ACLS: FINAL TEST QUESTIONS AND
ANSWERS
1.=Which=type=of=atrioventricular=block=best=describes=this=rhythm?=-=ans-
✔✔C)=Second-degree=type=II
2.=Your=patient=is=in=cardiac=arrest=and=has=been=intubated.=To=assess=CPR=quality,=
which=should=you=do?=-=ans-✔✔A)=Monitor=the=patient's=PETCO2
3.=Which=facility=is=the=most=appropriate=EMS=destination=for=a=patient=with=sudden=c
ardiac=who=achieved=return=of=spontaneous=circulation=in=the=field?=-=ans-
✔✔D)=Coronary=reperfusion-capable=medical=center
4.=Which=of=the=following=signs=is=a=likely=indicator=of=cardiac=arrest=in=an=unresponsi
ve=patient?=-=ans-✔✔C)=Agonal=gasps
5.=Which=type=of=atrioventricular=block=best=describes=this=rhythm?=-=ans-
✔✔B)=Second-degree=atrioventricular=block=type=I
6.=To=properly=ventilate=a=patient=with=a=perfusing=rhythm,=how=often=do=you=squeeze
=the=bag?=-=ans-✔✔B)=Once=every=5=to=6=seconds.
7.=In=addition=to=clinical=assessment,=which=is=the=most=reliable=method=to=confirm=an
d=monitor=correct=placement=of=an=endotracheal=tube?=-=ans-
✔✔C)=Continuous=waveform=capnography
8.=You=are=caring=for=a=patient=with=a=suspected=stroke=whose=symptoms=started=2=h
ours=ago.=The=CT=scan=was=normal,=with=no=signs=of=hemorrhage.=The=patient=does=
not=have=any=contraindications=to=fibrinolytic=therapy.=Which=treatment=is=the=best=for=
this=patient?=-=ans-✔✔B)=Start=fibrinolytic=therapy=as=soon=as=possible.
9.=Which=best=describes=this=rhythm?=-=ans-✔✔D)=Third-degree=atrioventricular=block.
10.=What=is=the=recommended=range=from=which=a=temperature=should=be=selected=a
nd=maintained=constantly=to=achieve=targeted=temperature=management=after=cardiac=
arrest?=-=ans-✔✔C)=32=to=36=Degrees=Celsius
, 11.=Which=is=the=recommended=first=intravenous=dose=of=amiodarone=for=a=patient=wit
h=refractory=ventricular=fibrillation?=-=ans-✔✔D)=300=mg
12.=What=is=the=primary=of=a=medical=emergency=team=or=rapid=response=team?=-
=ans-
✔✔B)=Improving=patient=outcomes=by=identifying=and=treating=early=clinical=deteriorati
on.
13.=What=is=the=recommended=next=step=after=a=defibrillation=attempt?=-=ans-
✔✔D)=Resume=CPR,=starting=with=chest=compressions
14.=EMS=providers=are=treating=a=patient=with=suspected=stroke.=According=to=the=Adu
lt=Suspected=Stroke=Algorithm,=which=critical=action=performed=by=the=EMS=team=will=
expedite=this=patient's=care=on=arrival=and=reduce=the=time=to=treatment?=-=ans-
✔✔A)=Alert=the=hospital.
15.=A=responder=is=caring=for=a=patient=with=a=history=of=congestive=heart=failure.=The=
patient=is=experiencing=shortness=of=breath,=a=blood=pressure=of=68/50=mmHg,=and=a=
heart=rate=of=190/
min.=The=patient's=lead=II=ECG=is=displayed=here.=Which=best=characterizes=this=patie
nt's=rhythm?=-=ans-✔✔D)=Unstable=supraventricular=tachycardia
16.=Your=rescue=team=arrives=to=find=a=59-year-
old=man=lying=on=the=kitchen=floor.=You=determine=that=he=is=unresponsive.=Which=is=t
he=next=step=in=your=assessment=and=management=of=this=patient?=-=ans-
✔✔B)=Check=the=patient's=breathing=and=pulse.
17.=Which=best=describes=the=length=of=time=it=should=take=to=perform=a=pulse=check=
during=the=BLS=assessment?=-=ans-✔✔B)=5=to=10=seconds
18.=You=instruct=a=team=member=to=give=1=mg=Atropine=IV.=Which=is=the=best=exampl
e=of=closed-loop=communication?=-=ans-✔✔C)=I'll=draw=up=1=mg=of=Atropine.
19.=What=is=an=effect=of=excessive=ventilation?=-=ans-
✔✔A)=Decreased=cardiac=output.
20.=If=a=team=member=is=about=to=make=a=mistake=during=a=resuscitation=attempt,=whi
ch=best=describes=the=action=that=the=team=leader=or=other=team=members=should=tak
e?=-=ans-✔✔C)=Address=the=team=members=immediately.
21.=Which=best=describes=this=rhythm?=-=ans-
✔✔A)=Monomorphic=ventricular=tachycardia.
