ACLS Final Test
Questions and
Answers
User [Date] [Course title]
,A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-valve-
mask (BVM) resuscitator. The development of which condition during the provision of care would lead
the team to suspect that improper BVM technique is being used?
Hypertension
Esophageal injury
Pneumothorax
Rib fracture - Correct Answer: Pneumothorax
Complications can occur with the use of a BVM resuscitator due to improper technique. Delivering
excessive volume or ventilating too fast creates excessive pressure that can damage the airways, lungs
and other organs. Excessive volume can lead to tension pneumothorax.
A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare provider
observes the event and hurries over to assess the situation. The healthcare provider performs which
assessment first?
Rapid assessment
Basic life support assessment
Secondary assessment
Primary assessment - Correct Answer: Rapid assessment
A systematic approach to assessment is necessary. The healthcare provider should first perform a rapid
assessment. A rapid assessment is a visual survey to ensure safety, form an initial impression about the
patient's condition (including looking for life-threatening bleeding), and determine the need for
additional resources. This would be followed by a primary assessment and then a secondary assessment.
A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator. Capnography is
established and a blood gas is obtained to evaluate the adequacy of the ventilations. Which arterial
carbon dioxide (PaCO2) value signifies adequate ventilations?
10 to 15 mmHg
, 20 to 25 mmHg
25 to 30 mmHg
35 to 45 mmHg - Correct Answer: 35 to 45 mmHg
Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg confirm adequacy of ventilation.
A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest, and
advanced life support was initiated. The patient required the placement of an advanced airway to
maintain airway patency. Which statement indicates that the team performed high-quality CPR?
"We initiated chest compressions at a rate of 100 to 110 per minute to a depth of 2.4 inches and then
gave 1 ventilation every 10 seconds."
"We provided chest compressions at a rate of 100 to 120 compressions per minute while giving 1
ventilation every 6 seconds without pausing compressions."
"We provided chest compressions at a rate of 80 to 120 per minute to a depth of at least 2 inches and
gave 1 ventilation every 6 seconds without pausing compressions."
"We kept the rate of chest compressions to around 100 per minute but adjusted their depth to 1.5
inches while giving 1 ventilation every 3 seconds without pausing compression - Correct Answer: "We
provided chest compressions at a rate of 100 to 120 compressions per minute while giving 1 ventilation
every 6 seconds without pausing compressions."
When an advanced airway has been placed in a patient who is in cardiac arrest, compressions should be
delivered continuously (100 to 120 per minute) with no pauses for ventilations.
Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterial oxygen saturation (SaO2)
level of 88%. The provider would interpret these findings as indicative of which condition?
Respiratory failure
Respiratory arrest
Cardiac arrest
Respiratory distress - Correct Answer: Respiratory failure
Questions and
Answers
User [Date] [Course title]
,A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag-valve-
mask (BVM) resuscitator. The development of which condition during the provision of care would lead
the team to suspect that improper BVM technique is being used?
Hypertension
Esophageal injury
Pneumothorax
Rib fracture - Correct Answer: Pneumothorax
Complications can occur with the use of a BVM resuscitator due to improper technique. Delivering
excessive volume or ventilating too fast creates excessive pressure that can damage the airways, lungs
and other organs. Excessive volume can lead to tension pneumothorax.
A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare provider
observes the event and hurries over to assess the situation. The healthcare provider performs which
assessment first?
Rapid assessment
Basic life support assessment
Secondary assessment
Primary assessment - Correct Answer: Rapid assessment
A systematic approach to assessment is necessary. The healthcare provider should first perform a rapid
assessment. A rapid assessment is a visual survey to ensure safety, form an initial impression about the
patient's condition (including looking for life-threatening bleeding), and determine the need for
additional resources. This would be followed by a primary assessment and then a secondary assessment.
A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator. Capnography is
established and a blood gas is obtained to evaluate the adequacy of the ventilations. Which arterial
carbon dioxide (PaCO2) value signifies adequate ventilations?
10 to 15 mmHg
, 20 to 25 mmHg
25 to 30 mmHg
35 to 45 mmHg - Correct Answer: 35 to 45 mmHg
Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg confirm adequacy of ventilation.
A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest, and
advanced life support was initiated. The patient required the placement of an advanced airway to
maintain airway patency. Which statement indicates that the team performed high-quality CPR?
"We initiated chest compressions at a rate of 100 to 110 per minute to a depth of 2.4 inches and then
gave 1 ventilation every 10 seconds."
"We provided chest compressions at a rate of 100 to 120 compressions per minute while giving 1
ventilation every 6 seconds without pausing compressions."
"We provided chest compressions at a rate of 80 to 120 per minute to a depth of at least 2 inches and
gave 1 ventilation every 6 seconds without pausing compressions."
"We kept the rate of chest compressions to around 100 per minute but adjusted their depth to 1.5
inches while giving 1 ventilation every 3 seconds without pausing compression - Correct Answer: "We
provided chest compressions at a rate of 100 to 120 compressions per minute while giving 1 ventilation
every 6 seconds without pausing compressions."
When an advanced airway has been placed in a patient who is in cardiac arrest, compressions should be
delivered continuously (100 to 120 per minute) with no pauses for ventilations.
Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterial oxygen saturation (SaO2)
level of 88%. The provider would interpret these findings as indicative of which condition?
Respiratory failure
Respiratory arrest
Cardiac arrest
Respiratory distress - Correct Answer: Respiratory failure
