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You are called to the home of a 2-year-old little boy whose parents are concerned because he "isn't acting right". Angiotensin-converting-enzyme (ACE) inhibitors: 39. Your team looks to you for instructions. Start dopamine at 10 to 20 mcg/kg per minute. A patient with a possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerin tablets. What is your next action? 1. What do you administer now? Which of the following is now indicated? Give epinephrine 1 mg IV/IO How often should you provide ventilation? Give an immediate unsynchronized high-energy shock (defibrillation dose). What drug should be administered IV? Blood pressure is 108/70 mm Hg. Perform synchronized cardioversion starting with 50 joules, c. Perform CPR for 2 minutes, then defibrillate with 200 joules, d. Perform CPR and give epinephrine 1 mg IV push, a. Which of the following should be done at this time? 4. What is your next action? When they arrived at the patients home, the patient was complaining of a severe chest pain. Her lead II ECG is below. Epinephrine, vasopressin, amiodarone Give aspirin 160 to 325 mg to be chewed immediately Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? What action is recommended next? She has no pulse or respirations. The practice test consists of 10 multiple Courses 387 View detail Preview site Resume high-quality chest compressions, What is the maximum interval for pausing chest compressions? ACLS Pretest Questions and Answers 2023 (Full Practice Test) ACLS Pretest Questions and Answers 2023 (Free Full Practice Test). 2. AHA ACLS Practice Test. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. At least 1.5 inches Squeezing the bag with both hands 2. A second shock is given, and chest compressions are resumed immediately. Vagal maneuvers have not been effective in terminating the rhythm. Advanced cardiac life support, or advanced cardiovascular life support, often referred to by its abbreviation as "ACLS", refers to a set of clinical algorithms for the urgent treatment of cardiac arrest, stroke, myocardial infarction (also known as a heart attack), and other life-threatening cardiovascular emergencies. The patients sister states that 15 minutes ago, the patient said she couldnt breathe and then lost consciousness. Heparin 4000 units IV bolus was administered, and a heparin infusion of 1000 units per hour is being administered. Additional ACLS Study Material: How To Pass Your ACLS Certification Exam; 6 Effective Ways to Prepare for the ACLS Exam; Conclusion: If you struggled with this particular ACLS pretest, we suggest looking into additional ACLS practice exam questions and answers and reviewing your ACLS study material thoroughly before taking your ACLS exam. You have placed the patient on oxygen and an IV has been established. A patient becomes unresponsive. What is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? Which combination of drugs can be administered by the endotracheal route? What assessment step is most important now? From across the room, your first impression Of the patient is that she is not moving, you can see no rise and fall of her chest Or abdomen. Bystanders are performing CPR. BP 68/40, R 12. Which intervention is most appropriate for the treatment of a patient in asystole? High-quality CPR is in progress. Of the following, which drug and dose should be administered first by the IV/IO route? 4. ACLS Practice Test Library Prepare for AHA ACLS Today! Ventilating as quickly as you can You've studied the material inside and out. vfib Her blood pressure is 80/66mm Hg. Pulseless ventricular tachycardia-associated torsades de pointes. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. The patient is confused, and her blood pressure is 88/56 mm Hg. 2. A repeat dose of epinephrine 1 mg IV. What is the next action after establishing an IV and obtaining a 12-lead ECG? ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. You would first order: What would you do at this time? Drugs given during cardiac arrest should be given: 25. What is your next intervention? 2. Which of the following may be used for rhythm control of acute myocardial in-fraction? 3. He arrives in the department. This set of BLS questions and answers listed below is an extremely valuable tool to help you gauge how well you understand the material and whether or not you're ready to pass the BLS final exam. Next intervention is to, Administer 2 to 4 mg of morphine by slow IV bolus. 3. About every 12-14 seconds 3. What is your next action? Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. Nursing staff report the patient was recovering from a pulmonary embolism and suddenly collapsed. What action is recommended next? The patient has a history Of congestive heart failure and asthma. Start an IV and give atropine 1 mg. 3. What is the next most preferred route for drug administration? His blood pressure is 180/100 mm Hg. 2. 5. The cardiac monitor reveals ventricular fibrillation. He is being evaluated for another acute stroke. or laryngeal mask airway, a. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. 