1 |tPt at gt e
ACLS FINAL EXAM, ACTUAL || LATEST FULLYC
t t t t t t t
OVERED 2024- t
2025 UPDATE 250+ QUESTIONSAND 100% CORR
t t t t t t
ECT ANSWERS ALREADY GRADED A+|| COMPL
t t t t t
ETE VERSION WITH VERIFIED SOLUTIONS|| ASS
t t t t t
URED PASS!! t
If your patient is not experiencing decompensating symptomatic tachycardia (hypotensi
t t t t t t t t t
on, AMS, etc.) and the QRS is NOT wide (0.12 seconds or more), whatis/are the next step(
t t t t t t t t t t t t t t t t t
s). - ANSWER> -IV access and 12 lead EKG
t t t t t t t t
-Vagal maneuvers t
-Adenosine if regular t t
-BB or CCB t t
-Consider expert consultation t t
If your patient is not experiencing decompensating symptomatic tachycardia (hypotensi
t t t t t t t t t
on, AMS, etc.) and the QRS is wide (0.12 seconds or more), what is/arethe next step(s). -
t t t t t t t t t t t t t t t t t
ANSWER> -IV access and 12 lead EKG
t t t t t t t
-Consider adenosine only if regular and monomorphic
t t t t t t
-consider antiarrhythmic infusion t t
-consider expert consultation t t
Antiarrhythmic infusion options in the tachycardia algorithm - ANSWER> t t t t t t t t
procainamide, amiodarone, sotalol t t
Dosing of procainamide in the tachycardia algorithm - ANSWER> 20-
t t t t t t t t t
50mg/minuntil arrythmia suppressed, hypotension ensues, QRS duration increases >
t t t t t t t t t
50%, ormaximum dose of 17mg/kg is given
t t t t t t t
,2 |tPt at gt e
Maximum dose of procainamide in the tachycardia algorithm - ANSWER>
t t t t t t t t t
17mg/kg
rate of maintenance infusion of procainamide in the tachycardia algorithm -
t t t t t t t t t t
ANSWER> 1-4mg/min
t t
If your patient has these underlying conditions, procainamide should be avoided inthe set
t t t t t t t t t t t t t
ting of tachycardia - ANSWER> prolonged QT or CHF
t t t t t t t t
Dosing of amiodarone in the tachycardia algorithm -
t t t t t t t
ANSWER> first dose 150mgover 10 minutes, repeat PRN
t t t t t t t t t
After an amiodarone infusion has been given in the setting of tachycardia, it shouldbe fo
t t t t t t t t t t t t t t t
llowed with a maintenance infusion of 1 mg/min for the first
t t t hours - t t t t t t t t
ANSWER> 6
t t
Dosing of sotalol in the tachycardia algorithm -
t t t t t t t
ANSWER> 100mg (1.5mg/kg)over 5 mintues
t t t t t t
If you patient has this underlying condition, sotalol should be avoided in the settingof tach
t t t t t t t t t t t t t t t
ycardia - ANSWER> prolonged QT t t t t
A patient admitted to the ED with signs & symptoms of stroke. The stroke team should co
t t t t t t t t t t t t t t t t
mplete a comprehensive neurologic assessment and obtain brain imagingresults within
t t t t t t t t t t t
what time frame? - ANSWER> With in 20 mins
t t t t t t t t
A person suddenly collapses while sitting in the sunroom of a healthcare facility. Ahealth
t t t t t t t t t t t t t t
care provider observes the event and hurries over to assess the situation. Thehealthcare pr
t t t t t t t t t t t t t t
ovider performs which assessment first? - ANSWER> Rapid assessment
t t t t t t t t
,3 |tPt at gt e
A patient is receiving ventilation support via BVM resuscitator. Capnography is establis
t t t t t t t t t t t
hed & a blood gas is obtained to evaluate the adequacy of the ventilations.Which PaO2 val
t t t t t t t t t t t t t t t t
ue signifies adequate ventilations? - ANSWER> 35 - 45 mmHg
t t t t t t t t t
A patient experiences cardiac arrest & the resuscitation team initiates ventilationsusing
t t t t t t t t t t t t
a BVM resuscitator. The development of which condition during the provision care wo
t t t t t t t t t t t t
uld lead the team to suspect that improper BVM technique is being used? -
t t t t t t t t t t t t t
ANSWER> Pneumothorax
t t
A resuscitation team is debriefing following a recent event. A patient experienced cardi
t t t t t t t t t t t t
ac arrest & ALS was initiated. The patient required the placement of an advanced airwa
t t t t t t t t t t t t t t
y to maintain airway latency. Which statement indicates that the team performed high q
t t t t t t t t t t t t t
uality CPR? - ANSWER> We provided chest compressionsat a rate of 100-
t t t t t t t t t t t t
120 compressions/minute while giving 1 ventilation Q 6secs. without pausing compres
t t t t t t t t t t
sions.
