A+ Graded Paper
ACLS Final Exam - Lecturer Questions & Verified
AHA-Style Answers (Graded A)
Questions and Mark scheme
Version: Final 1.1
, 37. A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm. Which is the appropriate
treatment? - ✔✔C) Defibrillation
38. Which of these tests should be performed for a patient with suspected stroke within 25 minutes of hospital arrival? -
✔✔D) Noncontrast CT scan of the head.
39. What is the minimum systolic blood pressure one should attempt to achieve with fluid administration or vasoactive
agents in a hypotensive post-cardiac arrest patient who achieves return of spontaneous circulation? - ✔✔D) 90 mm Hg.
40. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm shown here, and the patient has
no pulse. Another member of your team resumes chest compressions, and an IV is in place. What do you do next? -
✔✔C) Give epinephrine 1 mg IV.
41. Based on this patient's initial presentation, which condition do you suspect led to the cardiac arrest? - ✔✔A) Acute
Coronary Syndrome.
42. In addition to defibrillation, which intervention should be performed immediately? - ✔✔C) Chest Compressions.
43. Despite 2 Defibrillation attempts, the patient remains in ventricular fibrillation. Which drug and dose should you
administer first to this patient? - ✔✔A) Epinephrine 1 mg.
44. Despite the drug provided above and continued CPR, the patient remains in ventricular fibrillation. Which other drug
should be administered next? - ✔✔D) Amiodarone 300 mg.
45. The patient has return of spontaneous circulation and is not able to follow commands. Which immediate post-
cardiac arrest care intervention do you choose for this patient? - ✔✔A) Initiate targeted temperature management.
46. Which would you have done first if the patient had not gone into ventricular fibrillation? - ✔✔D) Performed
synchronized cardioversion.
47. Based on this patient's initial assessment, which adult ACLS algorithm should you follow? - ✔✔B) Tachycardia.
48. The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take? - ✔✔C) Apply
oxygen.
49. After your initial assessment of this patient, which intervention should be performed next? - ✔✔A) Synchronized
cardioversion.
50. If the patient became apneic and pulseless but the rhythm remained the same, which would take the highest
priority? - ✔✔D) Perform defibrillation.
ACLS Final Exam - Lecturer Questions & Verified
AHA-Style Answers (Graded A)
Questions and Mark scheme
Version: Final 1.1
, 37. A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm. Which is the appropriate
treatment? - ✔✔C) Defibrillation
38. Which of these tests should be performed for a patient with suspected stroke within 25 minutes of hospital arrival? -
✔✔D) Noncontrast CT scan of the head.
39. What is the minimum systolic blood pressure one should attempt to achieve with fluid administration or vasoactive
agents in a hypotensive post-cardiac arrest patient who achieves return of spontaneous circulation? - ✔✔D) 90 mm Hg.
40. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm shown here, and the patient has
no pulse. Another member of your team resumes chest compressions, and an IV is in place. What do you do next? -
✔✔C) Give epinephrine 1 mg IV.
41. Based on this patient's initial presentation, which condition do you suspect led to the cardiac arrest? - ✔✔A) Acute
Coronary Syndrome.
42. In addition to defibrillation, which intervention should be performed immediately? - ✔✔C) Chest Compressions.
43. Despite 2 Defibrillation attempts, the patient remains in ventricular fibrillation. Which drug and dose should you
administer first to this patient? - ✔✔A) Epinephrine 1 mg.
44. Despite the drug provided above and continued CPR, the patient remains in ventricular fibrillation. Which other drug
should be administered next? - ✔✔D) Amiodarone 300 mg.
45. The patient has return of spontaneous circulation and is not able to follow commands. Which immediate post-
cardiac arrest care intervention do you choose for this patient? - ✔✔A) Initiate targeted temperature management.
46. Which would you have done first if the patient had not gone into ventricular fibrillation? - ✔✔D) Performed
synchronized cardioversion.
47. Based on this patient's initial assessment, which adult ACLS algorithm should you follow? - ✔✔B) Tachycardia.
48. The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take? - ✔✔C) Apply
oxygen.
49. After your initial assessment of this patient, which intervention should be performed next? - ✔✔A) Synchronized
cardioversion.
50. If the patient became apneic and pulseless but the rhythm remained the same, which would take the highest
priority? - ✔✔D) Perform defibrillation.