5. Atropine 1 mg IV/IO An IV is in place, and no drugs have been given. Vasopressin, amiodarone, lidocaine You are monitoring the patient and note the rhythm below on the cardiac monitor. What is your next action? The gotestprep.com provides free unofficial review materials for a variety of exams. Blood pressure is 104/70 mm Hg. 50. Which of the following is an acceptable method of selecting an appropriately sized oropharyngeal airway (OPA)? You are the code team leader and arrive to find a patient with above rhythm and CPR in progress. Lidocaine 0.5 mg/kg, Your patient has been intubated. An AED has previously advised "no shock indicated." Key Term acls pretest quizlet 2018; Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. 22. ACLS Pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, Reentry supraventricular tachycardia, Second-degree AV block (Mobitz II 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. His wife tells you that they were talking and he suddenly got a funny look on his face and collapsed. Reply. You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. You are the team leader. What would be your next order? The drug of choice for most forms of narrow-QRS tachycardia is: 2. 50 terms. The ventricular rate is 138/min. ST Elevation 1. ACLS Precourse Self Assessment Answers (Pharmacology, Rhythm) Questions Answers 2011-2022. 32. Amiodarone 150 mg IV. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. An AED has previousy advised "no shock indicated." She has no pulse or respirations. Perform synchronized cardioversion, What is the recommended compression rate for high-quality CPR? Taking a BLS pretest is also a great way to familiarize yourself with the format. The cardiac monitor showed VE The paramedics defibrillated immediately with a successful conversion to a sinus rhythm. Ventricular tachycardia associated with a normal QT interval 2. As you shout for help, your next action in this situation should be to: 13. While taking the patients history and vital signs, he experienced a cardiac arrest. Gain instant access to all of the practice tests, megacode scenarios, and knowledge base. b. 48. For soal post test acls 2023 you must go through real exam. ACLS pretest Flashcards Study with Quizlet and memorize flashcards containing terms like Chest compressions for an adult are performed: a. at a rate between 60-80 compressions b. (i) msoluteVsolution100%\frac{m_{\text {solute }}}{V_{\text {solution }}} \times 100 \%Vsolutionmsolute100%, (ii) msolutemsolutson1012\frac{m_{\text {solute }}}{m_{\text {solutson }}} \times 10^{12}msolutsonmsolute1012, (iii) VsoluteVsolutibon100%\frac{V_{\text {solute }}}{V_{\text {solutibon }}} \times 100 \%VsolutibonVsolute100%, (iv) msolutemsolution106\frac{m_{\text {solute }}}{m_{\text {solution }}} \times 10^6msolutionmsolute106, (v) msolutemsolution100%\frac{m_{\text {solute }}}{m_{\text {solution }}} \times 100 \%msolutionmsolute100%, (vi) msolutemsolution109(8.8)km\frac{m_{\text {solute }}}{m_{\text {solution }}} \times 10^9(8.8) \mathrm{km}msolutionmsolute109(8.8)km. She has received adenosine 6 mg IV for the rhythm shown above without conversion of the rhythm. At least 3 inches, You are the code team leader and arrive to find a patient with CPR in progress. ACLS, PALS & BLS Quizzes Pass five quizzes (84% or higher score) and get 20% off your ACLS certification with us. Get ACLS recertification online, BLS renewal, and PALS recert online. During the combustion of 5.00 g of octane, C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18, 1002 kJ is released. How often should you provide ventilations? 2. 2. A patient is in cardiac arrest. One does of epinephrine was given after the second shock. 49. 5. Acute Coronary Syndromes Practice Test Want to test your knowledge of Acute Coronary Syndromes? 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. She rates her discomfort an 8 on a O to 10 scale. Use of a phosphodiestrase inhibitor within the previous 24 hours. A code is in progress and he has recurrent episodes of this rhythm. What is the next appropriate intervention? ORG ACLS CODES!, In which situation does bradycardia require treatment?, During your assessment, your patient suddenly loses . Attempt endotracheal intubation with minimal interruptions in CPR. The most common side effects of giving amiodarone are: 5. Once you've selected your answers, you will immediately be able to determine your score by using the . Stimulates alpha, beta-1 , and beta-2 receptors, b. February 15, 2023 at 11: . Get immediate feedback while you prepare for your exam. Give an immediate synchronized shock. Which best describes the guidelines for antiplatelet and fibrinolytic therapy? Amiodarone 300 mg IV. Which drug should be administered? Central line Which condition is an indication to stop or withhold resuscitative efforts? Ventilating too quickly All trademarks are property of their respective owners. ACLS Practice Quiz Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. Give adenosine 12 mg IV slow push (over 1 to 2 minutes). Atropine 1 mg Her blood pressure si 128/70mm Hg. Adenosine 6 mg Give atropine 1 mg IV There is no pulse or spontaneous respirations. Her blood pressure is 120/78 mm Hg. She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. Ventricular fibrillation has been refractory to an initial shock. Delivering the largest breath you can, Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling dizzy. ACLS PRETEST ANSWER KEY RHYTHM IDENTIFICATION (PART I) 1. A 35-year old woman has palpitations, lightheadedness, and a stable tachycardia. Which intervention below is most important, reducing