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ACLS PEA/Asystole Quiz

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This ACLS quiz covers general information that may be found on the ACLS written test.

 
1.

Once IV/IO access has been established, which of the following should be administered in a patient with confirmed PEA/asystole?*

Amiodarone 150 mg
Adenosine 6 mg
Epinephrine 1 mg
Atropine 1 mg
2.

What step occurs after CPR and pharmacotherapy in a patient with confirmed PEA?*

 
 
 
 
Cardioversion
Pulse check
Transcutaneous pacing
Rhythm check
3.

What clues might be noted during an assessment in a patient where PEA is occurring secondary to hypovolemia?

Edema in the lower limbs
Neurological disorientation
Progressive hypotension
Wide-complex bradycardia
4.

According to the Hs and Ts of ILCOR ACLS, which of the following combinations is not one of the possible causes of PEA?

Hydrogen ion (acidosis), hypokalemia, tamponade
Hypovolemia, thrombosis, toxins
Thrombocytopenia, hypoglycemia, hemophilia
Hypothermia, tension pneumothorax, hydrogen ion (acidosis)
5.

According to the ILCOR ACLS 2020-2025 guidelines, PEA is defined as:

Any organized rhythm without a palpable pulse
Any unorganized rhythm without a palpable pulse
Any rhythm without a palpable pulse
Any organized or unorganized rhythm without a palpable pulse
6.

 In addition to providing effective CPR, what is the second most important aspect of successfully treating a patient with PEA?*

Integrating pharmacotherapy as quickly as possible
Performing transcutaneous pacing as quickly as possible
Performing regular pulse checks
Identifying and treating the underlying cause of the arrythmia
7.

PEA secondary to hypokalemia is most prominent in what patient population?

Individuals with a history of hypotension
Individuals experiencing chest pain
Individuals with diabetes mellitus
Individuals using diuretics
8.

According to the Hs and Ts of ILCOR ACLS, the T that represents drug overdose and chemical exposure as the cause of PEA is referring to what?

Tension pneumothorax
Tamponade
Thrombosis
Toxins
9.

According to the Hs and Ts of ILCOR ACLS, what clue can be observed in patients with PEA occurring secondary to toxin exposure (e.g., drug overdose)?*

Supraventricular tachycardia
Prolonged QT interval
Narrow QRS complex
Tracheal deviation
10.

Flattened T-waves, prominent U-waves, wide QRS, prolonged QT*

Peaked T-waves, prominent U-waves, narrow QRS, prolonged QT
Flattened T-waves, non-visible U-waves, wide QRS, shortened QT
Flattened T-waves, prominent U-waves, wide QRS, prolonged QT
Peaked T-waves, non-visible U-waves, narrow QRS, shortened QT
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