ACLS WRITTEN EXAM 100 QUESTIONS WITH
100% CORRECT ANSWERS 2023-2024 VERSION/A
GRADE
You find an unresponsive pt. who is not breathing. After activating the emergency response
system, you determinethere isno pulse.What is yournext action? correct answer Start chest
compressions of at least 100 permin.
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, thenonlabored respiratory rate is14breaths/min,
andthepulseoximetry readingis 97%. Whatassessment step is most importantnow? correct
answer Obtaininga 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts?
correct answer Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? correct answer Begin chest
compressions.
Youhavecompleted2 minutes of CPR. The ECGmonitordisplays thelead IIrhythmbelow, andthe
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 answer Administer 1mg of
epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no
pulse. What isthe next action? correct answer Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? correct answer
Prolonged interruptions in chest compressions.
Which action is acomponant of high-quality chest comressions? correct answer Allowing complete
chest recoil
,Which action increases the chance of successful conversion of ventricular fibrillation? correct
answerProviding quality compressions immediately beforea defibrillation attempt.
Which situation BEST describes pulseless electrical activity? correct answer Sinus rythm without
apulse
What istheBESTstrategyforperforming high-qualityCPRonapatientwithanadvancedairway in
place? correct answer Provide 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 awaveform onthe capnography screen anda PETCO2
level of 8 mm Hg.What is the significance of this finding? correct answer Chest compressions
may not be effective.
The use of quantitative capnography in intubated patients correct answer allows for monitoring
of CPRquality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who originally
presented in
ventricularfibrillation.Afterthefirstshock,theECGscreendisplayedasystole,whichhaspersisted
despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is your next
treatment? correct answer Consider terminating resuscitive efforts after consulting medical
control.
Which is a safe and effective practice within the defibrillation sequence? correct answer Be
sure oxygen is not blowing over the patient's chest during the shock.
Duringyourassessment, yourpatient suddenly loses consciousness. Aftercallingforhelpand
determining thatthepatient isnot breathing, you areunsure whetherthepatienthasapulse.What
is your next action? correct answer Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles?
correctanswer Hands-free pads allow for a more rapid defibrillation.
, What action is recommended to help minimize interruptions in chest compressions during
CPR? correctanswer Continue CPR while charging the defibrillator.
Which action is included in the BLS survey? correct answer Early defibrillation
Which drug and dose are recommended for the management of a patient in refractory
ventricularfibrillation? correct answer Amioderone300mg
What is the appropriate interval for an interruption in chest compressions? correct answer10
seconds or less
Which of the following is a sign of effective CPR? correct answer PETCO2 ≥10 mm Hg
What is the primary purpose of amedical emergency team (MET) or rapid response team
(RRT)? correctanswer Identifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a resuscitation
attempt? correct answer Switch providers about every 2 minutes or every 5 compression cycles.
What is theappropriate ventilation strategy for an adult in respiratoryarrest withapulserateof
80/min? correct answer1 breath every 5-6 seconds
A patient presents to the emergency department with new onset of dizziness and fatigue.
On examination,the patient'sheartrateis35/min,the bloodpressure is70/50mmHg,the
respiratory rate is22breaths/min,and theoxygen saturation is95%.What istheappropriatefirst
medication? correct answer Atropine 0.5mg
A patient with dizziness and shortness of breath with a sinus bradycardia of 40/min. The initial
atropine dose was ineffective, and your monitor/defibrillator is not equipped with a
100% CORRECT ANSWERS 2023-2024 VERSION/A
GRADE
You find an unresponsive pt. who is not breathing. After activating the emergency response
system, you determinethere isno pulse.What is yournext action? correct answer Start chest
compressions of at least 100 permin.
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, thenonlabored respiratory rate is14breaths/min,
andthepulseoximetry readingis 97%. Whatassessment step is most importantnow? correct
answer Obtaininga 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts?
correct answer Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? correct answer Begin chest
compressions.
Youhavecompleted2 minutes of CPR. The ECGmonitordisplays thelead IIrhythmbelow, andthe
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 answer Administer 1mg of
epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no
pulse. What isthe next action? correct answer Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? correct answer
Prolonged interruptions in chest compressions.
Which action is acomponant of high-quality chest comressions? correct answer Allowing complete
chest recoil
,Which action increases the chance of successful conversion of ventricular fibrillation? correct
answerProviding quality compressions immediately beforea defibrillation attempt.
Which situation BEST describes pulseless electrical activity? correct answer Sinus rythm without
apulse
What istheBESTstrategyforperforming high-qualityCPRonapatientwithanadvancedairway in
place? correct answer Provide 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 awaveform onthe capnography screen anda PETCO2
level of 8 mm Hg.What is the significance of this finding? correct answer Chest compressions
may not be effective.
The use of quantitative capnography in intubated patients correct answer allows for monitoring
of CPRquality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who originally
presented in
ventricularfibrillation.Afterthefirstshock,theECGscreendisplayedasystole,whichhaspersisted
despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is your next
treatment? correct answer Consider terminating resuscitive efforts after consulting medical
control.
Which is a safe and effective practice within the defibrillation sequence? correct answer Be
sure oxygen is not blowing over the patient's chest during the shock.
Duringyourassessment, yourpatient suddenly loses consciousness. Aftercallingforhelpand
determining thatthepatient isnot breathing, you areunsure whetherthepatienthasapulse.What
is your next action? correct answer Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles?
correctanswer Hands-free pads allow for a more rapid defibrillation.
, What action is recommended to help minimize interruptions in chest compressions during
CPR? correctanswer Continue CPR while charging the defibrillator.
Which action is included in the BLS survey? correct answer Early defibrillation
Which drug and dose are recommended for the management of a patient in refractory
ventricularfibrillation? correct answer Amioderone300mg
What is the appropriate interval for an interruption in chest compressions? correct answer10
seconds or less
Which of the following is a sign of effective CPR? correct answer PETCO2 ≥10 mm Hg
What is the primary purpose of amedical emergency team (MET) or rapid response team
(RRT)? correctanswer Identifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a resuscitation
attempt? correct answer Switch providers about every 2 minutes or every 5 compression cycles.
What is theappropriate ventilation strategy for an adult in respiratoryarrest withapulserateof
80/min? correct answer1 breath every 5-6 seconds
A patient presents to the emergency department with new onset of dizziness and fatigue.
On examination,the patient'sheartrateis35/min,the bloodpressure is70/50mmHg,the
respiratory rate is22breaths/min,and theoxygen saturation is95%.What istheappropriatefirst
medication? correct answer Atropine 0.5mg
A patient with dizziness and shortness of breath with a sinus bradycardia of 40/min. The initial
atropine dose was ineffective, and your monitor/defibrillator is not equipped with a
