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1. Which type of atrioventricular (AV) block best describes this 9. Which best describes this rhythm?:
rhythm?:
Give epinephrine 1 mg IV
Performing synchronized cardioversion
41. A 45-year-old man had coronary artery stents placed 2
29. During post-cardiac arrest care, which is the recommended days ago. Today, he is in severe distress and is reporting
duration of targeted temperature management after "crushing" chest discomfort. He is pale, diaphoretic, and
reaching the correct temperature range?: At least 24 hours cool to the touch. His radial pulse is very weak, blood
30. Three minutes into a cardiac arrest resuscitation attempt, pressure is 64/40 mmHg, respiratory rate is 28 breaths/min,
one member of your team inserts an endotracheal (ET) tube and oxygen saturation is 89% on room air. When applied,
while another performs chest compressions. Capnography the cardiac monitor initially showed ventricular tachycardia,
shows a persistent waveform and a PetCO2 of 8mmHg. which then quickly changed to ventricular fibrillation.
Which is the significance of this finding?: Chest
compressions may not be effective Based on this patient's initial presentation, which condition
31. Which is the recommended oral dose of aspirin for a patient do you suspect led to the cardiac arrest?: Acute coronary
with a suspected acute coronary syndrome?: 160 to 325 mg syndrome
32. A team member is unable to perform an assigned task
because it is beyond the team member's scope of practice.
Which action should the team member take?: Ask for a new
task or role
33. As the team leader, when do you tell the chest compressors
to switch?: About every 2 minutes
42. A 45-year-old man had coronary artery stents placed 2 46. A 45-year-old man had coronary artery stents placed 2
days ago. Today, he is in severe distress and is reporting days ago. Today, he is in severe distress and is reporting
"crushing" chest discomfort. He is pale, diaphoretic, and "crushing" chest discomfort. He is pale, diaphoretic, and
cool to the touch. His radial pulse is very weak, blood cool to the touch. His radial pulse is very weak, blood
pressure is 64/40 mmHg, respiratory rate is 28 breaths/min, pressure is 64/40 mmHg, respiratory rate is 28 breaths/min,
and oxygen saturation is 89% on room air. When applied, and oxygen saturation is 89% on room air. When applied,
the cardiac monitor initially showed ventricular tachycardia, the cardiac monitor initially showed ventricular tachycardia,
which then quickly changed to ventricular fibrillation. which then quickly changed to ventricular fibrillation.
In addition to defibrillation, which intervention should be Which would you have done first if the patient had not gone
performed immediately?: Chest compression into ventricular fibrillation (V-Fib)?: Obtained a 12-lead ECG
43. A 45-year-old man had coronary artery stents placed 2 47. A 68-year-old woman presents with light-headedness,
days ago. Today, he is in severe distress and is reporting nausea, and chest discomfort. Your assessment finds her
"crushing" chest discomfort. He is pale, diaphoretic, and awake and responsive but ill-appearing, pale, and goodly
cool to the touch. His radial pulse is very weak, blood disphorttie. Her radial is weak, thread, and fast. You are
pressure is 64/40 mmHg, respiratory rate is 28 breaths/min, unable to obtain a blood pressure. She has no obvious
and oxygen saturation is 89% on room air. When applied, dependent edema, and her neck veins are flat. Her lung
the cardiac monitor initially showed ventricular tachycardia, sounds are equal, with moderate rales present bilaterally.
which then quickly changed to ventricular fibrillation. The cardiac monitor shows the rhythm seen here.
Despite 2 defibrillation attempts, the patient remains in Based on this patient's initial assessment, which adult ACLS
ventricular fibrillation (V-Fib). Which drug and dose should algorithm should you follow?:
you administer first to this patient?: Epinephrine 1 mg
44. A 45-year-old man had coronary artery stents placed 2
days ago. Today, he is in severe distress and is reporting
"crushing" chest discomfort. He is pale, diaphoretic, and Tachycardia
cool to the touch. His radial pulse is very weak, blood
48. A 68-year-old woman presents with light-headedness,
pressure is 64/40 mmHg, respiratory rate is 28 breaths/min,
nausea, and chest discomfort. Your assessment finds her
and oxygen saturation is 89% on room air. When applied,
awake and responsive but ill-appearing, pale, and goodly
the cardiac monitor initially showed ventricular tachycardia,
disphorttie. Her radial is weak, thread, and fast. You are
which then quickly changed to ventricular fibrillation.
unable to obtain a blood pressure. She has no obvious
dependent edema, and her neck veins are flat. Her lung
Despite the drug provide above and continued CPR, the
sounds are equal, with moderate rales present bilaterally.
patient remains in ventricular fibrillation (V-Fib). Which
The cardiac monitor shows the rhythm seen here.
other drug should be administered next?: Amiodarone 300
mg
The patient's pulse oximeter shows a reading of 84% on
45. A 45-year-old man had coronary artery stents placed 2 room air. Which initial action do you take?:
days ago. Today, he is in severe distress and is reporting
"crushing" chest discomfort. He is pale, diaphoretic, and
cool to the touch. His radial pulse is very weak, blood
pressure is 64/40 mmHg, respiratory rate is 28 breaths/min,
and oxygen saturation is 89% on room air. When applied, Apply oxygen
the cardiac monitor initially showed ventricular tachycardia,
which then quickly changed to ventricular fibrillation.
After your initial assessment of this patient, which intervention should be performed next?:
Synchronized cardioversion
50. A 68-year-old woman presents with light-headedness, nausea, and chest discomfort. Your assessment finds her awake and
responsive but ill-appearing, pale, and goodly disphorttie. Her radial is weak, thread, and fast. You are unable to obtain a blood
pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rales
present bilaterally. The cardiac monitor shows the rhythm seen here.
If the patient became apneic and pulseless but the rhythm remained the same, which would take the highest priority?:
Perform defibrillation
51. H's: Hypovolemia, Hypoxia, Hypoglycemia, Hypokalemia, Hyperkalemia
52. T's: Tension pneumo, Tamponade, Thrombosis pulm, Thrombosis cardia