Click a quiz link in any scenarios below to open a quiz for that PALS case. About every 4 minutes Which is a contraindication to nitroglycerin administration in the management of acute coronary syndromes? Blood pressure is 110/70 mm Hg. D. Give normal saline 250 mL to 500 mL fluid bolus. May help in the delivery Of adequate ventilation With a device by preventing the tongue from blocking the airway, b. Repeat amiodarone 300 mg IV. A patient in respiratory distress and with a BP of 70/50 mmHg presents with the following lead II ECG rhythm. 1. Should be given only to patients with narrow-QRS tachycardia or dysrhythmias known with certainty to be Of supraventricular origin, b. 3. 4. Give an additional 2 mg of morphine sulfate. Your patient is in cardiac arrest and has been intubated. Give a 2.5- to 5-mg IV bolus Of verapamil over 3 minutes, c. Deliver a single shock using 360 joules after 5 cycles of CPR and then immediately resume CPR, d. Give magnesium sulfate 1 to 2 g IV over 10 minutes, b. Start dopamine at 10 to 20 mcg/kg per minute. What action is recommended next? 4. High-quality chest compressions are being given. 1. 2. What is your first action? On the next rhythm check, you see the rhythm shown here. What is the next step in your assessment and management of this patient? An IV has been established. Give atropine 0.5 mg IV . Recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest, Performing a head tilt chin lift maneuver. Establish an IV and give epinephrine 1 mg. 2. What is the next appropriate intervention? 4. Use these answers to prepare yourself for an ACLS online exam. Give epinephrine 1 mg IV/IO All our courses Why choose us How our courses . The cardiac monitor documents the rhythm shown here. Team members tell you that the patient was well but reported chest discomfort and then collapsed. 2 days ago Web ACLS Pretest. ACLS EXAM PACKET FOR VERSIONS A AND B COMP,LETE WITH A TEST BANK AND EXAM PACK FOR BOTH VERSIONS LATEST UPDATE NOVEMBER 2022. He now responds by moaning when his name is spoken. What is the appropriate next intervention? 4. Give normal saline 250 mL to 500 mL fluid bolus. A second shock is given, and chest compressions are resumed immediately. 1. (e) How many kilojoules are released by the combustion of 17.0 g of C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18 ? the rhythm. What is the next indicated action? When an electron moves through a medium at a speed exceeding the speed of light in that medium, the electron radiates electromagnetic energy (the Cerenkov effect). An AED advises a shock for a pulseless patient lying in snow. Write a Lewis structure for N2_22H4_44. Asystole now A 46-year-old woman is found unresponsive, not breathing, and pulseless. Questions and Answers 1. Her blood pressure is 134/82, pulse 180, respirations 18. A patient has sinus bradycardia with a heart rate of 36/min. Providing a good seal between the face and the mask Atropine 0.5 mg IV A patient was in refractory ventricular fibrillation. You are the team leader. Which is the next drug/dose to anticipate to administer? She is now extremely apprehensive. Is given as an initial IV dose Of 300 mg and one repeat dose of 150 mg in cardiac arrest due to pulseless ventricular tachycardia or ventricular fibrillation, b. The patient has a history Of congestive heart failure and asthma. 90 to 100 compressions per minute The CT scan is negative for hemorrhage. What are the guidelines for antiplatelet and fibrinolytic therapy? A patient has a rapid irregular wide-complex tachycardia. Give adenosine 12 mg IV slow push (over 1 to 2 minutes). 8 to 10 ventilations minute; each ventilation delivered 1 second, b. A defibrillator is present. A patient with STEMI has ongoing chest discomfort. Which of the following actions is recommended? The monitor shows a regular wide-complex QRS at a rate of 180/min. A patient with STEMI has ongoing chest discomfort. Prepare for AHA ACLS Today! After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. Give amiodarone 300 mg IV and start infusion. 2. Attempt endotracheal intubation with minimal interruptions in CPR. The patient is intubated. 2. Dose of 0.1mg ACLS Pretest Overview. Is the drug Of choice in the treatment Of symptomatic narrow-QRS bradycardia, c. May result in asystole when given in high doses, d. Is given as a 2- to 20-mcg/kg IV bolus, a. Vagal maneuvers and adenosine rapid IV push, b. Nitroglycerin, morphine, lidocaine Or amiodarone, and aspirin, d. Vagal maneuvers and an amiodarone IV infusion, a. Seeking expert consultation. How often should you switch chest compressors to avoid fatigue? 