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Acls written exam - ACLS FINAL EXAM QUESTIONS
AND ANSWERS
Hesi A2 Entrance Exam (Chamberlain University)
,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? correct answerStart 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? correct answerObtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts? correct
answerPeripheral IV
An AED does not promptly analyze a rythm. What is your next step? correct answerBegin 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? correct answerAdminister 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? correct answerResume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? correct
answerProlonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? correct answerAllowing complete chest
recoil
, Which action increases the chance of successful conversion of ventricular fibrillation? correct
answerProviding quality compressions immediately before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? correct answerSinus rythm without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in
place? correct answerProvide 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? correct answerChest compressions may not be effective.
The use of quantitative capnography in intubated patients correct answerallows 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? correct
answerConsider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? correct answerBe 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? correct answerBegin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? correct
answerHands-free pads allow for a more rapid defibrillation.
Acls written exam - ACLS FINAL EXAM QUESTIONS
AND ANSWERS
Hesi A2 Entrance Exam (Chamberlain University)
,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? correct answerStart 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? correct answerObtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts? correct
answerPeripheral IV
An AED does not promptly analyze a rythm. What is your next step? correct answerBegin 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? correct answerAdminister 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? correct answerResume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? correct
answerProlonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? correct answerAllowing complete chest
recoil
, Which action increases the chance of successful conversion of ventricular fibrillation? correct
answerProviding quality compressions immediately before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? correct answerSinus rythm without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in
place? correct answerProvide 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? correct answerChest compressions may not be effective.
The use of quantitative capnography in intubated patients correct answerallows 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? correct
answerConsider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? correct answerBe 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? correct answerBegin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? correct
answerHands-free pads allow for a more rapid defibrillation.
