ACLS: FINAL TEST QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Cardiac Rhythm Interpretation
Question: If an EKG shows a sudden dropped QRS complex without any prior PR
interval lengthening, which atrioventricular block is present?
Answer: This rhythm is identified as a Second-degree Type II (Mobitz II) block.
✔✔
Question: Which conduction delay is characterized by a progressive lengthening
of the PR interval until a QRS complex is finally dropped?
Answer: This pattern represents a Second-degree AV block Type I
(Wenckebach).
✔✔
Advanced Airway & CPR Monitoring
Question: For an intubated patient in cardiac arrest, what is the most effective way
to objectively measure the quality of chest compressions?
Answer: The team should monitor the patient's $PETCO_2$ levels via
capnography.
✔✔
Question: Beyond physical assessment, what is considered the "gold standard" for
verifying and maintaining the correct position of an endotracheal tube?
Answer: The use of continuous waveform capnography is the most reliable
confirmation method.
✔✔
, Emergency Response & Ventilation
Question: When transporting a patient who has achieved ROSC (Return of
Spontaneous Circulation) after cardiac arrest, where should EMS direct the
ambulance?
Answer: The patient should be taken to a coronary reperfusion-capable medical
center (Cath Lab capable).
✔✔
Question: While assessing an unresponsive individual, which specific breathing
pattern should be interpreted as a sign of imminent or active cardiac arrest?
Answer: The presence of agonal gasps should be treated as a sign of cardiac
arrest.
✔✔
Question: What is the correct ventilation rate for a patient who has a pulse
(perfusing rhythm) but requires respiratory support?
Answer: Deliver one rescue breath every 5 to 6 seconds.
✔✔
8. You are caring for a patient with a suspected stroke whose symptoms started 2
hours 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? -ANSWER ✔✔B) Start fibrinolytic therapy as soon as
possible.
9. Which best describes this rhythm? -ANSWER ✔✔D) Third-degree
atrioventricular block.
10. What is the recommended range from which a temperature should be selected
and maintained constantly to achieve targeted temperature management after
cardiac arrest? -ANSWER ✔✔C) 32 to 36 Degrees Celsius
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Cardiac Rhythm Interpretation
Question: If an EKG shows a sudden dropped QRS complex without any prior PR
interval lengthening, which atrioventricular block is present?
Answer: This rhythm is identified as a Second-degree Type II (Mobitz II) block.
✔✔
Question: Which conduction delay is characterized by a progressive lengthening
of the PR interval until a QRS complex is finally dropped?
Answer: This pattern represents a Second-degree AV block Type I
(Wenckebach).
✔✔
Advanced Airway & CPR Monitoring
Question: For an intubated patient in cardiac arrest, what is the most effective way
to objectively measure the quality of chest compressions?
Answer: The team should monitor the patient's $PETCO_2$ levels via
capnography.
✔✔
Question: Beyond physical assessment, what is considered the "gold standard" for
verifying and maintaining the correct position of an endotracheal tube?
Answer: The use of continuous waveform capnography is the most reliable
confirmation method.
✔✔
, Emergency Response & Ventilation
Question: When transporting a patient who has achieved ROSC (Return of
Spontaneous Circulation) after cardiac arrest, where should EMS direct the
ambulance?
Answer: The patient should be taken to a coronary reperfusion-capable medical
center (Cath Lab capable).
✔✔
Question: While assessing an unresponsive individual, which specific breathing
pattern should be interpreted as a sign of imminent or active cardiac arrest?
Answer: The presence of agonal gasps should be treated as a sign of cardiac
arrest.
✔✔
Question: What is the correct ventilation rate for a patient who has a pulse
(perfusing rhythm) but requires respiratory support?
Answer: Deliver one rescue breath every 5 to 6 seconds.
✔✔
8. You are caring for a patient with a suspected stroke whose symptoms started 2
hours 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? -ANSWER ✔✔B) Start fibrinolytic therapy as soon as
possible.
9. Which best describes this rhythm? -ANSWER ✔✔D) Third-degree
atrioventricular block.
10. What is the recommended range from which a temperature should be selected
and maintained constantly to achieve targeted temperature management after
cardiac arrest? -ANSWER ✔✔C) 32 to 36 Degrees Celsius
