ACLS: FINAL TEST QUESTIONS AND ANSWERS
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do?
correct answerA) Monitor the patient's PETCO2
3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who
achieved return of spontaneous circulation in the field? correct answerD) Coronary reperfusion-capable
medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? correct
answerC) Agonal gasps
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? correct
answerB) Once every 5 to 6 seconds.
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct
placement of an endotracheal tube? correct answerC) Continuous waveform capnography
8. 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 is the best for this patient? correct answerB) Start fibrinolytic
therapy as soon as possible.
10. What is the recommended range from which a temperature should be selected and maintained
constantly to achieve targeted temperature management after cardiac arrest? correct answerC) 32 to 36
Degrees Celsius
11. Which is the recommended first intravenous dose of amiodarone for a patient with refractory
ventricular fibrillation? correct answerD) 300 mg
, 12. What is the primary of a medical emergency team or rapid response team? correct answerB)
Improving patient outcomes by identifying and treating early clinical deterioration.
13. What is the recommended next step after a defibrillation attempt? correct answerD) Resume CPR,
starting with chest compressions
14. 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? correct answerA) 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? correct
answerB) Check the patient's breathing and pulse.
17. Which best describes the length of time it should take to perform a pulse check during the BLS
assessment? correct answerB) 5 to 10 seconds
18. You instruct a team member to give 1 mg Atropine IV. Which is the best example of closed-loop
communication? correct answerC) I'll draw up 1 mg of Atropine.
19. What is an effect of excessive ventilation? correct answerA) Decreased cardiac output.
20. 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? correct answerC) Address the
team members immediately.
22. For STEMI patient, which best describes the recommended maximum goal time for emergency
department door-to-balloon inflation time for percutaneous coronary intervention? correct answerD) 90
minutes.
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do?
correct answerA) Monitor the patient's PETCO2
3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who
achieved return of spontaneous circulation in the field? correct answerD) Coronary reperfusion-capable
medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? correct
answerC) Agonal gasps
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? correct
answerB) Once every 5 to 6 seconds.
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct
placement of an endotracheal tube? correct answerC) Continuous waveform capnography
8. 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 is the best for this patient? correct answerB) Start fibrinolytic
therapy as soon as possible.
10. What is the recommended range from which a temperature should be selected and maintained
constantly to achieve targeted temperature management after cardiac arrest? correct answerC) 32 to 36
Degrees Celsius
11. Which is the recommended first intravenous dose of amiodarone for a patient with refractory
ventricular fibrillation? correct answerD) 300 mg
, 12. What is the primary of a medical emergency team or rapid response team? correct answerB)
Improving patient outcomes by identifying and treating early clinical deterioration.
13. What is the recommended next step after a defibrillation attempt? correct answerD) Resume CPR,
starting with chest compressions
14. 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? correct answerA) 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? correct
answerB) Check the patient's breathing and pulse.
17. Which best describes the length of time it should take to perform a pulse check during the BLS
assessment? correct answerB) 5 to 10 seconds
18. You instruct a team member to give 1 mg Atropine IV. Which is the best example of closed-loop
communication? correct answerC) I'll draw up 1 mg of Atropine.
19. What is an effect of excessive ventilation? correct answerA) Decreased cardiac output.
20. 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? correct answerC) Address the
team members immediately.
22. For STEMI patient, which best describes the recommended maximum goal time for emergency
department door-to-balloon inflation time for percutaneous coronary intervention? correct answerD) 90
minutes.
