ACLS Certification Exam Quiz 2020

Critical in-hospital goals of stroke care include a neurological assessment by the stroke team and a CT scan performed within ________ of hospital arrival.

10 minutes

A _____________ is required to assess for STEMI.

12-lead ECG

Serious signs and symptoms of unstable tachycardia are usually NOT seen with ventricular rates less than:

150 beats per minute

When using a monophasic defibrillator, how many joules should be delivered per shock?

360 J

Upon assessment, the individiual is confused and complains of a headache and the left side of his body being numb. What do you suspect is the most likely diagnosis?

Acute stroke

The ACLS Survey includes assessing which of the following?

Airway, Breathing, Circulation, Differential Diagnosis

The cardiac arrest rhythm associated with NO discernible electrical activity on the ECG is termed as _________?

Asystole

All of the following are found within the 8 D's of Stroke Care EXCEPT:

Debilitation

For persistent VF/pulseless VT, vasopressors that may be given during CPR include:

Epinephrine

An individual should be cleared prior to a shock only when convenient.

FALSE

If the AED advises no shock, you should still defibrillate because defibrillation often restarts the heart with no pulse.

FALSE

It is recommended to interrupt CPR when obtaining IV access for an individual in asystole.

FALSE

All of the following are appropriate actions by first responders EXCEPT:

Find IV access immediately

For an individual in respiratory arrest with a pulse, how often should they be ventilated?

Give one breath every 5 to 6 seconds, or 10 to 12 breaths per minute.

Nitroglycerin should not be used in individuals experiencing which of the following situations?

Hypotension or recent Viagra use

The two most common and easily reversible causes of PEA are:

Hypovolemia and hypoxia

The order of priority for routes of access for drugs is:

IV route, IO route, ET route

Which of the following would be your next action if the rhythm is unshockable, and there is no pulse?

Immediately resume CPR

Early defibrillation is critical for individuals with sudden cardiac arrest for the following reasons EXCEPT:

Individuals in asystole respond well to late defibrillation.

The IV route is preferred for drug administration. If IV access is not available, the next preferred route is:

Intraosseous

All of the following are categories of unstable angina EXCEPT:

No-risk UA

All of the following are examples of advanced airways EXCEPT:

Oropharyngeal airway (OPA)

Basic airway skills include all of the following EXCEPT:

Placement of endotracheal tube (ET tube)

Basic airway skills include all of the following EXCEPT:

Placement of laryngeal mask airway (LMA)

Which type of suction catheter provides the most effective suctioning of the oropharynx and thick particulate matter?

Rigid catheter (Yankauer)

If uncertain whether or not an individual is an appropriate candidate for synchronized cardioversion, the ACLS trained provider should:

Seek expert consultation

Which of the following is NOT an element of effective resuscitation team dynamics?

Shouting or yelling at team members

The normal sinus rhythm of the heart starts in the:

Sinoatrial node

Which of the following may be essential to maintain an individual's airway open?

Suctioning

Low blood pressure may be an indication of hemodynamic instability.

TRUE

Nausea in conjunction with chest pain may be indicative of myocardial ischemia.

TRUE

What is the purpose of defibrillation?

To stun the heart and allow its normal pacemaker to resume electrical activity.

This is an example of which type of heart rhythm?

Asystole

Antiarrhythmic drugs to consider for persistent VF/pulseless VT include all of the following EXCEPT:

Atropine

Which of the following can be considered a bradycardic rhythm?

Third degree AV block

Thirty ____________ and two ____________ equal one cycle of CPR.

Chest compressions, ventilations

What does the QRS represent?

Depolarization of the ventricular

The best treatment for ST-elevation MI (STEMI) is:

Early reperfusion therapy

All of the following are considered classic symptoms of an acute stroke EXCEPT:

Jaw pain

True statements about AED use in special situations include all of the following EXCEPT:

Leave medication patches in place and place the AED electrode pads directly over the patch.

Under normal circumstances, what is the largest chamber of the heart?

Left ventricle

This is an example of what type of heart rhythm? sal-ns-acls

Normal sinus rhythm

The BLS Survey includes assessing which of the following?

Responsiveness, Activate EMS and get AED, Circulation, Defibrillation

In an individual with ventricular fibrillation (VF), what should occur immediately following a shock?

Resume CPR

Early access to medical care, from EMS through reperfusion, improves overall outcomes by:

Saving more heart tissue from cell death

Which wave represents repolarization of the ventricles?

T wave

Immediately following a shock, CPR should be resumed for how many minutes?

Two minutes

According to the 2015 Guidelines, stopping chest compressions for any reason, such as pulse checks, should be limited to less than:

10 seconds

Within what time period of arrival to the ED is percutaneous coronary intervention (PCI) recommended for STEMI individuals?

90 minutes

Cardioversion should not be delayed if:

D. Both A and B (The individual suddenly deteriorates & The individual becomes pulseless)

Defibrillators have two different designs for delivering energy. What are they?

D. Both A and C

One type of acute coronary syndrome is STEMI.

TRUE