2025 ACLS QUESTIONS AND
ANSWERS
What=element=of=a=system=of=care=is=represented=by=properly=functioning=resuscitatio
n=equipment?=-=ans-✔✔Structure
What=is=the=first=link=in=the=out-of-hospital=cardiac=arrest=(OHCA)=chain=of=survival?=-
=ans-✔✔Activation=of=emergency=reponse
What=are=signs=of=clinical=deterioration=that=would=prompt=the=activation=of=rapid=resp
onse=system?=-=ans-✔✔Symptomatic=hypertension=
Seizure
Unexplained=agitation
What=is=the=primary=purpose=of=a=rapid=response=team=(RRT)=or=medical=emergency=
team=(MET)?=-=ans-
✔✔To=improve=patient=outcomes=by=identifying=and=treating=early=clinical=deterioration
What=happens=when=teams=rapidly=assess=and=intervene=when=patients=have=abnorm
al=vital=signs?=-=ans-✔✔The=number=of=in=hospital=cardiac=arrest=decreases
In=addition=to=decreased=IHCA,=what=are=some=other=benefits=of=implementing=a=rapid
=response=system?=Select=all=that=apply.=-=ans-✔✔Decrease=ICU=length=of=stay.
Decreased=in=total=hospital=length=of=stay.
Which=is=the=main=advantage=of=effective=teamwork?=-=ans-✔✔Division=of=tasks
Which=is=the=best=example=of=a=role=of=the=team=leader?=-=ans-
✔✔Models=excellent=team=behavior
Which=is=the=best=example=of=a=role=of=a=team=member?=-=ans-
✔✔Prepared=to=fulfill=their=role=responsibilities
What=is=the=primary=purpose=of=the=CPR=coach=on=a=resuscitation=team?=-=ans-
✔✔Increasing=CPR=quality
,What=are=the=6=positions=for=high=performance=teams=in=resuscitation?=-=ans-
✔✔Team=leader
Airway
Timer/recorder
Compressor=(rotate=every=2=minutes)
Monitor/defibrillator/cpr=coach
IV/IO/Medications
Which=member=of=the=high=performance=team=has=the=responsibility=for=assigning=role
s=(positions)?=-=ans-✔✔Team=leader
Which=high=performance=team=member=is=part=of=the=resuscitation=triangle?=-=ans-
✔✔Monitor/defibrillator/cpr=coach
Which=is=an=example=of=knowledge=sharing=by=a=team=leader?=-=ans-
✔✔Asking=for=suggestions=about=interventions
Which=is=an=example=of=summarizing=and=reevaluating?=-=ans-
✔✔Increasing=monitoring=of=the=patients=condition=deteriorates
Which=is=a=step=of=closed-loop=communication?=-=ans-
✔✔Confirming=task=completion=before=assigning=another=task
Which=are=examples=of=mutual=respect?=Select=all=that=apply:=-=ans-
✔✔Acknowledging=correctly=completed=tasks=in=a=positive=way
Ensuring=that=only=one=person=talks=at=a=time
What=are=the=components=of=high=quality=CPR?=Select=all=that=apply:=-=ans-
✔✔Compression=depth=of=at=least=2=inches=(5cm)
Switching=compressors=every=2=minutes=
Avoiding=excessive=ventilation
Complete=chest=recoil=after=each=compression=
Interruption=limited=to=under=10=seconds
How=do=you=calculate=the=chest=compression=fraction=(CCF)?