in-hospital and 30-day mortality? Administer nitroglycerin 0.4 sublingual or spray. The rate should be Set between 40 and 100; the current should increased rapidly to a maximum Of 160 milliamps. Administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. Which drug do you anticipate giving to this patient? Two shocks and 1 dose of epinephrine have been given. High-quality CPR is in progress. You can download this pretest question answer for American Heart Association (AHA) Advanced Cardiac Life Support Practice Test exam preparation. You are the code team leader and arrive to find a patient with CPR in progress. A patient Who presents With a possible (or definite) acute syndrome should receive a targeted history and physical exam and initial 12-Iead ECG within _______ Of patient contact (prehospital) or arrival in the emergency department. 3. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. Recognizing Connections Why is a third-degree burn dangerous because it obliterates the skin's epidermis and dermis? Select the incorrect statement regarding the automated external defibrillator (AED). 1. Patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. Basic ACLS Practice Test Improve your ACLS knowledge and skills with our free practice test. She is now extremely apprehensive. What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II ECG? Which of the following is indicated first? There are a total of 50 Self Assessment questions on Pharmacology, Rhythm. A rhythm check now finds asystole. Her blood pressure is 80/60 mm Hg. (e) How many kilojoules are released by the combustion of 17.0 g of C8H18\mathrm{C}_8 \mathrm{H}_{18}C8H18 ? Lead II ECG reveals this rhythm. Which drug should be given next? 90 to 100 compressions per minute A 72-year-old man presents with severe substernal chest pain. 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 Femoral vein 150 mg IV push. A panicked secretary calls you to the waiting room where you arrive to find a middle-aged man lying supine on the floor. An infusion of 1 to 2 mg/min. He is receiving oxygen and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Being CPR with chest compressions for 2 minutes or about 5 cycles of compressions and ventilations. A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI. Sinus Bradycardia 6. Amiodarone, lidocaine, epinephrine KC_WALLS. Obtain a 12-lead ECG and administer aspirin if not contraindicated. Give atropine 1 mg IV. Which intervention is indicated first? She has no pulse or respirations. The patient is confused, and her blood pressure is 110/60 mm Hg. The patient's lead II ECG appears below. Prepare to give epinephrine 1 mg IV. The cardiac monitor documents the rhythm shown here. 3. If no pathway for medication administration is in place, which method is preferred? Apply an AED An antiarrhythmic drug was given immediately after the third shock. Which medication do you order next? Acls test quizlet - Study with Quizlet and memorize flashcards containing terms like Sinus Bradycardia, Reentry supraventricular tachycardia, Second-degree AV . We discuss in these sample acls test from different topics like practice acls test questions, acls test answers quizlet. Your patient is not responsive and is not breathing, You can palpate a carotid pulse. Just send a screenshot of your scores to support@ACLS.net New Airway management A patient was admitted to the emergency department with shortness of breath, the sitution has deteriorated and now he is unresponsive. One does of epinephrine was given after the second shock. When questioned, she denies Chest discomfort or Shortness of breath. The patient had resolution of moderate (5.10) chest pain with 3 doses of sublingual nitroglycerin. A 35-year-old woman presents with a chief complaint of palpitations. She is receiving oxygen at 4L/min by nasal cannula, and an Iv has been established. Perform endotracheal intubation; administer 100% oxygen. 1. A 57-year-old woman has palpitation, chest discomfort, and tachycardia. After resuming high-quality compressions, your next action is to: 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. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far. His skin is pale and clammy. Administer 3 sequential (stacked) shocks at 200 J (biphasic defibrillator). Which intervention would be your next action? Perform immediate unsynchronized cardioversion. Give aspirin 160 mg and clopidogrel 75 mg orally Continue monitoring the patient and seek expert consultation. The patient has resolution of moderate (5/10) chest pain after 3 doses of sublingual nitroglycerin. She has no chest discomfort, shortness of breath, or light-headedness. You see an organized, nonshockable rhythm on the ECG monitor. 1. One dose of epinephrine was given after the second shock. The monitor shows a regular wide-complex QRS at a rate of 180/min. Dose of 0.1mg Amiodarone 300 mg 2. High-quality CPR and effective bag-mask ventilation are being provided. A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. Test your knowledge with our free ACLS Practice Test provided below in order to prepare you for our official online exam. Which of the following statements is true about this rhythm? What is the next appropriate intervention? Which action is likely to cause air to enter the victim's stomach (gastric inflation) during bag-mask ventilation? 