About Us Checkout Login •
Home Courses
•
•
FREE Education Center
•
How Our Courses Work •
Group Discount •
FA FA
•
!"og
ACL SPr ac t i c eT es t
Sampl i ngof2 0ques t i onsf o un dont hec er t i fi c at i on
exam
1Re c omme nd edEDd oo rt oba l l o oni n fl at i o nt i mef o raSTEMIpa t i en ti s : •
Nol o ng ert h an6 0mi n ut e s
•
Nol o ng ert h an1 5mi n ut e s
•
Nol o ng ert h an3 0mi n ut e s
•
Nol o ng ert h an9 0mi n ut e s
2Thef ol l o wi ngdr ugus edt obet hedr ugofc hoi c ebuti snol o ngerr ec ommend edf or a s y s t o l eorPEA: •
At r opi ne
•
Epi nephr i ne
•
So di u m Bi c a r b on at e
•
Magnesi um
3Nar r owc ompl exSupr av ent r i c ul art ac hy c ar di ai sbes tt r eat edwi t h: •
Ad en os i n e
•
Ami odar one
•
Epi nephr i ne
•
At r opi ne
4Thec or r ec ts equenc ef orbas i cl i f es uppor ti s : •
BCA-Br e at h i n g,Co mp r e ss i o ns ,Ai r wa y
•
ABC-Ai r wa y ,Br ea t hi n g,Co mp r e s si on s
•
ACB-Ai r wa y ,Co mp r e s si on s ,Br ea t h i n g
•
CAB-Co mpr e s si o ns ,Ai r wa y ,Br e at h i n g
5T eam r es us ci t at i oni saf oc usi nt he2010gui del i nes .Ther ol eoft het eam l eaderi s di ff er entf r om t heot hert eam memb er si nt hatat eam l e aderi st heper s onont het eam whomus t : •
Bepr ac t i c edi nper f or mi ngt hes ki l l soft her ol e
•
Beabl et oper f or m al l t hes ki l l si fneeded
•
Under st andt heACLSsequences
•
Bewi l l i ngandabl et oper f or mt her ol e
6Yo ua r et h ep ar amed i cona na mb ul a nc et r a ns p or t i n ga6 5y e ar o l df emal e.Th e pat i enti sc onnec t edt ot hemoni t orandy ous eet hi sr h yt hm;s hehasapal pabl epul s e. Wh ati st h er h y t h m?
•
PEA
•
Si n usRh y t h m
•
Si n usBr ady c ar d i a
•
SecondDegr eeHear tBl ock
7Thi sr h yt hm i sc har ac t er i z edb yac ompl e t ed i s s oc i at i onbe t weent hePwa v ea ndt he QRS:
•
Fi r s tDe gr e eAVBl oc k
•
Th i r dDe gr e eAVBl o c k
•
SecondDegr eeAVBl ockT ype1
•
SecondDegr eeAVBl ockT ype2
8T r ueo rFa l s e:Cr i c o i dp r e s sur ei sr e c omme nde dwh enp er f o r mi n ga ne me r g en ta du l t ai r wayi nt ubat i on. •
FALSE
•
TRUE
9T r ueo rFal s e:Pul s ec hec k ss houl dbedonef oratl eas t10s ec onds . •
TRUE
•
FALSE
10T r ueorFal s e:Thei ni t i al r ec ommendeddos eofat r opi nef ors y mpt omat i cbr ady c ar di a i s0. 5mgI V. •
TRUE
•
FALSE
11Dur i ngc ar di opul monar yr es us ci t at i on,del i v erox y genat : •
100%
•
Ti t r at edt ok eepo xy gens at ur at i on≥94%
•
2Li t er spermi nut ev i anas al c annul a
•
Ti t r at edt ok eepo xy gens at ur at i on≥85%
12Youar ec ons i der i ngus eofanor ophar y ngeal ai r wa y( OPA) .Youk no wt hatal l oft he f ol l o wi ngar et r u eEXCEPT : •