=What=is=ideal=percentage?=-=ans-
✔✔Divide=chest=compression=time=by=total=code=time.=You=want=this=at=least=60%=but
=ideally=greater=than=80%
Which=component=of=effective=high-
performance=teams=is=represented=by=the=use=of=real-time=feedback=devices?=-=ans-
✔✔Quality
How=do=you=calculate=Coronary=Perfusion=Pressure=(CPP)?=-=ans-
✔✔Aortic=diastolic=pressure="minus"=Right=Atrial=Diastolic=Pressure
, How=do=interruptions=in=chest=compressions=negatively=impact=survival=after=cardiac=a
rrest?=-=ans-✔✔Decrease=coronary=perfusion=pressure
What=is=the=only=intervention=that=can=restore=an=organized=rhythm=in=patients=with=v
entricular=fibrillation=(VF)?=-=ans-✔✔Early=and=effective=defibrillation
How=quickly=does=the=chance=of=survival=decline=for=every=minute=of=defibrillation=del
ay=in=patients=with=ventricular=fibrillation=who=do=receive=bystander=CPR?=-=ans-✔✔7-
10%
What=is=the=advantage=of=a=systematic=approach=to=patient=assessment?=-=ans-
✔✔Reduces=the=chances=of=missing=important=signs=and=symptoms
What=is=the=first=step=in=the=systematic=approach=to=patient=assessment?=-=ans-
✔✔Initial=impression
What=is=the=maximum=amount=of=time=you=should=simultaneously=perform=pulse=and=
breathing=checks?=-=ans-✔✔10=seconds
While=performing=the=BLS=Assessment,=you=initiate=high-
=quality=CPR=and=assist=ventilation=with=a=bag=mask=device.=The=AED=does=not=reco
mmend=a=shock.=
Which=action=in=the=Primary=assessment=should=you=perform=first?=-=ans-
✔✔Determine=is=the=patients=airway=is=patent
The=initial=assessment=reveals=a=conscious=patient.=The=patients=airway=is=patent=and
=an=advanced=airway=is=not=indicated.=
Which=action=in=the=primary=assessment=should=you=perform=next?=-=ans-
✔✔Administer=oxygen=as=needed
Which=action=is=part=of=secondary=assessment=of=a=conscious=patient?=-=ans-
✔✔Formulate=a=differential=diagnosis
Which=of=the=following=are=the="H's"=causes=of=reversible=cardiac=arrest?
=Select=all=that=apply:=-=ans-✔✔Hypothermia
Hypoxia
Hyperkalemia/hypokalemia
Hypovolemia
Acidosis
Which=of=the=following=are=the="T"=causes=of=reversible=cardiac=arrest?=-=ans-
✔✔Tension=pneumothorax=
Toxins
Cardiac=tamponade
ANSWERS
What=element=of=a=system=of=care=is=represented=by=properly=functioning=resuscitatio
n=equipment?=-=ans-✔✔Structure
What=is=the=first=link=in=the=out-of-hospital=cardiac=arrest=(OHCA)=chain=of=survival?=-
=ans-✔✔Activation=of=emergency=reponse
What=are=signs=of=clinical=deterioration=that=would=prompt=the=activation=of=rapid=resp
onse=system?=-=ans-✔✔Symptomatic=hypertension=
Seizure
Unexplained=agitation
What=is=the=primary=purpose=of=a=rapid=response=team=(RRT)=or=medical=emergency=
team=(MET)?=-=ans-
✔✔To=improve=patient=outcomes=by=identifying=and=treating=early=clinical=deterioration
What=happens=when=teams=rapidly=assess=and=intervene=when=patients=have=abnorm
al=vital=signs?=-=ans-✔✔The=number=of=in=hospital=cardiac=arrest=decreases
In=addition=to=decreased=IHCA,=what=are=some=other=benefits=of=implementing=a=rapid
=response=system?=Select=all=that=apply.=-=ans-✔✔Decrease=ICU=length=of=stay.
Decreased=in=total=hospital=length=of=stay.
