ACLS FINAL TEST QUESTIONS AND ANSWERS
1. Which type of atrioventricular block best describes this rhythm?
C) Second-degree type II
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should
you do?
A) Monitor the patient's PETCO₂
3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest
who achieved return of spontaneous circulation in the field?
D) Coronary reperfusion-capable medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient?
C) Agonal gasps
5. Which type of atrioventricular block best describes this rhythm?
B) Second-degree atrioventricular block type I
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag?
B) Once every 5 to 6 seconds
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor
correct placement of an endotracheal tube?
C) Continuous waveform capnography
8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The
CT scan was normal, with no signs of hemorrhage. The patient does not have any
contraindications to fibrinolytic therapy. Which treatment is best?
B) Start fibrinolytic therapy as soon as possible
9. Which best describes this rhythm?
D) Third-degree atrioventricular block
, 10. What is the recommended temperature range to maintain for targeted temperature
management after cardiac arrest?
C) 32 to 36°C
11. What is the recommended first intravenous dose of amiodarone for a patient with refractory
ventricular fibrillation?
D) 300 mg
12. What is the primary role of a medical emergency team or rapid response team?
B) Improving patient outcomes by identifying and treating early clinical deterioration
13. What is the recommended next step after a defibrillation attempt?
D) Resume CPR, starting with chest compressions
14. EMS providers are treating a patient with suspected stroke. Which critical action will
expedite care and reduce time to treatment?
A) Alert the hospital
15. A patient with CHF has shortness of breath, BP 68/50 mmHg, HR 190/min. ECG shows lead
II rhythm. Which best characterizes this rhythm?
D) Unstable supraventricular tachycardia
16. You find a 59-year-old man unresponsive on the floor. What is the next step?
B) Check the patient's breathing and pulse
17. How long should a pulse check take during BLS assessment?
B) 5 to 10 seconds
18. You instruct a team member to give 1 mg Atropine IV. What is the best example of closed-
loop communication?
C) "I'll draw up 1 mg of Atropine."
19. What is an effect of excessive ventilation?
A) Decreased cardiac output
20. If a team member is about to make a mistake during resuscitation, what should happen?
1. Which type of atrioventricular block best describes this rhythm?
C) Second-degree type II
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should
you do?
A) Monitor the patient's PETCO₂
3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest
who achieved return of spontaneous circulation in the field?
D) Coronary reperfusion-capable medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient?
C) Agonal gasps
5. Which type of atrioventricular block best describes this rhythm?
B) Second-degree atrioventricular block type I
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag?
B) Once every 5 to 6 seconds
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor
correct placement of an endotracheal tube?
C) Continuous waveform capnography
8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The
CT scan was normal, with no signs of hemorrhage. The patient does not have any
contraindications to fibrinolytic therapy. Which treatment is best?
B) Start fibrinolytic therapy as soon as possible
9. Which best describes this rhythm?
D) Third-degree atrioventricular block
, 10. What is the recommended temperature range to maintain for targeted temperature
management after cardiac arrest?
C) 32 to 36°C
11. What is the recommended first intravenous dose of amiodarone for a patient with refractory
ventricular fibrillation?
D) 300 mg
12. What is the primary role of a medical emergency team or rapid response team?
B) Improving patient outcomes by identifying and treating early clinical deterioration
13. What is the recommended next step after a defibrillation attempt?
D) Resume CPR, starting with chest compressions
14. EMS providers are treating a patient with suspected stroke. Which critical action will
expedite care and reduce time to treatment?
A) Alert the hospital
15. A patient with CHF has shortness of breath, BP 68/50 mmHg, HR 190/min. ECG shows lead
II rhythm. Which best characterizes this rhythm?
D) Unstable supraventricular tachycardia
16. You find a 59-year-old man unresponsive on the floor. What is the next step?
B) Check the patient's breathing and pulse
17. How long should a pulse check take during BLS assessment?
B) 5 to 10 seconds
18. You instruct a team member to give 1 mg Atropine IV. What is the best example of closed-
loop communication?
C) "I'll draw up 1 mg of Atropine."
19. What is an effect of excessive ventilation?
A) Decreased cardiac output
20. If a team member is about to make a mistake during resuscitation, what should happen?
