ACLS Written graded A Exam review solution 2022
You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action? - ANS IS
Start chest compressions of at least 100 per min.
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? - ANS IS
Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in
most pts? - ANS IS Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - ANS IS 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? -
ANS IS 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? - ANS IS Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? - ANS
IS Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - ANS IS Allowing
complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
ANS IS Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? - ANS IS Sinus rythm
without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? - ANS IS 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? - ANS
IS Chest compressions may not be effective.
, The use of quantitative capnography in intubated patients - ANS IS 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? - ANS IS Consider terminating
resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? - ANS IS 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? - ANS IS Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation
paddles? - ANS IS Hands-free pads allow for a more rapid defibrillation.
What action is recommended to help minimize interruptions in chest compressions
during CPR? - ANS IS Continue CPR while charging the defibrillator.
Which action is included in the BLS survey? - ANS IS Early defibrillation
Which drug and dose are recommended for the management of a patient in refractory
ventricular fibrillation? - ANS IS Amioderone 300mg
What is the appropriate interval for an interruption in chest compressions? - ANS IS 10
seconds or less
Which of the following is a sign of effective CPR? - ANS IS PETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid response
team (RRT)? - ANS IS Identifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a
resuscitation attempt? - ANS IS Switch providers about every 2 minutes or every 5
compression cycles.
What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse
rate of 80/min? - ANS IS 1 breath every 5-6 seconds
A patient presents to the emergency department with new onset of dizziness and
fatigue. On examination, the patient's heart rate is 35/min, the blood pressure is 70/50
You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action? - ANS IS
Start chest compressions of at least 100 per min.
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? - ANS IS
Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in
most pts? - ANS IS Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - ANS IS 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? -
ANS IS 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? - ANS IS Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? - ANS
IS Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - ANS IS Allowing
complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
ANS IS Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? - ANS IS Sinus rythm
without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? - ANS IS 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? - ANS
IS Chest compressions may not be effective.
, The use of quantitative capnography in intubated patients - ANS IS 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? - ANS IS Consider terminating
resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? - ANS IS 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? - ANS IS Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation
paddles? - ANS IS Hands-free pads allow for a more rapid defibrillation.
What action is recommended to help minimize interruptions in chest compressions
during CPR? - ANS IS Continue CPR while charging the defibrillator.
Which action is included in the BLS survey? - ANS IS Early defibrillation
Which drug and dose are recommended for the management of a patient in refractory
ventricular fibrillation? - ANS IS Amioderone 300mg
What is the appropriate interval for an interruption in chest compressions? - ANS IS 10
seconds or less
Which of the following is a sign of effective CPR? - ANS IS PETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid response
team (RRT)? - ANS IS Identifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a
resuscitation attempt? - ANS IS Switch providers about every 2 minutes or every 5
compression cycles.
What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse
rate of 80/min? - ANS IS 1 breath every 5-6 seconds
A patient presents to the emergency department with new onset of dizziness and
fatigue. On examination, the patient's heart rate is 35/min, the blood pressure is 70/50
