1
(ACLS VERIFIED)
ACLS WRITTEN EXAM SET OF QUESTIONS AND CORRECT
ANSWERS ALEADY GRADED A+ GUARANTEED SUCCESS
What is the preferred method of access for epi administration during cardiac arrest in most pts?
Peripheral IV
A 49-year-old woman arrives in the emergency department with persistent epigastric pain. She
had been taking oral antacids for the past 6 hours because she thought she had heartburn. The
initial blood pressure is 118/72 mm Hg, the heart rate is 92/min and regular, the nonlabored
respiratory rate is 14 breaths/min, and the pulse oximetry reading is 96%. Which is the most
appropriate intervention to perform next?
Obtain a 12 lead ECG.
A patient in respiratory failure becomes apneic but continues to have a strong pulse. The heart
rate is dropping rapidly and now shows a sinus bradycardia at a rate of 30/min. What
intervention has the highest priority?
Simple airway manuevers and assisted ventilations.
An AED does not promptly analyze a rythm. What is your next step?
Begin chest compressions.
What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter
is selected?
Suction during withdrawal but for no longer than 10 seconds.
You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and
the patient has no pulse. Another member of your team resumes chest compressions, and an IV is
in place. What management step is your next priority?
Administer 1mg of epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no
pulse. What is the next action?
Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest management?
Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions?
lowing complete chest recoil
, 2
(ACLS VERIFIED)
Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal
tube while another performs continuous chest compressions. During subsequent ventilation, you
notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg.
What is the significance of this finding?
Chest compressions may not be effective.
The use of quantitative capnography in intubated patients
allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who originally
presented in ventricular fibrillation. After the first shock, the ECG screen displayed asystole,
which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is
your next treatment?
Consider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence?
Be sure oxygen is not blowing over the patient's chest during the shock.
During your assessment, your patient suddenly loses consciousness. After calling for help and
determining that the patient is not breathing, you are unsure whether the patient has a pulse.
What is your next action?
Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles?
Hands-free pads allow for a more rapid defibrillation.
What action is recommended to help minimize interruptions in chest compressions during CPR?
Continue CPR while charging the defibrillator.
Which action is included in the BLS survey?
Early defibrillation
Which drug and dose are recommended for the management of a patient in refractory ventricular
fibrillation?
Amioderone 300mg
What is the appropriate interval for an interruption in chest compressions?
10 seconds or less
Which of the following is a sign of effective CPR?
PETCO2 ≥10 mm Hg
(ACLS VERIFIED)
ACLS WRITTEN EXAM SET OF QUESTIONS AND CORRECT
ANSWERS ALEADY GRADED A+ GUARANTEED SUCCESS
What is the preferred method of access for epi administration during cardiac arrest in most pts?
Peripheral IV
A 49-year-old woman arrives in the emergency department with persistent epigastric pain. She
had been taking oral antacids for the past 6 hours because she thought she had heartburn. The
initial blood pressure is 118/72 mm Hg, the heart rate is 92/min and regular, the nonlabored
respiratory rate is 14 breaths/min, and the pulse oximetry reading is 96%. Which is the most
appropriate intervention to perform next?
Obtain a 12 lead ECG.
A patient in respiratory failure becomes apneic but continues to have a strong pulse. The heart
rate is dropping rapidly and now shows a sinus bradycardia at a rate of 30/min. What
intervention has the highest priority?
Simple airway manuevers and assisted ventilations.
An AED does not promptly analyze a rythm. What is your next step?
Begin chest compressions.
What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter
is selected?
Suction during withdrawal but for no longer than 10 seconds.
You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and
the patient has no pulse. Another member of your team resumes chest compressions, and an IV is
in place. What management step is your next priority?
Administer 1mg of epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no
pulse. What is the next action?
Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest management?
Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions?
lowing complete chest recoil
, 2
(ACLS VERIFIED)
Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal
tube while another performs continuous chest compressions. During subsequent ventilation, you
notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg.
What is the significance of this finding?
Chest compressions may not be effective.
The use of quantitative capnography in intubated patients
allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who originally
presented in ventricular fibrillation. After the first shock, the ECG screen displayed asystole,
which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is
your next treatment?
Consider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence?
Be sure oxygen is not blowing over the patient's chest during the shock.
During your assessment, your patient suddenly loses consciousness. After calling for help and
determining that the patient is not breathing, you are unsure whether the patient has a pulse.
What is your next action?
Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles?
Hands-free pads allow for a more rapid defibrillation.
What action is recommended to help minimize interruptions in chest compressions during CPR?
Continue CPR while charging the defibrillator.
Which action is included in the BLS survey?
Early defibrillation
Which drug and dose are recommended for the management of a patient in refractory ventricular
fibrillation?
Amioderone 300mg
What is the appropriate interval for an interruption in chest compressions?
10 seconds or less
Which of the following is a sign of effective CPR?
PETCO2 ≥10 mm Hg
