ACLS WRITTEN EXAM QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question: After finding an unresponsive patient who is not breathing and
confirming they have no pulse, what is the immediate next step in the rescue
process? Answer: Start chest compressions at a rate of at least 100 per minute.
Initiating high-quality CPR immediately is vital to maintain blood flow to the brain
and vital organs. ✔️✔️
Question: You are evaluating a 58-year-old man with chest pain. His vitals show a
blood pressure of 92/50 mmHg, heart rate of 92 bpm, and 97% oxygen saturation.
What diagnostic step is the most critical priority at this moment? Answer:
Obtaining a 12-lead ECG. This is essential to identify potential ST-segment
elevation myocardial infarction (STEMI) and determine the appropriate clinical
pathway for the chest pain. ✔️✔️
Question: What is the recommended primary method of access for administering
epinephrine during a cardiac arrest for most patients? Answer: Peripheral IV.
This remains the preferred and most common route for rapid medication delivery,
though intraosseous (IO) access is a valid alternative if an IV cannot be
established. ✔️✔️
An AED does not promptly analyze a rythm. What is your next step? -ANSWER
✔️✔️Begin chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays the lead II
rhythm below, and the patient has no pulse. Another member of your team resumes
chest compressions, and an IV is in place. What management step is your next
priority? -ANSWER ✔️✔️Administer 1mg of epinephrine
,During a pause in CPR, you see this lead II ECG rhythm on the monitor. The
patient has no pulse. What is the next action? -ANSWER ✔️✔️Resume
compressions
What is a common but sometimes fatal mistake in cardiac arrest management? -
ANSWER ✔️✔️Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? -ANSWER
✔️✔️Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular
fibrillation? -ANSWER ✔️✔️Providing quality compressions immediately before a
defibrillation attempt.
Which situation BEST describes pulseless electrical activity? -ANSWER ✔️✔️Sinus
rythm without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? -ANSWER ✔️✔️Provide continuous chest compressions
without pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiac arrest, one member of your team inserts
an endotracheal tube while another performs continuous chest compressions.
During subsequent ventilation, you notice the presence of a waveform on the
capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of
this finding? -ANSWER ✔️✔️Chest compressions may not be effective.
The use of quantitative capnography in intubated patients -ANSWER ✔️✔️allows
for monitoring of CPR quality.
, For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who
originally presented in ventricular fibrillation. After the first shock, the ECG screen
displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid
bolus, and high-quality CPR. What is your next treatment? -ANSWER
✔️✔️Consider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? -
ANSWER ✔️✔️Be sure oxygen is not blowing over the patient's chest during the
shock.
During your assessment, your patient suddenly loses consciousness. After calling
for help and determining that the patient is not breathing, you are unsure whether
the patient has a pulse. What is your next action? -ANSWER ✔️✔️Begin chest
compressions.
What is an advantage of using hands-free defibrillation pads instead of
defibrillation paddles? -ANSWER ✔️✔️Hands-free pads allow for a more rapid
defibrillation.
What action is recommended to help minimize interruptions in chest compressions
during CPR? -ANSWER ✔️✔️Continue CPR while charging the defibrillator.
Which action is included in the BLS survey? -ANSWER ✔️✔️Early defibrillation
Which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation? -ANSWER ✔️✔️Amioderone 300mg
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question: After finding an unresponsive patient who is not breathing and
confirming they have no pulse, what is the immediate next step in the rescue
process? Answer: Start chest compressions at a rate of at least 100 per minute.
Initiating high-quality CPR immediately is vital to maintain blood flow to the brain
and vital organs. ✔️✔️
Question: You are evaluating a 58-year-old man with chest pain. His vitals show a
blood pressure of 92/50 mmHg, heart rate of 92 bpm, and 97% oxygen saturation.
What diagnostic step is the most critical priority at this moment? Answer:
Obtaining a 12-lead ECG. This is essential to identify potential ST-segment
elevation myocardial infarction (STEMI) and determine the appropriate clinical
pathway for the chest pain. ✔️✔️
Question: What is the recommended primary method of access for administering
epinephrine during a cardiac arrest for most patients? Answer: Peripheral IV.
This remains the preferred and most common route for rapid medication delivery,
though intraosseous (IO) access is a valid alternative if an IV cannot be
established. ✔️✔️
An AED does not promptly analyze a rythm. What is your next step? -ANSWER
✔️✔️Begin chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays the lead II
rhythm below, and the patient has no pulse. Another member of your team resumes
chest compressions, and an IV is in place. What management step is your next
priority? -ANSWER ✔️✔️Administer 1mg of epinephrine
,During a pause in CPR, you see this lead II ECG rhythm on the monitor. The
patient has no pulse. What is the next action? -ANSWER ✔️✔️Resume
compressions
What is a common but sometimes fatal mistake in cardiac arrest management? -
ANSWER ✔️✔️Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? -ANSWER
✔️✔️Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular
fibrillation? -ANSWER ✔️✔️Providing quality compressions immediately before a
defibrillation attempt.
Which situation BEST describes pulseless electrical activity? -ANSWER ✔️✔️Sinus
rythm without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? -ANSWER ✔️✔️Provide continuous chest compressions
without pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiac arrest, one member of your team inserts
an endotracheal tube while another performs continuous chest compressions.
During subsequent ventilation, you notice the presence of a waveform on the
capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of
this finding? -ANSWER ✔️✔️Chest compressions may not be effective.
The use of quantitative capnography in intubated patients -ANSWER ✔️✔️allows
for monitoring of CPR quality.
, For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who
originally presented in ventricular fibrillation. After the first shock, the ECG screen
displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid
bolus, and high-quality CPR. What is your next treatment? -ANSWER
✔️✔️Consider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? -
ANSWER ✔️✔️Be sure oxygen is not blowing over the patient's chest during the
shock.
During your assessment, your patient suddenly loses consciousness. After calling
for help and determining that the patient is not breathing, you are unsure whether
the patient has a pulse. What is your next action? -ANSWER ✔️✔️Begin chest
compressions.
What is an advantage of using hands-free defibrillation pads instead of
defibrillation paddles? -ANSWER ✔️✔️Hands-free pads allow for a more rapid
defibrillation.
What action is recommended to help minimize interruptions in chest compressions
during CPR? -ANSWER ✔️✔️Continue CPR while charging the defibrillator.
Which action is included in the BLS survey? -ANSWER ✔️✔️Early defibrillation
Which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation? -ANSWER ✔️✔️Amioderone 300mg
