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Advanced Life Support (ALS) Multiple Choice Questions and Answers, Exams of Nursing

A comprehensive set of multiple choice questions covering various aspects of advanced life support (als). it tests knowledge of cpr techniques, medication administration, defibrillation protocols, and the management of various medical emergencies. the questions are ideal for medical students and professionals seeking to assess their understanding of als procedures and best practices. the detailed answers provide valuable insights into the rationale behind each correct response, enhancing learning and comprehension.

Typology: Exams

2024/2025

Available from 05/06/2025

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Advanced Life Support (ALS) General Revision
1. What is the first step in performing CPR on an adult?
A. Start chest compressions โœ“
B. Check the patient's airway
C. Deliver rescue breaths
D. Perform defibrillation
2. In the case of a suspected stroke, what is the first action in ALS?
A. Perform a neurological assessment โœ“
B. Administer epinephrine
C. Start chest compressions
D. Intubate the patient
3. What is the recommended compression-to-ventilation ratio for CPR in an adult with one
rescuer?
A. 15:2
B. 30:2 โœ“
C. 20:2
D. 10:1
4. Which of the following is true regarding defibrillation?
A. It is effective for all types of arrhythmias
B. It should be used only for shockable rhythms such as ventricular fibrillation โœ“
C. It should be avoided in patients with ventricular tachycardia
D. It is not recommended in children
5. What is the correct depth for chest compressions in an adult?
A. At least 1 inch
B. At least 2 inches โœ“
C. At least 3 inches
D. At least 4 inches
6. What medication is commonly used to treat symptomatic bradycardia during ALS?
A. Epinephrine
B. Amiodarone
C. Atropine โœ“
D. Lidocaine
7. What is the first action for managing a patient with a suspected opioid overdose?
A. Administer naloxone (Narcan) โœ“
B. Perform chest compressions
C. Administer epinephrine
D. Perform synchronized cardioversion
8. What is the role of high-quality chest compressions during resuscitation?
A. To clear the airway
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Advanced Life Support (ALS) General Revision

  1. What is the first step in performing CPR on an adult? A. Start chest compressions โœ“ B. Check the patient's airway C. Deliver rescue breaths D. Perform defibrillation
  2. In the case of a suspected stroke, what is the first action in ALS? A. Perform a neurological assessment โœ“ B. Administer epinephrine C. Start chest compressions D. Intubate the patient
  3. What is the recommended compression-to-ventilation ratio for CPR in an adult with one rescuer? A. 15: B. 30:2 โœ“ C. 20: D. 10:
  4. Which of the following is true regarding defibrillation? A. It is effective for all types of arrhythmias B. It should be used only for shockable rhythms such as ventricular fibrillation โœ“ C. It should be avoided in patients with ventricular tachycardia D. It is not recommended in children
  5. What is the correct depth for chest compressions in an adult? A. At least 1 inch B. At least 2 inches โœ“ C. At least 3 inches D. At least 4 inches
  6. What medication is commonly used to treat symptomatic bradycardia during ALS? A. Epinephrine B. Amiodarone C. Atropine โœ“ D. Lidocaine
  7. What is the first action for managing a patient with a suspected opioid overdose? A. Administer naloxone (Narcan) โœ“ B. Perform chest compressions C. Administer epinephrine D. Perform synchronized cardioversion
  8. What is the role of high-quality chest compressions during resuscitation? A. To clear the airway

B. To improve coronary perfusion pressure and circulate oxygenated blood โœ“ C. To stabilize the heart rate D. To prevent arrhythmias

