In: Nursing
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.
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.