ACLS PRECOURSE WORK AND SELF
ASSESSMENT END OF COURSE STUDY
GUIDE LATEST UPDATED ACTUAL TESTED
QUESTIONS AND CORRECT ANSWERS
⩥ You are evaluating a 58-year-old man with chest pain. The
blood pressure is 92/50 mm Hg, the heart rate is 92/min, the
nonlabored respiratory rate is 14 breaths/min, and the pulse
oximetry reading is 97%. What assessment step is most
important now?
Answer: Obtaining a 12 lead ECG.
⩥ What is the preferred method of access for epi administration
during cardiac arrest in most pts?
Answer: Peripheral IV
⩥ An AED does not promptly analyze a rythm. What is your
next step?
Answer: Begin chest compressions.
⩥ You have completed 2 minutes of CPR. The ECG monitor
displays the lead II rhythm below, and the patient has no pulse.
,Another member of your team resumes chest compressions, and
an IV is in place. What management step is your next priority?
Answer: Administer 1mg 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?
Answer: Resume compressions
⩥ What is a common but sometimes fatal mistake in cardiac
arrest management?
Answer: Prolonged interruptions in chest compressions.
⩥ Which action is a componant of high-quality chest
comressions?
Answer: Allowing complete chest recoil
⩥ Which action increases the chance of successful conversion of
ventricular fibrillation?
Answer: Providing quality compressions immediately before a
defibrillation attempt.
⩥ Which situation BEST describes pulseless electrical activity?
,Answer: Sinus rythm without a pulse
⩥ What is the BEST strategy for performing high-quality CPR
on a patient with an advanced airway in place?
Answer: 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?
Answer: Chest compressions may not be effective.
⩥ The use of quantitative capnography in intubated patients
Answer: allows for monitoring of CPR quality.
⩥ For the past 25 minutes, an EMS crew has attempted
resuscitation of a patient who originally presented in ventricular
fibrillation. After the first shock, the ECG screen displayed
asystole, which has persisted despite 2 doses of epinephrine, a
fluid bolus, and high-quality CPR. What is your next treatment?
, Answer: Consider terminating resuscitive efforts after consulting
medical control.
⩥ Which is a safe and effective practice within the defibrillation
sequence?
Answer: Be sure oxygen is not blowing over the patient's chest
during the shock.
⩥ During your assessment, your patient suddenly loses
consciousness. After calling for help and determining that the
patient is not breathing, you are unsure whether the patient has a
pulse. What is your next action?
Answer: Begin chest compressions.
⩥ What is an advantage of using hands-free defibrillation pads
instead of defibrillation paddles?
Answer: Hands-free pads allow for a more rapid defibrillation.
⩥ What action is recommended to help minimize interruptions
in chest compressions during CPR?
Answer: Continue CPR while charging the defibrillator.
ASSESSMENT END OF COURSE STUDY
GUIDE LATEST UPDATED ACTUAL TESTED
QUESTIONS AND CORRECT ANSWERS
⩥ You are evaluating a 58-year-old man with chest pain. The
blood pressure is 92/50 mm Hg, the heart rate is 92/min, the
nonlabored respiratory rate is 14 breaths/min, and the pulse
oximetry reading is 97%. What assessment step is most
important now?
Answer: Obtaining a 12 lead ECG.
⩥ What is the preferred method of access for epi administration
during cardiac arrest in most pts?
Answer: Peripheral IV
⩥ An AED does not promptly analyze a rythm. What is your
next step?
Answer: Begin chest compressions.
⩥ You have completed 2 minutes of CPR. The ECG monitor
displays the lead II rhythm below, and the patient has no pulse.
,Another member of your team resumes chest compressions, and
an IV is in place. What management step is your next priority?
Answer: Administer 1mg 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?
Answer: Resume compressions
⩥ What is a common but sometimes fatal mistake in cardiac
arrest management?
Answer: Prolonged interruptions in chest compressions.
⩥ Which action is a componant of high-quality chest
comressions?
Answer: Allowing complete chest recoil
⩥ Which action increases the chance of successful conversion of
ventricular fibrillation?
Answer: Providing quality compressions immediately before a
defibrillation attempt.
⩥ Which situation BEST describes pulseless electrical activity?
,Answer: Sinus rythm without a pulse
⩥ What is the BEST strategy for performing high-quality CPR
on a patient with an advanced airway in place?
Answer: 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?
Answer: Chest compressions may not be effective.
⩥ The use of quantitative capnography in intubated patients
Answer: allows for monitoring of CPR quality.
⩥ For the past 25 minutes, an EMS crew has attempted
resuscitation of a patient who originally presented in ventricular
fibrillation. After the first shock, the ECG screen displayed
asystole, which has persisted despite 2 doses of epinephrine, a
fluid bolus, and high-quality CPR. What is your next treatment?
, Answer: Consider terminating resuscitive efforts after consulting
medical control.
⩥ Which is a safe and effective practice within the defibrillation
sequence?
Answer: Be sure oxygen is not blowing over the patient's chest
during the shock.
⩥ During your assessment, your patient suddenly loses
consciousness. After calling for help and determining that the
patient is not breathing, you are unsure whether the patient has a
pulse. What is your next action?
Answer: Begin chest compressions.
⩥ What is an advantage of using hands-free defibrillation pads
instead of defibrillation paddles?
Answer: Hands-free pads allow for a more rapid defibrillation.
⩥ What action is recommended to help minimize interruptions
in chest compressions during CPR?
Answer: Continue CPR while charging the defibrillator.
