ACLS 2022 quiz
given rapidly during compressions - Answer IV/IO drug administration during CPR
should be
Potential oxygen toxicity - Answer What is the danger of routinely administering high
concentrations of oxygen during post-cardiac arrest period for patients who achieve
ROSC?
NOT recommended for routine use - Answer Recommendation on the use of cricoid
pressure to prevent aspiration during cardiac arrest
Performing a head tilt chin lift maneuver - Answer Family members found a 45 year old
woman unresponsive in bed. Patient is unconscious and in respiratory arrest. What is
the recommended initial airway management technique?
Check for a pulse - Answer After verifying unresponsiveness and abnormal breathing,
you activate emergency response team. What is your next action?
Unstable supraventricular tachycardia - Answer A responder is caring for a patient with
a history of congestive heart failure. Patient is experiencing shortness of breath, a BP of
68/50 mmHg, and HR of 190/min. Patient's lead II ECG is displayed above (shows
unstable SVT). Which of the following best describes this patient?
300 mg - Answer Recommended 1st IV dose of amiodarone for a patient with refractory
ventricular fibrillation?
Administer a second shock - Answer Patient remains in ventricular fibrillation despite 1
shock and 2 minutes of continuous CPR. Next intervention is to
Administer 2 to 4 mg of morphine by slow IV bolus - Answer 49 year old man has
retrosternal chest pain radiating into the left arm. Patient is diaphoretic, with associated
shortness of breath. BP is 130/88 mmHg, HR is 110/min, RR is 22 breaths/min, and
pulse oximetry is 95%. Patient's 12 lead ECG shows ST segment elevation in the
anterior leads. First responders administered 160 mg aspirin, and there is a patent
peripheral IV. Pain described as a 8/10 and unrelieved after 3 doses of nitroglycerin.
What is the next action?
At least 100/min - Answer What is the appropriate rate of chest compressions for an
adult in cardiac arrest?
Defibrillation - Answer 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?
, Obtaining a 12 lead ECG - Answer You are evaluating a 58-year-old man with chest
pain. BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14 breaths/min, and the pulse
oximetry reading is 97%. What assessment step is most important now?
Administration of IV or IO fluid bolus - Answer What is the recommended initial
intervention for managing hypotension in the immediate period after return of
spontaneous circulation (ROSC)?
Divert the patient to a hospital 15 minutes away with CT capabilities - Answer 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?
Closed-loop communication - Answer 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?
Transport the patient to a facility capable of performing PCI - Answer Which is an
appropriate and important intervention to perform for a patient who achieves ROSC
during an out-of-hospital resuscitation?
Epinephrine - Answer Which treatment or medication is appropriate for the treatment of
a patient in asystole?
Administer the shock immediately and continue as directed by the AED - Answer An
AED advises a shock for a pulseless patient lying in snow. What is the next action?
Start chest compressions at a rate of at least 100/min - Answer A patient with pulseless
ventricular tachycardia is defibrillated. What is the next action?
IV or IO access - Answer 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?
Right ventricular infarction and dysfunction - Answer Which is a contraindication to
nitroglycerin administration in the management of acute coronary syndromes?
32°C to 34°C - Answer What is the recommended target temperature range for
achieving therapeutic hypothermia after cardiac arrest?
PETCO2 < 10 mm Hg - Answer Which finding is a sign of ineffective CPR?
Seeking expert consultation - Answer A 56-year-old man reports that he has palpitations
but not chest pain or difficulty breathing. BP is 132/68 mmHg, pulse is 130/min and
regular, RR is 12 breaths/min, and pulse oximetry reading is 95%. The lead II ECG
given rapidly during compressions - Answer IV/IO drug administration during CPR
should be
Potential oxygen toxicity - Answer What is the danger of routinely administering high
concentrations of oxygen during post-cardiac arrest period for patients who achieve
ROSC?
NOT recommended for routine use - Answer Recommendation on the use of cricoid
pressure to prevent aspiration during cardiac arrest
Performing a head tilt chin lift maneuver - Answer Family members found a 45 year old
woman unresponsive in bed. Patient is unconscious and in respiratory arrest. What is
the recommended initial airway management technique?
Check for a pulse - Answer After verifying unresponsiveness and abnormal breathing,
you activate emergency response team. What is your next action?
Unstable supraventricular tachycardia - Answer A responder is caring for a patient with
a history of congestive heart failure. Patient is experiencing shortness of breath, a BP of
68/50 mmHg, and HR of 190/min. Patient's lead II ECG is displayed above (shows
unstable SVT). Which of the following best describes this patient?
300 mg - Answer Recommended 1st IV dose of amiodarone for a patient with refractory
ventricular fibrillation?
Administer a second shock - Answer Patient remains in ventricular fibrillation despite 1
shock and 2 minutes of continuous CPR. Next intervention is to
Administer 2 to 4 mg of morphine by slow IV bolus - Answer 49 year old man has
retrosternal chest pain radiating into the left arm. Patient is diaphoretic, with associated
shortness of breath. BP is 130/88 mmHg, HR is 110/min, RR is 22 breaths/min, and
pulse oximetry is 95%. Patient's 12 lead ECG shows ST segment elevation in the
anterior leads. First responders administered 160 mg aspirin, and there is a patent
peripheral IV. Pain described as a 8/10 and unrelieved after 3 doses of nitroglycerin.
What is the next action?
At least 100/min - Answer What is the appropriate rate of chest compressions for an
adult in cardiac arrest?
Defibrillation - Answer 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?
, Obtaining a 12 lead ECG - Answer You are evaluating a 58-year-old man with chest
pain. BP is 92/50 mmHg, HR is 92/min, nonlabored RR is 14 breaths/min, and the pulse
oximetry reading is 97%. What assessment step is most important now?
Administration of IV or IO fluid bolus - Answer What is the recommended initial
intervention for managing hypotension in the immediate period after return of
spontaneous circulation (ROSC)?
Divert the patient to a hospital 15 minutes away with CT capabilities - Answer 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?
Closed-loop communication - Answer 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?
Transport the patient to a facility capable of performing PCI - Answer Which is an
appropriate and important intervention to perform for a patient who achieves ROSC
during an out-of-hospital resuscitation?
Epinephrine - Answer Which treatment or medication is appropriate for the treatment of
a patient in asystole?
Administer the shock immediately and continue as directed by the AED - Answer An
AED advises a shock for a pulseless patient lying in snow. What is the next action?
Start chest compressions at a rate of at least 100/min - Answer A patient with pulseless
ventricular tachycardia is defibrillated. What is the next action?
IV or IO access - Answer 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?
Right ventricular infarction and dysfunction - Answer Which is a contraindication to
nitroglycerin administration in the management of acute coronary syndromes?
32°C to 34°C - Answer What is the recommended target temperature range for
achieving therapeutic hypothermia after cardiac arrest?
PETCO2 < 10 mm Hg - Answer Which finding is a sign of ineffective CPR?
Seeking expert consultation - Answer A 56-year-old man reports that he has palpitations
but not chest pain or difficulty breathing. BP is 132/68 mmHg, pulse is 130/min and
regular, RR is 12 breaths/min, and pulse oximetry reading is 95%. The lead II ECG