5. Launch This Course Quick Facts Start an IV and give epinephrine 1 mg IV. 15 seconds If no pathway for medication administration is in place, which method is preferred? ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, Reentry supraventricular tachycardia, Second-degree AV block (Mobitz II What is the next action? Oxygen is being administered by nasal cannula at 4 L/min, and an IV line is in place. Epinephrine 2 to 10 mcg/kg per minute Which drug should be given next? The rate should be Set between 40 and 100; the current should increased rapidly to a maximum Of 160 milliamps. 150 mg IV push. A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. haileybaret. 3. Lidocaine may be lethal if administered for which of the following rhythms? ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm), ASVAB Paragraph Comprehension Practice Test 2023, IAHCSMM CRCST Practice Test Chapter 3 [UPDATED 2023], IAHCSMM CRCST Practice Test Chapter 1 [UPDATED 2023], CRCST Practice Test Chapter 1 [UPDATED 2023], CRCST Practice Test 2023 (UPDATED ALL CHAPTERS), a. Symptomatic first-degree atrioventricular block, d. Atrial fibrillation with a rapid ventricular response, a. Amiodarone, dopamine, procainamide, naloxone, and adenosine, b. Naloxone, atropine, vasopressin, epinephrine, and lidocaine, c. Lidocaine, amiodarone, procainamide, vasopressin, and naloxone, d. Procainamide, epinephrine, lidocaine, adenosine, and dopamine, a. 2. Get immediate feedback while you prepare for your exam. After resuming high-quality compressions, which action do you take next? Which treatment or medication is appropriate for the treatment of a patient in asystole? An IV is in place, and no drugs have been given. 49. 2. The most common cause of a stroke is: 41. 1. Your next action is to: Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. Central line 18. Administer nitroglycerin 0.4 sublingual or spray. Atropine 1 mg, A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. Perform endotracheal intubation. What is the recommended route for drug administration during CPR? Adenosine 6 mg An 80-year-old woman presents to the emergency department with dizziness. Q5. 1. 3. You are the code team leader and arrive to find a patient with CPR in progress. . After attaching a cardiac monitor, the responder observes the following rhythm strip. At doses recommended for use in cardiac arrest, epinephrine and vasopressin: 9. A patient with ST-segment elevation MI has ongoing chest discomfort. Start The Quiz. What actions have the highest priority? 2. A patient with possible STEMI has ongoing chest discomfort. 2. Definitely not the PALS precourse assessment, ACLS PreTest: Pharmacology and Practical Appl, Julie S Snyder, Linda Lilley, Shelly Collins. ACLS Practice Quiz Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. What is the appropriate next intervention? The cardiac monitor shows a narrow-CRS tachycardia without visible P waves. Perform synchronized cardioversion, What is the recommended compression rate for high-quality CPR? 5. What is your next action? A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. 19. 25 seconds, ACLS PreTest, ACLS PreTest: Pharmacology and, CEN: Cardio- Hypovolemic and Obstructive Shock, Medical Assisting: Administrative and Clinical Procedures, Kathryn A Booth, Leesa Whicker, Terri D Wyman. Blood pressure greater than 180 mm Hg. planes, (b) the principal stresses. Q11. Of the following, which drug and dose should be administered first by the IV/IO route? Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? 3. Bag-mask ventilations are producing visible chest rise, high-quality CPR is in progress, and an IV has been established. Which action should you take immediately after providing an AED shock? 32. This rhythm is ventricular fibrillation, a shockable rhythm, b. 51 terms. You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. At least 2 inches A 58-year-old man is complaining of chest pain. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. Lidocaine, epinephrine, vasopressin, A patient is in cardiac arrest. Steam at 3MPa3\ \mathrm{MPa}3MPa and 400C400^{\circ} \mathrm{C}400C is expanded to 30kPa30\ \mathrm{kPa}30kPa in an adiabatic turbine with an isentropic efficiency of 929292 percent. you do now? Begin CPR, starting with chest compressions. 3. Begin CPR, starting with high-quality chest compressions. Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. 4. Amiodarone 150 mg A patient's 12-lead ECG was transmitted by the paramedics and showed an acute MI. The maximum length of time for a suctioning attempt is: 45. Breathing is shallow at 8 to 12 breaths/minute. EMS personnel arrive to find a patient in cardiac arrest. Which of the following statements is most accurate regarding the administration of vasopressin during cardiac arrest? As you shout for help, your next action in this situation should be to: 13. 