ACLS practice questions with accurate answers, Graded A+

ACLS practice questions with accurate answers, Graded A+ What element of a system of care is represented by properly functioning resuscitation equipment? System Structure Process Patient outcome - ✔✔Structur ...

ACLS practice questions with accurate answers, Graded A+ What element of a system of care is represented by properly functioning resuscitation equipment? System Structure Process Patient outcome - ✔✔Structure What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? Activation of emergency response Defibrillation Advanced resuscitation High-quality CPR - ✔✔Activation of emergency reponse What are signs of clinical deterioration that would prompt the activation of rapid response system? Symptomatic hypertension Seizure Unexplained agitation Diastolic blood pressure greater than 60 mm Hg or less than 100 mm Hg - ✔✔Symptomatic hypertension Seizure Unexplained agitation What is the primary purpose of a rapid response team (RRT) or medical emergency team (MET)? To provide diagnostic consultation to emergency department patients To improve care for patients admitted to critical care units To improve patient outcomes by identifying and treating early clinical deterioration To provide online consultation to emergency medical services personnel in the field - ✔✔To improve patient outcomes by identifying and treating early clinical deterioration What happens when teams rapidly assess and intervene when patients have abnormal vital signs? Morbidity and mortality rates are maintained The number of out of hospital cardiac arrest increases The number of in hospital cardiac arrest decreases Morbidity and mortality rates increase - ✔✔The number of in hospital cardiac arrest decreases In addition to decreased IHCA, what are some other benefits of implementing a rapid response system? Select all that apply Decreased ICU length of stay Decreased emergency department admissions Increased ICU admissions Increased Hospital Length of Stay Decreased in total hospital length of stay - ✔✔ Which is the main advantage of effective teamwork? Early defibrillation Division of tasks Mastery or resuscitation skills Immediate CPR - ✔✔Division of tasks Which is the best example of a role of the team leader? Proficient at endotracheal intubation Does not over ventilate the patient Performs within scope of practice Models excellent team behavior - ✔✔Models excellent team behavior Which is the best example of a role of a team member? Monitors individual team members Helps train future team leaders Focuses on comprehensive patient care Prepared to fulfill their role responsibilities - ✔✔Prepared to fulfill their role responsibilities What is the primary purpose of the CPR coach on a resuscitation team? Recording CPR data Resolving team conflicts Increasing CPR quality Giving encouragement - ✔✔Increasing CPR quality What are the 6 positions for high performance teams in resuscitation? - ✔✔Team leader Airway Timer/recorder Compressor (rotate every 2 minutes) Monitor/defibrillator/cpr coach IV/IO/Medications Which member of the high performance team has the responsibility for assigning roles (positions)? Compressor Time/recorder Airway Team leader - ✔✔Team leader Which high performance team member is part of the resuscitation triangle? Timer/recorder Monitor/defibrillator/Cpr coach IV/IO/medications Team leader - ✔✔Monitor/defibrillator/cpr coach Which is an example of knowledge sharing by a team leader? Changing a treatment strategy when supported by new information Maintaining an ongoing record of treatments Asking for suggestions about interventions Asking the compressor to decrease or increase rate - ✔✔Asking for suggestions about interventions Which is an example of summarizing and reevaluating? "1mg of epinephrine given" Questioning a colleague who is about to make a mistake "Compressions are at a good rate" Increasing monitoring if the patients condition deteriorates - ✔✔Increasing monitoring of the pati Which is a step of closed-loop communication? Confirming task completion before assigning another task Encouraging all team members to speak clearly Abandoning ego Using distinctive speech and a controlled voice - ✔✔Confirming task completion before assigning another task Which are examples of mutual respect? Select all that apply: Acknowledging correctly completed task in a positive way Requesting a clear response and eye contact from the team member Giving drugs only after verbally confirming the order Ensuring that only 1 person talks at a time - ✔✔Acknowledging correctly completed tasks in a positive way Ensuring that only one person talks at a time What are the components of high quality CPR? Select all that apply: Synchronous ventilation with chest compressions Avoiding excessive ventilation Compression rate around 10/min Complete chest recoil after each compression Interruptions limited to less than or equal to 10 seconds Low coronary perfusion pressure Switching compressors every 2 minutes Compression depth of at least 2 inches (5cm) - ✔✔Compression depth of at least 2 inches (5cm) Switching compressors every 2 minutes Avoiding excessive ventilation Complete chest recoil after each compression Interruption limited to under 10 seconds How do you calculate the chest compression fraction (CCF)? What is ideal percentage? - ✔✔Divide chest compression time by total code time. You want this at least 60% but ideally greater than 80% Which component of effective high-performance teams is represented by the use of real-time feedback devices? Quality Administration Timing Coordination - ✔✔Quality How do you calculate Coronary Perfusion Pressure (CPP)? - ✔✔Aortic diastolic pressure "minus" Right Atrial Diastolic Pressure How do interruptions in chest compressions negatively impact survival after cardiac arrest? Increase intracranial pressure Decrease coronary perfusion pressure Reduce right ventricular period Increase intrathoracic pressure - ✔✔Decrease coronary perfusion pressure What is the only intervention that can restore an organized rhythm in patients with ventricular fibrillation (VF)? High-quality CPR Epinephrine administration Early and effective defibrillation Advanced airway insertion - ✔✔Early and effective defibrillation How quickly does the chance of survival decline for every minute of defibrillation delay in patients with ventricular fibrillation who do receive bystander CPR? 3-4% 5-6% 11-13% 7-10% - ✔✔7-10% What is the advantage of a systematic approach to patient assessment? Reduces the need for secondary assessment Reduces the chance of missing important signs and symptoms Permits assessment modification based on patient symptoms Standardizes treatment across systems of care - ✔✔Reduces the chances of missing important signs and symptoms What is the first step in the systematic approach to patient assessment? BLS assessment Initial impression Primary assessment Secondary assessment - ✔✔Initial impression What is the maximum amount of time you should simultaneously perform pulse and breathing checks? 10 seconds 5 seconds 20 seconds 15 seconds - ✔✔10 seconds While performing the BLS Assessment, you initiate high- quality CPR and assist ventilation with a bag mask device. The AED does not recommend a shock. Which action in the Primary assessment should you perform first? Determine if the patients airway is patent Asses the patients oxygen status Perform fluid resuscitation Attach a quantitative waveform capnography device - ✔✔Determine is the patients airway is patent The initial assessment reveals a conscious patient. The patients airway is patent and an advanced airway is not indicated. Which action in the primary assessment should you perform next? Remove clothing to perform a physical examination Check for neuro function Administer oxygen as needed Check for the presence of a pulse - ✔✔Administer oxygen as needed Which action is part of secondary assessment of a conscious patient? Give IV/IO fluids if needed Formulate a differential diagnosis Determine the patients level of consciousness Attach a monitor defibrillator - ✔✔Formulate a differential diagnosis Which of the following are the "H's" causes of reversible cardiac arrest? Select all that apply: Hyperkalemia/hypokalemia Hypertensive crisis Acidosis HELLP syndrome Hyperventilation