Which=is=the=main=advantage=of=effective=teamwork?=-=ans-✔✔Division=of=tasks
Which=is=the=best=example=of=a=role=of=the=team=leader?=-=ans-
✔✔Models=excellent=team=behavior
Which=is=the=best=example=of=a=role=of=a=team=member?=-=ans-
✔✔Prepared=to=fulfill=their=role=responsibilities
What=is=the=primary=purpose=of=the=CPR=coach=on=a=resuscitation=team?=-=ans-
✔✔Increasing=CPR=quality
,What=are=the=6=positions=for=high=performance=teams=in=resuscitation?=-=ans-
✔✔Team=leader
Airway
Timer/recorder
Compressor=(rotate=every=2=minutes)
Monitor/defibrillator/cpr=coach
IV/IO/Medications
Which=member=of=the=high=performance=team=has=the=responsibility=for=assigning=role
s=(positions)?=-=ans-✔✔Team=leader
Which=high=performance=team=member=is=part=of=the=resuscitation=triangle?=-=ans-
✔✔Monitor/defibrillator/cpr=coach
Which=is=an=example=of=knowledge=sharing=by=a=team=leader?=-=ans-
✔✔Asking=for=suggestions=about=interventions
Which=is=an=example=of=summarizing=and=reevaluating?=-=ans-
✔✔Increasing=monitoring=of=the=patients=condition=deteriorates
Which=is=a=step=of=closed-loop=communication?=-=ans-
✔✔Confirming=task=completion=before=assigning=another=task
Which=are=examples=of=mutual=respect?=Select=all=that=apply:=-=ans-
✔✔Acknowledging=correctly=completed=tasks=in=a=positive=way
Ensuring=that=only=one=person=talks=at=a=time
What=are=the=components=of=high=quality=CPR?=Select=all=that=apply:=-=ans-
✔✔Compression=depth=of=at=least=2=inches=(5cm)
Switching=compressors=every=2=minutes=
Avoiding=excessive=ventilation
Complete=chest=recoil=after=each=compression=
Interruption=limited=to=under=10=seconds
How=do=you=calculate=the=chest=compression=fraction=(CCF)?
=What=is=ideal=percentage?=-=ans-
✔✔Divide=chest=compression=time=by=total=code=time.=You=want=this=at=least=60%=but
=ideally=greater=than=80%
Which=component=of=effective=high-
performance=teams=is=represented=by=the=use=of=real-time=feedback=devices?=-=ans-
✔✔Quality
How=do=you=calculate=Coronary=Perfusion=Pressure=(CPP)?=-=ans-
✔✔Aortic=diastolic=pressure="minus"=Right=Atrial=Diastolic=Pressure
, How=do=interruptions=in=chest=compressions=negatively=impact=survival=after=cardiac=a
rrest?=-=ans-✔✔Decrease=coronary=perfusion=pressure
What=is=the=only=intervention=that=can=restore=an=organized=rhythm=in=patients=with=v
entricular=fibrillation=(VF)?=-=ans-✔✔Early=and=effective=defibrillation
How=quickly=does=the=chance=of=survival=decline=for=every=minute=of=defibrillation=del
ay=in=patients=with=ventricular=fibrillation=who=do=receive=bystander=CPR?=-=ans-✔✔7-
10%
What=is=the=advantage=of=a=systematic=approach=to=patient=assessment?=-=ans-
✔✔Reduces=the=chances=of=missing=important=signs=and=symptoms
What=is=the=first=step=in=the=systematic=approach=to=patient=assessment?=-=ans-
✔✔Initial=impression
What=is=the=maximum=amount=of=time=you=should=simultaneously=perform=pulse=and=
breathing=checks?=-=ans-✔✔10=seconds
While=performing=the=BLS=Assessment,=you=initiate=high-
=quality=CPR=and=assist=ventilation=with=a=bag=mask=device.=The=AED=does=not=reco
mmend=a=shock.=
Which=action=in=the=Primary=assessment=should=you=perform=first?=-=ans-
✔✔Determine=is=the=patients=airway=is=patent
The=initial=assessment=reveals=a=conscious=patient.=The=patients=airway=is=patent=and
=an=advanced=airway=is=not=indicated.=
Which=action=in=the=primary=assessment=should=you=perform=next?=-=ans-
✔✔Administer=oxygen=as=needed
Which=action=is=part=of=secondary=assessment=of=a=conscious=patient?=-=ans-
✔✔Formulate=a=differential=diagnosis
Which=of=the=following=are=the="H's"=causes=of=reversible=cardiac=arrest?
=Select=all=that=apply:=-=ans-✔✔Hypothermia
Hypoxia
Hyperkalemia/hypokalemia
Hypovolemia
Acidosis
Which=of=the=following=are=the="T"=causes=of=reversible=cardiac=arrest?=-=ans-
✔✔Tension=pneumothorax=
Toxins
Cardiac=tamponade