2. What is the initial dose of atropine? ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Supraventricular Tachycardia, Atrial fibrillation, Second deg AV block: Mobitz 1 and more. 2. Your team looks to you for instructions. Give aspirin 160 mg and clopidogrel 75 mg orally Determine the mass moments of inertia of the assembly about the x-, y-, and z- axes. 1. Adenosine 3 mg IV bolus 4. 1. Atropine 0.5 mg, A patient with sinus bradycardia and heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. Blood pressure is 104/70mm Hg. what is your next action? You are the code team leader and arrive to find a patient with above rhythm and CPR in progress. The monitor shows a regular narrow-complex QRS at a rate of 180/min. 3. 3. Which therapy is now indicated? A 75-year-old man has suffered a cardiac arrest. Vasopressin may be used in the management of: 3. 4. High-quality CPR is in progress. 5. 4. A postoperative patient in the ICU reports new chest pain. You should: Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. Dopamine at 2 to 10 mcg/kg per minute. 2. 47. The lead II ECG displays a wide-complex tachycardia. Atropine has been administered to a total of 3 mg. A transcutaneous pacemaker has failed to capture. Reply. Intubation and administration of 100% oxygen, Your patient is not responsive and is not breathing. Being CPR with chest compressions for 2 minutes or about 5 cycles of compressions and ventilations. A patient is in refractory ventricular fibrillation and has received multiple appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300mg IV. ACLS pretest Flashcards. ACLS PreTest: Pharmacology and Practical Application. Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator) Which action is indicated next? A. The preferred site for initial placement of a large IV catheter is the: 24. 1. Which finding is a sign of ineffective CPR? Perform immediate electrical cardioversion. 5. Which drug should be given next? Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 Explain mathematic question Math understanding that gets you Figure out math equations . What is the next action after establishing an IV and obtaining a 12-lead ECG? You are evaluating a 58-year-old man with chest pain. 2. ACLS PreTest, ACLS PreTest: Pharmacology and Practical Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, Reentry supraventricular tachycardia, Second-degree AV block (Mobitz II Pulseless electrical activity (PEA) Identify the rhythm. What is your next action? 5. The cardiac monitor shows the following rhythm: 8. Giving breaths over 1 second Giving lidocaine 1 to 1.5 mg IV bolus. What is the recommended assisted ventilation rate for patients in respiratory arrest with a perfusing rhythm? Start an IV and give a 300-mg dose Of amiodarone, c. Ask the patient to bear down; if unsuccessful, give adenosine IV, d. Begin CPR and then defibrillate with 360 joules as soon as a defibrillator is available, a. Defibrillate once as soon as possible, resume CPR, start an IV, and give epinephrine, b. 3. Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes, This patient was admitted to the general medical ward with a history of alcoholism. High-quality chest compressions are being given. Which intervention below is most important, reducing in-hospital and 30-day mortality? During the combustion of 5.00 g of octane, C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18, 1002 kJ is released. What element of effective resuscitation team dynamics does this represent? You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. You are providing bag-mask ventilations to a patient in respiratory arrest. 14. Vasopressin, amiodarone, lidocaine An oral airway is in place. Your patient is not responsive and is not breathing, You can palpate a carotid pulse. The Advanced Cardiovascular Life Support (ACLS) Precourse Self-Assessment is an online tool that evaluates a student's knowledge before the course to determine their proficiency and identify any need for additional review and practice in 3 sections: rhythm recognition, pharmacology, and practical application. Give aspirin 160 to 325 mg chewed immediately. The ventricular rate is 138/min. He has a history of angina. 4. Morphine sulfate 4 mg IV. You are the team leader. 1. Take the free PALS pretest below to prepare you for either of our official online exams. Start The Quiz about 3-5 minutes # % Follow us for daily quizzes and nursing banter. $________________$, Reentry supraventricualr tachycardia (SVT), Reentry Supraventricular tachycardia (SVT), Reentry supraventricular tachycardia (SVT). 