2025 ACLS questions and answers
Rated A+
What element of a system of care is represented by properly functioning resuscitation
equipment? - answersStructure
What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? -
answersActivation of emergency reponse
What are signs of clinical deterioration that would prompt the activation of rapid
response system? - answersSymptomatic hypertension
Seizure
Unexplained agitation
What is the primary purpose of a rapid response team (RRT) or medical emergency
team (MET)? - answersTo improve patient outcomes by identifying and treating early
clinical deterioration
What happens when teams rapidly assess and intervene when patients have abnormal
vital signs? - answersThe number of in hospital cardiac arrest decreases
In addition to decreased IHCA, what are some other benefits of implementing a rapid
response system? Select all that apply. - answersDecrease ICU length of stay.
Decreased in total hospital length of stay.
Which is the main advantage of effective teamwork? - answersDivision of tasks
Which is the best example of a role of the team leader? - answersModels excellent
team behavior
Which is the best example of a role of a team member? - answersPrepared to fulfill their
role responsibilities
What is the primary purpose of the CPR coach on a resuscitation team? -
answersIncreasing CPR quality
What are the 6 positions for high performance teams in resuscitation? - answersTeam
leader
Airway
Timer/recorder
Compressor (rotate every 2 minutes)
Monitor/defibrillator/cpr coach
IV/IO/Medications
Which member of the high performance team has the responsibility for assigning roles
(positions)? - answersTeam leader
Which high performance team member is part of the resuscitation triangle? -
answersMonitor/defibrillator/cpr coach
Which is an example of knowledge sharing by a team leader? - answersAsking for
suggestions about interventions
Which is an example of summarizing and reevaluating? - answersIncreasing monitoring
of the patients condition deteriorates
,Which is a step of closed-loop communication? - answersConfirming task completion
before assigning another task
Which are examples of mutual respect? Select all that apply: - answersAcknowledging
correctly completed tasks in a positive way
Ensuring that only one person talks at a time
What are the components of high quality CPR? Select all that apply: -
answersCompression depth of at least 2 inches (5cm)
Switching compressors every 2 minutes
Avoiding excessive ventilation
Complete chest recoil after each compression
Interruption limited to under 10 seconds
How do you calculate the chest compression fraction (CCF)? What is ideal percentage?
- answersDivide chest compression time by total code time. You want this at least 60%
but ideally greater than 80%
Which component of effective high-performance teams is represented by the use of
real-time feedback devices? - answersQuality
How do you calculate Coronary Perfusion Pressure (CPP)? - answersAortic diastolic
pressure "minus" Right Atrial Diastolic Pressure
How do interruptions in chest compressions negatively impact survival after cardiac
arrest? - answersDecrease coronary perfusion pressure
What is the only intervention that can restore an organized rhythm in patients with
ventricular fibrillation (VF)? - answersEarly and effective defibrillation
How quickly does the chance of survival decline for every minute of defibrillation delay
in patients with ventricular fibrillation who do receive bystander CPR? - answers7-10%
What is the advantage of a systematic approach to patient assessment? -
answersReduces the chances of missing important signs and symptoms
What is the first step in the systematic approach to patient assessment? - answersInitial
impression
What is the maximum amount of time you should simultaneously perform pulse and
breathing checks? - answers10 seconds
While performing the BLS Assessment, you initiate high- quality CPR and assist
ventilation with a bag mask device. The AED does not recommend a shock.
Which action in the Primary assessment should you perform first? - answersDetermine
is the patients airway is patent
The initial assessment reveals a conscious patient. The patients airway is patent and an
advanced airway is not indicated.
