{"id":98292,"date":"2022-07-02T11:18:28","date_gmt":"2022-07-02T11:18:28","guid":{"rendered":"https:\/\/papersspot.com\/blog\/?p=98292"},"modified":"2022-07-02T11:18:28","modified_gmt":"2022-07-02T11:18:28","slug":"acls-precourse-self-assessment","status":"publish","type":"post","link":"https:\/\/papersspot.com\/blog\/2022\/07\/02\/acls-precourse-self-assessment\/","title":{"rendered":"ACLS Precourse Self-Assessment"},"content":{"rendered":"

Section 2: Pharmacology\u00a0(Question: 3 of 20)<\/strong><\/p>\n

A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. The patient did not take aspirin because he has a history of gastritis, which was treated 5 years ago. What is your next action?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Give aspirin 162 to 325 mg to chew\u00a0 <\/p>\n

B.\u00a0Give enteric-coated aspirin 325 mg rectally\u00a0 <\/p>\n

C.\u00a0Give enteric-coated aspirin 75 mg orally\u00a0 <\/p>\n

D.\u00a0Give clopidogrel 300 mg orally<\/p>\n

Which intervention is most appropriate for the treatment of a patient in asystole?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Defibrillation\u00a0 <\/p>\n

B.\u00a0Epinephrine\u00a0 <\/p>\n

C.\u00a0Transcutaneous pacing\u00a0 <\/p>\n

D.\u00a0Atropine\u00a0 <\/p>\n

A patient has sinus bradycardia with a heart rate of 36\/min. Atropine has been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused, and her blood pressure is 88\/56 mm Hg. Which therapy is now indicated?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Epinephrine 2 to 10 mcg\/min\u00a0 <\/p>\n

B.\u00a0Normal saline 250 mL to 500 mL bolus\u00a0 <\/p>\n

C.\u00a0Atropine 1 mg\u00a0 <\/p>\n

D.\u00a0Adenosine 6 mg\u00a0 <\/p>\n

A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300 mg IV. The patient is intubated. Which best describes the recommended second dose of amiodarone for this patient?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a01 to 2 mg\/min infusion\u00a0 <\/p>\n

B.\u00a01 mg\/kg IV push\u00a0 <\/p>\n

C.\u00a0300 mg IV push\u00a0 <\/p>\n

D.\u00a0150 mg IV push\u00a0 <\/p>\n

A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220\/min. The patient\u2019s blood pressure is 128\/58 mm Hg, the PETCO2<\/sub>\u00a0is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular access in the left arm, and the patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. What is your next action?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Administer adenosine 6 mg IV push\u00a0 <\/p>\n

B.\u00a0Administer amiodarone 300 mg IV push\u00a0 <\/p>\n

C.\u00a0Perform synchronized cardioversion at 200 J\u00a0 <\/p>\n

D.\u00a0Perform synchronized cardioversion at 50 J<\/p>\n

A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One dose of epinephrine was given after the second shock. An antiarrhythmic drug was given immediately after the third shock. You are the team leader. Which medication do you order next?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0A second dose of the antiarrhythmic drug\u00a0 <\/p>\n

B.\u00a0Epinephrine 3 mg\u00a0 <\/p>\n

C.\u00a0Epinephrine 1 mg\u00a0 <\/p>\n

D.\u00a0Sodium bicarbonate 50 mEq\u00a0 <\/p>\n

In which situation does bradycardia require treatment?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Hypotension\u00a0 <\/p>\n

B.\u00a0Diastolic blood pressure greater than 90 mm Hg\u00a0 <\/p>\n

C.\u00a012-lead ECG showing a normal sinus rhythm\u00a0 <\/p>\n

D.\u00a0Systolic blood pressure greater than 100 mm Hg\u00a0 <\/p>\n

A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best describes the guidelines for antiplatelet and fibrinolytic therapy?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Give heparin if the CT scan is negative for hemorrhage\u00a0 <\/p>\n

B.\u00a0Hold aspirin for at least 24 hours if rtPA is administered\u00a0 <\/p>\n

C.\u00a0Give aspirin 162 to 325 mg to be chewed immediately\u00a0 <\/p>\n

D.\u00a0Give aspirin 120 mg and clopidogrel 75 mg orally<\/p>\n

You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L\/min, and an IV has been established. His blood pressure is 180\/100 mm Hg. Which drug do you anticipate giving to this patient?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Aspirin\u00a0 <\/p>\n

