ACLS Final Exam 3 ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct
- A patient admitted to the ED with signs & symptoms of stroke. The stroke team should
complete a comprehensive neurologic assessment and obtain brain imaging results within what time frame?
Answer: With in 20 mins
- A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare
provider observes the event and hurries over to assess the situation. The healthcare provider performs which assessment first?
Answer: Rapid assessment
- A patient is receiving ventilation support via BVM resuscitator. Capnography is
established & a blood gas is obtained to evaluate the adequacy of the ventilations. Which PaO2 value signifies adequate ventilations?
Answer: 35 - 45 mmHg
- A patient experiences cardiac arrest & the resuscitation team initiates ventilations using a
BVM resuscitator. The development of which condition during the provision care would lead the team to suspect that improper BVM technique is being used?
Answer: Pneumothorax
- A resuscitation team is debriefing following a recent event. A patient experienced cardiac
arrest & ALS was initiated. The patient required the placement of an advanced airway to maintain airway latency. Which statement indicates that the team performed high quality CPR?Answer: We provided chest compressions at a rate of 100-120 compressions/minute while giving 1 ventilation Q 6secs. without pausing compressions.
- Assessment of a patient reveals an ETCO2 level of 55mmHg & an SaO2 level of 88%. The
provider would interpret these findings as indicative of which condition?
Answer: Respiratory failure
- A responsive patient is choking. What method should the provider use first to clear the
obstructed airway?
Answer: Back blows
- A patient arrives at the ED complaining of SOB. The patient has a long history of COPD.
Assessment reveals respiratory failure. Which action would be the initial priority to address the respiratory failure?
Answer: Assisted ventilation with BVM resuscitator
- A 20YO man with respiratory depression is brought to the ED by his parents. Opioid OD is
suspected & an initial dose of naloxone is administered at 10pm. The patient doesn't not respond 1 / 2
to this initial dose. The team would expect to administer a second dose after how many minutes?
Answer: 2 minutes
- Assessment of a patient in the ED reveals that the patient is experiencing respiratory
compromise. From the assessment, the team identifies that the patient is in the earliest stage of this condition. Which stage would this be?
Answer: Respiratory distress
- The following capnogram is from a patient experiencing respiratory dis- tress. At which
point in the waveform would the patient's ETCO2 level be measured?
Answer: D
- A patient is experiencing respiratory distress secondary to extinction of COPD. The
patient begins to exhibit signs & symptoms of worsening respiratory function and experiences respiratory arrest. The team intervenes, delivering ventilations via BVM resuscitator. The team
should provide ventilations at a rate of 1 ventilation:
Answer: Every 6 seconds
- A patient enters the ED in respiratory compromise. The team is monitoring the patient using
capnography and ID's the ETCO2 levels are initially 33mmHg and later 40mmHg. From these readings, the team identifies that the patient is progressing in what stage of respiratory compromise?
Answer: Respiratory distress
- A patient is in cardiac arrest. The underlying cause is thought to be opioid toxicity. Which
statement accurately describes the use of naloxone for this patient?Answer: Naloxone should be administered ASAP but is not a priority over high quality CPR & AED use.
- A patient in the telemetry unit is receiving continuous cardiac monitoring.
The patient has a history of MI. The patient's ECG rhythm strip is shown in the following figure. The provider interprets this strip as indicating which arrhythmia?
Answer: Third degree AV block
- A patient with dyspnea, inadequate BP & a change in mental status arrives at the ED. The
healthcare team completes the necessary assessment & be- gins to care for the patient, including initiating cardiac monitoring and pulse oximetry; providing supplemental oxygen and ensuring adequate ventilation; and obtaining vascular access. The team reviews the patients EKG strip as shown. Which agent would the team most likely administer?
Answer: Atropine 1 mg Q 3-5 minutes
- A patient comes to the ED complaining of palpations and SOB. Cardiac monitoring is
- / 2
initiated and reveals the following EKG. The provider interprets this as which arrhythmia?