At ool ar geOPAma yobs t r uc tt hel ar y nx
•
OPAsar es af et ous ei nal l pat i ent s
•
Yous houl di ns er tt heOPAs ot hati tc ur v esupwar dandt henr ot at ei t180 degr eest omat c ht hecur v eoft het ongueandt hr oat
•
At oos mal l OPAma yo bs t r uc tt hea i r wa yb ypus hi ngt het ong uei nt ot he t h r o a t
13Themo s tc o mmo nr e v er s i b l ec a us e sofPEAa r ec a l l e dt h e" H' sa ndT' s "a ndi n c l u de al l oft hef ol l owi ngEXCEPT : •
Hy p o x i a
•
T amponad e
•
Hy p o c a l c e mi a
•
Hy p o v o l e mi a
14At r a i n edEMTd i s c o v e r sSTEMIo na12l e adECG i nt h ea mb ul a nc e .Th eb es to pt i o n i st o: •
T ak et hepat i entt oahos pi t al c apabl eofpr ov i di ngfi br i nol y si sonl y( n otPCI ) , 5mi nut esaway
•
T ak et hepat i entt oahos pi t al c apabl eofpr o vi di ngPCI ,20mi nut esawa y
•
T ak et hepat i entt oahos pi t al c apabl eofpr ov i di ngangi ogr aphy ,r egar dl es sof fi br i nol y si sorPCIc apabi l i t y
•
Pr ov i defi br i nol y s i si nt heambul anc et hent ak et hepat i entt oahos pi t al c apabl eofpr o v i di ngPCI ,20mi nut esa wa y
15Yourpat i enti nt heEDhasas t r ongpul s eandr egul arhear tr at eof182beat sper mi nut ewi t hanor mal QRSo nt hec ar di acmoni t or .Herbl o odpr es s ur ei s112/ 56.Shei s awak eanddeni esan ypai n.Al l oft hef ol l owi ngmaybeappr opr i at ei nt er v ent i ons EXCEPT: •
Admi ni s t eradenos i ne
•
12l eadECG
•
At t e mp tv a g al ma ne uv e r s
•
Per f or ms y nc hr oni z edcar di o v er s i on
omat os ep at i entwi t hROSCaf t erc ar d i acar r es ts houl dbe: 16Ac •
Co ol edt obe t we en3 2°a nd3 4°Cf ora tl e as t2 4h ou r s
•
Co ol edt obe t we en3 2°a nd3 6°Cf ora tl e as t2 4h ou r s
•
Co ol e dt obe t we en32 °a n d3 4°Cf o r1 2t o24ho ur s
•
Co ol e dt obe t we en32 °a n d3 6°Cf o r1 2t o24ho ur s
17Whi c hoft hef ol l owi ngs i gnsi sNOTpar toft heCi nc i nnat i Pr ehos pi t al St r ok eSc al e? •
Fac i al dr oop
•
Sp ee c hab nor ma l i t y
•
Ar m dr i f t
•
Conf us i onordi s or i ent at i on
18Thegoal f ori ni t i at i onoffi br i nol y t i ct her apyi nappr opr i at es t r ok epat i ent si s : •
Wi t hi n6hour sofar r i v al t ot heED
•
Wi t hi n4hour sofar r i v al t ot heED
•
Wi t hi n1hourofar r i v al t ot heED
•
Wi t hi n3hour sofar r i v al t ot heED
di c at i ont hats houl dNOTbegi v e nv i aendo t r ac heal t ubei s : 19Theme •
Dopami ne
•
At r opi ne
•
Epi nephr i ne
•
Li doc ai ne
20Thene wes tAHAACL Sgui del i nesd i s c us sr es us c i t at i ont eam dy nami c s ,i nc l udi ngt he r o l e so ft e am o ft e am l e ad era ndt e am me mb er .At e am me mb ers h o ul dpo s s e s swh i c h oft hef ol l owi ng? •
