ACLS EXAM QUESTIONS AND ANSWERS GRADED A

ACLS EXAM QUESTIONS AND ANSWERS GRADED A Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? A. Monitor the patient's PETCO 2 B. Obtain a 12-lead ECG C. Check the patient's pulse D. Obtain a chest x-ray Correct Answer: A. Monitor the patient's PETCO 2 Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved return of spontaneous circulation in the field? A. Comprehensive stroke care unit B. Acute rehabilitation care unit C. Acute long-term care unit D. Coronary reperfusion-capable medical center Correct Answer: D. Coronary reperfusion-capable medical center Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? A. Slow, weak pulse rate B. Cyanosis C. Agonal gasps D. Irregular, weak pulse rate Correct Answer: C. Agonal gasps To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? A. Once every 3 to 4 seconds B. Once every 5 to 6 seconds C. Once every 10 seconds D. Once every 12 seconds Correct Answer: B. Once every 5 to 6 seconds In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of an endotracheal tube? A. Arterial blood gases B. Chest radiography C. Continuous waveform capnography D. Hemoglobin levels Correct Answer: C. Continuous waveform capnography You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment approach is best for this patient? A. Hold fibrinolytic therapy for 24 hours B. Start fibrinolytic therapy as soon as possible C. Order an echocardiogram before fibrinolytic administration D. Wait for the results of the MRI Correct Answer: B. Start fibrinolytic therapy as soon as possible What is the recommended range from which a temperature should be selected and maintained constantly to achieve targeted temperature management after cardiac arrest? A. 26°C to 28°C B. 29°C to 31°C C. 32°C to 36°C D. 35°C to 37°C Correct Answer: C. 32°C to 36°C Which is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular fibrillation? A. 100 mg B. 150 mg C. 250 mg D. 300 mg Correct Answer: D. 300 mg Which is the primary purpose of a medical emergency team or rapid response team? A. Improving care for patients admitted to critical care units B. Improving patient outcomes by identifying and treating early clinical deterioration C. Providing diagnostic consultation to emergency department patients D. Providing online consultation to EMS personnel in the field Correct Answer: B. Improving patient outcomes by identifying and treating early clinical deterioration Which is the recommended next step after a defibrillation attempt? A. Check the ECG for evidence of a rhythm B. Open the patient's airway C. Determine if a carotid pulse is present D. Resume CPR, starting with chest compressions Correct Answer: D. Resume CPR, starting with chest compressions EMS providers are treating a patient with suspected stroke. According to the Adult Suspected Stroke Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival and reduce the time to treatment? A. Alert the hospital B. Establish IV access C. Review the patient's history D. Treat hypertension Correct Answer: A. Alert the hospital 16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is unresponsive. Which is the next step in your assessment and management of this patient? A. Apply the AED B. Check the patient's breathing and pulse C. Open the patient's airway D. Check for a medical alert bracelet Correct Answer: B. Check the patient's breathing and pulse Which best describes the length of time it should take to perform a pulse check during the BLS Assessment? A. 1 to 4 seconds B. 5 to 10 seconds C. 11 to 15 seconds D. 16 to 20 seconds Correct Answer: B. 5 to 10 seconds You instruct a team member to give 0.5 mg atropine IV. Which response is an example of closed-loop communication? A. "I'll give it in a few minutes." B. "OK." C. "I'll draw up 0.5 mg of atropine." D. "Are you sure that is what you want given?" Correct Answer: C. "I'll draw up 0.5 mg of atropine." What is an effect of excessive ventilation? A. Decreased cardiac output B. Decreased intrathoracic pressure C. Increased perfusion pressures D. Increased venous return Correct Answer: A. Decreased cardiac output If a team member is about to make a mistake during a resuscitation attempt, which best describes the action that the team leader or other team members should take? A. Conduct a debriefing after the resuscitation attempt B. Reassign the team tasks C. Address the team member immediately D. Remove the team member from the area Correct Answer: C. Address the team member immediately For STEMI patients, which best describes the recommended maximum goal time for emergency department door-to-balloon inflation time for percutaneous coronary intervention? A. 180 minutes B. 150 minutes C. 120 minutes D. 90 minutes Correct Answer: D. 90 minutes Which is the maximum interval you should allow for an interruption in chest compressions? A. 10 seconds B. 15 seconds C. 20 seconds D. 25 to 30 seconds Correct Answer: A. 10 seconds Which is one way to minimize interruptions in chest compressions during CPR? A. Administer IV medications only when delivering breaths B. Check the pulse immediately after defibrillation C. Use an AED to monitor the patient's rhythm D. Continue CPR while the defibrillator charges Correct Answer: D. Continue CPR while the defibrillator charges Which best describes an action taken by the team leader to avoid inefficiencies during a resuscitation attempt? A. Assign most tasks to the more experienced team members B. Perform the most complicated tasks C. Clearly delegate tasks D. Assign the same tasks to more than one team member Correct Answer: C. Clearly delegate tasks Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? A. Measure from the corner of the mouth to the angle of the mandible B. Measure from the thyroid cartilage to the bottom of the earlobe C. Estimate by using the formula Weight (kg)/8 + 2 D. Estimate by using the size of the patient's finger Correct Answer: A. Measure from the corner of the mouth to the angle of the mandible You are evaluating a 58-year-old man with chest discomfort. His blood pressure is 92/50 mm Hg, his heart rate is 92/min, his nonlabored respiratory rate is 14 breaths/min, and his pulse oximetry reading is 97%. Which assessment step is most important now? A. Evaluating the PETCO 2 reading B. Requesting a chest x-ray C. Obtaining a 12-lead ECG D. Requesting laboratory testing Correct Answer: C. Obtaining a 12-lead ECG During post-cardiac arrest care, which is the recommended duration of targeted temperature management after reaching the correct temperature range? A. 0to8hours B. At least 24 hours C. At least 36 hours D. At least 48 hours Correct Answer: B. At least 24 hours Three minutes into a cardiac arrest resuscitatio