  1. What is the recommended energy level for defibrillation in an adult patient with pulseless ventricular tachycardia? A. 50 Joules B. 100 Joules C. 200 Joules โœ“ D. 300 Joules
  2. What is the first step in the management of anaphylaxis in an ALS setting? A. Administer antihistamines B. Administer epinephrine โœ“ C. Provide oxygen D. Administer corticosteroids
  3. Which of the following rhythms is most commonly associated with sudden cardiac arrest? A. Atrial fibrillation B. Ventricular fibrillation โœ“ C. Sinus tachycardia D. Sinus bradycardia
  4. What is the primary goal of post-cardiac arrest care? A. To assess neurological function B. To ensure stabilization and identify the cause of arrest โœ“ C. To perform a full body examination D. To immediately discharge the patient
  5. When should chest compressions be resumed after a shock is delivered during defibrillation? A. Immediately after the shock is delivered โœ“ B. After the rhythm is assessed C. After administering medications D. After the patient regains consciousness
  6. Which medication is used for the treatment of ventricular fibrillation? A. Epinephrine B. Amiodarone โœ“ C. Atropine D. Lidocaine
  7. In which of the following cases should a transcutaneous pacemaker be considered? A. Severe bradycardia with poor perfusion โœ“ B. Ventricular fibrillation C. Pulseless electrical activity D. Asystole

B. Use the pads of two fingers for compressions โœ“ C. Compress the chest to at least 2 inches D. Use the heel of both hands

  1. What is the best initial management for a patient with suspected tension pneumothorax? A. Intubate the patient B. Perform needle thoracostomy โœ“ C. Administer oxygen D. Perform chest compressions
  2. What is the recommended action if a patient in cardiac arrest has a pulse but is not breathing? A. Start chest compressions B. Provide assisted ventilation with a bag-valve mask โœ“ C. Intubate immediately D. Perform defibrillation
  3. What is the appropriate energy level for defibrillation in a pediatric patient with pulseless ventricular tachycardia? A. 2-4 Joules/kg โœ“ B. 50 Joules C. 100 Joules D. 200 Joules
  4. What is the primary goal of ALS management during a patientโ€™s resuscitation? A. To stabilize the patient's hemodynamics โœ“ B. To identify the cause of arrest C. To administer sedatives D. To provide nutritional support
  5. What should be the first priority in managing an acute myocardial infarction (MI)? A. Administer fibrinolytics B. Administer aspirin and oxygen โœ“ C. Perform chest compressions D. Provide pain relief
  6. What is the recommended intervention for a patient with acute anaphylaxis? A. Administer epinephrine โœ“ B. Perform chest compressions C. Intubate the patient D. Provide high-flow oxygen
  7. What is the most important factor for improving survival rates in sudden cardiac arrest? A. Early defibrillation B. Early high-quality chest compressions โœ“ C. Administration of epinephrine D. Immediate surgical intervention
  1. Which of the following is the primary benefit of defibrillation? A. To reset the heartโ€™s electrical activity and restore a normal rhythm โœ“ B. To lower the heart rate C. To increase oxygenation D. To prevent arrhythmias
  2. What is the recommended energy dose for synchronized cardioversion in atrial fibrillation? A. 50 Joules B. 100 Joules โœ“ C. 200 Joules D. 300 Joules
  3. What is the recommended management for a patient with suspected spinal injury who is unconscious? A. Begin chest compressions immediately B. Stabilize the head and neck, then check for breathing โœ“ C. Administer pain medication D. Perform endotracheal intubation immediately
  4. What is the first line of treatment for a patient in shock with suspected hypovolemia? A. Administer epinephrine B. Administer IV fluids โœ“ C. Perform chest compressions D. Administer atropine
  5. What is the main purpose of post-resuscitation care in ALS? A. To monitor neurological function B. To stabilize the patientโ€™s hemodynamics and prevent secondary brain injury โœ“ C. To provide immediate discharge D. To sedate the patient
  6. What is the role of synchronized cardioversion in atrial fibrillation management? A. To reset the heart's electrical activity in hemodynamically unstable patients โœ“ B. To treat acute myocardial infarction C. To stabilize the patient's airway D. To treat bradycardia
  7. What is the most common arrhythmia responsible for sudden cardiac arrest? A. Atrial fibrillation B. Ventricular fibrillation โœ“ C. Sinus tachycardia D. Sinus bradycardia
  8. Which of the following rhythms is considered non-shockable during ALS? A. Ventricular fibrillation B. Asystole โœ“