At hor ou ghund er s t andi ngofal l ACL Sal gor i t hms
•
Theabi l i t yt oper f or m al l ACLSs ki l l s
•
Theabi l i t yt oi ns er tanc ent r al v enouscat het er
•
Theabi l i t yt oi ns er tanendot r ac heal t ube
RecommendedEDdoort obal l ooni nflat i ont i mef oraSTEMIpat i enti s: •
Nol o ng ert h an15mi n ut e s
•
Nol o ng ert h an30mi n ut e s
•
Nol o ng ert h an60mi n ut e s Nol ongert han90mi nut es
Thef ol l owi ngdr ugusedt obet hedr ugofchoi cebuti snol ongerr ecommendedf or asyst ol eorPEA: •
Epi nephr i ne At r opi ne
•
So di u m Bi c a r b on at e
•
Magnesi um
Na r r owc ompl e xSupr a v ent r i c ul a rt a chy ca r d i ai sbe stt r e at e dwi t h: Adenosi ne •
Ami odar one
•
At r opi ne
•
Epi nephr i ne
Thecor r e cts eque nc ef orba si cl i f esuppor ti s : •
ABC-Ai r wa y , Br e at h i n g,Co mp r e s s i o ns
•
ACB-Ai r wa y ,Co mp r e ss i o ns ,Br e at h i ng
•
BCA-Br e at h i n g,Co mp r e s s i o ns ,Ai r wa y CAB-Compr essi ons,Ai r way, Br eat hi ng
T ea mr e sus ci t a t i oni saf oc usi nt he20 10gui de l i ne s.Ther o l eoft het e am l e ade ri s di ffer entf r om t heot hert eam member si nt hatat eam l eaderi st heper sonont het eam whomust : •
Bewi l l i ngandabl et oper f or mt her ol e
•
Bepr ac t i c edi nper f or mi ngt hes ki l l soft her ol e
•
Under st andt heACLSsequences Bea bl et ope r f or ma l lt hes ki l l si fne eded
Youa r et hepa r a me di cona na mbul a nc et r a ns por t i nga65 y e ar ol df e ma l e .Thepa t i e nti s connect edt ot hemoni t orandyouseet hi sr hyt hm;shehasapal pabl epul se.Whati st he r hyt hm?
Si nusBr adycar di a •
Si n usRh y t h m
•
PEA
•
SecondDegr eeHear tBl ock
Thi sr hyt hm i schar act er i zedbyacompl et edi ssoci at i onbet weent hePwaveandt he QRS:
•
Fi r s tDe gr e eAVBl o ck
•
SecondDegr eeAVBl ockT ype1
•
SecondDegr eeAVBl ockT ype2 Thi r dDegr eeAVBl ock
Tr ueorFal se:Cr i coi dpr essur ei sr ecommendedwhenper f or mi nganemer gentadul t a i r wa yi nt uba t i on. •
TRUE
FALSE Tr ueorFal se:Pul sechecksshoul dbedonef oratl east10seconds. •
TRUE FALSE
T r ueorFa l s e:Thei ni t i a lr e comme nde ddos eofa t r opi nef ors ympt oma t i cbr a dy c ar di ai s 0. 5mgI V. TRUE •
FALSE
Dur i ngc ar di opul mona r yr e sus ci t a t i on,de l i v erox yge na t : •
2Li t er spermi nut ev i anas al c annul a
•
Ti t r at edt okeepo xy gens at ur at i on≥85%
•
Ti t r at edt okeepo xy gens at ur at i on≥94% 100%
Youar econsi der i nguseofanor ophar yngealai r way( OPA) .Youknow t hatal loft he f ol l owi ngar et r ueEXCEPT: •
At o ol a r g eOPAma yo bs t r u ctt h el ar y n x
•
At oos mal l OPAma yobs t r uc tt heai r wa ybypus hi ngt het onguei nt ot het hr oat
•
