ACLS EXAM A QUESTIONS AND
THEIR CORRECT SOLUTIONS
D. Noncontrast CT scan of the head
Which of these tests should be performed for a patient
with suspected stroke as soon as possible but no more
than 20 minutes after hospital arrival?
A. 12-lead ECG
B. Cardiac enzymes
C. Coagulation studies
D. Noncontrast CT scan of the head
A. Monomorphic ventricular tachycardia
Which describes this rhythm?
A. Monomorphic ventricular tachycardia
B. Polymorphic ventricular tachycardia
C. Supraventricular tachycardia
D. Ventricular fibrillation
A. Measure from the corner of the mouth to the angle
of the mandible
Which is an acceptable method of selecting an
appropriately sized oropharyngeal airway?
A. Measure from the corner of the mouth to the angle of
the mandible
B. Measure from the thyroid cartilage to the bottom of the
earlobe
,C. Estimate by using the formula weight (KG)/8 + 2
D. Estimate by using the size of the patient's finger
B. Give fibrinolytic therapy as soon as possible and
consider endovascular therapy
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. Give fibrinolytic therapy as soon as possible and
consider endovascular therapy
C. Order an echocardiogram before fibrinolytic
administration
D. Wait for the results of the MRI
D. Resume CPR, starting with chest compressions
Which is the recommended next step after a defibrillation
attempt?
A. Check the ECG for evidence of a rhythm
B. Open the patient's airway
C. Determine if a carotid pulse is present
D. Resume CPR, starting with chest compressions
C. Agonal gasps
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
C. Obtaining a 12-lead ECG
You are evaluating a 58-year-old man with chest
discomfort. His blood pressure is 92/50 mm Hg, his heart
rate is 92/min, his nonlabored respiratory rate is 14
breaths/min, and his pulse oximetry reading is 97%. Which
assessment step is the most important now?
A. Evaluating the PETCO2 reading
B. Requesting a chest x-ray
C. Obtaining a 12-lead ECG
D. Requesting laboratory testing
B. At least 24 hours
During post-cardiac arrest care, which is the
recommended duration of targeted temperature
management after reaching the correct temperature
range?
A. 0 to 8 hours
B. At least 24 hours
C. At least 36 hours
D. At least 48 hours
B. second-degree atrioventricular block type I
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
B. Check the patient's breathing and pulse
THEIR CORRECT SOLUTIONS
D. Noncontrast CT scan of the head
Which of these tests should be performed for a patient
with suspected stroke as soon as possible but no more
than 20 minutes after hospital arrival?
A. 12-lead ECG
B. Cardiac enzymes
C. Coagulation studies
D. Noncontrast CT scan of the head
A. Monomorphic ventricular tachycardia
Which describes this rhythm?
A. Monomorphic ventricular tachycardia
B. Polymorphic ventricular tachycardia
C. Supraventricular tachycardia
D. Ventricular fibrillation
A. Measure from the corner of the mouth to the angle
of the mandible
Which is an acceptable method of selecting an
appropriately sized oropharyngeal airway?
A. Measure from the corner of the mouth to the angle of
the mandible
B. Measure from the thyroid cartilage to the bottom of the
earlobe
,C. Estimate by using the formula weight (KG)/8 + 2
D. Estimate by using the size of the patient's finger
B. Give fibrinolytic therapy as soon as possible and
consider endovascular therapy
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. Give fibrinolytic therapy as soon as possible and
consider endovascular therapy
C. Order an echocardiogram before fibrinolytic
administration
D. Wait for the results of the MRI
D. Resume CPR, starting with chest compressions
Which is the recommended next step after a defibrillation
attempt?
A. Check the ECG for evidence of a rhythm
B. Open the patient's airway
C. Determine if a carotid pulse is present
D. Resume CPR, starting with chest compressions
C. Agonal gasps
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
C. Obtaining a 12-lead ECG
You are evaluating a 58-year-old man with chest
discomfort. His blood pressure is 92/50 mm Hg, his heart
rate is 92/min, his nonlabored respiratory rate is 14
breaths/min, and his pulse oximetry reading is 97%. Which
assessment step is the most important now?
A. Evaluating the PETCO2 reading
B. Requesting a chest x-ray
C. Obtaining a 12-lead ECG
D. Requesting laboratory testing
B. At least 24 hours
During post-cardiac arrest care, which is the
recommended duration of targeted temperature
management after reaching the correct temperature
range?
A. 0 to 8 hours
B. At least 24 hours
C. At least 36 hours
D. At least 48 hours
B. second-degree atrioventricular block type I
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
B. Check the patient's breathing and pulse
