AHA ACLS TEST EXAMS WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED RATIONALES ANSWERS
ALREADY GRADED A+ LATEST UPDATE 2024
GUARANTEED PASS !!!
A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient is diaphoretic, with
associated shortness of breath. The blood pressure is 130/88 mm Hg, the heart rate is 110/min, the
respiratory rate is 22 breaths/min, and the pulse oximetry value is 95%. The patient's 12-lead ECG shows
ST-segment elevation in the anterior leads. First responders administered 160 mg of aspirin, and there is
a patent peripheral IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses
of nitroglycerin. What is the next action?
Administer 2 to 4 mg of morphine by slow IV bolus
Administer Oxygen and Drugs: Morphine
Which finding is a sign of ineffective CPR?
PETCO2 <10 mm Hg
Physiologic Monitoring During CPR
A postoperative patient in the ICU reports new chest pain. What actions have the highest priority?
Obtain a 12-lead ECG and administer aspirin if not contraindicated.
EMS Assessment, Care, and Hospital Preparation
A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. The blood
pressure is 132/68 mm Hg, the pulse is 130/min and regular, the respiratory rate is 12 breaths/min, and
the pulse oximetry reading is 95%. The lead II ECG displays a wide-complex tachycardia. What is the next
action after establishing an IV and obtaining a 12-lead ECG?
Seeking expert consultation.
Application of the Tachycardia Algorithm to the Stable Patient: Wide (Broad)-Complex Tachycardias
EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After attaching
a cardiac monitor, the responder observes the rhythm strip shown above. What is the most important
early intervention?
(V-fib)
,Defibrillation
Principle of Early Defibrillation
A patient with pulseless ventricular tachycardia is defibrillated. What is the next action?
Start chest compressions at a rate of at least 100/min.
Resume CPR
Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac arrest. What
is the next most preferred route for drug administration?
Intraosseous (IO)
Routes of Access for Drugs
What is the recommended compression rate for performing CPR?
At least 100 per minute (100-120)
The BLS Survey
You have completed your first 2-minute period of CPR. You see an organized, nonshockable rhythm on
the ECG monitor. What is the next action?
Have a team member attempt to palpate a carotid pulse.
Rhythm Check
What is the most appropriate intervention for a rapidly deteriorating patient who has the lead II ECG
shown above?
Synchronized cardioversion
Indications for Cardioversion
What is the appropriate rate of chest compressions for an adult in cardiac arrest?
At least 100/min.
Not approximately 120/min.
The BLS Survey
A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with the lead II ECG
rhythm above. What is the appropriate next intervention?
(Wide, regular Tachycardia with a Pulse)
, Synchronized cardioversion
Indications for Cardioversion
A responder is caring for a patient with a history of CHF. The patient is experiencing SOB, BP of 68/50
mm Hg, and a HR of 190/min. The patient's lead II ECG is displayed above. Which of the following terms
best describes this patient?
Unstable supraventricular tachycardia
The Approach to Unstable Tachycardia Symptoms and Signs
What is the recommended assisted ventilation rate for patients in respiratory arrest with a perfusing
rhythm?
10 to 12 breaths per minute
Ventilation Rates
After verifying unresponsiveness and abnormal breathing, you activate the emergency response team.
What is your next action?
Check for a pulse.
The BLS Survey
What is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients
who achieve ROSC?
Decreased cerebral blood flow
Caution: Things to Avoid During Ventilation
What is the recommended energy dose for BIPHASIC synchronized cardioversion of atrial fibrillation?
120 to 200 J
Energy Doses for Cardioversion
How long should it take to perform a pulse check during the BLS Survey?
5 to 10 seconds
Which is a contraindication to nitroglycerin administration in the management of acute coronary
syndromes?
Right ventricular infarction and dysfunction
Administer Oxygen and Drugs: Nitroglycerin (Glyceryl Trinitrate)
RV infarction may complicate an inferior wall MI. Patients with acute RV infarction are very dependent
QUESTIONS AND VERIFIED RATIONALES ANSWERS
ALREADY GRADED A+ LATEST UPDATE 2024
GUARANTEED PASS !!!
