

CORRECT
Hyperventillation (over ventillation) can be harmful because it:
 Increases intrathoracic pressure
 Decreases venous return to the heart
 Diminishes cardiac output
 *All of the above
CORRECT

What item is NOT an example of Advanced Airways?
 Endotracheal tube (ET tube)
 *Oropharyngeal airway (OPA)
 Esophageal-tracheal tube (combitube)
 Laryngeal mask airway (LMA)
CORRECT

The compression-to-ventilation ratio during CPR prior to placement of an advanced airway is:
 *30:02:00
 20:01
 30:01:00
 15:02
CORRECT

The proper steps for operating an AED are:
 Power on the AED, analyze the rhythm, attach electrode pads, and shock the individual.
 Power on the AED, shock the individual, attach electrode pads, and analyze the
 Power on the AED, attach electrode pads, shock the individual, and analyze the rhythm.
 *Power on the AED, attach electrode pads, analyze the rhythm, and shock the individual.
CORRECT

For persistent VF/pulseless VT, vasopressors that may be given during CPR include:
 Magnesium and potassium
 Amiodarone and diltiazem
 *Epinephrine
 Epinephrine and dopamine
CORRECT

The IV route is preferred for drug administration. If IV access is not available, the next preferred route is:
 Endotracheal
 Transdermal
 None of the above
 *Intraosseous
CORRECT

The two most common and easily reversible causes of PEA are:
 Hypovolemia and hypoxia
 Acidosis and hypokalemia
 Hypoglycemia and cardiac tamponade
 Toxins and trauma
CORRECT

The cardiac arrest rhythm associated with NO discernible electrical activity on the ECG is termed as _________?
 Pulseless electrical activity
 *Asystole
 Ventricular tachycardia
 Bradycardia
CORRECT

Symptoms suggestive of ACS may include all of the following EXCEPT:
 *Headache and blurry vision
 Chest discomfort with lightheadedness, sweating, or nausea
 Unexplained shortness of breath with or without chest discomfort
 Uncomfortable pressure in the center of the chest
CORRECT

What is the only means of identifying ST-elevation MI (STEMI)?
 Fibrinolytic checklist
 Coronary angiography
 None of the above
 *12-lead ECG
CORRECT

Indications for transcutaneous pacing (TCP) include all of the following EXCEPT:
 Unstable third-degree AV block
 Bradycardia with symptomatic ventricular escape rhythms
 *Asystole
 Hemodynamically unstable bradycardia
CORRECT

Tachycardia is defined as a heart rate greater than:
 *100 beats per minute
 120 beats per minute
 90 beats per minute
 150 beats per minute
CORRECT

If uncertain whether or not an individual is an appropriate candidate for synchronized cardioversion, the ACLS trained provider should:
 *Seek expert consultation.
 Defer cardioversion until symptoms become irreversible.
 Obtain a coronary CT scan.
 Provide increased oxygenation.
CORRECT

All of the following are found within the 8 D’s of Stroke Care EXCEPT:
 Decision
 *Debilitation
 Delivery
 Detection
CORRECT

The chambers of the heart responsible for circulating deoxygenated blood from the systemic circulation to the pulmonary circulation are the following:
 Left atrium and left ventricle
 Left atrium and right ventricle
 Left ventricle and right atrium
 *Right atrium and right ventricle
CORRECT

The normal sinus rhythm of the heart starts in the:
 Purkinje system
 *Sinoatrial node
 Right ventricle
 Atrioventricular node
CORRECT

Under normal circumstances, what is the largest chamber of the heart?
 Right ventricle
 Left atrium
 Right atrium
 *Left ventricle
CORRECT

Which wave represents repolarization of the ventricles?
 P wave
 QRS complex
 PR interval
 *T wave
CORRECT

You are alone when you encounter an individual in what appears to be cardiac or respiratory arrest. What are the first three steps you should take to stabilize them? Check for danger, check for response, and ____________.
 *Send for help.
 Administer an initial shock.
 Insert an advanced airway.
 Start CPR.
CORRECT

