ACLS Test C - American Heart Association Standards Aligned | 2026/2027 Update | Questions and Correct Answers | 100% correct solutions

1/ 7 ACLS Test C - American Heart Association Standards Aligned | 2026/2027 Update | Questions and Correct Answers | 100% correct solutions EMS providers are treating a patient with suspected stroke. According to the adult suspected stroke algorithm, which critical action performed by the EMS team will expedite the patient's care on arrival and reduce the time to treatment? A. establish IV access B. Review the patient's history C. Provide pre hospital notification D. Treat hypertension Provide pre hospital notification For stemi patients, which best describes the recommended maximum goal for the first medical contact to balloon inflation time for precutaneous coronary intervention? A. 150 minutes B. 90 minutes C. 180 minutes D. 120 minutes 90 minutes Which best describes the length of time it should take to perform a pulse check during the BLS assessment? A. 16 to 20 seconds B. 1 to 4 seconds C. 11 to 15 seconds D. 5 to 10 seconds 5 to 10 seconds You instruct A-Team member to give one milligram atropine IV. Which responds it is an example of closed loop communication? A. I'll draw up 1 milligram of atropine B. I'll give it in a few minutes C. Are you sure that's what you want to be given D. OK I'll draw up 1 milligram of atropine what should be the primary focus of the CPR coach on resuscitation team? A. to ensure high quality CPR B. to convey positive feedback C. to document CPR outcomes D. to resolve team arguments to ensure high quality CPR What is the recommended oral dose of aspirin for a patient with a suspected acute coronary syndrome? A. 350 to 650 milligrams B. 162 to 325 milligrams C. 81 milligrams D. 40 milligrams 162 to 325 milligrams A patient in a stable narrow complex tachycardia with a peripheral IV in place is refractory to the first dose of adenosine. Which dose would you administer next? A. 40 mg B. 20 mg C. 12 mg D. 3 mg 12 mg In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of an endotracheal tube? A. Continuous waveform capnography B. Arterial blood gases C. Hemoglobin levels D. Chest radiography Continuous waveform capnography How can you increase chest compression fraction during a code? A. Initiate intravenous or intraosseous access during a 2 minute cycle B. Charge the defibrillator 15 seconds before conducting a rhythm check C. Interchange the ventilator and compressor during a rhythm check D. Administer epinephrine during the two-minute cycle Charge the defibrillator 15 seconds before conducting a rhythm check 2/ 7 Your rescue team arrives to a 59 year old man lying on the kitchen floor. You determine that he is unresponsive. Which is the next step in your assessment and management of this patient? A. Check for a medical alert bracelet B. Apply the AED C. Check the patient's breathing and pulse D. Open the patient's airway Check for the patient's breathing and pulse Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? A. Irregular, weak pulse rate B. Agonal gasps C. Slow, weak pulse rate D. Cyanosis Agonal gasps Monomorphic ventricular tachycardia Which best describes this rhythm? A. Ventricular fibrillation B. Monomorphic ventricular tachycardia C. Polymorphic ventricular tachycardia D. Supraventricular tachycardia A 45 year old man had coronary artery stents placed two days ago. Today, he is in severe distress and is reporting crushing chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64 /40. his respiratory rate is 28 breaths/min, and oxygen sat of 89%. when applied comma the cardiac monitor originally showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. On the basis of this patients initial presentation, which condition do you suspect led to the cardiac arrest? A. acute heart failure B. acute coronary syndrome C. supraventricular tachycardia with ischemic chest pain D. acute ischemic stroke acute coronary syndrome A 45 year old man had coronary artery stents placed two days ago. Today, he is in severe distress and is reporting crushing chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64 /40. his respiratory rate is 28 breaths/min, and oxygen sat of 89%. when applied comma the cardiac monitor originally showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. In addition to defibrillation, which intervention should be performed immediately? A. chest compressions B. advanced airway insertion C. vascular access D. vasoactive medication administration chest compressions A 45 year old man had coronary artery stents placed two days ago. Today, he is in severe distress and is reporting crushing chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64 /40. his respiratory rate is 28 breaths/min, and oxygen sat of 89%. when applied comma the cardiac monitor originally showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. Despite 2 defibrillation attempts, the patient remains in ventricular fibrillation. Which drug and dose should you administer first to this patient? A. lidocaine 1mg/kg B. atropine 1mg C. epi 1mg D. amiodarone 300mg epi 1 mg A 45 year old man had coronary artery stents placed two days ago. Today, he is in severe distress and is reporting crushing chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64 /40. his respiratory rate is 28 breaths/min, and oxygen sat of 89%. when applied comma the cardiac monitor originally showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. Despite the drug provided above and continued CPR, the patient remains in ventricular fibrillation. Which other drug should be administered next? A. atropine 1mg B. lidocaine 1 to 1.5 mg/kg C. epi 1mg D. magnesium sulfate 1g lidocaine 1 to 1.5 mg/kg 3/ 7 A 45 