Yous houl di ns er tt heOPAs ot hati tc ur v esupwar dandt henr o t at ei t180degr eest o ma t c ht h ec u r v eoft h et o ng uea ndt h r o at OPAsa r es af et ous ei na l lpa t i e nt s
Themostcommonr ever si bl ecausesofPEAar ecal l edt he"H' sandT' s"andi ncl udeal l oft hef ol l owi ngEXCEPT: •
Hy p o v o l e mi a
•
Hy p ox i a Hypocal cemi a
•
T ampo na de
At r ai nedEMTdi scover sSTEMIona12l eadECG i nt heambul ance.Thebestopt i oni st o: •
T ak et hepat i entt oahos pi t al c apabl eofpr ov i di ngfi br i nol y si sonl y( n otPCI ) ,5mi nut es away
T a ket hepa t i e ntt oahos pi t a lc apa bl eofpr o vi di ngPCI ,2 0mi nut e sa wa y •
T ak et hepat i entt oahos pi t al c apabl eofpr ov i di ngangi ogr aphy ,r egar dl es soffi br i nol y si s orPCIc apabi l i t y
•
Pr o vi defi br i nol y s i si nt heambul anc et hent ak et hepat i entt oahos pi t al c apabl eof p r o v i d i n gPCI ,2 0mi n ut e sa wa y
Yourpa t i e nti nt heEDha sast r ongpul s ea ndr e gul a rhe ar tr a t eof1 82be at spe rmi nut e wi t hanor malQRSont hecar di acmoni t or .Herbl oodpr essur ei s112/ 56.Shei sawake a ndde ni e sa nypa i n.Al loft hef ol l o wi ngma ybeappr opr i a t ei nt e r v e nt i onsEXCEPT : •
At t e mp tv a g al ma ne uv e r s
•
12l eadECG
•
Admi ni s t eradenos i ne Pe r f or ms ync hr oni z e dca r di ov e r s i on
Acomat osepat i entwi t hROSCaf t ercar di acar r estshoul dbe: Cool edt obet ween32°and36°Cf oratl east24hour s •
Coo l e dt obe t we en32 °a nd34 °Cf o ra tl e as t2 4h ou r s
•
Co ol e dt obe t we en32 °a n d3 6°Cf o r1 2t o24ho ur s
•
Co ol e dt obe t we en32 °a n d3 4°Cf o r1 2t o24ho ur s
Whi c hoft hef ol l owi ngs i gnsi sNOTpa r toft heCi nc i nna t iPr e hos pi t a lSt r ok eSc al e ? •
Fac i al dr oop
•
Ar m dr i f t
•
Sp ee c ha bn or ma l i t y Conf us i onordi s or i e nt a t i on
Thegoalf ori ni t i at i onoffibr i nol yt i ct her apyi nappr opr i at est r ok epat i ent si s: Wi t hi n1hourofa r r i v alt ot heED •
Wi t hi n3hour sofar r i v al t ot heED
•
Wi t hi n4hour sofar r i v al t ot heED
•
Wi t hi n6hour sofar r i v al t ot heED
Themedi cat i ont hatshoul dNOTbegi venvi aendot r achealt ubei s: •
At r opi ne
Dopami ne •
Epi nephr i ne
•
Li doc ai ne
ThenewestAHAACLSgui del i nesdi scussr esusci t at i ont eam dynami cs,i ncl udi ngt he r ol esoft eam oft eam l eaderandt eam member .At eam membershoul dpossesswhi chof t hef ol l owi ng? •
Theabi l i t yt oi ns er tanendot r ac heal t ube
•
Theabi l i t yt oi ns er tanc ent r al v enousc at het er At hor oughunder st andi ngofal lACLSal gor i t hms Theabi l i t yt oper f or m al l ACLSs ki l l s
•
•
St a r t Co mp r e ss i o nsatl e as t1 00pe rmi n ut e( Pu shFa s t ,Pu shHa r d ) .
