ACLS EMERGENCY CARDIAC CARE ACTUAL EXAM 2025 ,81 QUESTIONS WITH
VERIFIED ACCURATE ANSWERS
1. For STEMI patients, which best describes the recommended maximum
goal time for emergency department door-to-balloon inflation time
for
percutaneous coronary intervention?
180 minutes
150 minutes
120 minutes
90 minutes
2. A patient presents with persistent pulseless ventricular tachycardia.
After shocking the patient and resuming CPR, what should the
medical team do next if the patient remains unresponsive?
Administer a second shock immediately.
Administer epinephrine 1mg IV.
Perform a rapid neurologic assessment.
Consider intubation for airway management.
3. A patient has just regained ROSC after a cardiac arrest. You are in a
busy emergency department. What steps would you prioritize next to
ensure optimal care for this patient, based on the Adult Post-Cardiac
Arrest Care Algorithm?
Immediately transfer the patient to the intensive care unit without
, further assessment.
Conduct a thorough neurologic assessment and establish IV
access for medication administration.
Continue monitoring the patient without any interventions.
Administer high doses of epinephrine to maintain blood
pressure. Resume CPR to ensure the patient remains stable.
,4. Depending on how Mrs. Coleman responds to fluid therapy, the team
may need to initiate vasopressor infusion with epinephrine,
norepinephrine or dopamine. What is the appropriate dose for
epinephrine?
2-10 mcg/min by IV infusion
1 mcg/kg/min by IV
infusion 5 mcg/kg/min by
IV infusion
5-10 mcg/kg/min by IV infusion
5. A patient presents with STEMI and is experiencing severe
hypotension. Which of the following actions should be prioritized
in the emergency response to improve the patient's condition?
Administering fibrinolytic therapy
immediately Initiating targeted
temperature management
Establishing IV access and administering fluids
Performing a neurologic assessment first
6. What is one of the critical actions that should be performed
immediately after delivering a shock during a cardiac emergency?
Administer epinephrine
Establish IV/IO access
, Perform a neurologic
assessment Initiate fibrinolytic
therapy
7. What is the recommended action to take after confirming signs of
Return of Spontaneous Circulation (ROSC) in a patient following
CPR?
Resume CPR and repeat the steps of the PEA
pathway Administer another dose of 1mg of
epinephrine
Move to the Adult Post-Cardiac Arrest Care Algorithm
VERIFIED ACCURATE ANSWERS
1. For STEMI patients, which best describes the recommended maximum
goal time for emergency department door-to-balloon inflation time
for
percutaneous coronary intervention?
180 minutes
150 minutes
120 minutes
90 minutes
2. A patient presents with persistent pulseless ventricular tachycardia.
After shocking the patient and resuming CPR, what should the
medical team do next if the patient remains unresponsive?
Administer a second shock immediately.
Administer epinephrine 1mg IV.
Perform a rapid neurologic assessment.
Consider intubation for airway management.
3. A patient has just regained ROSC after a cardiac arrest. You are in a
busy emergency department. What steps would you prioritize next to
ensure optimal care for this patient, based on the Adult Post-Cardiac
Arrest Care Algorithm?
Immediately transfer the patient to the intensive care unit without
, further assessment.
Conduct a thorough neurologic assessment and establish IV
access for medication administration.
Continue monitoring the patient without any interventions.
Administer high doses of epinephrine to maintain blood
pressure. Resume CPR to ensure the patient remains stable.
,4. Depending on how Mrs. Coleman responds to fluid therapy, the team
may need to initiate vasopressor infusion with epinephrine,
norepinephrine or dopamine. What is the appropriate dose for
epinephrine?
2-10 mcg/min by IV infusion
1 mcg/kg/min by IV
infusion 5 mcg/kg/min by
IV infusion
5-10 mcg/kg/min by IV infusion
5. A patient presents with STEMI and is experiencing severe
hypotension. Which of the following actions should be prioritized
in the emergency response to improve the patient's condition?
Administering fibrinolytic therapy
immediately Initiating targeted
temperature management
Establishing IV access and administering fluids
Performing a neurologic assessment first
6. What is one of the critical actions that should be performed
immediately after delivering a shock during a cardiac emergency?
Administer epinephrine
Establish IV/IO access
, Perform a neurologic
assessment Initiate fibrinolytic
therapy
7. What is the recommended action to take after confirming signs of
Return of Spontaneous Circulation (ROSC) in a patient following
CPR?
Resume CPR and repeat the steps of the PEA
pathway Administer another dose of 1mg of
epinephrine
Move to the Adult Post-Cardiac Arrest Care Algorithm
