AHA ACLS Written Test 2024-2025
Edition Questions & Correct Verified
Answers. (100% Correct). Graded A+
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube
while another performs continuous chest comressions. During subsequent bentilation,
you notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8
mm Hg. What is the significance of this finding? - ANSChest compressions may not be
effective.
A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been taking
antacids PO for the past 6 hours because she she had heartburn. BP is 118/72, heart
rate is 92/min, resp. rate is 14 non-labored and O2 sat is 96%. What is the most
appropriate next action? - ANSObtain a 12 lead ECG.
A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB. BP is
142/98, pulse rate is 200/min, reps rate is 14/min, O2 sats are 95 at room air. What
should be the next evaluation? - ANSObtain a 12 lead ECG.
A 68 y/o female pt. experienced a sudden onset of right arm weakness. BP is 140/90,
pulse is 78/min, resp rate is non-labored 14/min, 02 sat is 97%. Lead 2 in the ECG
shows a sinus rythm. What would be your next action? - ANSCinncinati Stroke Scale
A monitored pt. in the ICU developed a suddent onset of narrow complex tach at a rate
of 220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%.
There is an EJ established for vascular access. The pt. denies taking any vasodialators.
A 12 lead shows no ischemia or infarction. Vagal manuevers are ineffective. What is the
next intervention? - ANSAdenosine 12mg IV
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp. rate is 18,
O2 sat is 98%. This is a reg narrow complex tach rythm. What is the next intervention? -
ANSVagal manuever.
A pt. in respiratory failure becomes apneic but contineues to have a strong pulse. The
heart rate is dropping paridly and now shows a sinus brady rate at 30/min. What
intervention has the highest priority? - ANSSimple airway manuevers and assisted
ventilations.
A pt. presents to the ER with a new onset of dizziness and fatugue. Onexamination, the
pt's heart rate is 35 beats/min, BP is 70/50, resp. rate is 22 per min, O2 sat is 95%.
What is the appropriate 1st medication? - ANSAtropine 0.5mg
, A pt. presents to the ER with dizziness and SOB with a sinus brady of 40/min. The initial
atropine dose was ineffective and your monitor does not provide TCP. What is the
appropriate dose of Dopamine for this pt? - ANS2-10mcg/kg/min
An AED does not promptly analyze a rythm. What is your next step? - ANSBegin chest
compressions.
Choose an appropriate inidication to stop or withhold resuscitive efforts. - ANSEvidence
of rigor mortis.
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no
pulse. What is the next action? - ANSResume compressions
During your assessment, your pt suddenly loses consciousness. After calling for help
and determining that the pt. is not breathing, you are unsure whether the pt. has a
pulse. What is your next action? - ANSBegin chest compressions.
For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally
presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which
has persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your
next treatment? - ANSConsider terminating resuscitive efforts after consulting medical
control.
The use of quantitative capnography in intubated pt's does what? - ANSAllowsfor
monitoring CPR quality
What action is recommended to help minimize interruptions in chest compressions
during CPR? - ANSContinue CPR while charging the defibrillator.
What is acommon but sometimes fatal mistake in cardiac arrest management? -
ANSProlonged interruptions in chest compressions.
What is an advantage of using hands-free d-fib pads instead of d-fib paddles? -
ANSHands-free allows for more rapid d-fib.
What is the 1st treatment priority for a pt. who achieves ROSC? - ANSOptimizing
ventilation and oxygenation.
What is the appropriate intervalfor an interruption in chest compressions? - ANS10
seconds or less
What is the appropriate procedure for ET suctioning after the catheter is selected? -
ANSSuction during withdrawl, but not for longer than 10 seconds.
Edition Questions & Correct Verified
Answers. (100% Correct). Graded A+
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube
while another performs continuous chest comressions. During subsequent bentilation,
you notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8
mm Hg. What is the significance of this finding? - ANSChest compressions may not be
effective.
A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been taking
antacids PO for the past 6 hours because she she had heartburn. BP is 118/72, heart
rate is 92/min, resp. rate is 14 non-labored and O2 sat is 96%. What is the most
appropriate next action? - ANSObtain a 12 lead ECG.
A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB. BP is
142/98, pulse rate is 200/min, reps rate is 14/min, O2 sats are 95 at room air. What
should be the next evaluation? - ANSObtain a 12 lead ECG.
A 68 y/o female pt. experienced a sudden onset of right arm weakness. BP is 140/90,
pulse is 78/min, resp rate is non-labored 14/min, 02 sat is 97%. Lead 2 in the ECG
shows a sinus rythm. What would be your next action? - ANSCinncinati Stroke Scale
A monitored pt. in the ICU developed a suddent onset of narrow complex tach at a rate
of 220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%.
There is an EJ established for vascular access. The pt. denies taking any vasodialators.
A 12 lead shows no ischemia or infarction. Vagal manuevers are ineffective. What is the
next intervention? - ANSAdenosine 12mg IV
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp. rate is 18,
O2 sat is 98%. This is a reg narrow complex tach rythm. What is the next intervention? -
ANSVagal manuever.
A pt. in respiratory failure becomes apneic but contineues to have a strong pulse. The
heart rate is dropping paridly and now shows a sinus brady rate at 30/min. What
intervention has the highest priority? - ANSSimple airway manuevers and assisted
ventilations.
A pt. presents to the ER with a new onset of dizziness and fatugue. Onexamination, the
pt's heart rate is 35 beats/min, BP is 70/50, resp. rate is 22 per min, O2 sat is 95%.
What is the appropriate 1st medication? - ANSAtropine 0.5mg
, A pt. presents to the ER with dizziness and SOB with a sinus brady of 40/min. The initial
atropine dose was ineffective and your monitor does not provide TCP. What is the
appropriate dose of Dopamine for this pt? - ANS2-10mcg/kg/min
An AED does not promptly analyze a rythm. What is your next step? - ANSBegin chest
compressions.
Choose an appropriate inidication to stop or withhold resuscitive efforts. - ANSEvidence
of rigor mortis.
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no
pulse. What is the next action? - ANSResume compressions
During your assessment, your pt suddenly loses consciousness. After calling for help
and determining that the pt. is not breathing, you are unsure whether the pt. has a
pulse. What is your next action? - ANSBegin chest compressions.
For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally
presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which
has persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your
next treatment? - ANSConsider terminating resuscitive efforts after consulting medical
control.
The use of quantitative capnography in intubated pt's does what? - ANSAllowsfor
monitoring CPR quality
What action is recommended to help minimize interruptions in chest compressions
during CPR? - ANSContinue CPR while charging the defibrillator.
What is acommon but sometimes fatal mistake in cardiac arrest management? -
ANSProlonged interruptions in chest compressions.
What is an advantage of using hands-free d-fib pads instead of d-fib paddles? -
ANSHands-free allows for more rapid d-fib.
What is the 1st treatment priority for a pt. who achieves ROSC? - ANSOptimizing
ventilation and oxygenation.
What is the appropriate intervalfor an interruption in chest compressions? - ANS10
seconds or less
What is the appropriate procedure for ET suctioning after the catheter is selected? -
ANSSuction during withdrawl, but not for longer than 10 seconds.
