ACLS TEST BANK EXAM QUESTIONS
AND VERIFIED ANSWERS; 100%
CORRECT; GRADE A
A 49-year-old man has retrosternal chest pain radiating
into the left arm. The patient is diaphoretic, with
associated shortness of breath. The blood pressure is
130/88 mm Hg, the heart rate is 110/min, the respiratory
rate is 22 breaths/min, and the pulse oximetry value is
95%. The patient's 12-lead ECG shows ST-segment
elevation in the anterior leads. First responders
administered 160 mg of aspirin, and there is a patent
peripheral IV. The pain is described as an 8 on a scale of 1
to 10 and is unrelieved after 3 doses of nitroglycerin.
What is the next action? - correct answer-
Administer 2 to 4 mg of morphine by slow IV bolus.
A 49-year-old woman arrives in the emergency
department with persistent epigastric pain. She had been
taking oral antacids for the past 6 hours because she
thought she had heartburn. The initial blood pressure is
118/72 mm Hg, the heart rate is 92/min and regular, the
nonlabored respiratory rate is 14 breaths/min, and the
,pulse oximetry reading is 96%. Which is the most
appropriate intervention to perform next? - correct
answer- Obtain a 12 lead ECG.
A 53-year-old man has shortness of breath, chest
discomfort, and weakness. The patient's blood pressure is
102/59 mm Hg, the heart rate is 230/min, the respiratory
rate is 16 breaths/min, and the pulse oximetry reading is
96%. The lead II ECG is displayed below. A patent
peripheral IV is in place. What is the next action? -
correct answer- Vagal maneuvers
A 56-year-old man reports that he has palpitations but not
chest pain or difficulty breathing. The blood pressure is
132/68 mm Hg, the pulse is 130/min and regular, the
respiratory rate is 12 breaths/min, and the pulse oximetry
reading is 95%. The lead II ECG displays a wide-complex
tachycardia. What is the next action after establishing an
IV and obtaining a 12-lead ECG? - correct answer-
Seeking expert consultation
A 62-year-old man in the emergency department says that
his heart is beating fast. He says he has no chest pain or
,shortness of breath. The blood pressure is 142/98 mm Hg,
the pulse is 200/min, the respiratory rate is 14
breaths/min, and pulse oximetry is 95% on room air.
What intervention should you perform next? - correct
answer- Obtain a 12 lead ECG.
A 68-year-old woman experienced a sudden onset of right
arm weakness. EMS personnel measure a blood pressure
of 140/90 mm Hg, a heart rate of 78/min, a nonlabored
respiratory rate of 14 breaths/min, and a pulse oximetry
reading of 97%. The lead II ECG displays sinus rhythm.
What is the most appropriate action for the EMS team to
perform next? - correct answer- Cincinnati
Prehospital Stroke Scale assessment
A monitored patient in the ICU developed a sudden onset
of narrow-complex tachycardia at a rate of 220/min. The
patient's blood pressure is 128/58 mm Hg, the PETCO2 is
38 mm Hg, and the pulse oximetry reading is 98%. There
is vascular access at the left internal jugular vein, and the
patient has not been given any vasoactive drugs. A 12-
lead ECG confirms a supraventricular tachycardia with no
evidence of ischemia or infarction. The heart rate has not
responded to vagal maneuvers. What is the next
, recommended intervention? - correct answer-
Adenosine 6mg IV push
A patient has a witnessed loss of consciousness. The lead
II ECG reveals this rhythm:
What is the appropriate next intervention? - correct
answer- Defibrillation
A patient has sudden onset of dizziness. The patient's
heart rate is 180/min, blood pressure is 110/70 mm Hg,
respiratory rate is 18 breaths/min, and pulse oximetry
reading is 98% on room air. The lead II ECG is shown
below: - correct answer- Vagal manuever.
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? - correct
answer- Synchronized cardioversion
AND VERIFIED ANSWERS; 100%
CORRECT; GRADE A
A 49-year-old man has retrosternal chest pain radiating
into the left arm. The patient is diaphoretic, with
associated shortness of breath. The blood pressure is
130/88 mm Hg, the heart rate is 110/min, the respiratory
rate is 22 breaths/min, and the pulse oximetry value is
95%. The patient's 12-lead ECG shows ST-segment
elevation in the anterior leads. First responders
administered 160 mg of aspirin, and there is a patent
peripheral IV. The pain is described as an 8 on a scale of 1
to 10 and is unrelieved after 3 doses of nitroglycerin.
What is the next action? - correct answer-
Administer 2 to 4 mg of morphine by slow IV bolus.
A 49-year-old woman arrives in the emergency
department with persistent epigastric pain. She had been
taking oral antacids for the past 6 hours because she
thought she had heartburn. The initial blood pressure is
118/72 mm Hg, the heart rate is 92/min and regular, the
nonlabored respiratory rate is 14 breaths/min, and the
,pulse oximetry reading is 96%. Which is the most
appropriate intervention to perform next? - correct
answer- Obtain a 12 lead ECG.
A 53-year-old man has shortness of breath, chest
discomfort, and weakness. The patient's blood pressure is
102/59 mm Hg, the heart rate is 230/min, the respiratory
rate is 16 breaths/min, and the pulse oximetry reading is
96%. The lead II ECG is displayed below. A patent
peripheral IV is in place. What is the next action? -
correct answer- Vagal maneuvers
A 56-year-old man reports that he has palpitations but not
chest pain or difficulty breathing. The blood pressure is
132/68 mm Hg, the pulse is 130/min and regular, the
respiratory rate is 12 breaths/min, and the pulse oximetry
reading is 95%. The lead II ECG displays a wide-complex
tachycardia. What is the next action after establishing an
IV and obtaining a 12-lead ECG? - correct answer-
Seeking expert consultation
A 62-year-old man in the emergency department says that
his heart is beating fast. He says he has no chest pain or
,shortness of breath. The blood pressure is 142/98 mm Hg,
the pulse is 200/min, the respiratory rate is 14
breaths/min, and pulse oximetry is 95% on room air.
What intervention should you perform next? - correct
answer- Obtain a 12 lead ECG.
A 68-year-old woman experienced a sudden onset of right
arm weakness. EMS personnel measure a blood pressure
of 140/90 mm Hg, a heart rate of 78/min, a nonlabored
respiratory rate of 14 breaths/min, and a pulse oximetry
reading of 97%. The lead II ECG displays sinus rhythm.
What is the most appropriate action for the EMS team to
perform next? - correct answer- Cincinnati
Prehospital Stroke Scale assessment
A monitored patient in the ICU developed a sudden onset
of narrow-complex tachycardia at a rate of 220/min. The
patient's blood pressure is 128/58 mm Hg, the PETCO2 is
38 mm Hg, and the pulse oximetry reading is 98%. There
is vascular access at the left internal jugular vein, and the
patient has not been given any vasoactive drugs. A 12-
lead ECG confirms a supraventricular tachycardia with no
evidence of ischemia or infarction. The heart rate has not
responded to vagal maneuvers. What is the next
, recommended intervention? - correct answer-
Adenosine 6mg IV push
A patient has a witnessed loss of consciousness. The lead
II ECG reveals this rhythm:
What is the appropriate next intervention? - correct
answer- Defibrillation
A patient has sudden onset of dizziness. The patient's
heart rate is 180/min, blood pressure is 110/70 mm Hg,
respiratory rate is 18 breaths/min, and pulse oximetry
reading is 98% on room air. The lead II ECG is shown
below: - correct answer- Vagal manuever.
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? - correct
answer- Synchronized cardioversion