B.\u00a0Nicardipine\u00a0 <\/p>\n

C.\u00a0rtPA\u00a0 <\/p>\n

D.\u00a0Glucose (D50)\u00a0 <\/p>\n

You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previously advised \u201cno shock indicated.\u201d A rhythm check now finds asystole. After resuming high-quality compressions, which action do you take next?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Perform endotracheal intubation\u00a0 <\/p>\n

B.\u00a0Call for a pulse check\u00a0 <\/p>\n

C.\u00a0Establish IV or IO access\u00a0 <\/p>\n

D.\u00a0Insert a laryngeal airway\u00a0 <\/p>\n

A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180\/min. She becomes diaphoretic, and her blood pressure is 80\/60 mm Hg. Which action do you take next?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Establish IV access\u00a0 <\/p>\n

B.\u00a0Perform electrical cardioversion\u00a0 <\/p>\n

C.\u00a0Obtain a 12-lead ECG\u00a0 <\/p>\n

D.\u00a0Seek expert consultation\u00a0 <\/p>\n

A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180\/min. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. Which drug should be administered?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Lidocaine 1 mg\/kg\u00a0 <\/p>\n

B.\u00a0Atropine 0.5 mg\u00a0 <\/p>\n

C.\u00a0Adenosine 6 mg\u00a0 <\/p>\n

D.\u00a0Epinephrine 2 to 10 mcg\/kg per minute<\/p>\n

A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. If no pathway for medication administration is in place, which method is preferred?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0IV or IO\u00a0 <\/p>\n

B.\u00a0Endotracheal tube\u00a0 C<\/p>\n

.\u00a0External jugular vein\u00a0 <\/p>\n

D.\u00a0Central line\u00a0 <\/p>\n

A patient with possible STEMI has ongoing chest discomfort. What is a contraindication to nitrate administration?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Anterior wall myocardial infarction\u00a0 <\/p>\n

B.\u00a0Use of a phosphodiesterase inhibitor within the previous 24 hours\u00a0 <\/p>\n

C.\u00a0Systolic blood pressure greater than 180 mm Hg\u00a0 <\/p>\n

D.\u00a0Heart rate less than 90\/min<\/p>\n

A patient is in cardiac arrest. High-quality chest compressions are being given. The patient is intubated, and an IV has been started. The rhythm is asystole. What is the first drug\/dose to administer?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Atropine 1 mg IV\/IO\u00a0 <\/p>\n

B.\u00a0Atropine 0.5 mg IV\/IO\u00a0 <\/p>\n

C.\u00a0Epinephrine 1 mg IV\/IO\u00a0 <\/p>\n

D.\u00a0Dopamine 2 to 20 mcg\/kg per minute IV\/IO<\/p>\n

A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second shock. Which drug should be administered first?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Sodium bicarbonate 50 mEq IV\/IO\u00a0 <\/p>\n

B.\u00a0Lidocaine 1 mg\/kg IV\/IO\u00a0 <\/p>\n

C.\u00a0Epinephrine 1 mg IV\/IO\u00a0 <\/p>\n

D.\u00a0Atropine 1 mg IV\/IO<\/p>\n

A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which drug should be given next?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Amiodarone 300 mg\u00a0 <\/p>\n

B.\u00a0Lidocaine 0.5 mg\/kg\u00a0 <\/p>\n

C.\u00a0Epinephrine 3 mg\u00a0 D.<\/p>\n

6 mg<\/p>\n

A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138\/min. He is asymptomatic, with a blood pressure of 110\/70 mm Hg. He has a history of angina. What action is recommended next?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Giving adenosine 6 mg IV bolus\u00a0 ]<\/p>\n

B.\u00a0Giving lidocaine 1 to 1.5 mg IV bolus\u00a0 <\/p>\n

C.\u00a0Seeking expert consultation\u00a0 <\/p>\n

D.\u00a0Performing synchronized cardioversion<\/p>\n

Section 3: Practical Application\u00a0(Question: 1 of 20)<\/strong><\/p>\n

How often should you switch chest compressors to avoid fatigue?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0About every 2 minutes\u00a0 <\/p>\n

B.\u00a0About every 5 minutes\u00a0 <\/p>\n

C.\u00a0About every 3 minutes\u00a0 <\/p>\n

D.\u00a0About every 4 minutes\u00a0 <\/p>\n

What is the recommended depth of chest compressions for an adult victim?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0At least 1.5 inches\u00a0 <\/p>\n