2. Taking a BLS pretest is also a great way to familiarize yourself with the format. The cardiac monitor reveals the following rhythm. Give sublingual nitroglycerin 0.4 mg. Acls pretest answers 2021 quizlet - This Acls pretest answers 2021 quizlet helps to fast and easily solve any math problems. 12. 1. What is the next action after establishing an IV and obtaining a 12-lead ECG? Give lidocaine 1 to 1.5 mg IV and start infusion. PEA Application of transcutaneous pacemaker A thermocouple junction is inserted in a large duct to calculate the temperature of hot gases flowing through the duct. 1. Administer 3 sequential (stacked) shocks at 360 J (monophasic defibrillator). 3. 1. IV or IO Solve Now An AED has previously advised "no shock indicated." Dopamine 2 to 20 mcg/kg per minute IV or IO. It is now 62/38. (a) Write a balanced equation for the combustion reaction. ACLS Pretest. Ventricular fibrillation has been refractory to an initial shock. What is the next action? Administer amiodarone 300 mg. 2. Check the carotid pulse Most myocardial infarctions occur because of: Questions 21 through 25 pertain to the following scenario. Conduct a problem-focused history and physical examination. 4. Examination Of the patient reveals no signs of trauma. 22. You arrive on the scene with the code team. The heart rate has not responded to vagal maneuvers. Administer epinephrine 1 mg. Two shocks and 1 dose of epinephrine have been given. How often should the team leader switch chest compressors during a resuscitation attempt? Dose of 0.5mg. How often should you provide ventilation? Initiate dopamine at 10 to 20 mcg/kg per minute and to patient response. 3. There are no contraindications, and 4 mg of morphine sulfate was administered. What is your next order? 3.Give 325 mg enteric-coated aspirin rectally. Perform immediate unsynchronized cardioversion. The monitor shows a regular wide-QRS at a rate of 180/min. What is your next action? Learn about ACLS recertification cost. The child is lying on the couch. What do you administer now? What is your next action? A patient has a witnessed loss of consciousness. 4. C. Give nitroglycerin 0.4 mg sublingually. You now observe this rhythm on the cardiac monitor. The patient is intubated, and an IV has been started. ACLS ECG Rhythm Strips Pretest ACLS ECG Rhythm Strips Practice Test (Quiz) Rhythm identification and Cardiac rhythm interpretation Name the following rhythms from the questions below: Download ACLS ECG Rhythm Question Answers PDF You may try the following ACLS tests ACLS Practice Test 2023 with study guide ACLS Pharmacology Pretest [SET 1] A responder is caring for a patient with a history of congestive heart failure. The rhythm is asystole. Vasopressin 20 units 4. What is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? She becomes diaphoretic, and her blood pressure is 80/60 mm HG/ Which action do you take next? 50. Providing just enough volume for the chest to rise, A patient was in refractory ventricular fibrillation. 2. IV/IO access is not available. ACLS Pretest Flashcards. Paramedics arrive in the emergency department with a 40-year-old man. He has a history of angina. A patient is in refractory ventricular fibrillation. 3. Adenosine 12 mg IV slow push (over 1 to 2 minutes)Metoprolol 5 mg IV and repeat if necessary Administer sublingual nitroglycerin 0.4 mg. Which of the following is indicated first? 5. Acute Coronary Syndromes Practice Test Want to test your knowledge of Acute Coronary Syndromes? b. electrons. 2. Successful placement of an endotracheal tube in an adult usually results in the depth marking on the side of the tube lying between the _______ mark at the front teeth. The arrest was not witnessed. An antiarrhythmic drug was given immediately after the third shock. 5. There are a total of 50 questions with answer keys designed to help ACLS 2022 candidates for their better test prep. How do insects contribute beneficially to agriculture? Amiodarone 150 mg IV bolus; start infusion. You observe the following rhythm on the cardiac monitor. 1. A patient has a rapid irregular wide-complex tachycardia. Give sedation and perform synchronized cardioversion. The first antiarrhythmic administered in the management Of the patient in pulseless ventricular tachycardia or ventricular fibrillation is: 11. Start epinephrine 2 to 10 mcg/min and titrate to patient response. What is the recommended oral dose of aspirin for patients suspected of having one of the acute coronary syndromes? A patient is in cardiac arrest. He was admitted about an hour ago after coming to the emergency department with shortness of breath. When you arrive at the patients side, you confirm that she is unresponsive. 