1
ACLS TEST
1. A patient remains in ventricular fib. Despite 1 shock and 2 mins of continuous CPR. The next
intervention is to:
Administer a second shock
2. Which finding is a sign of ineffective CPR?
PETCO2 <10 mm Hg.
3. Your rescue arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is
unresponsive and notice that he is taking agonal breaths. What is the next step in your
assessment and management of this patient?
Check the patient’s pulse
4. IV/IO drug administration during CPR should be
Given rapidly during compressions
5. What survival advantages does CPR provide to a patient in ventr. Fibrillation?
Produces a small amount of blood flow to the heart.
6. Which treatment of med is appropriate for the tx of a pt. in asystole?
Epinephrine
7. What is the appropriate rate of chest compressions for an adult in cardiac arrest?
At least 100/min
8. What is the minimum depth of chest compressions for an adult in cardiac arrest?
2 inches
9. You are receiving a radio report from an EMS team en route with a patient who may be having
an acute stroke. The hospital CT scanner is not working at this time. What shd. You do in this
situation?
Divert the patient to a hosp. 15 minutes away with CT capabilities.
10. A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the
medication is administered. What element of effective resuscitation team dynamics does this
represent?
Closed-loop communication
11. 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?
Performing a head tilt-chin lift maneuver
This study source was downloaded by 100000838493518 from CourseHero.com on 02-23-2022 10:05:05 GMT -06:00
https://www.coursehero.com/file/90241710/ACLS-testdocx/
, 2
12. You have completed your first 2-minute period of CPR. You see an organized, non-shockable
rhythm on the ECG monitor. What is the next action?
Have a team member attempt to palpate a carotid pulse.
13. A 56-yr-old man reports that he has palpitations but not chest pain or difficulty breathing. The
BP is 132/68 mm Hg, the pulse is 130/min and regular, the respiratory rate is 12 breaths/min,
and the pulse ox 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?
Seeking expert consultation.
14. How long should it take to perform a pulse check during the BLS Survey?
5 – 10 seconds.
15. A 49 yr-old man has retrosternal chest pain radiating into the left arm. The patient is
diaphoretic, the associated shortness of breath. The BP is 130/88 mmHg, the heart rate is
110/min, the RR is 22 breaths/min, and pulse ox value is 95%. The pt’s 12-;ead ECG shows ST-
segment elevation in the anterior leads. First responders administered 160mg 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?
Administer 2 to 4 mg of morphine by slow IV bolus.
16. What is the most appropriate intervention for a rapidly deteriorating pt. who has the lead II ECG
showing re-entry supraventricular tachycardia?
Synchronized cardioversion
17. Which is an appropriate and important intervention to perform for a pt. who achieves ROSC
during an out-of-hosp. resuscitation?
Transport the patient to a facility capable to performing PCI
18. What is the danger of routinely administering high concentrations of oxygen during the post-
cardiac arrest period for patients who achieve ROSC?
Potential oxygen toxicity
19. A pt. with pulseless V-Tach is defibrillated. What is the next action?
Start chest compressions at a rate of at least 100/min.
20. A patient in respiratory distress and with a BP of 70/50mm Hg presents with the lead II ECG
rhythm above (regular, wide complex tachycardia). What is the appropriate next intervention?
Synchronized cardioversion
This study source was downloaded by 100000838493518 from CourseHero.com on 02-23-2022 10:05:05 GMT -06:00
https://www.coursehero.com/file/90241710/ACLS-testdocx/
ACLS TEST
1. A patient remains in ventricular fib. Despite 1 shock and 2 mins of continuous CPR. The next
intervention is to:
Administer a second shock
2. Which finding is a sign of ineffective CPR?
PETCO2 <10 mm Hg.
3. Your rescue arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is
unresponsive and notice that he is taking agonal breaths. What is the next step in your
assessment and management of this patient?
Check the patient’s pulse
4. IV/IO drug administration during CPR should be
Given rapidly during compressions
5. What survival advantages does CPR provide to a patient in ventr. Fibrillation?
Produces a small amount of blood flow to the heart.
6. Which treatment of med is appropriate for the tx of a pt. in asystole?
Epinephrine
7. What is the appropriate rate of chest compressions for an adult in cardiac arrest?
At least 100/min
8. What is the minimum depth of chest compressions for an adult in cardiac arrest?
2 inches
9. You are receiving a radio report from an EMS team en route with a patient who may be having
an acute stroke. The hospital CT scanner is not working at this time. What shd. You do in this
situation?
Divert the patient to a hosp. 15 minutes away with CT capabilities.
10. A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the
medication is administered. What element of effective resuscitation team dynamics does this
represent?
Closed-loop communication
11. 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?
Performing a head tilt-chin lift maneuver
This study source was downloaded by 100000838493518 from CourseHero.com on 02-23-2022 10:05:05 GMT -06:00
https://www.coursehero.com/file/90241710/ACLS-testdocx/
, 2
12. You have completed your first 2-minute period of CPR. You see an organized, non-shockable
rhythm on the ECG monitor. What is the next action?
Have a team member attempt to palpate a carotid pulse.
13. A 56-yr-old man reports that he has palpitations but not chest pain or difficulty breathing. The
BP is 132/68 mm Hg, the pulse is 130/min and regular, the respiratory rate is 12 breaths/min,
and the pulse ox 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?
Seeking expert consultation.
14. How long should it take to perform a pulse check during the BLS Survey?
5 – 10 seconds.
15. A 49 yr-old man has retrosternal chest pain radiating into the left arm. The patient is
diaphoretic, the associated shortness of breath. The BP is 130/88 mmHg, the heart rate is
110/min, the RR is 22 breaths/min, and pulse ox value is 95%. The pt’s 12-;ead ECG shows ST-
segment elevation in the anterior leads. First responders administered 160mg 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?
Administer 2 to 4 mg of morphine by slow IV bolus.
16. What is the most appropriate intervention for a rapidly deteriorating pt. who has the lead II ECG
showing re-entry supraventricular tachycardia?
Synchronized cardioversion
17. Which is an appropriate and important intervention to perform for a pt. who achieves ROSC
during an out-of-hosp. resuscitation?
Transport the patient to a facility capable to performing PCI
18. What is the danger of routinely administering high concentrations of oxygen during the post-
cardiac arrest period for patients who achieve ROSC?
Potential oxygen toxicity
19. A pt. with pulseless V-Tach is defibrillated. What is the next action?
Start chest compressions at a rate of at least 100/min.
20. A patient in respiratory distress and with a BP of 70/50mm Hg presents with the lead II ECG
rhythm above (regular, wide complex tachycardia). What is the appropriate next intervention?
Synchronized cardioversion
This study source was downloaded by 100000838493518 from CourseHero.com on 02-23-2022 10:05:05 GMT -06:00
https://www.coursehero.com/file/90241710/ACLS-testdocx/