•
I mmedi at e l yut i l i z et h eAED.
•
Pu tt h eAEDa s i d ea ndc on t i n uewi t hc omp r e s s i o ns .
•
Ep i n ep hr i n e.
•
Pul s el es sEl ec t r i c al Ac t i v i t y( PEA) .
•
Cont a ctamedi c al c ommandph y si c i a nf o rpos s i b l et e r mi nat i onor der s
•
Defi br i l l at eat200j oul es ,ormanuf ac t ur ergui del i nes .
•
Ep i n ep hr i n e.
•
Ami odar one.
•
Vas opr es s i norepi nephr i ne
AACLS Pretest Overview
Question 1 of 10 Youar ei nt hel i br ar ywhenagent l emanwhowass t andi ngatt he des kcol l aps es .Hef al l st ot hegr oundanddoesnotappeart obe
br eat hi ng.Yous endt hec l er kt oc al l 911andt ogett heAED. Bec aus ehei snotr es pondi nganddoes n' tappeart obebr eat hi ng nor mal l yy ous houl di mmedi at el y
Opent heai r wa y ,del i v er4br eat hsandawai tt hear r i v al oft heAED. Del i v er2br eat hsf ol l owedb y15 c ompr e ss i o ns . St a r t Comp r e s si on sa tl e as t1 00p ermi nu t e( Pu shFa s t ,Pu shHa r d ) . Don ot h i n gu nt i l t h eAEDa r r i v e s.
ACLS Pretest Overview Question 2 of 10 Youha v ebeendoi ngc ompr es s i onsont heabo v epat i entf or aboutami nut ewhent hec l er kar r i v e swi t hAED.Yous houl d
Co nt i nu ec omp r e ss i o nsf o ra tl e as t5mi n ut e s. I mmed i at el yut i l i z et h eAED. Con t i n ueCPRa nda wai t EMSt odefi br i l l at et hepat i ent . Vent i l at et hepat i entt wi c ei mmedi at el ypr i ort odefi br i l l at i on.
ACLS Pretest Overview Question 3 of 10 Yo uh av et u r n edt h eAEDo na ndpl a c edt h ee l e c t r o de s .Th eAED f ai l st oanal y zet her hy t hm.Yous houl d
Putt heAEDas i deandc ont i n uewi t hc ompr es s i o ns . Cal l t hemanuf ac t ur er( l i s t edo nt heba ck )t ot al k y out ofi xi t . Us et hes ec onds etofpad sl oc at edi nt hec as e. T ur ni to ffa ndbac konag ai n .
ACLS Pretest Overview Question 4 of 10 Yo ua r er e s po nd i n go na na mb ul a nc et oawe dd i n gwh er et h e el der l yf at heroft hebr i dehasc ol l aps edwhi l edanc i ng. By s t ander ssayhewascompl ai ni ngofc hes tpai near l i erbutdi dn' t wantt omes supt hec el ebr at i onbygoi ngt ot hehos pi t al .Hewas danc i ngwhenhes uddenl yl os tc ons c i ous nes sandf el l t ot he gr ound.By s t ander shav est ar t edCPR.Youar r i v edandpl ac edt he pat i entont hemoni t or .I ts howsSi nusBr ady c ar di abutt hepat i ent hasnopal pabl epul s e.CPRc ont i nueswi t hhi ghqual i t y c ompr es si onsandv ent i l at i on.Youhav ees t abl i s hedI Vac ces s. Theonl ydr ugappr opr i at ei nt hi ssc enar i owoul dbe
Epi ne phr i ne . At r opi ne . Ami oda r one . Li doc ai ne .
