American Red Cross ACL Final 2022
1) A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to
providing continuous high-quality CPR, what is the other priority intervention for this
patient? ADMINISTER EPINEPHERINE AS EARLY AS POSSIBLE.
2) A patient has experienced Return of Spontaneous Circulation (ROSC) after cardiac arrest.
The healthcare team is conducting a secondary assessment to determine the possible
cause of the patient’s cardiac arrest. Before the arrest, the patient exhibited jugular
venous distention (JVD), cyanosis, apnea, and hyperresonance on percussion. The patient
was also difficult to ventilate during the response. The team would most likely suspect
which condition as the cause? TENSION PNEUMOTHORAX
3) A patient with suspected stroke arrives at the emergency department. The patient is
diagnosed with acute ischemic stroke and is a candidate for fibrinolytic therapy. To
achieve the best outcomes, this therapy should be initiated within what time frame?
WITHIN 1 HOUR OF PATIENTS ARRIVAL.
4) A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has
a history of myocardial infarction. The patients ECG rhythm strip is shown in the
following figure. The provider interprets this strip as indicating which arrythmia?
THIRD DEGREE AV BLOCK
5) A 28-year-old pregnant patient who is a resides in transitional housing presents to the
emergency department with complaints of feeling feverish and very faint. The patient
tells the emergency nurse that she does not know when she became pregnant. Upon
palpation, the fundus is not at or above the umbilicus. The patients condition quickly
deteriorates and she goes into cardiac arrest. If available and able to be used without
impeding or delaying resuscitation efforts, what diagnostic tool could be used to guide
decision-making in the care of this patient? POINT OF CARE ULTRASOUND
6) Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient
has a pulse and is NOT showing any signs of hemodynamic compromise. A 12-lead ECG
reveals an irregular rhythm with QRS complexes greater than 0.12 seconds in duration.
Which action would be appropriate at this time? CONSIDER AN
ANTIARRHYTHMIA MEDICATION
7) A responsive patient is choking. What method should the provider use first to clear the
obstructed airway? BACK BLOWS
8) What is the priority intervention for a patient with a narrow-complex tachycardia (160
bpm) and a blood pressure of 72/48 mmHg? PREFORM IMMEDIATE
SYNCRONIZED CARDIOVERSION.
, 9) A patient is admitted to the emergency department with signs and symptoms of a stroke.
The stroke team should complete a comprehensive neurological assessment and obtain
brain imaging results within what time frame? 2O MINUTES
10) Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In
addition to high-quality CPR, what intervention should be a priority for the team?
DEFIBRILLATION
11) A patient with a suspected acute coronary syndrome (ACS)has a pulse oximetry reading
of 86% and is given supplemental oxygen. The provider determines that the supplemental
oxygen dose is correct based on which SaO2 level? 93%
12) After cardiac arrest and successful resuscitation, the patient has ROSC. The patient is
unable to follow verbal commands. Targeted temperature management is initiated. Which
methods would be appropriate for the resuscitation team to use? APPLYING
COOLING BLANKETS TO THE PATIENT’S BODY; USING AN
ENDOVASCULAR CATHETER; GIVING ICE COLD IV FLUIDS
13) A patient comes to the emergency department complaining of palpitations and “some
shortness of breath.” Cardiac monitoring is initiated and reveals the following ECG
rhythm strip. The provider interprets this strip as indicating which arrhythmia? A
FLUTTER
14) A 35-year-old female patient’s ECG is consistent with STEMI. The ECG reveals a new
ST-segment elevation at the J point in leads V2 and V3 of at least which size? 0.15 mV
15) The following capnogram is from a patient experiencing respiratory distress. At which
point in the waveform would the patients ETCO2 level be measured? D
16) For a patient with third-degree AV block and a blood pressure of 70/48 mmHg, what
interventions should be considered? INITIATE A DOPAMINE INFUSION;
ADMINISTER ATROPINE; INTIATE TRANSCUTANEOUS PACING
17) A patient arrives at the emergency department complaining of SOB. The patient has a
long HX of COPD. Assessment reveals respiratory failure. Which action would be the
initial priority to address the respiratory failure? ASSISTED VENTILATION WITH
BVM RESUSCITATOR
18) The ECG rhythm strip od a patient who arrived in the ED complaining of dizziness,
syncope, and SOB reveals sinus bradycardia. When reviewing the patient’s medication
HX the healthcare provider identifies which agents as a potential cause of the patient’s
condition? VERAPAMIL; DIGOXIN; METOPROLO
19) A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest,
the patients ECG showed peaked T waves. What might be causing the patient’s cardiac
arrest? HYPERKALEMIA
1) A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to
providing continuous high-quality CPR, what is the other priority intervention for this
patient? ADMINISTER EPINEPHERINE AS EARLY AS POSSIBLE.