B.\u00a0At least 3 inches\u00a0 <\/p>\n

C.\u00a0At least 2.5 inches\u00a0 <\/p>\n

D.\u00a0At least 2 inches<\/p>\n

Which action should you take immediately after providing an AED shock?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Start rescue breathing\u00a0 <\/p>\n

B.\u00a0Prepare to deliver a second shock\u00a0 C.\u00a0Check the pulse rate\u00a0 D.\u00a0Resume chest compressions\u00a0 <\/p>\n

A patient becomes unresponsive. You are uncertain if a faint pulse is present. The rhythm shown here is seen on the cardiac monitor. An IV is in place. Which action do you take next?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

\"rhythm<\/p>\n

A.\u00a0Administer atropine 1 mg\u00a0 B.\u00a0Begin transcutaneous pacing\u00a0 C.\u00a0Administer epinephrine 1 mg IV\u00a0 D.\u00a0Start high-quality CPR<\/p>\n

What action minimizes the risk of air entering the victim\u2019s stomach during bag-mask ventilation?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Squeezing the bag with both hands\u00a0 B.\u00a0Ventilating as quickly as you can\u00a0 C.\u00a0Delivering the largest breath you can\u00a0 D.\u00a0Ventilating until you see the chest rise<\/p>\n

Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. She is pale and diaphoretic. Her blood pressure is 80\/60 mm Hg. The cardiac monitor documents the rhythm shown here. She is receiving oxygen at 4 L\/min by nasal cannula, and an IV has been established. What do you administer next?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

\"rhythm<\/p>\n

A.\u00a0Atropine 1 mg IV\u00a0 B.\u00a0Dopamine at 2 to 10 mcg\/kg per minute\u00a0 C.\u00a0Morphine sulfate 4 mg IV\u00a0 D.\u00a0Glucose 50% IV push\u00a0 <\/p>\n

ou are providing bag-mask ventilations to a patient in respiratory arrest. How often should you provide ventilations?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Every 6 seconds\u00a0 B.\u00a0Every 12 seconds\u00a0 C.\u00a0Every 14 seconds\u00a0 D.\u00a0Every 10 seconds\u00a0 <\/p>\n

A patient was in refractory ventricular fibrillation. A third shock has just been administered. Your team looks to you for instructions. What is your next action?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

\"rhythm<\/p>\n

A.\u00a0Give atropine 1 mg IV\u00a0 B.\u00a0Give amiodarone 300 mg IV\u00a0 C.\u00a0Check the carotid pulse\u00a0 D.\u00a0Resume high-quality chest compressions\u00a0 <\/p>\n

What is the recommended compression rate for high-quality CPR?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a090 to 100 compression per minute\u00a0 B.\u00a050 to 20 compressions per minute\u00a0 C.\u00a070 to 80 compressions per minute\u00a0 D.\u00a0100 to 120 compressions per minute<\/p>\n

How does complete chest recoil contribute to effective CPR?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Reduces rescuer fatigue\u00a0 B.\u00a0Increases the rate of chest compressions\u00a0 C.\u00a0Allows maximum blood return to the heart\u00a0 D.\u00a0Reduces the risk of rib fractures\u00a0 <\/p>\n

A patient has been resuscitated from cardiac arrest. During post-ROSC treatment, the patient becomes unresponsive, with the rhythm shown here. Which action is indicated next?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

\"rhythm<\/p>\n

A.\u00a0Give an immediate unsynchronized high-energy shock (defibrillation dose)\u00a0 B.\u00a0Perform synchronized cardioversion\u00a0 C.\u00a0Repeat amiodarone 300 mg IV\u00a0 D.\u00a0Give lidocaine 1 to 1.5 mg\/kg IV<\/p>\n

A 45-year-old woman with a history of palpitations develops light-headedness and palpitations. She has received adenosine 6 mg IV for the rhythm shown here, without conversion of the rhythm. She is now extremely apprehensive. Her blood pressure is 128\/70 mm Hg. What is the next appropriate intervention?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

\"rhythm<\/p>\n

A.\u00a0Perform vagal maneuvers\u00a0 B.\u00a0Perform synchronized cardioversion\u00a0 C.\u00a0Administer adenosine 12 mg IV\u00a0 D.\u00a0Perform unsynchronized cardioversion\u00a0 <\/p>\n

