lOMoAR cPSD| 30878495
ACLS WRITTEN EXAM 100 QUESTIONS
WITH 100% CORRECT ANSWERS 2023-2024
VERSION/A+
l GRADE
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
, lOMoAR cPSD| 30878495
ACLS WRITTEN EXAM 100 QUESTIONS
WITH 100% CORRECT ANSWERS 2023-2024
VERSION/A+ GRADE
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.
, lOMoAR cPSD| 30878495
ACLS WRITTEN EXAM 100 QUESTIONS
WITH 100% CORRECT ANSWERS 2023-2024
VERSION/A+ GRADE
What action is recommended to help minimize interruptions in chest compressions during CPR?
correct answerContinue CPR while charging the defibrillator.
Which action is included in the BLS survey? correct answerEarly defibrillation
Which drug and dose are recommended for the management of a patient in refractory
ventricular fibrillation? correct answerAmioderone 300mg
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 answerPETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid response team
(RRT)? correct answerIdentifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a resuscitation
attempt? correct answerSwitch providers about every 2 minutes or every 5 compression
cycles.
What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse
rate of 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's heart rate is 35/min, the blood pressure is 70/50 mm Hg, the
respiratory rate is 22 breaths/min, and the oxygen saturation is 95%. What is the appropriate first
medication? correct answerAtropine 0.5mg
ACLS WRITTEN EXAM 100 QUESTIONS
WITH 100% CORRECT ANSWERS 2023-2024
VERSION/A+
l GRADE
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
, lOMoAR cPSD| 30878495
ACLS WRITTEN EXAM 100 QUESTIONS
WITH 100% CORRECT ANSWERS 2023-2024
VERSION/A+ GRADE
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.
, lOMoAR cPSD| 30878495
ACLS WRITTEN EXAM 100 QUESTIONS
WITH 100% CORRECT ANSWERS 2023-2024
VERSION/A+ GRADE
What action is recommended to help minimize interruptions in chest compressions during CPR?
correct answerContinue CPR while charging the defibrillator.
Which action is included in the BLS survey? correct answerEarly defibrillation
Which drug and dose are recommended for the management of a patient in refractory
ventricular fibrillation? correct answerAmioderone 300mg
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 answerPETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid response team
(RRT)? correct answerIdentifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a resuscitation
attempt? correct answerSwitch providers about every 2 minutes or every 5 compression
cycles.
What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse
rate of 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's heart rate is 35/min, the blood pressure is 70/50 mm Hg, the
respiratory rate is 22 breaths/min, and the oxygen saturation is 95%. What is the appropriate first
medication? correct answerAtropine 0.5mg
