ACLS VERSION A QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question: After discovering an unresponsive patient who is not breathing and has
no pulse, what is the immediate priority? Answer: Start chest compressions at a
rate of at least 100 per minute. Rapid initiation of CPR is the most critical factor
in maintaining organ perfusion. ✔️✔️
Question: A 58-year-old male presents with chest pain, a BP of 92/50, HR of 92,
and 97% oxygen saturation. Which assessment is the highest priority? Answer:
Obtaining a 12-lead ECG. This diagnostic tool is vital for identifying cardiac
ischemia or injury and directing the appropriate intervention. ✔️✔️
Question: What is the standard preferred route for administering epinephrine
during a cardiac arrest? Answer: Peripheral IV. This remains the primary access
point for drug delivery in most resuscitation scenarios due to its ease of access.
✔️✔️
Question: If an AED fails to promptly analyze a rhythm, what should you do to
ensure the patient still receives care? Answer: Begin chest compressions. Never
delay CPR while troubleshooting equipment; circulation must be maintained
manually until the device is functional. ✔️✔️
You have completed 2 min of CPR. The ECG monitor displays the lead below and
the pt. has no pulse. another member resumes chest compressions and an IV is in
place. What management step is your next priority?
administer one mg 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?
resume chest compressions
what is a common but sometimes fatal mistake in cardiac arrest management?
prolonged interruptions of chest compressions
, what action is a component of high-quality chest compressions?
uninterrupted compressions at a depth of 1 1/2 inches
Which action increases the chance of successful conversion of ventricular
fibrillation?
ventricular tachycardia with a pulse
which situation BEST describes pulseless electrical activity?
sinus rhythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced
airway in place?
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?
chest compressions may not be effective
the use of quantitative capnography in intubated patients
allows for monitoring of cpr quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who
originally presented with ventricular fibrillation. After the 1st shock, the ECG
screen displayed asystole, which has persisted despite 2 doses of epi, a fluid bolus,
and high quality CPR. What is your next treatment?
consider terminating resuscitative efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence?
be sure oxygen is now blowing over the patient's chest during the shock
During your assessment, your pt suddenly loses consciousness. After calling for
help and determining that the pt. is not breathing, you are unsure whether the pt.
has a pulse. What is your next action?
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Question: After discovering an unresponsive patient who is not breathing and has
no pulse, what is the immediate priority? Answer: Start chest compressions at a
rate of at least 100 per minute. Rapid initiation of CPR is the most critical factor
in maintaining organ perfusion. ✔️✔️
Question: A 58-year-old male presents with chest pain, a BP of 92/50, HR of 92,
and 97% oxygen saturation. Which assessment is the highest priority? Answer:
Obtaining a 12-lead ECG. This diagnostic tool is vital for identifying cardiac
ischemia or injury and directing the appropriate intervention. ✔️✔️
Question: What is the standard preferred route for administering epinephrine
during a cardiac arrest? Answer: Peripheral IV. This remains the primary access
point for drug delivery in most resuscitation scenarios due to its ease of access.
✔️✔️
Question: If an AED fails to promptly analyze a rhythm, what should you do to
ensure the patient still receives care? Answer: Begin chest compressions. Never
delay CPR while troubleshooting equipment; circulation must be maintained
manually until the device is functional. ✔️✔️
You have completed 2 min of CPR. The ECG monitor displays the lead below and
the pt. has no pulse. another member resumes chest compressions and an IV is in
place. What management step is your next priority?
administer one mg 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?
resume chest compressions
what is a common but sometimes fatal mistake in cardiac arrest management?
prolonged interruptions of chest compressions
, what action is a component of high-quality chest compressions?
uninterrupted compressions at a depth of 1 1/2 inches
Which action increases the chance of successful conversion of ventricular
fibrillation?
ventricular tachycardia with a pulse
which situation BEST describes pulseless electrical activity?
sinus rhythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced
airway in place?
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?
chest compressions may not be effective
the use of quantitative capnography in intubated patients
allows for monitoring of cpr quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who
originally presented with ventricular fibrillation. After the 1st shock, the ECG
screen displayed asystole, which has persisted despite 2 doses of epi, a fluid bolus,
and high quality CPR. What is your next treatment?
consider terminating resuscitative efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence?
be sure oxygen is now blowing over the patient's chest during the shock
During your assessment, your pt suddenly loses consciousness. After calling for
help and determining that the pt. is not breathing, you are unsure whether the pt.
has a pulse. What is your next action?
