True or False: Synchronized cardioversion is appropriate fortreating an unknown wide complex tachycardia. True False
True or False: The most effective treatment for ventricularfibrillation is defibrillation. True False
True or False: Therapeutic hypothermia should be considered inthe comatose adult after cardiac arrest. True False
True or False: PEA and asystole are considered non-shockablerhythms and follow the same ACLS algorithm. True False
True or False: It is recommended to interrupt CPR when obtainingIV access for an individual in asystole. True False
True or False: Transcutaneous pacing should be used on anindividual with bradycardia and inadequate perfusion if atropine isineffective and the individual is exhibiting severe symptoms. TrueFalse
True or False: Urgent defibrillation is essential for survivalin the management of acute strokes. True False
True or False: Supplemental oxygen should never be given to anindividual with acute stroke . True False
True or False: One type of acute coronary syndrome is STEMI.True False
True or False: Transcutaneous pacing should be used on abradycardic individual with insufficient perfusion before any otherintervention. True False
True or False: Medication is the only treatment for an unstabletachycardic individual. True False T
he ACLS Survey includes assessing which of the following?Airway, Blood Pressure, CPR, Differential Diagnosis Airway,Breathing, Circulation, Differential Diagnosis Airway, Breathing,Circulation, Deformity Airway, Breathing, Circulation,Defibrillation
Which of the following basic airway adjuncts can be used in aconscious or semiconscious individual (with an intact cough and gagreflex)? Endotracheal tube (ET tube) Nasopharyngeal airway (NPA)Oropharyngeal airway (OPA) Esophageal-tracheal tube (combitube)
Blood or secretions in the mouth or upper respiratory tract maythreaten the airway. How can they be removed? Bag-mask ventllationLaryngeal tube None of the above Suctioning
What item is NOT an example of Advanced Airways? Oropharyngealairway (OPA) Esophageal-tracheal tube (combitube) Endotracheal tube(ET tube) Laryngeal mask airway (LMA)
The compression-to-ventilation ratio during CPR for an adultprior to placement of an advanced airway is: 15:02 30:01:0030:02:00 20:01
The proper steps for operating an AED are: Power on the AED,attach electrode pads, analyze the rhythm, and shock theindividual. Power on the AED, shock the individual, attachelectrode pads, and analyze the Power on the AED, attach electrodepads, shock the individual, and analyze the rhythm. Power on theAED, analyze the rhythm, attach electrode pads, and shock theindividual.
Which of the following is an essential component of high-qualityCPR? Push hard and fast. Minimize interruptions. Switch rescuersevery two minutes. All of the above
Common causes of PEA include all of the following EXCEPT:Hypoxia Hyperkalemia Hyperventilation Hypothermia
Early access to medical care, from EMS through reperfusion,improves overall outcomes by: Saving more heart tissue from celldeath Faster access to medications that increase blood clottingIncreased access to social support services Delaying onset ofhypothermia
Symptoms suggestive of ACS may include all of the followingEXCEPT: Chest discomfort with lightheadedness, sweating, or nauseaUnexplained shortness of breath with or without chest discomfortUncomfortable pressure in the center of the chest Headache andblurry vision
Nitroglycerin should not be used in individuals experiencingwhich of the following situations? Individuals with a history ofST-elevation MI (STEMI) Frequent premature ventricular contractionsAtypical chest pain Hypotension or recent Viagra use
Symptoms of bradycardia may include: Chest pain Shortness ofbreath Dizziness All of the above
In the absence of immediately reversible causes, what is thefirst-line drug given for symptomatic bradycardia? MetoprololAtropine Nitroglycerine Albuterol
Tachycardia is defined as a heart rate greater than: 120 beatsper minute 90 beats per minute 150 beats per minute 100 beats perminute
What is the first step in the treatment of persistenttachycardia (heart rate > 150 bpm) causing hypotension, alteredmental status, and signs of shock? Obtain a 12-lead ECGSynchronized cardioversion Administer a calcium channel blockerDefibrillation
If uncertain whether or not an individual is an appropriatecandidate for synchronized cardioversion, the ACLS trained providershould: Provide increased oxygenation. Obtain a coronary CT scan.Seek expert consultation. Defer cardioversion until symptoms becomeirreversible.