Which action in the primary assessment should you perform next? - answersAdminister
oxygen as needed
Which action is part of secondary assessment of a conscious patient? -
answersFormulate a differential diagnosis
Which of the following are the "H's" causes of reversible cardiac arrest? Select all that
apply: - answersHypothermia
Hypoxia
Hyperkalemia/hypokalemia
, Hypovolemia
Acidosis
Which of the following are the "T" causes of reversible cardiac arrest? - answersTension
pneumothorax
Toxins
Cardiac tamponade
Pulmonary thrombosis
Coronary thrombosis
What is the only intervention that can restore an organized rhythm in patients with
ventricular fibrillation (VF)? - answersEarly and effective defibrillation
What is the most common symptom of myocardial ischemia and infarction? -
answersRetrosternal chest pain
Which demographic group experiencing acute coronary syndromes is more likely to
present without chest pain? - answersFemales
Oxygen should be delivered to a patient who has obvious signs of heart failure if the
oxygen saturation is less than? - answers90%
Obtaining a what is the most important assessment tool for a patient displaying signs
and symptoms of acute coronary syndrome? - answers12 lead ekg
What is the time goal for how quickly you should complete a fibrinolytic checklist once
the patient arrives in the emergency department? - answers10 minutes
When should oxygen be administered? - answersIf the patient is dyspneic or
hypoxemic, has obvious signs of heart failure, or has an arterial o2 saturation that is
less than 90% or unknown.
Which is a contraindication to the administration of aspirin for the management of a
patient with acute coronary syndromes? - answersRecent GI bleeding
What are the contraindications of nitroglycerin? - answers-If patient has a confirmed
inferior wall stemi or right ventricular infarction
-avoid nitro if patient has hypotension, bradycardia, or tachycardia
-if patient recently has taken sildenafil, vardenafil, or tadalafil in the past 24-48 hrs
What is a physiological effect of nitroglycerin? - answersReduces preload
Which clinical findings represents a contraindication to the administration of
nitroglycerin? - answersConfirmed right ventricular infarction
When is morphine indicated? - answersIn STEMI patients with severe chest discomfort
that does not respond to nitrates
What should you always monitor after giving morphine? - answersMonitor BP and
respiratory rate
When should you use caution when giving morphine? - answersUse caution when
patient is in NSTE-ACS because of the association of mortality
If someone starts developing hypotension after giving morphine or nitroglycerin? -
answersAdminister fluids
Which class of medications commonly given to patients with acute coronary syndrome
may be adversely affected by morphine administration? - answersOral anti platelet
meds
Rated A+
What element of a system of care is represented by properly functioning resuscitation
equipment? - answersStructure
What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? -
answersActivation of emergency reponse
What are signs of clinical deterioration that would prompt the activation of rapid
response system? - answersSymptomatic hypertension
Seizure
Unexplained agitation
What is the primary purpose of a rapid response team (RRT) or medical emergency
team (MET)? - answersTo improve patient outcomes by identifying and treating early
clinical deterioration
What happens when teams rapidly assess and intervene when patients have abnormal
vital signs? - answersThe number of in hospital cardiac arrest decreases
In addition to decreased IHCA, what are some other benefits of implementing a rapid
response system? Select all that apply. - answersDecrease ICU length of stay.
Decreased in total hospital length of stay.
Which is the main advantage of effective teamwork? - answersDivision of tasks
Which is the best example of a role of the team leader? - answersModels excellent
team behavior
Which is the best example of a role of a team member? - answersPrepared to fulfill their
role responsibilities
What is the primary purpose of the CPR coach on a resuscitation team? -
answersIncreasing CPR quality
What are the 6 positions for high performance teams in resuscitation? - answersTeam
leader
Airway
Timer/recorder
Compressor (rotate every 2 minutes)
Monitor/defibrillator/cpr coach
IV/IO/Medications
Which member of the high performance team has the responsibility for assigning roles
(positions)? - answersTeam leader
Which high performance team member is part of the resuscitation triangle? -
answersMonitor/defibrillator/cpr coach
Which is an example of knowledge sharing by a team leader? - answersAsking for
suggestions about interventions
Which is an example of summarizing and reevaluating? - answersIncreasing monitoring
of the patients condition deteriorates
,Which is a step of closed-loop communication? - answersConfirming task completion
before assigning another task
Which are examples of mutual respect? Select all that apply: - answersAcknowledging
correctly completed tasks in a positive way
Ensuring that only one person talks at a time
What are the components of high quality CPR? Select all that apply: -
answersCompression depth of at least 2 inches (5cm)
Switching compressors every 2 minutes
Avoiding excessive ventilation
Complete chest recoil after each compression
Interruption limited to under 10 seconds
How do you calculate the chest compression fraction (CCF)? What is ideal percentage?