A patient\u2019s 12-lead ECG is transmitted by the paramedics and shows a STEMI. When the patient arrives in the emergency department, the rhythm shown here is seen on the cardiac monitor. The patient has resolution of moderate (5\/10) chest pain after 3 doses of sublingual nitroglycerin. Blood pressure is 104\/70 mm Hg. Which intervention is most important in reducing this patient\u2019s in-hospital and 30-day mortality rate?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

\"rhythm<\/p>\n

A.\u00a0Nitroglycerin administration\u00a0 B.\u00a0Application of transcutaneous pacemaker\u00a0 C.\u00a0Atropine administration\u00a0 D.\u00a0Reperfusion therapy<\/p>\n

After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is present on the next rhythm check. A second shock is given, and chest compressions are resumed immediately. An IV is in place, and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next intervention?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

\"rhythm<\/p>\n

A.\u00a0Give epinephrine 1 mg IV\/IO\u00a0 B.\u00a0Intubate and administer 100% oxygen\u00a0 C.\u00a0Give amiodarone 300 mg IV\/IO\u00a0 D.\u00a0Administer 3 sequential (stacked) shocks at 320 J (monophasic defibrillator)<\/p>\n

A 35-year-old woman presents with a chief complaint of palpitations. She has no chest discomfort, shortness of breath, or light-headedness. Her blood pressure is 120\/78 mm Hg. Which intervention is indicated first?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

\"rhythm<\/p>\n

A.\u00a0Adenosine 12 mg IV slow push (over 1 to 2 minutes)\u00a0 B.\u00a0Vagal maneuvers\u00a0 C.\u00a0Metoprolol 5 mg IV and repeat if necessary\u00a0 D.\u00a0Adenosine 3 mg IV bolus\u00a0 <\/p>\n

You arrive on the scene to find CPR in progress. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. Two shocks have been delivered, and an IV has been initiated. What do you administer now?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

\"rhythm<\/p>\n

A.\u00a0Epinephrine 1 mg IV\u00a0 B.\u00a0Endotracheal intubation\u00a0 C.\u00a0Transcutaneous pacing\u00a0 D.\u00a0Atropine 0.5 mg IV<\/p>\n

Which action is likely to cause air to enter the victim\u2019s stomach (gastric inflation) during bag-mask ventilation?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Providing a good seal between the face and the mask\u00a0 B.\u00a0Providing just enough volume for the chest to rise\u00a0 C.\u00a0Giving breaths over 1 second\u00a0 D.\u00a0Ventilating too quickly<\/p>\n

You are the code team leader and arrive to find a patient with CPR in progress. On the next rhythm check, you see the rhythm shown here. Team members tell you that the patient was well but reported chest discomfort and then collapsed. She has no pulse or respirations. Bag-mask ventilations are producing visible chest rise, and IO access has been established. Which intervention would be your next action?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

\"rhythm<\/p>\n

A.\u00a0Intubation and administration of 100% oxygen\u00a0 B.\u00a0Epinephrine 1 mg\u00a0 C.\u00a0Dopamine at 10 to 20 mcg\/kg per minute\u00a0 D.\u00a0Atropine 1 mg\u00a0 <\/p>\n

What is the maximum interval for pausing chest compressions?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a010 seconds\u00a0 B.\u00a020 seconds\u00a0 C.\u00a025 seconds\u00a0 D.\u00a015 seconds<\/p>\n

Your patient is not responsive and is not breathing. You can palpate a carotid pulse. Which action do you take next?<\/p>\n

Choose the correct option and select submit.<\/em><\/p>\n

A.\u00a0Apply an AED\u00a0 B.\u00a0Start an IV\u00a0 C.\u00a0Start rescue breathing\u00a0 D.\u00a0Obtain a 12-lead ECG\u00a0 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Section 2: Pharmacology\u00a0(Question: 3 of 20) A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a heparin infusion of 1000 units per hour are being administered. The patient did not take aspirin because he has a history of gastritis, which was treated 5 years ago. What is your next action? […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[41],"tags":[],"class_list":["post-98292","post","type-post","status-publish","format-standard","hentry","category-assignment-helper"],"_links":{"self":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/98292","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/comments?post=98292"}],"version-history":[{"count":1,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/98292\/revisions"}],"predecessor-version":[{"id":98436,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/98292\/revisions\/98436"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=98292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=98292"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=98292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}