2. According to the law of reflection, if the angle of incidence of an incoming ray of light hitting a mirror is 46 degrees, what is the angle of reflection for the same ray leaving the mirror? Acls pretest answers 2021 quizlet - Study with Quizlet and memorize flashcards containing terms like You are caring for a 66-year-old man with a history of a High-quality CPR is in progress. Patient's 12 lead ECG shows ST segment elevation in the anterior leads. You should order: 4. Repeat the above problem for a horizontal space filled with water. Give atropine 1 mg IV. An AED has previousy advised "no shock indicated." There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. He is being evaluated for another acute stroke. She has received adenosine 6 mg IV for the rhythm shown above without conversion of the rhythm. His blood pressure is 180/100 mm Hg. Chest compressions should never be interrupted, c. Interruptions in chest compressions to analyze the ECG, Charge the defibrillator, place an advanced airway, check a pulse, or other procedures must be kept to a minimum, d. Chest compressions and ventilations should be interrupted every 3 to 5 minutes to permit the members Of the resuscitation team to change positions, a. Airway, breathing, circulation (ABCs); 02; IV; sedation; and synchronized cardioversion with 200 joules, b. ABCs, 02, IV, vagal maneuvers, and lidocaine 1- to 1.5-mg/kg IV bolus, c. ABCs, 02, IV, and atropine -mg IV every 3 to 5 minutes to a maximum Of 3 mg, d. ABCs, 02, IV, vagal maneuvers, and adenosine 6-mg rapid IV bolus, d. Prepare the to insert an advanced airway, b. 2. 5. 4. IV nitroglycerin initiated at 10 mcg/min and titrated to patient response. Her blood pressure si 128/70mm Hg. The two small spheres of mass m each are connected by the light rigid rod which lies in the x-z plane. 1. Whch of the following statements is true about ventilation with a bag-valve-mask? Divert the patient to a hospital 15 minutes away with CT capabilities. ORG ACLS CODES!, In which situation does bradycardia require treatment?, During your assessment, your patient suddenly loses . Your immediate next order is: Her blood pressure is 80/60 mm Hg. 1. The patient developed severe chest discomfort with diaphoresis. A patient has sinus bradycardia with a heart rate of 36/min. She has no pulse or respirations. 1. The patient is confused, and her blood pressure is 88/56 mm Hg. Blood pressure is 80/60 mm Hg. 4. ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. Establish and IV and give vasopressin 40 units. 1. 1. 136 terms. What is the next appropriate intervention? You have placed the patient on oxygen and an IV has been established. Magnesium is contraindicated for VT associated with a normal QT interval. She has no chest discomfort, shortness of breath, or light-headedness. The cardiac monitor showed VE The paramedics defibrillated immediately with a successful conversion to a sinus rhythm. Typical signs and symptoms Of RVI include hypertension, jugular venous distention, and bilateral rales/crackles, c. RV infarction or ischemia usually occurs in patients with an anterior wall infarction, d. Caution should be used when administering IV fluids because the development Of pulmonary edema is increased in patients with RVI, a. Asystole and pulseless electrical activity, b. Pulseless ventricular tachycardia and ventricular fibrillation, d. Pulseless ventricular tachycardia and pulseless electrical activity, a. Give sodium bicarbonate 50 mEq IV. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. 1. The practice test consists of 10 multiple-choice questions that are derived from the ACLS provider handbook and adhere to the latest ILCOR and ECC guidelines. Shock-refractory ventricular fibrillation, Pulseless ventricular tachycardia-associated torsades de pointes, A patient is in cardiac arrest. The ventricular rate is 138/min. AHA ACLS Questions. Endotracheal V fib Amiodarone 300 mg Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. The use of lower energy levels (10 to 25 joules), c. Giving calcium chloride before each defibrillation attempt, d. The delivery of shocks in sets of three when a shock is indicated, a. Administer atropine 1 mg. He is pulseless and apneic. Which condition is an indication to stop or withhold resuscitative efforts? A thrid shock has just been administered. A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. Note this pretest does not represent the actual examination questions. Note this pretest does not represent the actual examination questions.