15 item acls drill

7/17/2019 15 Item ACLS Drill

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15 item ACLS Drill

1. To confirm proper placement of tracheal tube through 5-point auscultation, which

of the following observations are appropriate Chec! all that appl".

a. check breath sounds in the left and right lateral chest and lung bases

b. auscultate breath sounds in the left and right anterior sides of the chest

c. listen for gastric bubbling noises front the epigastrium

d. ensure equal and adequate chest expansion bilaterally

#. $hich of the following is true about an orophar"ngeal airwa"

a. it eliminates the need to position the head of the unconscious patient

b. it eliminates the possibility of an upper airway obstruction

c. it is of no value once a tracheal tube is inserted

d. it may stimulate vomiting or laryngospasm if inserted in the semiconscious patient

%. $hich of the following is an in&ication for tracheal intubation

a. difficulty encountered by qualified rescuers in ventilating an apneic patient with a bag-

mask device

b. a respiratory rate of less than 20 breaths per minute in a patient with severe chest pain

c. presence of premature ventricular contractions

d. to provide airway protection in a responsive patient with an adequate gag reflex

'. $hich of the following is the most important step to restore o("genation an&

ventilation for the unresponsive, breathless submersion )near &rowning* victim

a. attempt to drain water from breathing passages by performing the Heimlich maneuver

b. begin chest compressions

c. provide cervical spine stabilization because a diving accident may have occurred

d. open the airway and begin rescue breathing as soon as possible even in the water

5. +ou respon& with # other rescuers to a 5 "ear ol& man who is unresponsive,

pulseless, an& not breathing. $hat tas!s woul& "ou assign the other rescuers while"ou set up the AD

a. one rescuer should call rescue assistance and the others rescuer should begin !"

b. both rescuers should help set up the #$% and provide !"

c. one rescuer should open the airway and begin rescue breathing& and the second rescuer

should begin chest compressions

d. recruit additional first responders to help

. An AD hangs on the wall su&&enl" a co&e is calle&, "ou grab the AD an& run to

the room where the resuscitation is ongoing. A colleague has begun C/0 an&confirms that the patient is in pulseless arrest. As "ou begin to attach the AD, "ou

see a trans&ermal me&ication patch on the victims upper right chest, precisel"



where "ou were going to place an AD electro&e pa&. $hat is "our most

appropriate action

a. ignore the medication patch and place the electrode pad in the usual position

b. avoid the medication patch and place the second electrode pad on the victim's back c. remove the medication patch& wipe the area dry& and place the electrode pad in the

correct position

d. place the electrode pad on the victim's right abdomen

2. A patient who has 3entricular 4ibrillation has faile& to respon& to % shoc!s.

/arame&ics starte& an 3 an& inserte& a tracheal tube, confirming proper

placement. $hich of the following &rugs shoul& this patient receive first

a. #miodarone (00 mg )* push

b. +idocaine , to ,. mgkg )* push

c. !rocainamide (0 mgmin up to a total dose of ,/ mgkg

d. $pinephrine , mg )* push

6. After giving epinephrine 1 mg 3 an& a fourth shoc!, a patient remains in 34.

+ou want to continue to a&minister epinephrine at appropriate &oses an& intervals if

the patient remains in 34. $hich epinephrine &ose is recommen&e& un&er these

con&itions

a. give the following epinephrine dose sequence& each ( minutes apart , mg& ( mg& and

mg

b. give a single high dose of epinephrine 0., to 0.2 mgkg

c. give epinephrine , mg )*& then in minutes start vasopressin 10 )* every ( to

minutes

d. give epinephrine , mg )*3 repeat , mg every ( to minutes

7. $hich of the following therapies is the most important intervention for

348pulseless 3T with the greatest effect on survival to hospital &ischarge

a. $pinephrine

b. %efibrillation

c. 4xygend. #miodarone

1. A "r ol& man persists in 34 arrest &espite % stac!e& shoc!s at appropriate

energ" levels. +our co&e team, however, has been unable to start an 3 or insert a

tracheal tube. Therefore a&ministration of 3 or tracheal me&ications will be

&ela"e&. $hat is the most appropriate imme&iate ne(t step

a. deliver additional shocks in an attempt to defibrillate

b. deliver a precordial thump

c. perform a venous cut-down to gain )* accessd. administer intramuscular epinephrine 2 mg



11. A 25 "ear ol& homeless man is in car&iac arrest with pulseless 3T at a rate of ##

bpm. After C/0, % shoc!s in rapi& succession, 1mg 3 epinephrine, plus % more

shoc!s, the man continues to be in pol"morphic pulseless 3T. 9e appears waste&

an& malnourishe&. The parame&ics recogni:e him as a chronic alcoholic !nown in

the neighborhoo&. ;ecause he remains in 3T after shoc!s, "ou are consi&ering an

antiarr"hth"mic. $hich of the following agents woul& be most appropriate for this

patient at this time

a. #miodarone

b. !rocainamide

c. 5agnesium

d. %iltiazem

1#. +ou are calle& to assist in the attempte& resuscitation of a patient who is

&emonstrating /A. As "ou hurr" to the patients room, "ou review the information

"ou learne& in the ACLS course about management of /A. $hich one of the

following about /A is true

a. chest compressions should be administered only if the patient with !$# develops a

ventricular rate of less than 0 bpm

b. successful treatment of !$# requires identification and treatment of reversible causes

c. atropine is the drug of choice for treatment of !$#& whether the ventricular rate is slow

or fast

d. !$# is rarely caused by hypovolemia& so fluid administration is contraindicated and

should not be attempted

1%. 4or which of the following patients with /A is so&ium bicarbonate therap" )1

m<8!g* most li!el" to be most effective

a. the patient with hypercarbic acidosis and tension pneumothorax treated with

decompression

b. the patient with a brief arrest interval

c. the patient with documented severe hyperkalemia

d. the patient with documented severe hypokalemia

1'. $hich of the following is the correct initial &rug an& &ose for treatment of

as"stole

a. epinephrine 2mg )*

b. atropine 0. mg )*

c. lidocaine ,mgkg )*

d. epinephrine ,mg )*

15. +ou are consi&ering transcutaneous pacing for a patient in as"stole. $hich of the

following can&i&ates woul& be most li!el" to respon& to such a pacing attempt



a. the patient in asystole who has failed to respond to 20 minutes of 6+7 and #+7

therapy

b. the patient in asystole following blunt trauma

c. the patient in asystole following a defibrillatory shock

d. the patient who has 8ust arrived in the emergency department following transport and!" in the field for persistent asystole after submersion

7ource #merican Heart #ssociation #+7 !rovider 5anual

15 item acls drill

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