ACLS EXAM QUESTIONS WITH COMPLETE SOLUTIONS VERIFIED
AND GRADED A+
What is a common but sometimes fatal mistake in cardiac arrest management?
Prolonged interruption in chest compressions
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?
Obtaining a 12-lead ECG
What is the preferred method of access for epinephrine administration during
cardiac arrest in most patients?
Peripheral intrvenous
An activated AED does not promptly analyze the rhythm. What is your next
action?
Begin chest compressions
3 mins after witnessing a cardiac arrest, 1 member inserts an ET tube while
another performs chest compress. During subsequent ventilation, you notice the
presence of a waveform on the capnography screen and a PETCO2 level of 8 mm
Hg. What does this mean?
Chest compressions may not be effective
The use of quantitative capnography in intubated patients
allows for monitoring of CPR quality
For 25 minutes, an EMS crew has attempted resuscitation of a pt who presented
in V Fib. 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 next?
Consider terminating resuscitative efforts after consulting medical control
Which is a safe and effective practice within the defibrillation sequence?
Be sure oxygen is not blowing over the patient's chest during the shock
, D. Commandingly announce "clear" after you deliver the defibrillation shock.
What is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)?
Identifying and treating early clinical deterioration
Choose an appropriate indication to stop or withhold resuscitative efforts.
Evidence of igor mortis
What is the first treatment priority for a patient who achieves ROSC?
Optimizing ventilation and oxygenating
What is the minimum systolic blood pressure one should attempt to achieve with
fluid, inotropic, or vasopressor administration in a hypotensive post-cardiac
arrest patient who achieves ROSC?
90mm Hg
What is the potential danger of using ties that pass circumferentially around the
patient's neck when securing an advanced airway?
Obstruction of venous return from the brain
What is the most reliable method of confirming and monitoring correct placement
of an endotracheal tube?
Continuous waveform capnoraphy
What is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose
for a patient who achieves ROSC but is hypotensive during the post-cardiac
arrest period?
1 to 2 L
Which condition is a contraindication to therapeutic hypothermia during the post
arrest cardiac period for patients who achieve return of post arrest spontaneous
circulation (ROSC)?
Responding to verbal commands
Choose an appropriate indication to stop or withhold resuscitative efforts.
Evidence of rigor mortis.
What is the usual poet-cardiac target range for PETCO2 when ventilating a patient
who achieves return of post arrest spontaneous circulation (ROSC)?
...
AND GRADED A+
What is a common but sometimes fatal mistake in cardiac arrest management?
Prolonged interruption in chest compressions
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?
Obtaining a 12-lead ECG
What is the preferred method of access for epinephrine administration during
cardiac arrest in most patients?
Peripheral intrvenous
An activated AED does not promptly analyze the rhythm. What is your next
action?
Begin chest compressions
3 mins after witnessing a cardiac arrest, 1 member inserts an ET tube while
another performs chest compress. During subsequent ventilation, you notice the
presence of a waveform on the capnography screen and a PETCO2 level of 8 mm
Hg. What does this mean?
Chest compressions may not be effective
The use of quantitative capnography in intubated patients
allows for monitoring of CPR quality
For 25 minutes, an EMS crew has attempted resuscitation of a pt who presented
in V Fib. 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 next?
Consider terminating resuscitative efforts after consulting medical control
Which is a safe and effective practice within the defibrillation sequence?
Be sure oxygen is not blowing over the patient's chest during the shock
, D. Commandingly announce "clear" after you deliver the defibrillation shock.
What is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)?
Identifying and treating early clinical deterioration
Choose an appropriate indication to stop or withhold resuscitative efforts.
Evidence of igor mortis
What is the first treatment priority for a patient who achieves ROSC?
Optimizing ventilation and oxygenating
What is the minimum systolic blood pressure one should attempt to achieve with
fluid, inotropic, or vasopressor administration in a hypotensive post-cardiac
arrest patient who achieves ROSC?
90mm Hg
What is the potential danger of using ties that pass circumferentially around the
patient's neck when securing an advanced airway?
Obstruction of venous return from the brain
What is the most reliable method of confirming and monitoring correct placement
of an endotracheal tube?
Continuous waveform capnoraphy
What is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose
for a patient who achieves ROSC but is hypotensive during the post-cardiac
arrest period?
1 to 2 L
Which condition is a contraindication to therapeutic hypothermia during the post
arrest cardiac period for patients who achieve return of post arrest spontaneous
circulation (ROSC)?
Responding to verbal commands
Choose an appropriate indication to stop or withhold resuscitative efforts.
Evidence of rigor mortis.
What is the usual poet-cardiac target range for PETCO2 when ventilating a patient
who achieves return of post arrest spontaneous circulation (ROSC)?
...