A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient is diaphoretic, with
associated shortness of breath. The blood pressure is 130/88 mm Hg, the heart rate is 110/min, the
respiratory rate is 22 breaths/min, and the pulse oximetry value is 95%. The patient's 12-lead ECG shows
ST-segment elevation in the anterior leads. First responders administered 160 mg of aspirin, and there is
a patent peripheral IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses
of nitroglycerin. What is the next action?
Administer 2 to 4 mg of morphine by slow IV bolus
Administer Oxygen and Drugs: Morphine
Which finding is a sign of ineffective CPR?
PETCO2 <10 mm Hg
Physiologic Monitoring During CPR
A postoperative patient in the ICU reports new chest pain. What actions have the highest priority?
Obtain a 12-lead ECG and administer aspirin if not contraindicated.
EMS Assessment, Care, and Hospital Preparation
A 56-year-old man reports that he has palpitations but not chest pain or difficulty breathing. The blood
pressure is 132/68 mm Hg, the pulse is 130/min and regular, the respiratory rate is 12 breaths/min, and
the pulse oximetry reading is 95%. The lead II ECG displays a wide-complex tachycardia. What is the next
action after establishing an IV and obtaining a 12-lead ECG?
Seeking expert consultation.
Application of the Tachycardia Algorithm to the Stable Patient: Wide (Broad)-Complex Tachycardias
EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After attaching
a cardiac monitor, the responder observes the rhythm strip shown above. What is the most important
early intervention?
(V-fib)
,Defibrillation
Principle of Early Defibrillation
A patient with pulseless ventricular tachycardia is defibrillated. What is the next action?
Start chest compressions at a rate of at least 100/min.
Resume CPR
Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac arrest. What
is the next most preferred route for drug administration?
Intraosseous (IO)
Routes of Access for Drugs
What is the recommended compression rate for performing CPR?
At least 100 per minute (100-120)
The BLS Survey
You have completed your first 2-minute period of CPR. You see an organized, nonshockable rhythm on
the ECG monitor. What is the next action?
Have a team member attempt to palpate a carotid pulse.
Rhythm Check
What is the most appropriate intervention for a rapidly deteriorating patient who has the lead II ECG
shown above?
Synchronized cardioversion
Indications for Cardioversion
What is the appropriate rate of chest compressions for an adult in cardiac arrest?
At least 100/min.
Not approximately 120/min.
The BLS Survey
A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with the lead II ECG
rhythm above. What is the appropriate next intervention?
(Wide, regular Tachycardia with a Pulse)
, Synchronized cardioversion
Indications for Cardioversion
A responder is caring for a patient with a history of CHF. The patient is experiencing SOB, BP of 68/50
mm Hg, and a HR of 190/min. The patient's lead II ECG is displayed above. Which of the following terms
best describes this patient?
Unstable supraventricular tachycardia
The Approach to Unstable Tachycardia Symptoms and Signs
What is the recommended assisted ventilation rate for patients in respiratory arrest with a perfusing
rhythm?
10 to 12 breaths per minute
Ventilation Rates
After verifying unresponsiveness and abnormal breathing, you activate the emergency response team.
What is your next action?
Check for a pulse.
The BLS Survey
What is the immediate danger of excessive ventilation during the post-cardiac arrest period for patients
who achieve ROSC?
Decreased cerebral blood flow
Caution: Things to Avoid During Ventilation
What is the recommended energy dose for BIPHASIC synchronized cardioversion of atrial fibrillation?
120 to 200 J
Energy Doses for Cardioversion
How long should it take to perform a pulse check during the BLS Survey?
5 to 10 seconds
Which is a contraindication to nitroglycerin administration in the management of acute coronary
syndromes?
Right ventricular infarction and dysfunction
Administer Oxygen and Drugs: Nitroglycerin (Glyceryl Trinitrate)
RV infarction may complicate an inferior wall MI. Patients with acute RV infarction are very dependent