What item is NOT an example of Advanced Airways?
 Laryngeal tube
 Laryngeal mask airway (LMA)
 *Nasopharyngeal airway (NPA)
 Endotracheal tube (ET)
CORRECT

According to the 2015 AHA update, high-quality CPR is defined as:
 80 chest compressions per minute at a depth of at least one inch
 *100-120 chest compressions per minute at a depth of at least two inches, but not greater than 2.4 inches
 100 chest compressions per minute at a depth of at least one inch
 80 chest compressions per minute at a depth of at least two inches
CORRECT

ACLS recommends minimizing interruption of chest compressions for which of the following:
 Ventilation
 Rhythm checks
 Shock delivery
 *All of the above
CORRECT

According to the 2015 AHA Guidelines, stopping chest compressions for any reason, such as pulse checks, should be limited to less than:
 *10 seconds
 60 seconds
 30 seconds
 3 seconds
CORRECT

After performing CPR for two minutes on an individual in asystole, what is the ACLS trained provider’s next intervention?
 IV or IO access for atropine administration
 AED shock administration
 *IV or IO access for epinephrine administration
 Advanced airway insertion
CORRECT

Which of the following can be a result of prolonged asystole?
 Severe brain damage
 Lack of oxygen to vital organs
 Severe myocardial ischemia
 *All of the above
CORRECT

Which of the following can represent a correct treatment choice for an individual in asystole?
 A. Synchronized shock with an AED
 B. Epinephrine
 C. Vasopressin
 *D. Both B and C
CORRECT

Individuals experiencing a suspected ACS should be transported to:
 A center that has a dedicated stroke team
 *A facility that performs PCI
 An appropriate center for triage
 A facility with trauma care
CORRECT

The following drugs and/or interventions may be used in the ACS individual for cardiac reperfusion:
 A. Fibrinolytic therapy
 B. Atropine
 C. Percutaneous coronary intervention (PCI)
 *D. Both A and C
CORRECT

All of the following are categories of unstable angina EXCEPT:
 High-risk UA
 *No-risk UA
 Low-risk UA
 Intermediate-risk UA
CORRECT

All of the following are bradycardic rhythms EXCEPT:
 *Ventricular fibrillation
 First-degree heart block
 Third-degree heart block
 All of the above are bradycardic rhythms.
CORRECT

Which of the following is an alternative to atropine in treating bradycardia?
 Dopamine
 Epinephrine
 Transcutaneous pacing
 *All of the above are alternatives.
CORRECT

During a tachycardic episode, if the individual ____________ at any point, you must switch algorithms.
 Salivates
 Urinates
 *Loses a pulse
 Vomits
CORRECT

Acute strokes are a result of:
 A. Blockage of an artery in the heart
 B. Blockage of an artery in the brain
 C. Rupture of an artery in the brain
 *D. Either B or C
CORRECT

Which of the following is correct regarding individuals with acute stroke?
 Hemorrhagic stroke is caused by the rupture of a blood vessel.
 Ischemic stroke is caused by the occlusion of an artery.
 Time between symptoms onset and time of arrival at an ED are critical to individual's survival.
 *All of the above
CORRECT

In confirming and monitoring placement of the ET tube, the 2015 ACLS guidelines suggest what?
 *Quantitative waveform capnography
 Glucose check
 Pulse oximetry
 Blood pressure monitoring
CORRECT

Which of the following side effects may be expected during amiodarone infusion?
 Hypotension
 Bradycardia
 Gastrointestinal toxicity
 *All of the above
CORRECT

If bradycardia is symptomatic, what is the most likely heart rate exhibited?
 *Below 50 bpm
 Above 50 bpm
 Below 100 bpm
 Above 60 bpm
CORRECT

Which of the following would be appropriate actions following transcutaneous pacing?
 Administer amiodarone.
 Follow VT/VF algorithm
 *Consult a specialist.
 Confirm ET tube placement with quantitative waveform capnography.
CORRECT

Qries