Question

In: Nursing

have been posting the same questions and not getting an answers for so please answer all...

have been posting the same questions and not getting an answers for so please answer all the questions :

ACLS q’s


The cardiac arrest rhythm associated with NO discernible electrical activity on the ECG is termed as _________?

  Pulseless electrical activity

  Ventricular tachycardia

  Bradycardia

  Asystole

Bradycardia is defined as any rhythm disorder with a heart rate less than:

  40 beats per minute

  50 beats per minute

  70 beats per minute

  60 beats per minute

Indications for transcutaneous pacing (TCP) include all of the following EXCEPT:

  Hemodynamically unstable bradycardia

  Unstable third-degree AV block

  Bradycardia with symptomatic ventricular escape rhythms

  Asystole

What is the first step in the treatment of persistent tachycardia (heart rate > 150 bpm) causing hypotension, altered mental status, and signs of shock?

  Obtain a 12-lead ECG

  Administer a calcium channel blocker

  Defibrillation

  Synchronized cardioversion

All of the following are found within the 8 D’s of Stroke Care EXCEPT:

  Detection

  Delivery

  Decision

  Debilitation

Signs and symptoms of a stroke may include:

  Sudden weakness or numbness of the face, arm, or leg

  Sudden trouble seeing in one or both eyes

  Dizziness or loss of balance or coordination

  All of the above

The Cincinnati Prehospital Stroke Scale (CPSS) identifies stroke on the basis of the following physical findings EXCEPT:

  Facial droop

  Arm drift

  Abnormal speech

  Abnormal gait

Under normal circumstances, what is the largest chamber of the heart?

  Right atrium

  Right ventricle

  Left atrium

  Left ventricle

Where is the start of the mechanical movement of the heart generally thought to begin?

  Right ventricle

  Left atrium

  Left ventricle

  Right atrium

You are alone when you encounter an individual in what appears to be cardiac or respiratory arrest. What are the first three steps you should take to stabilize them? Check for danger, check for response, and ____________.

  Start CPR.

  Administer an initial shock.

  Insert an advanced airway.

  Send for help.

All of the following are considered advanced airways EXCEPT:

  Laryngeal tube

  Laryngeal mask airway (LMA)

  Endotracheal tube (ET)

  Nasopharyngeal airway (NPA)

The BLS Survey changed in the 2010 AHA update. Which of the following describes this change?

  Start with chest compressions instead of two rescue breaths.

  Survey is no longer represented by the mnemonic ABCD; instead, it is represented by the numbers 1, 2, 3, 4.

  Chest compressions should be continued while preparing the AED to minimize breaks.

  All of the above

Treatment of PEA should include the following EXCEPT:

  Identify and reverse etiologies of the arrest

  Effective CPR

  Epinephrine

  Defibrillation

All of the following can be considered an underlying cause of pulseless electrical activity EXCEPT:

  Hypoxia

  Hypovolemia

  Acute toxin ingestion

  Hyperglycemia

An important link in the STEMI Chain of Survival is improving myocardial perfusion by:

  Defibrillation

  Chest compressions

  CPR

  Percutaneous coronary intervention (PCI) or fibrinolytics

In a bradycardic individual who is symptomatic and does not respond to atropine, the next treatment to consider is:

  Sedatives

  Analgesics

  Amiodarone

  Transcutaneous pacing

Tachycardia may reduce coronary perfusion and cause a myocardial infarction, which is also known as a(n):

  Irregular ventricular rhythm

  Stenosis of the heart

  Stroke

  Heart attack

During a tachycardic episode, if the individual ____________ at any point, you must switch algorithms.

  Urinates

  Vomits

  Salivates

  Loses a pulse

A _____________ is required to assess for STEMI.

  Transcutaneous pacing

  Vagal maneuvers

  Defibrillator

  12-lead ECG

All of the following are appropriate actions by first responders EXCEPT:

  Administer oxygen.

  Transport to a nearby stroke center.

  Check glucose level.

  Find IV access immediately.

Which of the following is the primary treatment in management of ventricular fibrillation?

  Carotid massage

  Defibrillation

  Sedatives

  All of the above

Why should therapeutic hypothermia be considered in an adult comatose person during the post-cardiac arrest period?

  To prevent tachycardia

  To re-establish circulation

  To prevent sepsis

  To protect the brain/organs

Which of the following side effects may be expected during amiodarone infusion?

  Hypotension

  Bradycardia

  Gastrointestinal toxicity

  All of the above

All of the following statements regarding asystole are correct EXCEPT:

  Vital organs can be permanently damaged.

  Asystolic rhythms can result in severe myocardial ischemia.

  A pulse will not be present in an asystolic individual.

  All heart tissue immediately dies when an individual enters asystole.

Solutions

Expert Solution

1, The cardiac arrest rhythm associated with NO discernible electrical activity on the ECG is termed as Pulseless electrical activity.

2. Bradycardia is defined as any rhythm disorder with a heart rate less than:

  50 beats per minute

3. Indications for transcutaneous pacing (TCP) include all of the following EXCEP

  Asystole

4. What is the first step in the treatment of persistent tachycardia (heart rate > 150 bpm) causing hypotension, altered mental status, and signs of shock?

  Synchronized cardioversion

5. All of the following are found within the 8 D’s of Stroke Care EXCEPT:

Debilitation

6. Signs and symptoms of a stroke may include:

All of the above

7. The Cincinnati Prehospital Stroke Scale (CPSS) identifies stroke on the basis of the following physical findings EXCEPT:

  Abnormal gait

8. Under normal circumstances, what is the largest chamber of the heart?

  Left ventricle

9. You are alone when you encounter an individual in what appears to be cardiac or respiratory arrest. What are the first three steps you should take to stabilize them? Check for danger, check for response, and ____________.

  Send for help

10.All of the following are considered advanced airways EXCEPT:

  Laryngeal mask airway (LMA)

11. The BLS Survey changed in the 2010 AHA update. Which of the following describes this change?

  All of the above

12. Treatment of PEA should include the following EXCEPT:

  Defibrillation

13. All of the following can be considered an underlying cause of pulseless electrical activity EXCEPT:

  Hyperglycemia

14. An important link in the STEMI Chain of Survival is improving myocardial perfusion by:

  Percutaneous coronary intervention (PCI) or fibrinolytics

15. In a bradycardic individual who is symptomatic and does not respond to atropine, the next treatment to consider is:

  Transcutaneous pacing

16. Tachycardia may reduce coronary perfusion and cause a myocardial infarction, which is also known as a(n):

Heart attack

17. During a tachycardic episode, if the individual ____________ at any point, you must switch algorithms.

  Loses a pulse

18.

A _____________ is required to assess for STEMI.

  12-lead ECG

19. All of the following are appropriate actions by first responders EXCEPT:

  Transport to a nearby stroke center.

20. Which of the following is the primary treatment in management of ventricular fibrillation?

Defibrillation

21. Why should therapeutic hypothermia be considered in an adult comatose person during the post-cardiac arrest period?

  To protect the brain/organs

22. Which of the following side effects may be expected during amiodarone infusion?

All of the above

23. All of the following statements regarding asystole are correct EXCEPT:

All heart tissue immediately dies when an individual enters asystole.

  

  

  

  


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