NUR 431L: FINAL EXAM (ACLS
UPDATE 2026 QUESTIONS AND
ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT
Treatment: Oxygenate, ventilate, advanced airway - CORRECT ANSWES -- Hypoxia
Clues: renal failure
Treatment: Sodium Bicarbonate, hyperventilate - CORRECT ANSWES -- Hydrogen ion
(acidosis)
Clues: neck vein distention, tracheal deviation, unequal breath sounds, difficulty
ventilating patient
treatment: Needle decompression, tube thoracostomy - CORRECT ANSWES --
Tension pneumothorax
Clues: vein distention
Treatment: Pericardiocentesis - CORRECT ANSWES -- Tamponade, cardiac
Clues: tachycardia, + for DVT
Treatment: Surgical embolectomy, fibrinolytics - CORRECT ANSWES -- Thrombosis,
pulmonary
Clues: ST segment changes, T wave inversion, elevated cardiac markers
Treatment: Fibrinolytics, embolectomy, percutaneous coronary intervention - CORRECT
ANSWES -- Thrombosis, coronary
Clues: possible prolongation of QT interval, bradycardia, empty bottles at scene, pupils
or neurologic exam
Treatment: Drug screen, lavage, antidotes, activated charcoal - CORRECT ANSWES --
Toxins
, 5 to 10 seconds - CORRECT ANSWES -- You are checking for a pulse in an
unresponsive patient. How long do you continue to check for a pulse before starting
chest compressions?
Peripheral intravenous - CORRECT ANSWES -- What is the preferred method of
access for epinephrine administration during cardiac arrest in most patients?
Start compressions at a rate of 100-120/min - CORRECT ANSWES -- You find an
unresponsive patient who is not breathing. After activating the emergency response
system, you determine that there is no pulse. What is your next action?
Prolonged interruptions in chest compressions - CORRECT ANSWES -- What is a
common but sometimes fatal mistake in cardiac arrest management?
Allowing complete chest recoil - CORRECT ANSWES -- What action is a component of
high-quality chest compressions?
Have a team member attempt to palpate a carotid - CORRECT ANSWES -- You have
completed your first 2-minute period of CPR. You see an organized, non-shockable
rhythm on the ECG monitor. What is the next action?
*Quickly determine if the victim is conscious and scan the chest for breathing (5-10 sec)
→notbreathing.
-"Are you alright?!"
*Tell someone to activate the emergency response system and bring a crash cart.
-Do not leave the patient.
*Check the carotid pulse (5-10 sec)→no pulse.
*Place a cardiac board behind the patient.
*Bare the patient's chest and place heel of hand on center of chest, lower half of
sternum. Place other hand on top with interlaced fingers.
*Deliver compressions - CORRECT ANSWES -- ACLS: step 1
-Attach defibrillator pads.
-Give O2/insert oropharyngeal, nasopharyngeal airway, or ETT
-Obtain IV access - CORRECT ANSWES -- during initial chest compression someone
else will
*Determine if rhythm is shockable.
-If yes, charge and shock/defibrillate.
-"I'm clear, you're clear, we're all clear!" - CORRECT ANSWES -- ACLS step 2
-Resume CPR for 2 minutes.
UPDATE 2026 QUESTIONS AND
ANSWERS WITH VERIFIED
SOLUTIONS 100% CORRECT
Treatment: Oxygenate, ventilate, advanced airway - CORRECT ANSWES -- Hypoxia
Clues: renal failure
Treatment: Sodium Bicarbonate, hyperventilate - CORRECT ANSWES -- Hydrogen ion
(acidosis)
Clues: neck vein distention, tracheal deviation, unequal breath sounds, difficulty
ventilating patient
treatment: Needle decompression, tube thoracostomy - CORRECT ANSWES --
Tension pneumothorax
Clues: vein distention
Treatment: Pericardiocentesis - CORRECT ANSWES -- Tamponade, cardiac
Clues: tachycardia, + for DVT
Treatment: Surgical embolectomy, fibrinolytics - CORRECT ANSWES -- Thrombosis,
pulmonary
Clues: ST segment changes, T wave inversion, elevated cardiac markers
Treatment: Fibrinolytics, embolectomy, percutaneous coronary intervention - CORRECT
ANSWES -- Thrombosis, coronary
Clues: possible prolongation of QT interval, bradycardia, empty bottles at scene, pupils
or neurologic exam
Treatment: Drug screen, lavage, antidotes, activated charcoal - CORRECT ANSWES --
Toxins
, 5 to 10 seconds - CORRECT ANSWES -- You are checking for a pulse in an
unresponsive patient. How long do you continue to check for a pulse before starting
chest compressions?
Peripheral intravenous - CORRECT ANSWES -- What is the preferred method of
access for epinephrine administration during cardiac arrest in most patients?
Start compressions at a rate of 100-120/min - CORRECT ANSWES -- You find an
unresponsive patient who is not breathing. After activating the emergency response
system, you determine that there is no pulse. What is your next action?
Prolonged interruptions in chest compressions - CORRECT ANSWES -- What is a
common but sometimes fatal mistake in cardiac arrest management?
Allowing complete chest recoil - CORRECT ANSWES -- What action is a component of
high-quality chest compressions?
Have a team member attempt to palpate a carotid - CORRECT ANSWES -- You have
completed your first 2-minute period of CPR. You see an organized, non-shockable
rhythm on the ECG monitor. What is the next action?
*Quickly determine if the victim is conscious and scan the chest for breathing (5-10 sec)
→notbreathing.
-"Are you alright?!"
*Tell someone to activate the emergency response system and bring a crash cart.
-Do not leave the patient.
*Check the carotid pulse (5-10 sec)→no pulse.
*Place a cardiac board behind the patient.
*Bare the patient's chest and place heel of hand on center of chest, lower half of
sternum. Place other hand on top with interlaced fingers.
*Deliver compressions - CORRECT ANSWES -- ACLS: step 1
-Attach defibrillator pads.
-Give O2/insert oropharyngeal, nasopharyngeal airway, or ETT
-Obtain IV access - CORRECT ANSWES -- during initial chest compression someone
else will
*Determine if rhythm is shockable.
-If yes, charge and shock/defibrillate.
-"I'm clear, you're clear, we're all clear!" - CORRECT ANSWES -- ACLS step 2
-Resume CPR for 2 minutes.
