ACLS CERTIFICATION EXAM
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
Q: True or False: Pulseless Electrical Activity (PEA) is characterized by the
presence of an organized rhythm on a monitor even though the patient has no
detectable pulse.
A: True. ✔✔
Q: Is synchronized cardioversion a recommended intervention for a tachycardia
with a wide complex of unknown origin?
A: True. ✔✔
Q: True or False: The aorta acts as the muscular barrier that divides the heart's
ventricles.
A: False; that structure is the ventricular septum. ✔✔
Q: What is considered the most successful medical intervention for a patient in
ventricular fibrillation?
A: Defibrillation. ✔✔
Q: True or False: Ensuring the area is clear before delivering a shock is a safety
step that can be skipped if time is short.
A: False; clearing the patient is a mandatory safety requirement for every shock.
✔✔
,Q: Do PEA and asystole utilize the same ACLS treatment pathway because they
are both non-shockable rhythms?
A: True. ✔✔
Transcutaneous pacing should be used on an individual with bradycardia and
inadequate perfusion if atropine is ineffective and the individual is exhibiting
severe symptoms. -ANSWER ✔✔True
Low blood pressure may be an indication of hemodynamic instability. -ANSWER
✔✔True
Urgent defibrillation is essential for survival in the management of acute strokes. -
ANSWER ✔✔False
Fibrinolytic therapy within three hours (in some cases 4.5 hours) of first onset of
symptoms is the standard when treating ischemic stroke. -ANSWER ✔✔True
100% oxygen is acceptable for early intervention but not for extended periods of
time. -ANSWER ✔✔True
In a suspected acute stroke individual, you must always immediately obtain IV
access. -ANSWER ✔✔False
There is never a pulse associated with VF; therefore, you should follow the PEA
algorithm with individuals in VF. -ANSWER ✔✔False
If the AED advises no shock, you should still defibrillate because defibrillation
often restarts the heart with no pulse. -ANSWER ✔✔False
, If transcutaneous pacing fails, there are no other options to consider. -ANSWER
✔✔False
Medication is the only treatment for an unstable tachycardic individual. -ANSWER
✔✔False
For an individiual in respiratory arrest with a pulse, how often should they be
ventilated?
A) Give two breaths every 8 to 9 seconds, or 13 to 15 breaths per minute.
B) Give one breath every 5 to 6 seconds, or 10 to 12 breaths per minute.
C) Give one breath every 3 to 4 seconds, or 15 to 20 breaths per minute.
D) Give one breath every 8 to 9 seconds, or 6 to 8 breaths per minute. -ANSWER
✔✔B) Give one breath every 5 to 6 seconds, or 10 to 12 breaths per minute.
Which item is NOT a basic airway skill?
A) Placement of endotracheal tube (ET tube)
B) Bag-mask ventilation
C) Jaw-thrust maneuver without head extension
D) Head-tilt-chin-lift maneuver -ANSWER ✔✔A) Placement of endotracheal tube
(ET tube)
Which of the following basic airway adjuncts can be used in a conscious or
semiconscious indivudual (with an intact cough and gag reflex)?
A)Oropharyngeal airway (OPA)
B) Endotracheal tube (ET tube)
C) Nasopharyngeal airway (NPA)
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
Q: True or False: Pulseless Electrical Activity (PEA) is characterized by the
presence of an organized rhythm on a monitor even though the patient has no
detectable pulse.
A: True. ✔✔
Q: Is synchronized cardioversion a recommended intervention for a tachycardia
with a wide complex of unknown origin?
A: True. ✔✔
Q: True or False: The aorta acts as the muscular barrier that divides the heart's
ventricles.
A: False; that structure is the ventricular septum. ✔✔
Q: What is considered the most successful medical intervention for a patient in
ventricular fibrillation?
A: Defibrillation. ✔✔
Q: True or False: Ensuring the area is clear before delivering a shock is a safety
step that can be skipped if time is short.
A: False; clearing the patient is a mandatory safety requirement for every shock.
✔✔
,Q: Do PEA and asystole utilize the same ACLS treatment pathway because they
are both non-shockable rhythms?
A: True. ✔✔
Transcutaneous pacing should be used on an individual with bradycardia and
inadequate perfusion if atropine is ineffective and the individual is exhibiting
severe symptoms. -ANSWER ✔✔True
Low blood pressure may be an indication of hemodynamic instability. -ANSWER
✔✔True
Urgent defibrillation is essential for survival in the management of acute strokes. -
ANSWER ✔✔False
Fibrinolytic therapy within three hours (in some cases 4.5 hours) of first onset of
symptoms is the standard when treating ischemic stroke. -ANSWER ✔✔True
100% oxygen is acceptable for early intervention but not for extended periods of
time. -ANSWER ✔✔True
In a suspected acute stroke individual, you must always immediately obtain IV
access. -ANSWER ✔✔False
There is never a pulse associated with VF; therefore, you should follow the PEA
algorithm with individuals in VF. -ANSWER ✔✔False
If the AED advises no shock, you should still defibrillate because defibrillation
often restarts the heart with no pulse. -ANSWER ✔✔False
, If transcutaneous pacing fails, there are no other options to consider. -ANSWER
✔✔False
Medication is the only treatment for an unstable tachycardic individual. -ANSWER
✔✔False
For an individiual in respiratory arrest with a pulse, how often should they be
ventilated?
A) Give two breaths every 8 to 9 seconds, or 13 to 15 breaths per minute.
B) Give one breath every 5 to 6 seconds, or 10 to 12 breaths per minute.
C) Give one breath every 3 to 4 seconds, or 15 to 20 breaths per minute.
D) Give one breath every 8 to 9 seconds, or 6 to 8 breaths per minute. -ANSWER
✔✔B) Give one breath every 5 to 6 seconds, or 10 to 12 breaths per minute.
Which item is NOT a basic airway skill?
A) Placement of endotracheal tube (ET tube)
B) Bag-mask ventilation
C) Jaw-thrust maneuver without head extension
D) Head-tilt-chin-lift maneuver -ANSWER ✔✔A) Placement of endotracheal tube
(ET tube)
Which of the following basic airway adjuncts can be used in a conscious or
semiconscious indivudual (with an intact cough and gag reflex)?
A)Oropharyngeal airway (OPA)
B) Endotracheal tube (ET tube)
C) Nasopharyngeal airway (NPA)
