ACLS Exam PREP B new 2022 complete solution
What should be done to minimize interruptions in chest compressions during CPR? -
CORRECT ANSWER Continue CPR while the defibrillator is charging.
which condition is an indication to stop or withhold resuscitative efforts? - CORRECT
ANSWER Safety threat to providers.
After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
ventilation. The patient's lead II ECG appears below. What is your next action? (strip
missing displays PEA) - CORRECT ANSWER IV or IO access
After verifying unresponsiveness and abnormal breathing, you activate the emergency
response team. What is your next action? - CORRECT ANSWER Check for pulse
What is the recommendation on the use of cricoid pressure to prevent aspiration during
cardiac arrest? - CORRECT ANSWER Not recommended for routine use
What survival advantages does CPR provide to a patient in ventricular fibrillation? -
CORRECT ANSWER Produces a small amount of blood flow to the heart.
What is the recommended compression rate for performing CPR? - CORRECT
ANSWER At least 100 per minute
EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing
CPR. After attaching a cardiac monitor, the responder observes the following rhythm
strip. What is the most important early intervention? (strip missing displays Ventricular
fibrillation) - CORRECT ANSWER Defibrillation
A patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous
CPR. - CORRECT ANSWER Administer a 2nd shock
What is the recommended next step after a defibrillation attempt? - CORRECT
ANSWER Begin CPR, starting with chest compressions.
Which of the following is the recommended first choice for establishing intravenous
access during the attempted resuscitation of a patient in cardiac arrest? - CORRECT
ANSWER Antecubital
What is the recommended first intravenous dose of aAmiodarone for a patient with
refractory ventricular fibrillation? - CORRECT ANSWER 300mg
IV/IO drug administration during CPR should be - CORRECT ANSWER given rapidly
during compressions
, How often should the team leader switch chest compressors during a resuscitation
attempt? - CORRECT ANSWER Every 2 minutes
Which finding is a sign of ineffective CPR? - CORRECT ANSWER PETCO2 <10 mm
Hg
A team leader orders 1mg of epinephrine, and a team member verbally acknowledges
when the medication is administered. What element of effective resuscitation team
dynamics does this represent? - CORRECT ANSWER Closed-loop communication
How long should it take to perform a pulse check during the BLS survey? - CORRECT
ANSWER 5-10 seconds
Your team 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? - CORRECT ANSWER
Check the patient's pulse
Which treatment or medication is appropriate for the treatment of a patient in asystole? -
CORRECT ANSWER Epinephrine
An AED advises a shock for a pulseless patient lying in snow. What is the next action? -
CORRECT ANSWER Administer the shock immediately and continue as directed by the
AED.
What is the minimum depth of chest compressions for an adult in cardiac arrest? -
CORRECT ANSWER 2 inches
A patient with pulseless ventricular tachycardia is defibrillated. What is the next action? -
CORRECT ANSWER Start chest compressions at a rate of at least 100/min.
You have completed your first 2-minute period of CPR. You see an organized,
nonshockable rhythm on the ECG monitor. What is the next action? - CORRECT
ANSWER Have a team member attempt to palpate a carotid pulse.
Emergency medical responders are unable to obtain a peripheral IV for a patient in
cardiac arrest. What is the next most preferred route for drug administration? -
CORRECT ANSWER Intraosseous (IO)
What is the appropriate rate of chest compressions for an adult in cardiac arrest? -
CORRECT ANSWER At least 100/min
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
should you do in this situation? - CORRECT ANSWER Divert the patient to a hospital
15 minutes away with CT capabilities .
What should be done to minimize interruptions in chest compressions during CPR? -
CORRECT ANSWER Continue CPR while the defibrillator is charging.
which condition is an indication to stop or withhold resuscitative efforts? - CORRECT
ANSWER Safety threat to providers.
After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
ventilation. The patient's lead II ECG appears below. What is your next action? (strip
missing displays PEA) - CORRECT ANSWER IV or IO access
After verifying unresponsiveness and abnormal breathing, you activate the emergency
response team. What is your next action? - CORRECT ANSWER Check for pulse
What is the recommendation on the use of cricoid pressure to prevent aspiration during
cardiac arrest? - CORRECT ANSWER Not recommended for routine use
What survival advantages does CPR provide to a patient in ventricular fibrillation? -
CORRECT ANSWER Produces a small amount of blood flow to the heart.
What is the recommended compression rate for performing CPR? - CORRECT
ANSWER At least 100 per minute
EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing
CPR. After attaching a cardiac monitor, the responder observes the following rhythm
strip. What is the most important early intervention? (strip missing displays Ventricular
fibrillation) - CORRECT ANSWER Defibrillation
A patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous
CPR. - CORRECT ANSWER Administer a 2nd shock
What is the recommended next step after a defibrillation attempt? - CORRECT
ANSWER Begin CPR, starting with chest compressions.
Which of the following is the recommended first choice for establishing intravenous
access during the attempted resuscitation of a patient in cardiac arrest? - CORRECT
ANSWER Antecubital
What is the recommended first intravenous dose of aAmiodarone for a patient with
refractory ventricular fibrillation? - CORRECT ANSWER 300mg
IV/IO drug administration during CPR should be - CORRECT ANSWER given rapidly
during compressions
, How often should the team leader switch chest compressors during a resuscitation
attempt? - CORRECT ANSWER Every 2 minutes
Which finding is a sign of ineffective CPR? - CORRECT ANSWER PETCO2 <10 mm
Hg
A team leader orders 1mg of epinephrine, and a team member verbally acknowledges
when the medication is administered. What element of effective resuscitation team
dynamics does this represent? - CORRECT ANSWER Closed-loop communication
How long should it take to perform a pulse check during the BLS survey? - CORRECT
ANSWER 5-10 seconds
Your team 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? - CORRECT ANSWER
Check the patient's pulse
Which treatment or medication is appropriate for the treatment of a patient in asystole? -
CORRECT ANSWER Epinephrine
An AED advises a shock for a pulseless patient lying in snow. What is the next action? -
CORRECT ANSWER Administer the shock immediately and continue as directed by the
AED.
What is the minimum depth of chest compressions for an adult in cardiac arrest? -
CORRECT ANSWER 2 inches
A patient with pulseless ventricular tachycardia is defibrillated. What is the next action? -
CORRECT ANSWER Start chest compressions at a rate of at least 100/min.
You have completed your first 2-minute period of CPR. You see an organized,
nonshockable rhythm on the ECG monitor. What is the next action? - CORRECT
ANSWER Have a team member attempt to palpate a carotid pulse.
Emergency medical responders are unable to obtain a peripheral IV for a patient in
cardiac arrest. What is the next most preferred route for drug administration? -
CORRECT ANSWER Intraosseous (IO)
What is the appropriate rate of chest compressions for an adult in cardiac arrest? -
CORRECT ANSWER At least 100/min
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
should you do in this situation? - CORRECT ANSWER Divert the patient to a hospital
15 minutes away with CT capabilities .
