Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Emergency Medicine > EM - ACLS Pre-Test > Flashcards

EM - ACLS Pre-Test Flashcards

You may prefer our related Brainscape-certified flashcards:
Royal College: Emergency Medicine flashcards
1
Q

When a victim has an advanced airway inserted (intubated) what is the recommended method for performing high-quality CPR?

A

D - Continuous chest compressions with 8-10 ventilations per minute

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

While you are taking your patient’s blood pressure, the patient gasps & loses consciousness. After calling for help & determining that the patient is not breathing, you cannot palpate the pulse within 10 seconds. What is your next action?

A

A - Begin chest compressions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the advantage of using quantitative waveform capnography?

A

C - Allows for monotoring of CPR quality & measures expired CO2 relating to cardiac output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The ED team is attempting to resuscitate a victim who was brought into the ED in V-Fib with CPR in progress. The ED delivered 2 shocks, 2 doses of epinephrine, amidarone 300 mg, 2 L Normal Saline, and the victim converted to asystole, which persists despite high quality CPR. What is your next treatment?

A

A - Consider terminating resuscitative efforts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The team is treating a cardiac arrest victim. The patient is intubated, a peripheral IV is re-inserted & continuous chest compressions are performed. Minutes later you reassess the waveform on the capnography screen and a PETCO2 level of 8 mm Hg is displayed. What does a PETCO2 of less than 10 mm Hg signify?

A

C - Chest compressions may not be effective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Prior to delivering a defibrillation (shock) to a patient you must first:

A

C - Be sure oxygen is clear from patient’s chest during the shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the depth of compressions for adults in cardiac arrest?

A

B - 2 inches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How can the team minimize any interruptions during CPR to <10 seconds

A

C - Continue CPR while changing the defribillator, and resume immediately after the shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What action besides starting chest compressions is extremely important in the Basic Life Support survey?

A

B - Early defibrillation with an AED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A patient is in refractory ventricular fibrillation. CPR is continued, epinephrine 1mg IVP given. What is the next treatment recommended?

A

C - Amiodarone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When using continuous capnography, what evidence is a sign of effective chest compressions?

A

C - PETCO2 > 10mm Hg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the recommended maximum time period for pausing chest compressions?

A

B - 10 seconds or less

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why is the rapid response team summoned to the patient’s room?

A

C - To assist the existing team in identifying the problem and treating early deterioration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which of the following is done first to restore and ventilation to unresponsive pulseless victims?

A

D - High quality CPR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which of the following will enhance the quality of chest compressions during cardiac arrest situations?

A

C - Switch providers about every 2 minutes or every 5 compression cycles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

You are caring for an adult victim in resp failure. The patient is attempting to breathe independently. There is a strong pulse but you must assist with vent’ns. What is the recommended rate of assisting ventilations with a bag-valve-mask device for this patient?

A

A - 1 breath every 5-6 seconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

You are receiving a patient into the ED who has positive signs and symptoms of a stroke. You realize this diagnosis is disabling and has high risk of mortality. What is the initial plan for this patient when they arrive to the ED?

A

A - Get the patient to the CAT scanner within 45 minutes of arrival.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Prior to the arrival of the stroke patient to the ED, the Radiology Dept calls you with the news that the CAT scanner is not working temporarily, and that repairs are being made. What should you do in this situation?

A

B - Divert ambulance to nearby hospital.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

A paramedic was called to see a 67-year old man. Upon interview of the patient they recognize slurred and slowing of the man’s speech. The blood pressure is 180/98, a heart rate of 96/min, a non-labored resp rate of 20, puls ox 98%. EKG deisplays sinus rhytm. What action is performed next?

A

A - Cincinnati Pre-hospital stroke scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

You arrive in minutes to a rapid response team call for a patient who has a change in mental status. the initial team obtained bp 168/90, pulse of 90, rr 14, pulse ox 95% on room air. Lead II EKG displays sinus rhythm. The blood glucose lvl is within normal limits. What intervention should be done next?

A

A - head CT scan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

You are participating in a rescue mission. The death toll is rising. Your team is searching an area for survivors. When finding victims when would it be inappropriate to initiate or continue chest compression?

A

A - There are signs of rigor mortis and postmortem lividity

22
Q

Your 68 yo patient Mrs. Sandy Cheeks, who has emphysemsa, is in the telemetry unit. She is complaining of dizzyness and fatigue. The patient’s HR is 40, BP 96/54, RR 18, O2 sat remains unchanged at 94%. What is appropriate first medication?

A

C - Atropine 0.5mg

23
Q

Mrs Cheeks’ initial Atropine dose was ineffective and your monitor/defibrillator is not equipped with a transcutaneous pacemaker. Her bp is now 84/50. She is responding to your commands, and is OK with laying flat in her bed. What is an appropriate medication infusion for this patient.

A

A - Dopamine 2 to 10 mcg/kg per minute

24
Q

Mr. Sheldon J Planktom, age 35, rings his call bell and complains of palpitations. The patient’s HR is 172, BP was 140/88, and is now 102/64, RR is 22, Pulse Ox is 99% on room air. Lead II EKG I shown below: (looks fast and regular)
What cardiac rhytm is the patient experiencing?

A

D - Supraventricular tachycardia.

