ACLS: Final Test Questions and Answers Part 2

26. Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?

27. You are evaluating a 58-year-old man with chest discomfort. His blood pressure is 92/50 mm Hg, his heart rate is 92/min, his nonlabored respiratory rate is 14 breaths/min, and his pulse oximetry reading is 97%. Which assessment step is most important now?

28. A patient in respiratory distress and with a blood pressure of 70/50 mmHg presents with the lead IIECG rhythm shown here. Which is the appropriate treatment?

29. During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range?

30. Three minutes into a cardiac resuscitation attempt, one member of your team inserts an endotracheal tube while another performs chest compressions. Capnography shows a persistent waveform and a PETCO2 of 8 mmHg. Which is the significance of this finding?

31. Which is the recommended oral dose of aspirin for a patient with a suspected acute coronary syndrome?

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

33. As the team leader, when do you tell the chest compressors to switch?

34. You are performing chest compressions during an adult resuscitation attempt. Which rate should you use to perform the compressions?

35. A patient is being resuscitated in a very noisy environment. A team member thinks he heard an order for 500 mg of amiodarone IV. Which is the best response?

36. A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to the first dose of adenosine. Which dose would you administer next?

37. A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm. Which is the appropriate treatment?

38. Which of these tests should be performed for a patient with suspected stroke within 25 minutes of hospital arrival?

39. What is the minimum systolic blood pressure one should attempt to achieve with fluid administration or vasoactive agents in a hypotensive post-cardiac arrest patient who achieves return of spontaneous circulation?

40. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm shown here, and the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place. What do you do next?

41. Based on this patient's initial presentation, which condition do you suspect led to the cardiac arrest?

42. In addition to defibrillation, which intervention should be performed immediately?

43. Despite 2 Defibrillation attempts, the patient remains in ventricular fibrillation. Which drug and dose should you administer first to this patient?

44. Despite the drug provided above and continued CPR, the patient remains in ventricular fibrillation. Which other drug should be administered next?

45. 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 this patient?

46. Which would you have done first if the patient had not gone into ventricular fibrillation?

47. Based on this patient's initial assessment, which adult ACLS algorithm should you follow?

48. The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take?

49. After your initial assessment of this patient, which intervention should be performed next?

50. If the patient became apneic and pulseless but the rhythm remained the same, which would take the highest priority?