ACLS QUIZ 2

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  1. Which drug should NOT be used for a patient in cardigenic pulmonary edema whose vital signs are P=124, BP 108 systolic, and an ECG that indicates a sinus tachycardia?
  2. Your answer:
    Morphine
    Atropine
    Oxygen
    Furosemide


  3. In a patient who has suffered an MI, the ECG will always be abnormal.
  4. Your answer:
    TrueFalse


  5. A 72-year-old female patient is delivered to the hospital ER by a basic life support ambulance. Upon admission to the ER, her vital signs are recorded and indicate the following: P=50, BP=60/40. The ECG indicates a first-degree heart block with ventricular ectopy. Which is the first-line drug of choice?
  6. Your answer:
    Atropine
    Isoproterenol
    Lidocaine
    Verapamil


  7. In a patient who has suffered an MI, the ECG will always be abnormal.
  8. Your answer:
    TrueFalse


  9. Automated external defibrillator pads (electrodes) should be placed over the apex of the heart (left midaxillary line) and the upper chest just right of the sternum.
  10. Your answer:
    TrueFalse


  11. The most common initial misplacement of the ET tube, resulting in minimal breath sounds and poor blood gases, is generally caused by the ET tube being inserted into the
  12. Your answer:
    trachea
    right mainstem bronchus
    esophagus
    left mainstem bronchus


  13. All automated external defibrillators can perform simultaneous ECG interpretation while CPR is being performed on the patient.
  14. Your answer:
    TrueFalse


  15. Once the determination has been made that an unwitnessed cardiac arrest patient is in VF, the next immediate course of action is to:
  16. Your answer:
    defibrillate at 200 J
    perform a precordial thump
    administer epinephrine IV or via the ET tube
    perform an ET intubation


  17. Ventricular fibrillaton is the most common rhythm seen in the first minute following a cardiac arrest.
  18. Your answer:
    TrueFalse


  19. The most accessible vein to cannulate initially while performing CPR on a patient is
  20. Your answer:
    antecubital
    internal jugular
    femoral
    saphenous


  21. The diagnosis of acute MI is based primarily on the ECG.
  22. Your answer:
    TrueFalse


  23. Synchronized cardioversion is the initial treatment of choice for
  24. Your answer:
    ventrucular fibrillation
    asystole
    unstable ventricular tachycardia
    sinus tachycardia


  25. Endotracheal intubation should be performed ideally in less than 30 seconds.
  26. Your answer:
    TrueFalse


  27. Nitroglycerin
  28. Your answer:
    May produce hypertension
    May be helpful in relieving pain from an MI
    Should be limited to two doses sublingually
    Should be administered via the transtracheal route


  29. Dopamine administered in low doses of 2 to 5 mg/kg/min will result in renal vasodilatation
  30. Your answer:
    TrueFalse


  31. Which of the following is expected to NOT assist in decreasing transthoracic resistance during defibrillation?
  32. Your answer:
    proper placement of the paddles
    multiple countershocks
    use of conductive gel
    minimal paddle pressure


  33. Ventricular fibrillation can be mimicked by artifact on the ECG monitor
  34. Your answer:
    TrueFalse


  35. Cardiopulmonary resuscitation has been initiated on a patient in asystole. The first drug of choice would be
  36. Your answer:
    sodium bicarbonate
    epinephrine
    verapamil
    calcium chloride


  37. Bag-valve-mask airway management devices should only be used by individuals trained in their use.
  38. Your answer:
    TrueFalse


  39. Endotracheal suctioning should be limited to
  40. Your answer:
    five seconds
    ten seconds
    fifteen seconds
    there is no limit


  41. Electrical defibrillation is the preferred initial method of treatment for patients who have suffered a cardiac arrest.
  42. Your answer:
    TrueFalse


  43. Sodium bicardonate therapy
  44. Your answer:
    Does not require constant blood gas analysis for use
    Should be added to IV solutions containing catecholamines
    May cause metabolic alkalosis
    May be administered at anytime during the code situation


  45. Verapamil facilitate successful electrical conversion from VF to a viable rhythm
  46. Your answer:
    TrueFalse


  47. Which ECG rhythm is most likely to be seen in patients who have suffered a significant electrical shock?
  48. Your answer:
    ventricular asystole
    ventricular fibrillation
    ventricular tachycardia
    sinus rhythm with ectopy


  49. The acidosis that usually occurs during cardiac arrest is treated by proper ventilation of the victim.
  50. Your answer:
    TrueFalse



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