Which of the following is true concerning ischemic strokes? Theyaccount for 50% of all strokes and are caused by an occlusion of avein to a region of the brain. They account for 80% of all strokesand are caused by an occlusion of a vein to a region of the brain.They account for 13% of all strokes and are caused by an occlusionof an artery to a region of the brain. They account for 87% of allstrokes and are usually caused by an occlusion of an artery to aregion of the brain.
Critical in-hospital goals of stroke care include a neurologicalassessment by the stroke team and a CT scan performed within________ of hospital arrival. 10 minutes 45 minutes 60 minutes 25minutes
The chambers of the heart responsible for circulatingdeoxygenated blood from the systemic circulation to the pulmonarycirculation are the following: Left ventricle and right atriumRight atrium and right ventricle Left atrium and right ventricleLeft atrium and left ventricle
You are alone when you encounter an individual in what appearsto be cardiac or respiratory arrest. What are the first three stepsyou should take to stabilize them? Check for danger, check forresponse, and ____________. Administer an initial shock. Insert anadvanced airway. Start CPR. Send for help.
You are alone when you encounter an individual in cardiacarrest. They are not breathing, have no pulse, and have nosuspected cervical spine trauma. Which maneuver should you use toopen the airway? Blind finger-sweeps Head-tilt-chin-lift maneuverJaw-thrust maneuver Head-tilt only
What item is NOT an example of Advanced Airways? Endotrachealtube (ET) Laryngeal mask airway (LMA) Nasopharyngeal airway (NPA)Laryngeal tube
Which of the following may be essential to maintain anindividual’s open airway? Rescue breaths O2 administration Chestthrusts Suctioning
This is an example of which type of heart rhythm? ECG Atrialflutter Ventricular fibrillation Atrial fibrillation Pulselesselectrical activity
Treatment of PEA should include the following EXCEPT:Epinephrine Identify and reverse etiologies of the arrest EffectiveCPR Defibrillation
Which of the following would be your next action if the rhythmis unshockable, and there is no pulse? Resume CPR and prepare AEDto administer a shock. Administer atropine if the individual has afast heart rate. None of the above Immediately resume CPR.
After performing CPR for two minutes on an individual inasystole, what is the ACLS trained provider’s next intervention?Advanced airway insertion IV or IO access for epinephrineadministration IV or IO access for atropine administration AEDshock administration
All of the following can be considered an underlying cause ofpulseless electrical activity EXCEPT: Hypovolemia Acute toxiningestion Hyperglycemia Hypoxia
An important link in the STEMI Chain of Survival is improvingmyocardial perfusion by: Defibrillation Chest compressions CPRPercutaneous coronary intervention (PCI) or fibrinolytics
If an individual suffering from tachycardia loses their pulse,the following should be done: Immediate defibrillation Administeratropine Immediately resume CPR and switch to ACLS cardiac arrestalgorithm CPR until pulse is detectable
Which of the following is a correct statement regarding sinustachycardia? Sinus tachycardia should always be treated with shocktherapy. The goal of treatment is to identify and correct theunderlying cause. Sinus tachycardia only results from strenuousexercise or high stress situations. Sinus tachycardia is a normalrhythm and never considered dangerous.
For appropriate treatment, it is vital to discern if the QRSwave is ___________in a tachycardic individual. Wide or narrowPresent or absent Right or left Positive or negative
Acute strokes are a result of: A. Blockage of an artery in theheart B. Blockage of an artery in the brain C. Rupture of an arteryin the brain D. Either B or C
Why should therapeutic hypothermia be considered in an adultcomatose person during the post-cardiac arrest period? To preventtachycardia To protect the brain/organs To prevent sepsis Tore-establish circulation
All of the following statements regarding asystole are correctEXCEPT: Asystolic rhythms can result in severe myocardial ischemia.All heart tissue immediately dies when an individual entersasystole. A pulse will not be present in an asystolic individual.Vital organs can be permanently damaged.
Within what time period of arrival to the ED is percutaneouscoronary intervention (PCI) recommended for STEMI individuals? 150minutes 20 minutes 90 minutes 10 minutes
Fast coronary reperfusion times are associated with: Sinusbradycardia Increased risk of preeclampsia Atrioventricular blockImproved outcomes
If bradycardia is symptomatic, what is the most likely heartrate exhibited? Above 60 bpm Above 50 bpm Below 50 bpm Below 100bpm
Which of the following would be appropriate actions followingtranscutaneous pacing? Administer amiodarone. Follow VT/VFalgorithm Consult a specialist. Confirm ET tube placement withquantitative waveform capnography.
