PRE-TEST FOR ACLS

1. Which of the following findings is consistent with placement
of the ET tube into a Bronchus?

A. Diminished breath sounds on one side.
B. Bilaterally equal breath sounds.
C. Bilaterally diminished breath sounds.
D. Gurgles over the epigastrium, absence of breath sounds,
no chest rise.

2. The maximum amount of time a patient should be suctioned is:

A. 10 seconds
B. 20 Seconds
C. 1 minute
D. 2 minutes

3. Regarding endotracheal (ET) drug administration during a
cardiac arrest:

A. It is preferred over the IV route.
B. Give 2 to 2.5 times the IV dose with saline added to a
total 10cc to be injected.
C. Sodium bicarbonate may be administered via ET route, but
not Epinephrine, Atropine or Lidocaine.
D. Do not interrupt cardiac compressions while giving the
drug.

4. Which of the following rhythms is most commonly present in
the first minute following onset of cardiac arrest
in adults?

A. asystole
B. Mobitz II block
C. normal sinus rhythm with multiformed premature
ventricular complexes
D. ventricular fibrillation

5. A normal EKG(ECG) excludes the diagnosis of
myocardial infarction:

A. true
B. false

6. The most important step in the treatment of acidosis during
cardiac arrest should be to increase ventilation:

A. true
B. false

7. You have been unsuccessful in the Initial attempt
to defibrillate a 70-kg adult. The recommended
energy for the second defibrillation is:

A. 50 J
B. 100 J
C. 200-300 J
D. 400 J

8. After two unseccussful defibrillation attempts for an adult,
the third defibrillation should be:

A. 100-200 J
B. 200 J
C. 200-300 J
D. 360 J

9. Atropine 1.0 mg may:

1. be given via the endotracheal tube
2. be ineffective in second-degree and third-degree
atrioventricular block
3. result in undesirable tachycardia
4. increase the rate of sinus bradycardia

A. 1,2,3
B. 1,3,4
C. 2,4
D. all the above

10. A Dopamine infusion at greater than 20ug/kg/min will likely
result in:

A. depressed myocardial contractility
B. peripheral arterial vasoconstriction
D. renal arterial vasodilitation
D. respiratory depression

11. In contrast to other catacholamines, Dopamine at low doses
(1-2ug/kg/min) can be expected to result in:

A. an increase in blood pressure
B. gangrene
C. renal vasodilation
D. tachycardia

12. The most suitable vein for Initial cannulation while
external cardiac compression is still in progress is the:

A. external jugular vein
B. femoral vein
C. internal jugular vein
D. antecubital vein

13. The most commom arrhytmia caused by accidential shock with
AC current is:

A. asystole
B. pulseless electrical activity
C. ventricular fibrillation
D. ventricular tachycardia

14. After determining that the patient has no pulse, which one
of the following forms of treatment would you use
initially for the patient with ventricular fibrillation?
(Best One)

A. CPR
B. defibrillation
C. Epinephrine IV
D. Lidocaine IV

15. Sychronized cardioversion is the treatment of choice for:

A. agonal rhythm
B. PEA
C. sinus tachycardia
D. ventricular tachycardia with serious signs and symptoms

ACLS ANSWER KEY

1.  A
2.  A
3.  B
4.  D
5.  B
6.  A
7.  C
8.  D
9.  D
10. B
11. C
12. D
13. C
14. B
15. D

Published in: on September 16, 2008 at 6:26 am


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