Assessment of a patient reveals an ETCO2 level of 55mmHg & an SaO2 level of 88%. Th
t t t t t t t t t t t t t t t t
e provider would interpret these findings as indicative of which condition?
t t t t t t t t t t
- ANSWER> Respiratory failure
t t t
A responsive patient is choking. What method should the provider use first to clearthe obs
t t t t t t t t t t t t t t t
tructed airway? - ANSWER> Back blows
t t t t t
A patient arrives at the ED complaining of SOB. The patient has a long history ofCOP
t t t t t t t t t t t t t t t t
D. Assessment reveals respiratory failure. Which action would be the initial priority t
t t t t t t t t t t t t
o address the respiratory failure? -
t t t t t
ANSWER> Assisted ventilation withBVM resuscitator
t t t t t t
A 20YO man with respiratory depression is brought to the ED by his parents. Opioid O
t t t t t t t t t t t t t t t
D is suspected & an initial dose of naloxone is administered at 10pm. The
t t t t t t t t t t t t t
, 4 |tPt at gt e
patient doesn't not respond to this initial dose. The team would expect to administ
t t t t t t t t t t t t t
er a second dose after how many minutes? - ANSWER> 2 minutes
t t t t t t t t t t t
Assessment of a patient in the ED reveals that the patient is experiencing respiratory co
t t t t t t t t t t t t t t
mpromise. From the assessment, the team identifies that the patient isin the earliest stag
t t t t t t t t t t t t t t
e of this condition. Which stage would this be? - ANSWER> Respiratory distress
t t t t t t t t t t t t
The following capnogram is from a patient experiencing respiratory distress. Atwhich
t t t t t t t t t t t t
point in the waveform would the patient's ETCO2 level be measured? - ANSWER> D
t t t t t t t t t t t t t
Heart rates are typically _ t t t t if tachyarrhythmia -
t t
ANSWER> 150 orhigher
t t t t
Energy given for synchronized cardioversion if a narrow regular tachy rhythm ispresent (
t t t t t t t t t t t t t
e.g. atrial flutter. or SVT) - ANSWER> 50-100J
t t t t t t t
Energy given for synchronized cardioversion if a narrow irregular tachy rhythm isprese
t t t t t t t t t t t t
nt (e.g atrial fibrillation) - ANSWER> 120-200 J biphasic
t t t t t t t t
(200J if monophasic) t t
Energy given for synchronized cardioversion if a wide regular tachy rhythm ispresent (e.
t t t t t t t t t t t t t
g. VT with a pulse) - ANSWER> 100J
t t t t t t t
Energy given if a wide irregular tachy rhythm is present (e.g. VF or pVT) -
t t t t t t t t t t t t t t
ANSWER> defibrillation dose (not syncronized) 120-
t t t t t t
200J depending on manufacturer; 360J if monophasic
t t t t t t
ACLS FINAL EXAM, ACTUAL || LATEST FULLYC
t t t t t t t
OVERED 2024- t
2025 UPDATE 250+ QUESTIONSAND 100% CORR
t t t t t t
ECT ANSWERS ALREADY GRADED A+|| COMPL
t t t t t
ETE VERSION WITH VERIFIED SOLUTIONS|| ASS
t t t t t
URED PASS!! t
If your patient is not experiencing decompensating symptomatic tachycardia (hypotensi
t t t t t t t t t
on, AMS, etc.) and the QRS is NOT wide (0.12 seconds or more), whatis/are the next step(
t t t t t t t t t t t t t t t t t
s). - ANSWER> -IV access and 12 lead EKG
t t t t t t t t
-Vagal maneuvers t
-Adenosine if regular t t
-BB or CCB t t
-Consider expert consultation t t
If your patient is not experiencing decompensating symptomatic tachycardia (hypotensi
t t t t t t t t t
on, AMS, etc.) and the QRS is wide (0.12 seconds or more), what is/arethe next step(s). -
t t t t t t t t t t t t t t t t t
ANSWER> -IV access and 12 lead EKG
t t t t t t t
-Consider adenosine only if regular and monomorphic
t t t t t t
-consider antiarrhythmic infusion t t
-consider expert consultation t t
Antiarrhythmic infusion options in the tachycardia algorithm - ANSWER> t t t t t t t t
procainamide, amiodarone, sotalol t t
Dosing of procainamide in the tachycardia algorithm - ANSWER> 20-
t t t t t t t t t
50mg/minuntil arrythmia suppressed, hypotension ensues, QRS duration increases >
t t t t t t t t t
50%, ormaximum dose of 17mg/kg is given
t t t t t t t
,2 |tPt at gt e
Maximum dose of procainamide in the tachycardia algorithm - ANSWER>
t t t t t t t t t
17mg/kg
rate of maintenance infusion of procainamide in the tachycardia algorithm -
t t t t t t t t t t
ANSWER> 1-4mg/min
t t
If your patient has these underlying conditions, procainamide should be avoided inthe set
t t t t t t t t t t t t t
ting of tachycardia - ANSWER> prolonged QT or CHF
t t t t t t t t
Dosing of amiodarone in the tachycardia algorithm -
t t t t t t t
ANSWER> first dose 150mgover 10 minutes, repeat PRN
t t t t t t t t t
After an amiodarone infusion has been given in the setting of tachycardia, it shouldbe fo
t t t t t t t t t t t t t t t
llowed with a maintenance infusion of 1 mg/min for the first
t t t hours - t t t t t t t t