year old man had coronary artery stents placed two days ago. Today, he is in severe distress and is reporting crushing chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64 /40. his respiratory rate is 28 breaths/min, and oxygen sat of 89%. when applied comma the cardiac monitor originally showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. The patient has a return of spontaneous circulation and is not able to follow commands. Which-post cardiac arrest care intervention do you chose for the patient ? A. extubate B. administer epi C. initiate targeted temperature management D. check the glucose level initiate targeted temperature management A 45 year old man had coronary artery stents placed two days ago. Today, he is in severe distress and is reporting crushing chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64 /40. his respiratory rate is 28 breaths/min, and oxygen sat of 89%. when applied comma the cardiac monitor originally showed ventricular tachycardia, which then quickly changed to ventricular fibrillation. Which would you have done first if the patient had not gone into ventricular fibrillation? A. given atropine 1mg B. performed synchronized cardioversion C. established iv access D. obtain a 12-lead ECG performed synchronized cardioversion What is the recommended range from which a temperature should be selected and maintained constantly to achieve targeted temperature management after cardiac arrest? A. 32 to 36 Celsius B. 26 to 28 Celsius C. 35 to 37 Celsius D. 29 to 31 Celcius 32 to 36 Celcius To properly ventilate a patient with perfusing rhythm, how often should you squeeze the bag? A. Once every 12 seconds B. Once every 10 seconds C. Once every 3 seconds D. Once every 6 seconds Once every 6 seconds Defibrillation A patient has a witnessed loss of consciousness. The lead to ECG reveals this rhythm. Which is the appropriate treatment. A. Synchronized cardioversion B. Defibrillation C. Administration of adenosine 6 milligram IV push D. Administration of epinephrine 1 milligram IV push What is an effect of excessive ventilation? A. Increase venous return B. Decreased intrathoracic pressure C. Decreased cardiac output D. Increase perfusion pressures Decreased cardiac output Adult tachycardia with a pulse A 68 year old woman presents with Lightheadedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill, pale, and grossly diaphoretic. Her radial pulse is weak, thready and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rails present bilaterally. the cardiac monitor show the rhythm seen here. On the basis of this patients initial assessment, which ACLS algorithm should you follow? A. Adult tachycardia with a pulse B. Adult cardiac arrest C. Acute coronary syndromes D. Adult suspected stroke Give oxygen A 68 year old woman presents with Lightheadedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill, pale, and grossly diaphoretic. Her radial pulse is weak, thready and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rails present bilaterally. the cardiac monitor show the rhythm seen here. The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take? A. Check the pulse oximeter probe B. Give oxygen C. Perform bag mask ventilation D. Intubate the patient 4/ 7 Synchronized cardioversion A 68 year old woman presents with Lightheadedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill, pale, and grossly diaphoretic. Her radial pulse is weak, thready and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rails present bilaterally. the cardiac monitor show the rhythm seen here. After your initial assessment of the patient, which intervention should be performed next? A. Endotracheal intubation B. Immediate Defibrillation C. Synchronised cardioversion D. Administration of amiodarone 150 milligrams IM Perform Defibrillation A 68 year old woman presents with Lightheadedness, nausea, and chest discomfort. Your assessment finds her awake and responsive but ill, pale, and grossly diaphoretic. Her radial pulse is weak, thready and fast. You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderate rails present bilaterally. the cardiac monitor show the rhythm seen here. If the patient became apneic and pulseless but the rhythm remained the same, which would take the highest priority? A. administer atropine 0.5mg B. Perform Defibrillation C. Administer amiodarone 300 milligrams D. Insert an advanced airway What is the minimum systolic blood pressure one should attempt to achieve with fluid administration or vasoactive agents in a hypotensive post cardiac arrest patient who achieves return of spontaneous circulation? A. 90mmHG B. 85mmHG C. 80 mmHg D. 75mmHG 90mmHG Which is the primary purpose of a medical emergency team or rapid response team? A. Improvising patient outcomes by identifying and treating early clinical deterioration B. Providing diagnostic consultation to emergency department patients C. Providing online consultation to EMS personnel in the field D. Improving care for patients admitted to critical care units Improving patient outcomes by identifying and treating early clinical deterioration 3rd degree atrial ventricular block Which best describes this rhythm? A. Second degree atrial ventricular block type 1 B. 1st degree atrial ventricular block C. 3rd degree atrial ventricular block D. second degree atrioventricular block type 2 A team member is unable to perform an assigned task because it is beyond the team member's scope of practice. Which action should the team member take? A. seek expert advice B. ask for a new task or role C. assign it to another team member D. do it anyway Ask for a new task or role During post cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range? A. At least 36 