A healthcare provider has been performing CPR on a patient for several minutes, and they confirm the rhythm is asystole. What is the most appropriate action according to ACLS guidelines?
Administer epinephrine and continue CPR
top CPR and reassess after 5 minutes
Begin synchronized cardioversion
Defibrillation immediately
The Correct Answer is A
Rationale:
A. Asystole is a non-shockable rhythm, meaning defibrillation is not indicated. According to ACLS guidelines, the priority is to continue high-quality CPR and administer epinephrine 1 mg IV/IO every 3–5 minutes while identifying and treating reversible causes (H’s and T’s). Immediate interventions focus on supporting circulation and attempting to restore a perfusing rhythm.
B. Stopping CPR is never recommended in asystole unless death is confirmed or resuscitation is deemed futile. Continuous high-quality CPR is critical to maintain perfusion to vital organs.
C. Synchronized cardioversion is used for unstable tachyarrhythmias, such as atrial fibrillation or supraventricular tachycardia with a pulse. It is not indicated for asystole, which is a pulseless rhythm.
D. Defibrillation is reserved for shockable rhythms, such as ventricular fibrillation (VF) or pulseless ventricular tachycardia (pVT). Asystole does not respond to electrical shock, so attempting defibrillation delays other life-saving interventions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Although most elements are correct, this option is flawed because it states “some of the team members” rather than all. Effective collaboration requires inclusion and valuing the perspectives of every team member, not just a subset.
B. While these are positive outcomes or contributing factors to teamwork, they are not the core foundational principles of collaboration. This option focuses more on benefits and workplace conditions rather than defining principles.
C. This option incorrectly uses “majority” and “most,” which undermines true collaboration. Effective collaboration requires that all members are engaged and valued, not just the majority.
D. This option accurately reflects the five underlying principles of collaboration: mutual trust, shared responsibility, commitment to a common goal, valuing all members’ perspectives, and a strong shared purpose. Although trust is repeated, all essential principles are correctly included.
Correct Answer is B
Explanation
Rationale:
A. This is not the immediate priority. While surgical consultation may be necessary later for trauma care, the client is in cardiac arrest, and immediate life-saving interventions take precedence.
B. Personal protective equipment (PPE) protects healthcare providers from exposure to bloodborne pathogens and other infectious materials, which is crucial before performing high-risk procedures such as cardiopulmonary resuscitation (CPR) on a patient with multiple open wounds. Ensuring provider safety allows effective and uninterrupted resuscitation.
C. Gathering history is important for trauma assessment, but it is secondary to initiating life-saving interventions. In cardiac arrest, immediate resuscitation (ACLS) must begin while brief relevant information is obtained concurrently if possible.
D. In the emergency department, the patient is already under emergency care. Rapid Response Teams are typically used in inpatient units to respond to acute deterioration. For a patient in cardiac arrest in the ED, immediate initiation of ACLS protocols is the priority over notification.
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