ACLS Pretest
Overview Question 6 of 10 Theabo v epat i enthashadhi ghqual i t yCPRf or30mi nut es .He hasr ec ei v edmul t i pl edos esofEpi nephr i neandt hemoni t ornow s howsAs y st ol e.Whatwoul dbeappr opr i at eatt hi spoi nt ?
Co nt ac tamedi c al c ommandph y si c i anf orpo ss i bl et er mi n at i onor d er s As kt hef a mi l ywhatt he ywoul d l i k ey out od oCon t i n ueCPRf o ra na dd i t i o na l1 0mi nu t e sL oa dt h epa t i e nti nt h eamb ul a nc ewi t hCPR i npr ogr es sandt r ans po r t t ot hene ar es tt r a umac ent er
ACLS Pretest Overview Question 7 of 10 Youar ewor k i ngi nanEmer genc yDepar t ment .Yourpat i enti sa 69y earol dmal ewhoi sbei ngt r eat edf orc hes tpai n.HehasanI V i npl ac eandi sonabeds i demoni t or .Di agnos t i ct es t sar e c ompl et eandhei sawai t i ngt hear r i v al oft hec ar di ac c at het er i z at i ont eam.Yougoi nt ohi sr oom t oc hec konhi m andhe s uddenl yl os esc ons c i ous nes s .Youl ookupatt hemoni t orand s eev ent r i c ul arfi br i l l at i on.Youar enots ur ewhet hery ouf eel a pul s eornot .Yous houl di mmedi at el y
Ha v eano t hernur s et odoubl ech ec kt hepr es enc eofapul s e. Pr ec or di a lThump. Defi br i l l at eat200 j oul es ,ormanuf ac t ur ergui del i nes . Vent i l at eus i ngaBVM.
ACLS Pretest Overview Question 8 of 10 Onc et hepat i enti sdefi br i l l at edandhi ghqual i t yCPRi si n pr ogr es s ,t hefi r s tdr ugy ouwoul de xpec tt ogi v ewoul dbe
Ma gn es i u m Su l f a t e . Mo r p hi n e. Ep i n ep hr i n e. L i do c ai n e.
ACLS Pretest Overview Question 9 of 10 Theant i ar r hy t hmi cdr ugt hatwoul dbeut i l i z edi ft hepat i ent r emai nedi nv ent r i c ul arfi br i l l at i onwoul dbe
Ep i n ep hr i n e. Ca r d i z e m. Ad en os i n e. Ami o da r o ne .
ACLS Pretest Overview Question 10 of 10 Youar eonyourwayhomewhenyouar ecal l edt oaweddi ng r ec ept i onatal oc al hot el .The82y ear ol dgr andf at heroft hebr i de c ol l aps edwhi l es t andi ngi nt her ec ept i onl i ne.Hewasdi s cus si ng hi sl at es tpr oj ec twhenhes t ar t eds weat i ngandt henl os t c ons c i ous nes s .Af ami l yf r i ends t ar t edCPR.Hi ssoni mmedi at el y c al l ed911.Youqui c k l yper f or mt heBL SPr i mar ySur v e y .You i mmedi at el yas kf oradefi br i l l at or .I ft hefi r s ts hoc ki suns uc c es s f ul andt hepat i enti sst i l l unr es pons i v e,whi c hdr ugsshoul dbe admi ni s t er edfi r s t ?
Va so pr e ss i no re pi n ep hr i n eAmi o da r o ne ,v a s op r e s si n ,a nde pi n ep hr i n eMa gn es i um s u l f a t e , epi nephr i ne,anda mi odar o ne Epi nep hr i neorl i do cai ne
ACLS Pretest Overview Question 5 of 10 Bec aus et hi spat i enthasanor gani z edr hy t hm ont hemoni t orbut r emai nspul s el es s ,wec al l t hi sr hy t hm
Pul s el es sEl ec t r i c al Ac t i v i t y( PEA) . Si nusBr ady car di a. Vent r i c ul arFi br i l l at i on. Vent r i c ul arT ac hy car di a.