2) A patient has experienced Return of Spontaneous Circulation (ROSC) after cardiac arrest.
The healthcare team is conducting a secondary assessment to determine the possible
cause of the patient’s cardiac arrest. Before the arrest, the patient exhibited jugular
venous distention (JVD), cyanosis, apnea, and hyperresonance on percussion. The patient
was also difficult to ventilate during the response. The team would most likely suspect
which condition as the cause? TENSION PNEUMOTHORAX
3) A patient with suspected stroke arrives at the emergency department. The patient is
diagnosed with acute ischemic stroke and is a candidate for fibrinolytic therapy. To
achieve the best outcomes, this therapy should be initiated within what time frame?
WITHIN 1 HOUR OF PATIENTS ARRIVAL.
4) A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has
a history of myocardial infarction. The patients ECG rhythm strip is shown in the
following figure. The provider interprets this strip as indicating which arrythmia?
THIRD DEGREE AV BLOCK
5) A 28-year-old pregnant patient who is a resides in transitional housing presents to the
emergency department with complaints of feeling feverish and very faint. The patient
tells the emergency nurse that she does not know when she became pregnant. Upon
palpation, the fundus is not at or above the umbilicus. The patients condition quickly
deteriorates and she goes into cardiac arrest. If available and able to be used without
impeding or delaying resuscitation efforts, what diagnostic tool could be used to guide
decision-making in the care of this patient? POINT OF CARE ULTRASOUND
6) Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient
has a pulse and is NOT showing any signs of hemodynamic compromise. A 12-lead ECG
reveals an irregular rhythm with QRS complexes greater than 0.12 seconds in duration.
Which action would be appropriate at this time? CONSIDER AN
ANTIARRHYTHMIA MEDICATION
7) A responsive patient is choking. What method should the provider use first to clear the
obstructed airway? BACK BLOWS
8) What is the priority intervention for a patient with a narrow-complex tachycardia (160
bpm) and a blood pressure of 72/48 mmHg? PREFORM IMMEDIATE
SYNCRONIZED CARDIOVERSION.
, 9) A patient is admitted to the emergency department with signs and symptoms of a stroke.
The stroke team should complete a comprehensive neurological assessment and obtain
brain imaging results within what time frame? 2O MINUTES
10) Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. In
addition to high-quality CPR, what intervention should be a priority for the team?
DEFIBRILLATION
11) A patient with a suspected acute coronary syndrome (ACS)has a pulse oximetry reading
of 86% and is given supplemental oxygen. The provider determines that the supplemental
oxygen dose is correct based on which SaO2 level? 93%
12) After cardiac arrest and successful resuscitation, the patient has ROSC. The patient is
unable to follow verbal commands. Targeted temperature management is initiated. Which
methods would be appropriate for the resuscitation team to use? APPLYING
COOLING BLANKETS TO THE PATIENT’S BODY; USING AN
ENDOVASCULAR CATHETER; GIVING ICE COLD IV FLUIDS
13) A patient comes to the emergency department complaining of palpitations and “some
shortness of breath.” Cardiac monitoring is initiated and reveals the following ECG
rhythm strip. The provider interprets this strip as indicating which arrhythmia? A
FLUTTER
14) A 35-year-old female patient’s ECG is consistent with STEMI. The ECG reveals a new
ST-segment elevation at the J point in leads V2 and V3 of at least which size? 0.15 mV
15) The following capnogram is from a patient experiencing respiratory distress. At which
point in the waveform would the patients ETCO2 level be measured? D
16) For a patient with third-degree AV block and a blood pressure of 70/48 mmHg, what
interventions should be considered? INITIATE A DOPAMINE INFUSION;
ADMINISTER ATROPINE; INTIATE TRANSCUTANEOUS PACING
17) A patient arrives at the emergency department complaining of SOB. The patient has a
long HX of COPD. Assessment reveals respiratory failure. Which action would be the
initial priority to address the respiratory failure? ASSISTED VENTILATION WITH
BVM RESUSCITATOR
18) The ECG rhythm strip od a patient who arrived in the ED complaining of dizziness,
syncope, and SOB reveals sinus bradycardia. When reviewing the patient’s medication
HX the healthcare provider identifies which agents as a potential cause of the patient’s
condition? VERAPAMIL; DIGOXIN; METOPROLO
19) A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest,
the patients ECG showed peaked T waves. What might be causing the patient’s cardiac
arrest? HYPERKALEMIA
