Advanced Cardiovascular Life SupportExam Version B (50 questions)
Please do not mark on this exam. Record the best answer on the separate answer sheet.
1.What should be done to minimize interruptions in chest pressions during CPR?
A. Perform pulse checks only after defibrillation. Continue CPR while the defibrilator is charging.C. Administer IV medications only when breaths are given.
D. Continue to use AED even after the arrival of a manual defibrillator.
2.Which condition is anindication to stop or withhold resuscitative efforts?
B.Safety threat to providers A. Unwitnessed arrestC.Patient age greater than 85 years D.No retum of spontaneous circulation after 10 minutes of CPR
3.After verifying the absence of a pulse you initiate CPR with adequate bag-maskventilation.The patient's lead Il ECG appears below.What isyour next action?
B.Endotracheal tube placement A. IV or IO accessC.Consultation withcardiologyforpossiblePCI D.Application of a transcutaneous pacemaker
4.After verifying unresponsiveness and abnormal breathing you activatethe emergency response team.What is your next action?
A. Retrieve an AED.C. Deliver 2rescue breaths. Check for a pulse.D. Administer a precordial thump.
5.What is the remendation on the use of cricoid pressure to prevent aspirationduring cardiac arrest?
Not remended forroutine useB. Remended during everyresuscitation attemptD.Remended only for supraglottic airway insertion C. Remended when the patient isvomiting
6.What survival advantages does CPR provide to a patient in ventricular fibrillation?
A. Increases the defibrillation thresholdC.Opposes the harmful effects of epinephrine B. Directly restores an organized rhythmD.Produces a small amount of blood flow to the heart
7.What is the remended pression rate for performing CPR?
A. 60 to 80 per minuteB. 80 to 100 per minute C.About 100 per minuteD. At least 100 per minute
8.EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR.After attaching a cardiac monitor the responder observes thefollowing rhythm strip. What is the most important early intervention?
A. DefibrillationEpinephrine administration Endotracheal intubationD.Antiarrhythmic administration C.
9.A patient remains in ventricular fibrillation despite 1 shock and 2 minutes ofcontinuous CPR.The next intervention is to
B.administer a second shock. A.administer amiodarone.C.administer epinephrine.D. insert an advanced airway.
10.What is theremended nextstep after a defibrillation attempt?
A.Open the patient's airway.B. Determine if a carotid pulse is present.D. Begin CPR starting with chest pressions. C. Check the ECG for evidence of a rhythm.
11.Which of the following is the remended first choice for establishingintravenous access during the attempted resuscitation of a patient in cardiac arrest?
A.Subclavian veinAntecubital veinC.Intraosseous lineD. Internal jugular vein
12.What is the remended first intravenous dose of amiodarone for a patientwithrefractoryventricularfibrillation?
A.1mgB.1 mg/kg C.1 mEq/kgD.300 mg
13.IV/IO drug administration during CPR should be
A.given rapidly during pressions.C.given by infusion. B. administered slowly during the pause for a pulse check.D. given before any defibrlltion attempts.
14.How often should the team leader switch chest pressors during a resuscitation e
A.Every minute B. Every 2 minutesD. Every 4 minutes C. Every3minutes
15.Which finding is a sign of ineffective CPR?
A.PETCO32°C (89.6°F)D. Measured patient urine output of 1 mL/kg per hour
16.A team leader orders 1mg of epinephrine and a team member verbally acknowledges when the medication is administered.What element of effectiveresuscitation team dynamics does this represent?
A.Clear messagesB. C. Knowing one's limitations Closed-loop municationD. Clear roles and responsibilities
17.How long should it take to perform a pulse check during the BLS Survey?
A.1 to 5 secondsC.10 to 15 seconds B.5 to 10 secondsD.15 to 20 seconds
18.Yourrescue team arrives to find a 59-year-old man lying on the kitchen floor.You determine that he is unresponsive and notice that he is taking agonalbreaths. What is the next step in your assessment and management of thispatient?
B.Check the patient's pulse. A. Apply the AED.C.Open the patient's airway.D.Check for the presence of breathing.
19.Which treatment or medication is appropriate for the treatment ofa patient inasystole?
A.AtropineEpinephrineD. Transcutaneous pacing C.Defibrillation
action?
A.Place a backboard beneath the patient and administer the shock. Move the patient off the snow to bare ground and deliver the shock.C.Remove any snow beneath the patient and then administer the shock. B.D. Administer the shock immediately and continue as directed by the AED.
21.What is the minimum depth of chest pressions for an adult in cardiac arrest?
B.1% inches A.1 inchC.2inches D.2% inches
