AMERICAN RED CR OSS ACLS FINAL EXAM 2023-2024
ACTUAL EXAM 280 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS )
|ALREADY GRADED A+
After delivering three shocks, the team leader orders the administration of amiodarone to a patient in cardiac arrest. What is the dose? - ANSWER- 300 mg
Current recommendations suggest that hypotension should be treated in a post-cardiac arrest patient when the systolic blood pressure is less than
90 mmHg or the mean arterial pressure (MAP) is less than: - ANSWER-
65 mmHg
A post-cardiac arrest patient who experienced in-hospital cardiac arrest is unable to follow verbal commands. Which interventions would be appropriate for this patient? - ANSWER- Obtain brain imaging
Initiate targeted temperature management (TTM)
Establish EEG monitoring
Review the rhythm shown here and then decide how Dr. Ruiz should direct the team's immediate next actions. - ANSWER- "Kirron, please continue compressions." 1 / 4
"Charmar, please charge the defibrillator."
What are the team's appropriate next actions? - ANSWER- Obtain Vascular access
Provide 2 minutes of CPR
After 2 minutes of CPR, the rhythm remains the same. What interventions are appropriate at this time? - ANSWER- Epinephrine
Shock
CPR
What is the correct dose of epinephrine to give? - ANSWER- 1 mg
At what interval can the epinephrine dose be repeated? - ANSWER- 3 to
- minutes
At the third rhythm check, the rhythm remains the same. Which actions are appropriate at this time? - ANSWER- Administer amiodarone
Deliver a third shock 2 / 4
Resume compressions
What is the correct initial dose of amiodarone to give? - ANSWER- 300 mg
If necessary, what is the correct second dose of amiodarone to give? - ANSWER- 150 mg
In searching for Hs and Ts, which of the following diagnostic tests would be appropriate to order at this time? - ANSWER- Arterial blood gases
Serum Electrolyte panel
Based on the rhythm shown on the monitor, what is the appropriate next action? - ANSWER- check for a pulse
Which of the following actions would be appropriate as care continues?
- ANSWER- Provide 2 minutes of CPR
Continue searching for reversible cuase
What should the team do next? After achieving ROSC - ANSWER- Assess and support the patient's airway, breathing and circulation 3 / 4
How should Dr. Ruiz direct the team's immediate next actions? - ANSWER- Endotracheal intubation to facilitate ventilation
Vitals
Laboratory data
12-lead ECG
Initial assessment findings for Mrs. Coleman are as follows:
Blood pressure: 65/52 mmHg
Pulse: 124 bpm
Pulse oximetry: 83%ETCO2: 22 mmHg Based on these initial assessment findings, what should the team do next? - ANSWER- IV fluid bolus
Oxygen therapy should be titrated to achieve an oxygen saturation of 94% to 99%.
Ventilation support starting at a rate of 10breaths/min
Depending on how Mrs. Coleman responds to fluid therapy, the team may need to initiate vasopressor infusion with epinephrine,
- / 4