Free ACLS – Advanced Cardiac Life Support Practice Test Question

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  massive pulmonary embolism

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  cardiac tamponade

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  hypovolemia

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  tension pneumothorax

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  massive myocardial infarction
  
  

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  sinus bradycardia

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  sinus bradycardia with hypotension

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  complete heart block with pulmonary edema

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  prolonged asystole
  
  

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  at 10-15 breaths per minute

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  after the 5th compression

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  asynchronously to cardiac compressions

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  with room air
  
  

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  successive countershocks

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  firm paddle pressure

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  use of conductive medium

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  lower body weight
  
  

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  allows adjunctive ventilatory equipment to be used effectively

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  decreases the risk of aspiration

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  is the first priority in ventricular fibrillation

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  if performed improperly may result in only one lung being inflated
  
  

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  conscious with a suspected stroke

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  unconscious with no gag reflex

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  normotensive with third degree heart block

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  cardiac arrest after three unsuccessful countershocks
  
  

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  may be used by untrained individuals

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  with high flow and a reservoir deliver close to 100% oxygen

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  aredifficultfor one person to use effectively

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  usually provide greater tidal volume than mouth-to-mask ventilation
  
  

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  Normal sinus rhythm

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  Sinus tachycardia

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  Sinus bradycardia

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  Reentry supraventricular tachycardia

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  First-degree AV Block

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  Second-degree AV Block (Mobitz 1 Wenckebach)

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  Second-degree AV Block (Mobitz II Block)

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  Third-degree AV Block

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  Atrial fibrillation

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  Atrial flutter

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  Monomorphic ventricular tachycardia

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  Polymorphic ventricular tachycardia

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  Coarse ventricular fibrillation

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  Fine ventricular fibrillation

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  Agonal rhythm/asystole

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  Pulseless electrical activity
  
  

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  carotid massage

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  lidocaine

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  sedation, then synchronized cardioversion

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  adenosine
  
  

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  Give adenosine 3 mg IV bolus

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  Give adenosine 12 mg IV slow push (over 1 to 2 minutes)

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  Perform vagal maneuvers

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  Give metoprolol 5 mg IV and repeat if necessary
  
  

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  Normal sinus rhythm

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  Sinus tachycardia

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  Sinus bradycardia

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  Reentry supraventricular tachycardia

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  First-degree AV Block

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  Second-degree AV Block (Mobitz 1 Wenckebach)

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  Second-degree AV Block (Mobitz II Block)

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  Third-degree AV Block

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  Atrial fibrillation

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  Atrial flutter

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  Monomorphic ventricular tachycardia

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  Polymorphic ventricular tachycardia

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  Coarse ventricular fibrillation

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  Fine ventricular fibrillation

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  Agonal rhythm/asystole

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  Pulseless electrical activity
  
  

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  Start epinephrine 2 to 10 ug/min

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  Start dopamine 10-20 ug/kg per minute

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  Give normal saline bolus 250 ml_ to 500 ml_

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  Give additional 1 mg atropine
  
  

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  Normal sinus rhythm

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  Sinus tachycardia

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  Sinus bradycardia

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  Reentry supraventricular tachycardia

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  First-degree AV Block

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  Second-degree AV Block (Mobitz 1 Wenckebach)

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  Second-degree AV Block (Mobitz II Block)

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  Third-degree AV Block

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  Atrial fibrillation

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  Atrial flutter

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  Monomorphic ventricular tachycardia

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  Polymorphic ventricular tachycardia

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  Coarse ventricular fibrillation

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  Fine ventricular fibrillation

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  Agonal rhythm/asystole

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  Pulseless electrical activity
  
  

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  Initiate dopamine at 10 to 20 ug/kg per minute and titrate heart rate

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  Give atropine 1 mg IV up to a total dose of 3 mg

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  Initiate epinephrine at 2 to 10 ug per minute and titrate heart rate

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  Initiate dopamine at 2 to 10 ug/kg per minute and titrate heart rate

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  Begin transcutaneous pacing
  
  

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  Give atropine 0.5 mg IV

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  Initiate transcutaneous pacing (TCP)

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  Continue monitoring patient, prepare for TCP

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  Administer nitroglycerin 0.4 mg SL

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  Start epinephrine 2 to 10 ug/min and titrate