NURSING > EXAM > ACLS Exam Version B (All)

ACLS Exam Version B

Document Content and Description Below

22. A patient with pulseless ventricular tachycardia is defibrillated. What is the next action? A. Check for a pulse. B. Administer an IV antiarrhythmic. C. Start chest compressions at a rate of at least 100/min. D. Repeat the unsynchronized shock, increasing to 200 J. 23. You have completed your first 2-minute period of CPR. You see an organized, non-shockable rhythm on the ECG monitor. What is the next action? A. Administer normal saline at 20 mL/kg. B. Administer epinephrine at 1 mg/kg IV. C. Obtain a blood pressure and oxygen saturation. D. Have a team member attempt to palpate a carotid pulse. 24. Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac arrest. What is the next most preferred route for drug administration? A. Intraosseous (IO) B. Endotracheal (ET) C. Intramuscular (IM) D. Central venous access 25. What is the appropriate rate of chest compressions for an adult in cardiac arrest? A. At least 150/min B. At least 100/min C. Approximately 100/min D. Approximately 120/min 26. You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. The hospital CT scanner is not working at this time. What should you do in this situation? A. Contact the patient’s family to see what they would prefer. B. Have the EMS crew choose an appropriate patient disposition. C. Accept the report and provide care within your present capability. D. Divert the patient to a hospital 15 minutes away with CT capabilities.27. A 53-year-old man has shortness of breath, chest discomfort, and weakness. The patient’s blood pressure is 102/59 mm Hg, the heart rate is 230/min, the respiratory rate is 16 breaths/min, and the pulse oximetry reading is 96%. The lead II ECG is displayed below. A patent peripheral IV is in place. What is the next action? A. Acquisition of a 12-lead ECG B. Vagal maneuvers C. Procedural sedation D. Immediate defibrillation 28. A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient is diaphoretic, with associated shortness of breath. The blood pressure is 130/88 mm Hg, the heart rate is 110/min, the respiratory rate is 22 breaths/min, and the pulse oximetry value is 95%. The patient’s 12-lead ECG shows STsegment elevation in the anterior leads. First responders administered 160 mg of aspirin, and there is a patent peripheral IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses of nitroglycerin. What is the next action? A. Administer an additional dose of aspirin. B. Administer an additional nitroglycerin tablet. C. Administer high-flow oxygen via an oxygen mask. D. Administer 2 to 4 mg of morphine by slow IV bolus. 29. A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. The blood pressure is 132/68 mm Hg, the pulse is 130/min and regular, the respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95%. The lead II ECG displays a wide-complex tachycardia. What is the next action after establishing an IV and obtaining a 12-lead ECG? A. Administration of IV epinephrine B. Seeking expert consultation C. Procedural sedation D. Synchronized cardioversion 30. A postoperative patient in the ICU reports new chest pain. What actions have the highest priority? A. Administer an IV fluid bolus and obtain arterial blood gas. B. Start dopamine at 2 mcg/kg per minute and obtain a chest x-ray. C. Send blood to the laboratory for chemistry and cardiac enzymes.

[Show More]

Last updated: 3 years ago

Preview 1 out of 15 pages

Buy Now

Instant download