ANSWER> 6
t t
Dosing of sotalol in the tachycardia algorithm -
t t t t t t t
ANSWER> 100mg (1.5mg/kg)over 5 mintues
t t t t t t
If you patient has this underlying condition, sotalol should be avoided in the settingof tach
t t t t t t t t t t t t t t t
ycardia - ANSWER> prolonged QT t t t t
A patient admitted to the ED with signs & symptoms of stroke. The stroke team should co
t t t t t t t t t t t t t t t t
mplete a comprehensive neurologic assessment and obtain brain imagingresults within
t t t t t t t t t t t
what time frame? - ANSWER> With in 20 mins
t t t t t t t t
A person suddenly collapses while sitting in the sunroom of a healthcare facility. Ahealth
t t t t t t t t t t t t t t
care provider observes the event and hurries over to assess the situation. Thehealthcare pr
t t t t t t t t t t t t t t
ovider performs which assessment first? - ANSWER> Rapid assessment
t t t t t t t t
,3 |tPt at gt e
A patient is receiving ventilation support via BVM resuscitator. Capnography is establis
t t t t t t t t t t t
hed & a blood gas is obtained to evaluate the adequacy of the ventilations.Which PaO2 val
t t t t t t t t t t t t t t t t
ue signifies adequate ventilations? - ANSWER> 35 - 45 mmHg
t t t t t t t t t
A patient experiences cardiac arrest & the resuscitation team initiates ventilationsusing
t t t t t t t t t t t t
a BVM resuscitator. The development of which condition during the provision care wo
t t t t t t t t t t t t
uld lead the team to suspect that improper BVM technique is being used? -
t t t t t t t t t t t t t
ANSWER> Pneumothorax
t t
A resuscitation team is debriefing following a recent event. A patient experienced cardi
t t t t t t t t t t t t
ac arrest & ALS was initiated. The patient required the placement of an advanced airwa
t t t t t t t t t t t t t t
y to maintain airway latency. Which statement indicates that the team performed high q
t t t t t t t t t t t t t
uality CPR? - ANSWER> We provided chest compressionsat a rate of 100-
t t t t t t t t t t t t
120 compressions/minute while giving 1 ventilation Q 6secs. without pausing compres
t t t t t t t t t t
sions.
Assessment of a patient reveals an ETCO2 level of 55mmHg & an SaO2 level of 88%. Th
t t t t t t t t t t t t t t t t
e provider would interpret these findings as indicative of which condition?
t t t t t t t t t t
- ANSWER> Respiratory failure
t t t
A responsive patient is choking. What method should the provider use first to clearthe obs
t t t t t t t t t t t t t t t
tructed airway? - ANSWER> Back blows
t t t t t
A patient arrives at the ED complaining of SOB. The patient has a long history ofCOP
t t t t t t t t t t t t t t t t
D. Assessment reveals respiratory failure. Which action would be the initial priority t
t t t t t t t t t t t t
o address the respiratory failure? -
t t t t t
ANSWER> Assisted ventilation withBVM resuscitator
t t t t t t
A 20YO man with respiratory depression is brought to the ED by his parents. Opioid O
t t t t t t t t t t t t t t t
D is suspected & an initial dose of naloxone is administered at 10pm. The
t t t t t t t t t t t t t
, 4 |tPt at gt e
patient doesn't not respond to this initial dose. The team would expect to administ
t t t t t t t t t t t t t
er a second dose after how many minutes? - ANSWER> 2 minutes
t t t t t t t t t t t
Assessment of a patient in the ED reveals that the patient is experiencing respiratory co
t t t t t t t t t t t t t t
mpromise. From the assessment, the team identifies that the patient isin the earliest stag
t t t t t t t t t t t t t t
e of this condition. Which stage would this be? - ANSWER> Respiratory distress
t t t t t t t t t t t t
The following capnogram is from a patient experiencing respiratory distress. Atwhich
t t t t t t t t t t t t
point in the waveform would the patient's ETCO2 level be measured? - ANSWER> D
t t t t t t t t t t t t t
Heart rates are typically _ t t t t if tachyarrhythmia -
t t
ANSWER> 150 orhigher
t t t t
Energy given for synchronized cardioversion if a narrow regular tachy rhythm ispresent (
t t t t t t t t t t t t t
e.g. atrial flutter. or SVT) - ANSWER> 50-100J
t t t t t t t
Energy given for synchronized cardioversion if a narrow irregular tachy rhythm isprese
t t t t t t t t t t t t
nt (e.g atrial fibrillation) - ANSWER> 120-200 J biphasic
t t t t t t t t
(200J if monophasic) t t
Energy given for synchronized cardioversion if a wide regular tachy rhythm ispresent (e.
t t t t t t t t t t t t t
g. VT with a pulse) - ANSWER> 100J
t t t t t t t
Energy given if a wide irregular tachy rhythm is present (e.g. VF or pVT) -
t t t t t t t t t t t t t t
ANSWER> defibrillation dose (not syncronized) 120-
t t t t t t
200J depending on manufacturer; 360J if monophasic
t t t t t t