22.=For=STEMI=patient,=which=best=describes=the=recommended=maximum=goal=time=f
or=emergency=department=door-to-
ANSWERS
1.=Which=type=of=atrioventricular=block=best=describes=this=rhythm?=-=ans-
✔✔C)=Second-degree=type=II
2.=Your=patient=is=in=cardiac=arrest=and=has=been=intubated.=To=assess=CPR=quality,=
which=should=you=do?=-=ans-✔✔A)=Monitor=the=patient's=PETCO2
3.=Which=facility=is=the=most=appropriate=EMS=destination=for=a=patient=with=sudden=c
ardiac=who=achieved=return=of=spontaneous=circulation=in=the=field?=-=ans-
✔✔D)=Coronary=reperfusion-capable=medical=center
4.=Which=of=the=following=signs=is=a=likely=indicator=of=cardiac=arrest=in=an=unresponsi
ve=patient?=-=ans-✔✔C)=Agonal=gasps
5.=Which=type=of=atrioventricular=block=best=describes=this=rhythm?=-=ans-
✔✔B)=Second-degree=atrioventricular=block=type=I
6.=To=properly=ventilate=a=patient=with=a=perfusing=rhythm,=how=often=do=you=squeeze
=the=bag?=-=ans-✔✔B)=Once=every=5=to=6=seconds.
7.=In=addition=to=clinical=assessment,=which=is=the=most=reliable=method=to=confirm=an
d=monitor=correct=placement=of=an=endotracheal=tube?=-=ans-
✔✔C)=Continuous=waveform=capnography
8.=You=are=caring=for=a=patient=with=a=suspected=stroke=whose=symptoms=started=2=h
ours=ago.=The=CT=scan=was=normal,=with=no=signs=of=hemorrhage.=The=patient=does=
not=have=any=contraindications=to=fibrinolytic=therapy.=Which=treatment=is=the=best=for=
this=patient?=-=ans-✔✔B)=Start=fibrinolytic=therapy=as=soon=as=possible.
9.=Which=best=describes=this=rhythm?=-=ans-✔✔D)=Third-degree=atrioventricular=block.
10.=What=is=the=recommended=range=from=which=a=temperature=should=be=selected=a
nd=maintained=constantly=to=achieve=targeted=temperature=management=after=cardiac=
arrest?=-=ans-✔✔C)=32=to=36=Degrees=Celsius
, 11.=Which=is=the=recommended=first=intravenous=dose=of=amiodarone=for=a=patient=wit
h=refractory=ventricular=fibrillation?=-=ans-✔✔D)=300=mg
12.=What=is=the=primary=of=a=medical=emergency=team=or=rapid=response=team?=-
=ans-
✔✔B)=Improving=patient=outcomes=by=identifying=and=treating=early=clinical=deteriorati
on.
13.=What=is=the=recommended=next=step=after=a=defibrillation=attempt?=-=ans-
✔✔D)=Resume=CPR,=starting=with=chest=compressions
14.=EMS=providers=are=treating=a=patient=with=suspected=stroke.=According=to=the=Adu
lt=Suspected=Stroke=Algorithm,=which=critical=action=performed=by=the=EMS=team=will=
expedite=this=patient's=care=on=arrival=and=reduce=the=time=to=treatment?=-=ans-
✔✔A)=Alert=the=hospital.
15.=A=responder=is=caring=for=a=patient=with=a=history=of=congestive=heart=failure.=The=
patient=is=experiencing=shortness=of=breath,=a=blood=pressure=of=68/50=mmHg,=and=a=
heart=rate=of=190/
min.=The=patient's=lead=II=ECG=is=displayed=here.=Which=best=characterizes=this=patie
nt's=rhythm?=-=ans-✔✔D)=Unstable=supraventricular=tachycardia
16.=Your=rescue=team=arrives=to=find=a=59-year-
old=man=lying=on=the=kitchen=floor.=You=determine=that=he=is=unresponsive.=Which=is=t
he=next=step=in=your=assessment=and=management=of=this=patient?=-=ans-
✔✔B)=Check=the=patient's=breathing=and=pulse.
17.=Which=best=describes=the=length=of=time=it=should=take=to=perform=a=pulse=check=
during=the=BLS=assessment?=-=ans-✔✔B)=5=to=10=seconds
18.=You=instruct=a=team=member=to=give=1=mg=Atropine=IV.=Which=is=the=best=exampl
e=of=closed-loop=communication?=-=ans-✔✔C)=I'll=draw=up=1=mg=of=Atropine.
19.=What=is=an=effect=of=excessive=ventilation?=-=ans-
✔✔A)=Decreased=cardiac=output.
20.=If=a=team=member=is=about=to=make=a=mistake=during=a=resuscitation=attempt,=whi
ch=best=describes=the=action=that=the=team=leader=or=other=team=members=should=tak
e?=-=ans-✔✔C)=Address=the=team=members=immediately.
21.=Which=best=describes=this=rhythm?=-=ans-
✔✔A)=Monomorphic=ventricular=tachycardia.
22.=For=STEMI=patient,=which=best=describes=the=recommended=maximum=goal=time=f
or=emergency=department=door-to-
