American Red Cross ACL Final Exam 2022

1) A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to

providing continuous high-quality CPR, what is the other priority intervention for this

patient? ADMINISTER EPINEPHERINE AS EARLY AS POSSIBLE.

2) A patient has experienced Return of Spontaneous Circulation (ROSC) after cardiac arrest.

The healthcare team is conducting a secondary assessment to determine the possible

cause of the patient’s cardiac arrest. Before the arrest, the patient exhibited jugular

venous distention (JVD), cyanosis, apnea, and hyperresonance on percussion. The patient

was also difficult to ventilate during the response. The team would most likely suspect

which condition as the cause? TENSION PNEUMOTHORAX

3) A patient with suspected stroke arrives at the emergency department. The patient is

diagnosed with acute ischemic stroke and is a candidate for fibrinolytic therapy. To

achieve the best outcomes, this therapy should be initiated within what time frame?

WITHIN 1 HOUR OF PATIENTS ARRIVAL.

4) A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has

a history of myocardial infarction. The patients ECG rhythm strip is shown in the

following figure. The provider interprets this strip as indicating which arrythmia?

THIRD DEGREE AV BLOCK

5) A 28-year-old pregnant patient who is a resides in transitional housing presents to the

emergency department with complaints of feeling feverish and very faint. The patient

tells the emergency nurse that she does not know when she became pregnant. Upon

palpation, the fundus is not at or above the umbilicus. The patients condition quickly

deteriorates and she goes into cardiac arrest. If available and able to be used without

impeding or delaying resuscitation efforts, what diagnostic tool could be used to guide

decision-making in the care of this patient? POINT OF CARE ULTRASOUND

6) Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient

has a pulse and is NOT showing any signs of hemodynamic compromise. A 12-lead ECG

reveals an irregular rhythm with QRS complexes greater than 0.12 seconds in duration.

Which action would be appropriate at this time? CONSIDER AN

ANTIARRHYTHMIA MEDICATION

7) A responsive patient is choking. What method should the provider use first to clear the

obstructed airway? BACK BLOWS

8) What is the priority intervention for a patient with a narrow-complex tachycardia (160

bpm) and a blood pressure of 72/48 mmHg? PREFORM IMMEDIATE

SYNCRONIZED CARDIOVERSION.