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