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ACLS EXAM VERSION A&B QUESTIONS AND ANSWERS
2024/2026 LATEST 100% CORRECT ALREADY PASSED., EXAMS
OF NURSING
On the basis of this pt's initial assessment, which ACLS algorithm should you follow? - ANSWER-
Adult Tachycardia With a Pulse
(SET) A 68YO woman presents with light-headedness, nausea and chest discomfort. Your
assessment finds her awake and responsive but appearing ill, pale and grossly diaphoretic.
Weak, thready, fast radial pulse. Unable to obtain BP. No obvious dependent edema, flat neck
veins. Her lung sounds are equal, with moderate rales bilaterally.
The pt's pulse ox shows a reading of 84% on room air. Which initial action should you take? -
ANSWER-Apply oxygen
(SET) A 68YO woman presents with light-headedness, nausea and chest discomfort. Your
assessment finds her awake and responsive but appearing ill, pale and grossly diaphoretic.
Weak, thready, fast radial pulse. Unable to obtain BP. No obvious dependent edema, flat neck
veins. Her lung sounds are equal, with moderate rales bilaterally.
After your initial assessment of this pt, which intervention should be performed next? -
ANSWER-Synchronized cardioversion
(SET) A 68YO woman presents with light-headedness, nausea and chest discomfort. Your
assessment finds her awake and responsive but appearing ill, pale and grossly diaphoretic.
Weak, thready, fast radial pulse. Unable to obtain BP. No obvious dependent edema, flat neck
veins. Her lung sounds are equal, with moderate rales bilaterally.
If the pt became apneic and pulseless but the rhythm remained the same, which would take the
highest priority? - ANSWER-Perform defibrillation
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You instruct a team member to give 1mg atropine IV. Which response is an example of closed-
loop communication? - ANSWER-"I'll draw up 1mg of atropine."
Which best describes an action taken by the Team Leader to avoid inefficiencies during a
resuscitation attempt? - ANSWER-Clearly delegate tasks
What is an effect of excessive ventilation? - ANSWER-Decreased cardiac output
Which best describes the length of time it should take to perform a pulse check during the BLS
assessment? - ANSWER-5-10 seconds
Which is the recommended FIRST IV dose of amiodarone for a patient with refractory VFib? -
ANSWER-300mg
Which facility is the most appropriate EMS destination for a pt with sudden cardiac arrest who
achieved ROSC in the field? - ANSWER-Coronary reperfusion-capable medical center
A pt has a witnessed LOC. The lead II ECG reveals this rhythm (VFib). Which is the appropriate
treatment? - ANSWER-Defibrillation
For STEMI pt's, which best describes the recommended maximum goal time for first medical
contact-to-balloon inflation time for PCI? - ANSWER-90 minutes
You are performing chest compressions during an adult resuscitation attempt. Which rate
should you use to perform the compressions? - ANSWER-100-120/min
Which is the maximum interval you should allow for an interruption in chest compressions? -
ANSWER-10 seconds
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To properly ventilate a pt with a perfusing rhythm, how often do you squeeze the bag? -
ANSWER-Once every 6 seconds
EMS providers are treating a pt with a suspected stroke. According to the Adult Suspected
Stroke Algorithm, which critical action performed by the EMS team will expedite this pt's care
on arrival and reduce the time to treatment? - ANSWER-Provide prehospital notification
What is the recommended range from which a temperature should be selected and maintained
constantly to achieve targeted temperature management after cardiac arrest? - ANSWER-32C to
36C
A responder is caring for a pt with a history of CHF. The pt is experiencing shortness of breath, a
BP of 68/50 mmHg, and a HR of 190/min. The pt's lead II ECG is displayed. - ANSWER-Unstable
SVT
you find an unresponsive patient who is not breathing. after activating the emergency response
system, you determine that there is no pulse. what is your next action?
start chest compressions at a rate of at least 100/min.
