ACLS Practice Test
All patients experiencing signs of a cardiac event should receive high concentrations of oxygen.
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true
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false
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Epinephrine is a potent:
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antibiotic
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vasodilator
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vagolytic agent
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vasoconstrictor
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Which one of the following represent the intervention most likely to be associated with successful resuscitation from cardiac arrest?
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emergency ventilation
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proper chest compressions
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rapid endotracheal intubation
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early defibrillation (AED or conventional)
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The commonly recommended dose of atropine in adult patients with symptomatic bradycardia is:
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1.0 – 2.0 mg IV push
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2.0 – 4.0 mg IV push
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0.5 mg IV push up to a total of 0.04 mg/kg (3.0 mg in a 75 kg patient)
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0.4 mg IV push up to a total of 10.0 mg
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Certification as an ACLS provider means:
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the individual is qualified to perform all skills discussed/taught in the course
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the individual is obligated to provide such care to all patients found in arrest
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the individual is qualified to be assigned to an ICU or Emergency Department
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the individual has undertaken a standardized course of study and has demonstrated an acceptable level of understanding required to receive certification
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All patients developing cardiac arrest should receive ACLS type treatments (attempted resuscitation).
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true
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false
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A 12-lead electrocardiogram should be done as soon as possible when treating patients with potential cardiac symptoms such as chest pressure.
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true
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false
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Which of the following are NOT contraindications for fibrinolytic therapy?
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Surgery within 2 weeks
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Recent trauma
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Menstrual bleeding
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Recent stroke
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Biphasic defibrillators, as compared with the older conventional defibrillators,:
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deliver less therapeutic energy
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use a different shock delivery wave-form
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cause less damage to the myocardium
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all of the above
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Which of the following arrhythmias is most associated with successful resuscitation?
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asystole
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pulseless electrical activity (PEA)
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ventricular fibrillation
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all of the above
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CPR provided to an adult patient in cardiac arrest should be performed with:
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5 compressions for every ventilation
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30 compressions for every 2 ventilations / fast and deep
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1 compression to 1 ventilation
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all of the above are recommended
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Atropine is:
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a drug used to slow fast heart rates
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given 6.0 mg IV push, followed by a bolus of IV fluid
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a parasympatholytic agent (reduces the effect of vagal activity)
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is often given by continuous infusion
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Upon finding a patient collapsed and pulseless, if there is no safe means of providing ventilation, chest compressions should be performed immediately while obtaining an automated external defibrillator (AED).
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true
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false
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Treatment of which of the following types of arrest is most likely to result in patient survival?
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asystole (persistent flat-line)
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a wide-QRS pulseless idioventricular ECG rhythm
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primary ventricular fibrillation
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all of the above
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A 42-year-old male is brought into an emergency department with signs of significant trauma. He is pale, diaphoretic and hypotensive. His BP is 46/0 and his pulse is barely palpable at 158/minute (symptomatic tachycardia?). His abdomen is rigid and there is an obvious femoral fracture with significant swelling and deformation. What would most likely be the best intervention to treat the tachycardia?
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adenosine IV
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beta-blocker IV
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calcium channel blocker IV
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rapid volume expansion (likely needed for packed cells)
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Aspirin is beneficial to patients experiencing an acute coronary syndrome.
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true
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false
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Amiodarone, when administered through an IV,:
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has a very short half-life
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has a very rapid onset of action
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has been shown to dramatically improve survival rates for patients in arrest
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none of the above
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Adenosine:
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has a very short alpha half-life
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is administered by rapid IV push followed by a fluid bolus
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is antagonized by theophylline
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all of the above
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Which of the following is considered a contraindication for the use of fibrinolytic agents for treating STEMI?
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recent head trauma
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onset of symptoms 7 days prior to admission
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abdominal surgery 2 weeks prior to STEMI event
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all of the above
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If a patient is brought in bradycardiac and hypotensive, apparently caused by an overdose of verapamil, which drug would be the best to consider?
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naloxone
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potassium chloride
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calcium chloride
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dopamine infusion
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