ACLS FINAL EXAM
Actual Questions and Answers
Expert-Verified explanation
This ACLS Certification Exam contains:
❖ The ACLS Certification Exam has passing score of 90%
❖ 50 Questions and Answers
❖ format set of multiple-choice
❖ Expert-Verified explanation
❖ Verified with trusted textbooks
,### 1. A patient is being treated in the emergency department and is determined
to have NSTE-ACS. Invasive management is planned based on which finding?
- A) Ventricular Tachycardia
- B) Atrial Fibrillation
- C) Ventricular Fibrillation
- D) Atrial Tachycardia: Ventricular Tachycardia
**Answer: A) Ventricular Tachycardia**
**Expert Explanation:** In patients diagnosed with Non-ST-Segment Elevation
Acute Coronary Syndrome (NSTE-ACS), the presence of ventricular tachycardia is a
strong indicator for invasive management, as it signifies a higher risk of cardiac
events and requires immediate intervention to stabilize the patient and prevent
further complications.
---
### 2. A healthcare provider is establishing cardiac monitoring using a five-
electrode system. The healthcare provider demonstrates proper use of the system
by placing the green electrode in which location?
- A) Under the left clavicle at the midclavicular line
- B) At the 4th intercostal space, right sternal border
- C) On the lower right abdomen
- D) On the lower left abdomen: On the lower RIGHT abdomen
**Answer: D) On the lower RIGHT abdomen**
**Expert Explanation:** In a standard five-electrode placement for cardiac
monitoring, the green electrode (ground) is typically placed on the right abdomen.
Correct placement is crucial for accurate ECG readings and minimizing
electromagnetic interference.
---
### 3. The stroke team is assessing a patient with a suspected stroke. The patient
is alert and able to carry on a conversation, although the patient has difficulty
getting the words out. Testing confirms that the patient has had an ischemic
stroke. Based on the patient's medical history, a history of which arrhythmia
would alert the team to the patient's increased risk for stroke?
, - A) Atrial tachycardia
- B) Atrial fibrillation
- C) Ventricular fibrillation
- D) Bradycardia: Atrial Fibrillation
**Answer: B) Atrial Fibrillation**
**Expert Explanation:** Atrial fibrillation is a known risk factor for ischemic
strokes due to the potential for blood clots to form in the left atrial appendage,
which can then travel to the brain. Patients with a history of atrial fibrillation
require careful monitoring for stroke signs.
---
### 4. A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag-valve-mask (BVM) resuscitator. The development of which
condition during the provision of care would lead the team to suspect that
improper BVM technique is being used?
- A) Hypertension
- B) Pneumothorax
- C) Rib Fracture
- D) Esophageal Injury: Pneumothorax
**Answer: B) Pneumothorax**
**Expert Explanation:** The occurrence of a pneumothorax during bag-valve-
mask ventilation suggests improper technique, typically from excessive pressure
or improper mask seal, leading to air entering the pleural space. Monitoring for
signs of pneumothorax is crucial for appropriate resuscitation care.
---
### 5. A patient presents to the emergency department with mild to moderate
recurrent chest pain, without any nausea or vomiting. A 12-lead ECG is obtained
and shows ST-segment depression with transient T-wave elevation indicative of
NSTE-ACS. Cardiac enzyme levels are obtained and are not elevated. These
findings suggest which condition?
- A) Non-STEMI
- B) Myocardial Infarction
Actual Questions and Answers
Expert-Verified explanation
This ACLS Certification Exam contains:
❖ The ACLS Certification Exam has passing score of 90%
❖ 50 Questions and Answers
❖ format set of multiple-choice
❖ Expert-Verified explanation
❖ Verified with trusted textbooks
,### 1. A patient is being treated in the emergency department and is determined
to have NSTE-ACS. Invasive management is planned based on which finding?
- A) Ventricular Tachycardia
- B) Atrial Fibrillation
- C) Ventricular Fibrillation
- D) Atrial Tachycardia: Ventricular Tachycardia
**Answer: A) Ventricular Tachycardia**
**Expert Explanation:** In patients diagnosed with Non-ST-Segment Elevation
Acute Coronary Syndrome (NSTE-ACS), the presence of ventricular tachycardia is a
strong indicator for invasive management, as it signifies a higher risk of cardiac
events and requires immediate intervention to stabilize the patient and prevent
further complications.
---
### 2. A healthcare provider is establishing cardiac monitoring using a five-
electrode system. The healthcare provider demonstrates proper use of the system
by placing the green electrode in which location?
- A) Under the left clavicle at the midclavicular line
- B) At the 4th intercostal space, right sternal border
- C) On the lower right abdomen
- D) On the lower left abdomen: On the lower RIGHT abdomen
**Answer: D) On the lower RIGHT abdomen**
**Expert Explanation:** In a standard five-electrode placement for cardiac
monitoring, the green electrode (ground) is typically placed on the right abdomen.
Correct placement is crucial for accurate ECG readings and minimizing
electromagnetic interference.
---
### 3. The stroke team is assessing a patient with a suspected stroke. The patient
is alert and able to carry on a conversation, although the patient has difficulty
getting the words out. Testing confirms that the patient has had an ischemic
stroke. Based on the patient's medical history, a history of which arrhythmia
would alert the team to the patient's increased risk for stroke?
, - A) Atrial tachycardia
- B) Atrial fibrillation
- C) Ventricular fibrillation
- D) Bradycardia: Atrial Fibrillation
**Answer: B) Atrial Fibrillation**
**Expert Explanation:** Atrial fibrillation is a known risk factor for ischemic
strokes due to the potential for blood clots to form in the left atrial appendage,
which can then travel to the brain. Patients with a history of atrial fibrillation
require careful monitoring for stroke signs.
---
### 4. A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag-valve-mask (BVM) resuscitator. The development of which
condition during the provision of care would lead the team to suspect that
improper BVM technique is being used?
- A) Hypertension
- B) Pneumothorax
- C) Rib Fracture
- D) Esophageal Injury: Pneumothorax
**Answer: B) Pneumothorax**
**Expert Explanation:** The occurrence of a pneumothorax during bag-valve-
mask ventilation suggests improper technique, typically from excessive pressure
or improper mask seal, leading to air entering the pleural space. Monitoring for
signs of pneumothorax is crucial for appropriate resuscitation care.
---
### 5. A patient presents to the emergency department with mild to moderate
recurrent chest pain, without any nausea or vomiting. A 12-lead ECG is obtained
and shows ST-segment depression with transient T-wave elevation indicative of
NSTE-ACS. Cardiac enzyme levels are obtained and are not elevated. These
findings suggest which condition?
- A) Non-STEMI
- B) Myocardial Infarction
