WorksheetsMEGACODE LEARNING ACTIVITY
Total questions: 18
Worksheet time: 5hrs 30mins
A 40-year-old man arrives at the ER accompanied by his family. He is complaining of palpitations after working outside for several hours. The assessment is as follows: Skin hydrated, pale, warm and dry. Strong peripheral pulses and a blood pressure of 125/80. Alert and oriented x 3. Respiratory rate 22, no respiratory difficulties, lungs clear. An IV is started. The monitor shows a narrow complex SVT (160). What is the priority intervention?
Give adenosine 6mg rapid IV push.
Attempt vagal maneuvers.
Perform immediate synchronized cardioversion.
Give epinephrine 1mg IV push.
Vagal maneuvers were performed. The monitor shows the following? Which is the priority intervention?
Give adenosine 6mg rapid IV push. If no conversion, give 12mg rapid IV push.
Give adenosine 12mg rapid IV push. If no conversion, give another 12mg rapid IV push..
Give Amiodarone 150mg over 10 minutes. May repeat as needed.
Continue to attempt vagal maneuvers until the client converts to a regular sinus rhythm.
6mg of Adenosine rapid IV push is given with no effect. 12mg Adenosine rapid IV push is then given. The client develops severe chest pain and vital signs are: HR 220 with a wide complex organized rhythm, BP (not obtainable), and weak pulse. The client also has decreased level of consciousness. Which of the following is the priority?
Perform immediate defibrillation.
Give 2nd dose of 12mg adenosine rapid IV push.
Perform immediate synchronized cardioversion.
Perform precordial thump.
After synchronized cardioversion is unsuccessful, the client continues to deteriorate. The client is now unconscious with pulseless ventricular tachycardia. What is the priority intervention?
Begin CPR.
Give Epinephrine 1mg IV push (repeat every 3-5 minutes).
Give one unsynchronized shock (120-200 J).
Place an advanced airway.
CPR remains in progress. Defibrillation with 120 J is performed. What is the next priority?
Deliver a second shock (120-200 J).
Give 1mg Epinephrine IV push (repeat the epinephrine every 3-5 minutes).
Perform 2 minutes of CPR.
Check the rhythm and the pulse.
The rhythm remains pulseless monomorphic ventricular tachycardia. A second shock at 200 J is administered and CPR resumed. What is the next priority?
Give Epinephrine 1 mg IV push (repeat every 3-5 minutes).
Vasopressin 40 U IV push to replace the 1st or 2nd dose of epinephrine.
Give Epinephrine 0.5mg IV push (repeat every 3-5 minutes).
Lidocaine 1 mg IV push.
A third shock is delivered, and CPR resumed. Which medication is priority to be administered?,
Amiodarone 300mg.
Lopressor 5mg.
Atropine 3 mg.
Dopamine 5mcg/kg/min.
Great Job! The client has been stabilized and intubated, and follows commands. He is transported to the hospital's ICU. What is the priority intervention in the post-cardiac arrest phase? SELECT ALL THAT APPLY
Maintain normocapnia.
Manage hemodynamic parameters.
Induce therapeutic hypothermia.
Maintain FiO2 92-98%.
Obtain intermittent electroencephalogram monitoring.
A client 2 days post-op total hip replacement and receiving 6 L/min by nasal cannula. The following assessment is noted: skin ashen, diaphoretic, warm, GCS 6, respiratory rate of 12 breaths/min, pulse oximetry 95%, heart rate 25 with only a palpable carotid pulse only, unable to obtain blood pressure. What is the priority?
Start an epinephrine infusion
Begin chest compressions.
Ventilate with bag valve mask (BVM).
Establish intravenous access.
An IV has been established. The client is showing signs of poor perfusion and reports chest pain. What is the priority?
Observe and monitor.
Give adenosine 6mg rapid IV/IO push.
Give atropine 1 mg IV push.
Begin CPR.
A total of 3 mg of atropine has been administered. The client continues to experience the following rhythm with a blood pressure 80/43. What is the next priority?
Give another 3 mg of atropine IV/IO.
Give amiodarone 300 mg IV/IO.
Begin transcutaneous pacing.
Start norepinephrine at 0.5 mcg/min.
Transcutaneous pacing is attempted. Full electrical and physiological capture is obtained with a heart rate of 70. About 10 minutes later, the amplitude is at maximum capacity, but electrical capture is unable to be obtained and the client is unstable as evidenced by altered hypotension. What is the priority?
Lidocaine 1-1.5 mg/kg IV/IO.
Epinephrine infusion.
Diltiazem 10 mg IV.
Epinephrine 1 mg IV/IO.
As the epinephrine infusion is prepared and the providers are considering transvenous pacing, the client's rhythm suddenly changes. After confirming the leads are attached and that the client is pulseless, what is the priority?
Give 1 unsynchronized shock (120-200 J).
Give epinephrine 1 mg IV/IO.
Atropine 1 mg IV.
Continue transcutaneous pacing.
As you begin CPR, you recall the number of CPR cycles that are to be delivered between other interventions is? ENTER NUMBERS ONLY
(a)
What is the current compression-to-ventilation ratio for a client that is not intubated? (1 and/or 2 rescuer). Document as #:#
(a)
The first cycle of CPR is completed the first dose of epinephrine (1 mg IV/IO) has been circulated. The client. remains unresponsive. Identify the rhythm.
Atrial fibrillation.
Atrial nodal reentrant tachycardia.
Ventricular fibrillation.
Asystole.
Based on the ventricular fibrillation rhythm, what is the priority?
Administer epinephrine 1 mg IV/IO.
Administer adenosine 6 mg IV.
Call time of death.
Defibrillate at 120 J.
Congratulations! Spontaneous return of circulation (ROSC) is obtained. The client is intubated and placed on a ventilator. Blood pressure is 120/62 without the use of vasopressors. Unfortunately, the client does not follow commands. What is the priority?
Initiate targeted temperature management.
Obtain a head cat scan (CT).
Complete an electroencephalogram.
Administer vasopressors.