1. You are working in the Emergency Department when you are notified by EMS that they are in route with a 2-year-old who has been pulled from a swimming pool. Bag-mask ventilations are producing visible chest rise. ACLS PreTest, ACLS PreTest: Pharmacology and Practical. and her skin color is pale. Endotracheal intubation 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. You are monitoring a patient. The blood pressure is less than 100 mm Hg systolic with or without symptoms. What is the next action? 3.Give 325 mg enteric-coated aspirin rectally. What is the recommended duration of therapeutic hypothermia after reaching the target temperature? He reports no other symptoms but appears anxious. Course Ventricular Fibrillation 4. The patient responds to a painful stimulus but does not respond to verbal stimuli. Repeat the antiarrhythmic drug Should be given only to patients with narrow-QRS tachycardia or dysrhythmias known with certainty to be Of supraventricular origin, b. Gain IV or IO access. Intubate the patient and give epinephrine 2 to 4 mg via the endotracheal tube. Lidocaine 1mg/kg Which medication do you order next. 2. A patient in respiratory distress and with a BP of 70/50 mmHg presents with the following lead II ECG rhythm. Intubation and administration of 100% oxygen, Your patient is not responsive and is not breathing. Hold aspirin for at least 24 hours if rtPA is administered, Hold aspirin for at least 24 hours if rtPA is administered, What is the indication for the use of magnesium in cardiac arrest? Which intervention is most important in reducing this patient's in-hospital and 30-day mortality rate? A patient has a rapid irregular wide-complex tachycardia. Full PALS access starting at $19.95. 3. The actual exam may differ from our materials. What is your first action? 3. 2. 5. 3. A thermocouple junction is inserted in a large duct to calculate the temperature of hot gases flowing through the duct. 1-5 & 7-9 Practice Test review. Reentry supraventricualr tachycardia (SVT) What is special about ferromagnetic materials? If the area of the plates of a parallel-plate capacitor is doubled while the spacing between the plates is halved, how is the capacitance affected? 1. What is your next action? He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain si ordered. Is used to slow the ventricular rate in narrow-QRS tachycardias, b. Learn PALS. Take our free practice exam and test your knowledge. An antiarrhythmic drug was given immediately after the third shock. Consider sedation and perform synchronized cardioversion with 100 joules, b. Level Of responsiveness, airway, breathing, circulation, defibrillation if necessary, c. Temperature, pulse, respiration, blood pressure, d. Oxygen, IV fluid challenge, vital signs, level Of responsiveness, a. He is being evaluated for another acute stroke. Intubate and administer 100% oxygen, You arrive on the scene to find CPR in progress. Sublingual nitroglycerin 0.4 mg. 5. A patient is in cardiac arrest. 1. Lidocaine 1 to 1.5 mg IV; star infusion. 3. 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. Her blood pressure is 134/82, pulse 180, respirations 18. Measure from the corner of the mouth to the angle of the mandible. Give an immediate unsynchronized high-energy shock (defibrillation dose). The patient suddenly becomes unconscious and has a weak carotid pulse. Resume high-quality chest compressions. A postoperative patient in the ICU reports new chest pain. Write a Lewis structure for N2_22H4_44. 1. High-quality CPR is in progress. Lidocaine 1 to 1.5 mg IV and start infusion 2 mg/min. Place an esophageal-tracheal tube or laryngeal mask airway. You ask about symptoms and he reports that he has mild palpitations, but otherwise he is clinically stable with unchanged vital signs. High-quality CPR is in progress. Initiate dopamine at 2 to 10 mcg/kg per minute and titrate to patient response. A 75-year-old man has suffered a cardiac arrest. Dopamine at 2 to 10 mcg/kg per minute 1. The patient's 12-lead ECG show an MI. A 57-year-old woman has palpitations, chest discomfort, and tachycardia. ACLS. Despite all of the usual interventions, he remains severely short of breath. Family members found a 45 year old woman unresponsive in bed. The patient is intubated and an IV has been started. Atropine 0.5 mg IV, total dose 2 mg as needed. 3. 50 to 60 compressions per minute Give normal saline 250 mL to 500 mL fluid bolus. ACLS Pretest Overview. There are a total of 50 questions with answer keys designed to help ACLS 2022 candidates for their better test prep. What is the recommended dose of epinephrine for the treatment of hypotension in a post-cardiac arrest patient who achieves ROSC? A 35-year-old woman presents to the emergency department with a chief compliant of palpitations. Sodium bicarbonate 50 mEq IV/IO, Which action should you take immediately after providing an AED shock? What is a chemical bond according to valence bond theory? Start epinephrine 2 to 10 mcg/min. Epinephrine 3 mg via endotracheal route. What is recommended depth of chest compressions for an adult victim? Vasopressin may be used in the management of: 3. 5. Give atropine 1 mg IV. What is the initial dose of atropine? The patient describes her discomfort as a squeezing sensation in the middle Of her chest. 3 AV block p and qrs completely separate Identify the rhythm. Resume high-quality chest compressions.