ACLS Cardiac Arrest Practice Test

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In evaluating a patient in cardiac arrest, one of the key questions is whether the rhythm is shockable or nonshockable.
Correct Answer:
Is the rhythm shockable (ventricular fibrillation and pulseless ventricular tachycardia) or nonshockable (PEA and asystole)
Explanation:
The main idea being tested is how to decide whether a cardiac-arrest rhythm should be shocked. The best choice names the two categories that guide defibrillation: shockable rhythms are ventricular fibrillation and pulseless ventricular tachycardia, while nonshockable rhythms are pulseless electrical activity and asystole. This distinction tells you what action to take next: if the rhythm is shockable, deliver defibrillation as promptly as possible; if it is nonshockable, continue high-quality CPR and treat reversible causes rather than shocking. The other options don’t directly indicate whether defibrillation is appropriate—palpating a pulse, the patient’s consciousness, or blood pressure don’t define the rhythm’s shockability and don’t determine whether a shock is indicated.

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