Actual Final Exam ACLS
(all answers 100% correct)
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?
Select the correct answer to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension answer- Pneumothorax
1 A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each
medication administration with a bolus of fluid. How much would the team
member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL answer- When administering medications during a cardiac arrest, all
medications administrated through the IV or intraosseous infusion route should be
followed by a 10- to 20-mL fluid bolus.
The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a
patient brought to the emergency department. Which finding on a 12-lead ECG
would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
Narrow-complex ventricular tachycardia
answer- Wide-complex ventricular rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-complex
ventricular rhythm and tall, peaked T waves.
, A patient with an ischemic stroke arrives at the emergency department at 2 a.m.
The patient's symptoms started about 12:30 a.m. After completing the necessary
assessments, the healthcare team diagnoses an ischemic stroke, and the patient is
determined to be a candidate for fibrinolytic therapy. To achieve the best
outcomes, the team should initiate therapy for this patient no later than by which
time?
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m. answer- 1
3:00 a.m.
A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest, and advanced cardiac 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?
Select the correct answer to this question.
"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."
"We delivered chest compressions at a rate of 80 to 100 per minute to a depth of at
least 2 inches and gave 1 ventilation every 6 seconds."
"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 delivered 1 ventilation every 6 seconds and chest compressions at a rate of
100 to 120 compressions per minute." answer- 4
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of
100 to 120 compressions per minute."
A patient with a suspected stroke arrives at the emergency department at 7:10 p.m.
The stroke team ensures that a comprehensive neurologic assessment using the
National Institutes of Health Stroke Scale (NIHSS) is completed and that brain
imaging is performed by which time?
(all answers 100% correct)
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?
Select the correct answer to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension answer- Pneumothorax
1 A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each
medication administration with a bolus of fluid. How much would the team
member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL answer- When administering medications during a cardiac arrest, all
medications administrated through the IV or intraosseous infusion route should be
followed by a 10- to 20-mL fluid bolus.
The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a
patient brought to the emergency department. Which finding on a 12-lead ECG
would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
Narrow-complex ventricular tachycardia
answer- Wide-complex ventricular rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-complex
ventricular rhythm and tall, peaked T waves.
, A patient with an ischemic stroke arrives at the emergency department at 2 a.m.
The patient's symptoms started about 12:30 a.m. After completing the necessary
assessments, the healthcare team diagnoses an ischemic stroke, and the patient is
determined to be a candidate for fibrinolytic therapy. To achieve the best
outcomes, the team should initiate therapy for this patient no later than by which
time?
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m. answer- 1
3:00 a.m.
A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest, and advanced cardiac 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?
Select the correct answer to this question.
"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."
"We delivered chest compressions at a rate of 80 to 100 per minute to a depth of at
least 2 inches and gave 1 ventilation every 6 seconds."
"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 delivered 1 ventilation every 6 seconds and chest compressions at a rate of
100 to 120 compressions per minute." answer- 4
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of
100 to 120 compressions per minute."
A patient with a suspected stroke arrives at the emergency department at 7:10 p.m.
The stroke team ensures that a comprehensive neurologic assessment using the
National Institutes of Health Stroke Scale (NIHSS) is completed and that brain
imaging is performed by which time?