hours B. At least 8 hours C. At least 24 hours D. At least 48 hours At least 24 hours Which is the recommended next step after a Defibrillation attempt? A. Open the patient's airway B. Resume CPR, starting with chest compression C. Check the ECG for evidence of a rhythm D. Determine if a carotid pulse is present Resume CPR, starting with chest compressions Which of these tests should be performed for a patient with suspected stroke as soon as possible but no more than 20 minutes after hospital arrival? A. Noncontrast CT scan of the head B. 12 lead ECG C. Cardiac enzymes D. Coagulation studies Noncontrast CT scan of the head 5/ 7 Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? A. Estimate by using the formula weight (kg)/8 + 2 B. Measure from the corner of the mouth to the angle of the mandible C. Estimate by using the size of the patient's finger D. Measure from thyroid cartilage to the bottom of the ear Measure from the corner of the mouth to the angle of the mandible You are evaluating a 58 year old man with chest discomfort. His blood pressure is 92 / 50, his heart rate is 92 beats per minute, his non labored respiratory rate is 14 breaths per minute, and his pulse oximetry is reading 97%. Assessment step is most important now? A. Requesting laboratory testing B. Obtaining 12 lead ECG C. Evaluation the PETCO2 reading D. Requesting a chest X-ray Obtaining 12 lead ECG Three minutes into a cardiac arrest resuscitation attempt, one member of your team inserts an endotracheal (ET) tube while another performs chest compressions. Capnography shows a persistent waveform and a PetCO2 of 8mmHg. Which is the significance of this finding? A. The patient meets the criteria for termination of efforts B. the endotracheal tube is in the esophagus C. the team is ventilation the patient too often D. Chest compressions may not be effective Chest compressions may not be effective Second degree type 2 Which type of atrial ventricular block best describes this rhythm? A. Second degree type 2 B. 3rd degree C. 1st degree D. Second degree type 2 Give epinephrine 1 milligram IV You have completed 2 minutes of CPR. The ECG monitor displays the lead to rhythm shown here, and the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place. What do you do next? A. Give epinephrine 1 milligram IV B. Start a dopamine infusion C. Insert an advanced airway D. Give atropine 0.5 milligrams Which best describes an action taken by the team leader to avoid inefficiencies during a resuscitation attempt? A. Clearly delegated tasks B. Assign most tasks to the more experienced team members C. Assign the same tasks to more than one team member D. Perform the most complicated tasks Clearly delegate tasks Which is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? A. 300 milligrams B. 250 milligrams C. 150 milligrams D. 100 milligrams 300 milligrams Which is the maximum interval you should allow for an interruption of chest compressions? A. 15 seconds B. 25 seconds C. 20 seconds D. 10 seconds 10 seconds Performing synchronized cardioversion A patient in respiratory distress with a blood pressure of 70 / 50 presents with the lead to ECG rhythm shown here. Which is the appropriate treatment? A. Performing Defibrillation B. Performing bagel maneuver C. Administering adenosine 6 milligram IV push D. Performing synchronized cardioversion You are caring for a patient with a suspected stroke whose symptoms started two hours ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy period which treatment approach is the best for this patient? A. Wait for the results of the MRI B. Hold fibrinolytic therapy for 24 hours C. Give fibrinolytic therapy as soon as possible and consider endovascular therapy D. Order an echocardiogram before fibrinolytic administration Give fibrinolytic therapy as soon as possible and consider endovascular therapy second degree atrial ventricular block type 1 Which type of atrioventricular block best describes this rhythm? A. 1st degree atrial ventricular block B. 3rd degree atrial ventricular block C. Second degree atrial ventricular block type 2 D. second degree atrial ventricular block type 1 6/ 7 Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? A. check the patient's pulse B. obtain 12 lead ECG C. obtain a chest xray D. monitor the patients PETCO2 monitor the patients PETCO2 If the team member is about to make a mistake during a resuscitation attempt, which best describes the action that the team leader or other team members should take? A. Reassign the team tasks B. Conduct a debriefing after the resuscitation attempt C. Remove the team member from the area D. Address the team member immediately Address the team member immediately 1/ 7 A patient is being resuscitated in a very noisy environment. I have an order to give 500 milligrams of amiodarone IV. Is this correct? A-Team member thinks he heard an order for 500 milligrams of amiodarone IV. Which is the best response from the team member? A. I have an order to give 500 milligrams of amiodarone IV. Is this correct? B. OK C. Amiodarone 500mg IV has been given D. Are you sure? You are performing chest compressions during an adult 100 to 120 beats per minute resuscitation attempt. Which rate should you use to perform the compressions? A. 80 to 90 beats per minute B. Less than 80 beats per minute C. More than 120 beats per minute D. 100 to 120 beats per minute Which facility is the most appropriate EMS destination for a Coronary reperfusion capable Medical Center patient with sudden cardiac arrest who achieved return of spontaneous circulation in the field? A. Acute rehabilitation care unit B. Acute long term care unit C. Coronary reperfusion capable Medical Center D. Comprehensive stroke care unit