Advanced Cardiovascular Life Support(ACLS exam A&B American Heart Association)updated & graded A+ (latest 2024/2025)

3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved return of spontaneous circulation in the field? A. Comprehensive stroke care unit B. Acute rehabilitation care unit C. Acute long-term care unit D. Coronary reperfusion–capable medical center ANSWERD. After return of spontaneous circulation in patients in whom coronary artery occlusion is suspected, providers should transport the patient to a facility capable of reliably providing coronary reperfusion (eg, percutaneous coronary intervention) and other goal-directed post–cardiac arrest care therapies. [ACLS Provider Manual, Part 2: Systems of Care Post–Cardiac Arrest Care Immediate Coronary Reperfusion With PCI; page 20] 4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? A. Slow, weak pulse rate B. Cyanosis C. Agonal gasps D. Irregular, weak pulse rate ANSWERC. Agonal gasps are not normal breathing. They are a sign of cardiac arrest. Agonal gasps may be present in the first minutes after sudden cardiac arrest. [ACLS Provider Manual, Part 4: The Systematic Approach The BLS Assessment Caution: Agonal Gasps; page 35] 5. Which type of atrioventricular block best describes this rhythm? A. Third-degree atrioventricular block B. Second-degree atrioventricular block type I C. First-degree atrioventricular block D. Second-degree atrioventricular block type II ANSWERB. This ECG rhythm strip shows second-degree atrioventricular block type I. [ACLS Provider Manual, Part 5: The ACLS Cases Bradycardia Case Rhythms for Bradycardia; page 121] 2 . . 6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? A. Once every 3 to 4 seconds B. Once every 5 to 6 seconds C. Once every 10 seconds D. Once every 12 seconds ANSWERB. For a patient in respiratory arrest with a pulse, deliver ventilations once every 5 to 6 seconds with a bag-mask device or any advanced airway. [ACLS Provider Manual, Part 5: The ACLS Cases Respiratory Arrest Case The BLS Assessment Ventilation and Pulse Check; page 46] 7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of an endotracheal tube? A. Arterial blood gases B. Chest radiography C. Continuous waveform capnography D. Hemoglobin levels ANSWERC. The AHA recommends continuous waveform capnography in addition to clinical assessment as the most reliable method of confirming and monitoring correct placement of an endotracheal tube. [ACLS Provider Manual, Part 5: The ACLS Cases Respiratory Arrest Case The Primary Assessment FYI 2015 Guidelines: Correct Placement of ET Tube; page 46] 8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy. Which treatment approach is best for this patient? A. Hold fibrinolytic therapy for 24 hours B. Start fibrinolytic therapy as soon as possible C. Order an echocardiogram before fibrinolytic administration D. Wait for the results of the MRI