ACLS PRACTICE QUESTIONS AND
ANSWERS WITH CMPLETE
SOLUTIONS 100% CORRECT RATED
A+
Q: What is the protocol for high-quality CPR once an advanced airway (such as an
endotracheal tube) has been placed?
A: Perform uninterrupted chest compressions while delivering 10 ventilations per
minute (approximately one breath every 6 seconds). ✔✔
Q: Regarding ventilation rates, why is it necessary to transition from initial
hyperventilation (15–30 seconds) to a slower pace?
A: Initial hyperventilation helps reverse respiratory acidosis, but the rate must be
slowed to one breath every 6 to 8 seconds to avoid causing respiratory alkalosis.
✔✔
Q: If a patient suddenly gasps and loses consciousness during an assessment, and
you confirm they are not breathing and have no pulse after 10 seconds, what is the
immediate priority?
A: Start chest compressions immediately. ✔✔
What is the advantage of using quantitative waveform capnography during cardiac
arrest?
A: Measure the pulse oximetry levels
B: Measure oxygen levels via the nasal cannula
, C: Allows for monitoring of CPR quality and measure expired carbon dioxide
D: Determines the amount of sodium bicarbonate that will be needed -ANSWER
✔✔C: Allows for monitoring of CPR quality and measure expired carbon dioxide
If the PETCO2 is less than 10, then the rescuer must compress harder. The
monitoring of CO2 also indicates that the endotracheal tube is probably placed
appropriately until a confirmatory x-ray is taken.
The ED team is attempting to resuscitate a victim who was brought into the ED in
V-Fib with CPR in progress. The ED staff delivered 4 shocks, 3 doses of
epinephrine, amiodarone 300 mg, 2 L of normal saline, and the victim converted to
asystole, which persists despite and high-quality CPR. What is your next
consideration?
A: Discuss with the team, terminating the resuscitation efforts
B: Look for the DNR order
C: 1 mg of atropine
D: Vasopressin 20 units -ANSWER ✔✔A: Discuss with the team, terminating the
resuscitation efforts
The team is treating a cardiac arrest victim. The patient is intubated, a peripheral
antecubital IV is inserted and continuous chest compressions are performed.
Minutes later you reassess the waveform on the capnography screen and a
ANSWERS WITH CMPLETE
SOLUTIONS 100% CORRECT RATED
A+
Q: What is the protocol for high-quality CPR once an advanced airway (such as an
endotracheal tube) has been placed?
A: Perform uninterrupted chest compressions while delivering 10 ventilations per
minute (approximately one breath every 6 seconds). ✔✔
Q: Regarding ventilation rates, why is it necessary to transition from initial
hyperventilation (15–30 seconds) to a slower pace?
A: Initial hyperventilation helps reverse respiratory acidosis, but the rate must be
slowed to one breath every 6 to 8 seconds to avoid causing respiratory alkalosis.
✔✔
Q: If a patient suddenly gasps and loses consciousness during an assessment, and
you confirm they are not breathing and have no pulse after 10 seconds, what is the
immediate priority?
A: Start chest compressions immediately. ✔✔
What is the advantage of using quantitative waveform capnography during cardiac
arrest?
A: Measure the pulse oximetry levels
B: Measure oxygen levels via the nasal cannula
, C: Allows for monitoring of CPR quality and measure expired carbon dioxide
D: Determines the amount of sodium bicarbonate that will be needed -ANSWER
✔✔C: Allows for monitoring of CPR quality and measure expired carbon dioxide
If the PETCO2 is less than 10, then the rescuer must compress harder. The
monitoring of CO2 also indicates that the endotracheal tube is probably placed
appropriately until a confirmatory x-ray is taken.
The ED team is attempting to resuscitate a victim who was brought into the ED in
V-Fib with CPR in progress. The ED staff delivered 4 shocks, 3 doses of
epinephrine, amiodarone 300 mg, 2 L of normal saline, and the victim converted to
asystole, which persists despite and high-quality CPR. What is your next
consideration?
A: Discuss with the team, terminating the resuscitation efforts
B: Look for the DNR order
C: 1 mg of atropine
D: Vasopressin 20 units -ANSWER ✔✔A: Discuss with the team, terminating the
resuscitation efforts
The team is treating a cardiac arrest victim. The patient is intubated, a peripheral
antecubital IV is inserted and continuous chest compressions are performed.
Minutes later you reassess the waveform on the capnography screen and a