Which of these tests should be performed for a pt with suspected stroke as early as possible but
no more than 20 min after hospital arrival? - ANSWER-Noncontrast CT scan of head
Which best describes this rhythm? - ANSWER-Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? -
ANSWER-Measure from the corner of the mouth to the angle of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT
scan was normal, with no signs of hemorrhage. The pt does not have any contraindications to
ACLS EXAM VERSION A&B QUESTIONS AND ANSWERS
2024/2026 LATEST 100% CORRECT ALREADY PASSED., EXAMS
OF NURSING
On the basis of this pt's initial assessment, which ACLS algorithm should you follow? - ANSWER-
Adult Tachycardia With a Pulse
(SET) A 68YO woman presents with light-headedness, nausea and chest discomfort. Your
assessment finds her awake and responsive but appearing ill, pale and grossly diaphoretic.
Weak, thready, fast radial pulse. Unable to obtain BP. No obvious dependent edema, flat neck
veins. Her lung sounds are equal, with moderate rales bilaterally.
The pt's pulse ox shows a reading of 84% on room air. Which initial action should you take? -
ANSWER-Apply oxygen
(SET) A 68YO woman presents with light-headedness, nausea and chest discomfort. Your
assessment finds her awake and responsive but appearing ill, pale and grossly diaphoretic.
Weak, thready, fast radial pulse. Unable to obtain BP. No obvious dependent edema, flat neck
veins. Her lung sounds are equal, with moderate rales bilaterally.
After your initial assessment of this pt, which intervention should be performed next? -
ANSWER-Synchronized cardioversion
(SET) A 68YO woman presents with light-headedness, nausea and chest discomfort. Your
assessment finds her awake and responsive but appearing ill, pale and grossly diaphoretic.
Weak, thready, fast radial pulse. Unable to obtain BP. No obvious dependent edema, flat neck
veins. Her lung sounds are equal, with moderate rales bilaterally.
If the pt became apneic and pulseless but the rhythm remained the same, which would take the
highest priority? - ANSWER-Perform defibrillation
,2|Page
You instruct a team member to give 1mg atropine IV. Which response is an example of closed-
loop communication? - ANSWER-"I'll draw up 1mg of atropine."
Which best describes an action taken by the Team Leader to avoid inefficiencies during a
resuscitation attempt? - ANSWER-Clearly delegate tasks
What is an effect of excessive ventilation? - ANSWER-Decreased cardiac output
Which best describes the length of time it should take to perform a pulse check during the BLS
assessment? - ANSWER-5-10 seconds
Which is the recommended FIRST IV dose of amiodarone for a patient with refractory VFib? -
ANSWER-300mg
Which facility is the most appropriate EMS destination for a pt with sudden cardiac arrest who
achieved ROSC in the field? - ANSWER-Coronary reperfusion-capable medical center
A pt has a witnessed LOC. The lead II ECG reveals this rhythm (VFib). Which is the appropriate
treatment? - ANSWER-Defibrillation
For STEMI pt's, which best describes the recommended maximum goal time for first medical
contact-to-balloon inflation time for PCI? - ANSWER-90 minutes
You are performing chest compressions during an adult resuscitation attempt. Which rate
should you use to perform the compressions? - ANSWER-100-120/min
Which is the maximum interval you should allow for an interruption in chest compressions? -
ANSWER-10 seconds
, 3|Page
To properly ventilate a pt with a perfusing rhythm, how often do you squeeze the bag? -
ANSWER-Once every 6 seconds
EMS providers are treating a pt with a suspected stroke. According to the Adult Suspected
Stroke Algorithm, which critical action performed by the EMS team will expedite this pt's care
on arrival and reduce the time to treatment? - ANSWER-Provide prehospital notification
What is the recommended range from which a temperature should be selected and maintained
constantly to achieve targeted temperature management after cardiac arrest? - ANSWER-32C to
36C
A responder is caring for a pt with a history of CHF. The pt is experiencing shortness of breath, a
BP of 68/50 mmHg, and a HR of 190/min. The pt's lead II ECG is displayed. - ANSWER-Unstable
SVT
you find an unresponsive patient who is not breathing. after activating the emergency response
system, you determine that there is no pulse. what is your next action?
start chest compressions at a rate of at least 100/min.
Which of these tests should be performed for a pt with suspected stroke as early as possible but
no more than 20 min after hospital arrival? - ANSWER-Noncontrast CT scan of head
Which best describes this rhythm? - ANSWER-Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? -
ANSWER-Measure from the corner of the mouth to the angle of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT
scan was normal, with no signs of hemorrhage. The pt does not have any contraindications to
