ACLS EXAMINATION
You find an unresponsive pt. who is not breathing. After activating the emergency response
system, you determine there is no pulse. What is your next action? - ANSWER✔️Start chest
compressions of at least 100 per min.
What is the appropriate rate of chest compressions for an adult in cardiac arrest? - ANSWER✔️At
least 100/min
What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II
ECG? - ANSWER✔️Synchronized cardioversion
What is the purpose of a medical emergency team (MET) or rapid response team (RRT)? -
ANSWER✔️Improving patient outcomes by identifying and treating early clinical deterioration
What is the recommended assisted ventilation rate for patients in respiratory arrest with a
perfusing rhythm? - ANSWER✔️10 to 12 breaths per minute
, Family members found a 45-year-old woman unresponsive in bed. The patient is unconscious
and in respiratory arrest. What is the recommended initial airway management technique? -
ANSWER✔️Performing a head tilt-chin lift maneuver
A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with the
following lead II ECG rhythm:
What is the appropriate next intervention? - ANSWER✔️Synchronized cardioversion
A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm:
What is the appropriate next intervention? - ANSWER✔️Defibrillation
What is the recommended energy dose for biphasic synchronized cardioversion of atrial
fibrillation? - ANSWER✔️120to200J
Which of the following is an acceptable method of selecting an appropriately sized
oropharyngeal airway (OPA)? - ANSWER✔️Measure from the corner of the mouth to the angle
of the mandible.
Which is a contraindication to nitroglycerin administration in the management of acute coronary
syndromes? - ANSWER✔️Right ventricular infarction and dysfunction
What is the recommended initial intervention for managing hypotension in the immediate period
after return of spontaneous circulation (ROSC)? - ANSWER✔️Administration of IV or IO fluid
bolus
Which is an appropriate and important intervention to perform for a patient who achieves ROSC
during an out-of-hospital resuscitation? - ANSWER✔️Transport the patient to a facility capable
of performing PCI.
What is the immediate danger of excessive ventilation during the post-cardiac arrest period for
patients who achieve ROSC? - ANSWER✔️Decreased cerebral blood flow
What is the recommended target temperature range for achieving therapeutic hypothermia after
cardiac arrest? - ANSWER✔️32°C to 34°C
What is the recommended duration of therapeutic hypothermia after reaching the target
temperature? - ANSWER✔️12 to 24 hours
What is the danger of routinely administering high concentrations of oxygen during the post-
cardiac arrest period for patients who achieve ROSC? - ANSWER✔️Potential oxygen toxicity
What is the recommended dose of epinephrine for the treatment of hypotension in a post- cardiac
arrest patient who achieves ROSC? - ANSWER✔️0.1 to 0.5 mcg/kg per minute IV infusion
You find an unresponsive pt. who is not breathing. After activating the emergency response
system, you determine there is no pulse. What is your next action? - ANSWER✔️Start chest
compressions of at least 100 per min.
What is the appropriate rate of chest compressions for an adult in cardiac arrest? - ANSWER✔️At
least 100/min
What is the most appropriate intervention for a rapidly deteriorating patient who has this lead II
ECG? - ANSWER✔️Synchronized cardioversion
What is the purpose of a medical emergency team (MET) or rapid response team (RRT)? -
ANSWER✔️Improving patient outcomes by identifying and treating early clinical deterioration
What is the recommended assisted ventilation rate for patients in respiratory arrest with a
perfusing rhythm? - ANSWER✔️10 to 12 breaths per minute
, Family members found a 45-year-old woman unresponsive in bed. The patient is unconscious
and in respiratory arrest. What is the recommended initial airway management technique? -
ANSWER✔️Performing a head tilt-chin lift maneuver
A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with the
following lead II ECG rhythm:
What is the appropriate next intervention? - ANSWER✔️Synchronized cardioversion
A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm:
What is the appropriate next intervention? - ANSWER✔️Defibrillation
What is the recommended energy dose for biphasic synchronized cardioversion of atrial
fibrillation? - ANSWER✔️120to200J
Which of the following is an acceptable method of selecting an appropriately sized
oropharyngeal airway (OPA)? - ANSWER✔️Measure from the corner of the mouth to the angle
of the mandible.
Which is a contraindication to nitroglycerin administration in the management of acute coronary
syndromes? - ANSWER✔️Right ventricular infarction and dysfunction
What is the recommended initial intervention for managing hypotension in the immediate period
after return of spontaneous circulation (ROSC)? - ANSWER✔️Administration of IV or IO fluid
bolus
Which is an appropriate and important intervention to perform for a patient who achieves ROSC
during an out-of-hospital resuscitation? - ANSWER✔️Transport the patient to a facility capable
of performing PCI.
What is the immediate danger of excessive ventilation during the post-cardiac arrest period for
patients who achieve ROSC? - ANSWER✔️Decreased cerebral blood flow
What is the recommended target temperature range for achieving therapeutic hypothermia after
cardiac arrest? - ANSWER✔️32°C to 34°C
What is the recommended duration of therapeutic hypothermia after reaching the target
temperature? - ANSWER✔️12 to 24 hours
What is the danger of routinely administering high concentrations of oxygen during the post-
cardiac arrest period for patients who achieve ROSC? - ANSWER✔️Potential oxygen toxicity
What is the recommended dose of epinephrine for the treatment of hypotension in a post- cardiac
arrest patient who achieves ROSC? - ANSWER✔️0.1 to 0.5 mcg/kg per minute IV infusion
