ACLS Exam Form B-With 100% verified solutions-2024.docx | Exams Nursing | Docsity (2024)

Download ACLS Exam Form B-With 100% verified solutions-2024.docx and more Exams Nursing in PDF only on Docsity! ACLS Exam Form B-With 100% verified solutions-2024 What should be done to minimize interruptions in chest compressions during CPR? Continue CPR while the defibrillator is charging Which condition is an indication to stop or with-hold resuscitative efforts? Safety threat to providers After verifying unresponsiveness and abnormal breathing, you activate the emergency response team. What is your next action? Check for a pulse What is the recommendation on the use of cricoid pressure to prevent aspiration during cardiac arrest? Not recommended for routine use What survival advantages does CPR provide to a patient in ventricular fibrillation? Produces a small amount of blood flow to the heart We have an expert-written solution to this problem! What is the recommended compression rate for performing CPR? At least 100 per minute A patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. The next intervention is to Administer a second shock What is the recommended next step after a defibrillation attempt? Begin CPR, starting with chest compressions Which of the following is the recommended first choice for establishing intravenous access during the attempted resuscitation of a patient in cardiac arrest? Antecubital vein What is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? 300 mg IV/IO drug administration during CPR should be given rapidly during compressions How often should the team leader switch chest compressors during a resuscitation attempt? Every 2 minutes Which finding is a sign of ineffective CPR? PETCO2 <10 mm hg A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the medication is administered. What element of effective resuscitation team dynamics does this represent? Closed-loop communication How long should it take to perform a pulse check during the BLS survey? 5-10 seconds What is the purpose of a medical emergency team (MET) or rapid response team (RRT)? Improving patient outcomes by identifying and treating early clinical deterioration What is the recommended assisted ventilation rate for patients in respiratory arrest with a perfusing rhythm? 10-12 breaths per minute You are evaluating a 58 year old man with chest pain. The blood pressure is 92/50 mm hg, the heart rate is 92/min, the non-labored respiratory rate is 14 bpm, and the pulse oximetry reading is 97%. What assessment step is most important now? Obtaining a 12 lead ECG Family members found a 45 year old woman unresponsive in bed. The patient is unconscious and in respiratory arrest. What is the recommended initial airway management technique? Performing a head tilt-chin lift maneuver What is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? 120-200 J Which of the following is an acceptable method of selecting an appropriately sized orpharyngeal airway (OPA)? Measure from the corner of the mouth to the angle of the mandible Which is a contraindication to nitroglycerin administration in the management of acute coronary syndromes? Right ventricular infarction and dysfunction What is the recommended initial intervention for managing hypo-tension in the immediate period after return of spontaneous circulation (ROSC)? Administration of IV or IO fluid bolus Which is an appropriate and important intervention to perform for a patient who achieves ROSC during and out of hospital resuscitation? Transport the patient to a facility capable of performing PCI What is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients who achieve ROSC? Decreased cerebral blood flow What is the recommended target temperature range for achieving therapeutic hypothermia after cardiac arrest? 32-34 degrees Celsius What is the recommended duration of therapeutic hypothermia after reaching the target temperature? 12-24 hours What is the danger of routinely administering high concentrations of oxygen during the post cardiac arrest period for patients who achieve ROSC? Potential oxygen toxicity What is the recommended dose of epinephrine for the treatment of hypotension in a post-cardiac arrest patient who achieves ROSC? 0.1 - 0.5 mcg/kg per minute IV infusion