- answersDivide chest compression time by total code time. You want this at least 60%
but ideally greater than 80%
Which component of effective high-performance teams is represented by the use of
real-time feedback devices? - answersQuality
How do you calculate Coronary Perfusion Pressure (CPP)? - answersAortic diastolic
pressure "minus" Right Atrial Diastolic Pressure
How do interruptions in chest compressions negatively impact survival after cardiac
arrest? - answersDecrease coronary perfusion pressure
What is the only intervention that can restore an organized rhythm in patients with
ventricular fibrillation (VF)? - answersEarly and effective defibrillation
How quickly does the chance of survival decline for every minute of defibrillation delay
in patients with ventricular fibrillation who do receive bystander CPR? - answers7-10%
What is the advantage of a systematic approach to patient assessment? -
answersReduces the chances of missing important signs and symptoms
What is the first step in the systematic approach to patient assessment? - answersInitial
impression
What is the maximum amount of time you should simultaneously perform pulse and
breathing checks? - answers10 seconds
While performing the BLS Assessment, you initiate high- quality CPR and assist
ventilation with a bag mask device. The AED does not recommend a shock.
Which action in the Primary assessment should you perform first? - answersDetermine
is the patients airway is patent
The initial assessment reveals a conscious patient. The patients airway is patent and an
advanced airway is not indicated.
Which action in the primary assessment should you perform next? - answersAdminister
oxygen as needed
Which action is part of secondary assessment of a conscious patient? -
answersFormulate a differential diagnosis
Which of the following are the "H's" causes of reversible cardiac arrest? Select all that
apply: - answersHypothermia
Hypoxia
Hyperkalemia/hypokalemia
, Hypovolemia
Acidosis
Which of the following are the "T" causes of reversible cardiac arrest? - answersTension
pneumothorax
Toxins
Cardiac tamponade
Pulmonary thrombosis
Coronary thrombosis
What is the only intervention that can restore an organized rhythm in patients with
ventricular fibrillation (VF)? - answersEarly and effective defibrillation
What is the most common symptom of myocardial ischemia and infarction? -
answersRetrosternal chest pain
Which demographic group experiencing acute coronary syndromes is more likely to
present without chest pain? - answersFemales
Oxygen should be delivered to a patient who has obvious signs of heart failure if the
oxygen saturation is less than? - answers90%
Obtaining a what is the most important assessment tool for a patient displaying signs
and symptoms of acute coronary syndrome? - answers12 lead ekg
What is the time goal for how quickly you should complete a fibrinolytic checklist once
the patient arrives in the emergency department? - answers10 minutes
When should oxygen be administered? - answersIf the patient is dyspneic or
hypoxemic, has obvious signs of heart failure, or has an arterial o2 saturation that is
less than 90% or unknown.
Which is a contraindication to the administration of aspirin for the management of a
patient with acute coronary syndromes? - answersRecent GI bleeding
What are the contraindications of nitroglycerin? - answers-If patient has a confirmed
inferior wall stemi or right ventricular infarction
-avoid nitro if patient has hypotension, bradycardia, or tachycardia
-if patient recently has taken sildenafil, vardenafil, or tadalafil in the past 24-48 hrs
What is a physiological effect of nitroglycerin? - answersReduces preload
Which clinical findings represents a contraindication to the administration of
nitroglycerin? - answersConfirmed right ventricular infarction
When is morphine indicated? - answersIn STEMI patients with severe chest discomfort
that does not respond to nitrates
What should you always monitor after giving morphine? - answersMonitor BP and
respiratory rate
When should you use caution when giving morphine? - answersUse caution when
patient is in NSTE-ACS because of the association of mortality
If someone starts developing hypotension after giving morphine or nitroglycerin? -
answersAdminister fluids
Which class of medications commonly given to patients with acute coronary syndrome
may be adversely affected by morphine administration? - answersOral anti platelet
meds