25
Q

What is the appropriate FIRST treatment for supraventricular tachycardia?

A

A - Vagal maneuvers

26
Q

What signs or symptoms would lead you to believe the patient is becoming unstable?

A

A - Hypotension

27
Q

Mr. Plankton’s vital signs are deteriorating due to supraventricular tachycardia, which did not respond to vagal maneuvers. the HR is up to 200/min. The patient’s blood pressure is 118/68, puls ox is 98%. He has a patent IV in his upper arm. What is the next recommended intervention?

A

D - Adenosine 6 mg IV push

28
Q

Mr. Patrick Star, a 48 yo man with crushing chest pain scored 10/10. He’s pale, diaphoretic, losing consciousness. bp is 74/32, hr 186, rr 12, peripheral pulses are very weak. EKG displays a regular wide-complex tachycardia. What is the action you and the team should perform next?

A

A - Immediate synchronized cardioversion

29
Q

When an unconscious victim has a tachycardia with a wide complex, what is your first assessment?

A

B - Check to see if there are pulses present.

30
Q

Which rhythm requires sedation and synchronized cardioversion?

A

B - Unstable SVT

31
Q

For narrow complex tachycardia (SVT) the drug of choice is adenosine. What is the appropriate dosing according to the 2010 AHA ECC guidelines?

A

A - 6mg, then 12 mg IVP - fast and flush.

32
Q

rrt arrives to Mrs. Krab’s bedside on a monitored unit. this 59 year old woman is complaining of chest pressure, radiating up to her jaw. bp is 94/48, hr 62, rr 16, pulse ox 99%. Which assessment is most important at this tmie?

A

C - obtaining a 12 lead EKG

33
Q

At your high school reunion you see crowd gather and you hear a commotion. You assist in the rescue and assess the victim who is unresponsive, not breathing and no pulse. Someone else is calling 911 and is activating emergency response system. What is your next action?

A

D - start chest compressions at least 100/min.

34
Q

You have turned on the AED and the pads are applied. AED is not analyzing the rhytm as expected. What should you and the team do?

A

D - go back to chest compressions immediately

35
Q

During cardiac arrest, IV bolus of epinephrine is to be administered. Which IV access is usually found in the hospitalized patient at the time of arrest for medication administration?

A

A - peripheral line

36
Q

As an ACLS provider and member of the medical team providing caring for a victim in cardiac arrest, hyou are expected to:

A

A - Be proficient in skills according to your licensure and scope of practice.

37
Q

Once the victi is intubated, which is the proper ven’n rate in a cardiiac arrest victim?

A

C - Deliver one breath every 6-8 seconds

38
Q

You are assisting in a traumatic resuscitation. The patient is intubated and CPR is continuous. After 2 minutes of CPR (5 cycles), the team leader requests a pulse check. EKG monitor displays rhytm below, and the patient has no pulse. You resume chest compressions and an IV is in place. What is the next recommendation?

A

B - Administer 1mg of epinephrine

39
Q

The team leader, Bob Squarepants, rquests another rhytm analysis. During the pause the team is requested to switch roles to prevent exhaustion. Ventilations are adequate and normal saline is infusing. The rhytm changes to the picture below (V fib), no pulse. next action?

A

D - resume chest compressions

40
Q

What would be considered an error during a resusciation effort?

A

B - Stopping compressions for more than 10 seconds

41
Q

What can you do to ensure adequate compressions?

A

C - allowing complete chest recoil with each compression

42
Q

What are the advantages of using the pads in defibrillation of v fib?

A

B - quicker and more efficient defibrillation

43
Q

Which of the following has the best description for pulseless electrical activity listed?

A

C - sinus bradycardia without a pulse is PEA

44
Q

When the patient has a confirmed advnaced airway in place what is the correct way to do compressionsi and ventilations?

A

A - Provide continous chest compressions with 8-10 breathe per minute

45
Q

63 yo man in cardiac triage area. EMS brought him in. He had 81mg aspirin, nitro SL did not relieve chest pain. ekg shows stemi. Initial vitals: bp 168/92, hr 100, rr 14, pulse ox 97%.
What is the next tx and assessment you and your team should be performing?

A

A - Give morphine sulfate (MSO4) for pain and draw blood specimens

46
Q

When is the appropriate time to give Atropine 0.5 mg IV bolus/push?

A

B - Unstable bradycardia

47
Q

While tx a patient with dizzyness, bp 68/30, cool, clammy skin, you see this lead II ekg rhythm. What rhythm is this and what is the tx? (p and QRS are independent of each other)

A

C - 2nd degree heart block type II (Mobitz II) - Atropooine 0.5 mg

48
Q

Your patient is on a ventilator and requires endotracheal tube suctioning. What is the recommended technique?

A

C - Hyper-oxygenate before catheter insertion, and then suction during withdrawal, but no more than 10 seconds

49
Q

To reduce IC pressure and allow for better venous return, what technique is advantageous in the patient with tracheostomy or endotracheal ties around the neck?

A

B - Ensure that the tape, string or Velcro ties are not tight around the neck and neck veins.

50
Q

What ist he minimum systolic BPgoal that guide the use of vasoactive and fluid resuscitation?

A

D - 90 mm Hg systolic

Emergency Medicine (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions