ACLS practice questions
Evidence suggest that there is a higher likelihood of good to excellent functional
outcome when alteplase is given to adults with an acute ischemic stroke within what
time frame?
12 hours
3 hours
24 hours
6 hours - ANS - 3hrs
How do interruptions in chest compressions negatively impact survival after cardiac
arrest?
Increase intracranial pressure
Decrease coronary perfusion pressure
Reduce right ventricular period
Increase intrathoracic pressure - ANS - Decrease coronary perfusion pressure
How do you calculate Coronary Perfusion Pressure (CPP)? - ANS - Aortic diastolic
pressure "minus" Right Atrial Diastolic Pressure
How do you calculate the chest compression fraction (CCF)? What is ideal percentage?
- ANS - Divide chest compression time by total code time. You want this at least 60%
but ideally greater than 80%
How long should the second rescuer squeeze the bag mask device when providing
2-rescuer ventilation?
1 sec
3 sec
4 sec
2 sec - ANS - 1sec
How quickly does the chance of survival decline for every minute of defibrillation delay
in patients with ventricular fibrillation who do receive bystander CPR?
,3-4%
5-6%
11-13%
7-10% - ANS - 7-10%
Identify the diastolic blood pressure threshold for withholding fibrinolytic therapy to
otherwise eligible patients with acute ischemic stroke.
110
105
115
100 - ANS - 110
Identify the systolic blood pressure threshold for withholding fibrinolytic therapy to
otherwise eligible patients with acute ischemic stroke. - ANS - 185
180
177
190
If a patient with stable ventricular tachycardia does not response to vagal maneuvers,
what drug and dose regimen is to be given? - ANS - Give Adenosine 6mg over 1
second followed by a flush in a large vein and elevate arm quickly after
If they don't response in 1-2 minutes, Administer 12 mg IV followed by a flush and
elevate arm quickly
If someone starts developing hypotension after giving morphine or nitroglycerin? - ANS
- Administer fluids
In addition to decreased IHCA, what are some other benefits of implementing a rapid
response system? Select all that apply
Decreased ICU length of stay
Decreased emergency department admissions
Increased ICU admissions
Increased Hospital Length of Stay
Decreased in total hospital length of stay - ANS -
, Obtaining a what is the most important assessment tool for a patient displaying signs
and symptoms of acute coronary syndrome? - ANS - 12 lead ekg
Oxygen should be delivered to a patient who has obvious signs of heart failure if the
oxygen saturation is less than? - ANS - 90%
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?
Remove clothing to perform a physical examination
Check for neuro function
Administer oxygen as needed
Check for the presence of a pulse - ANS - Administer oxygen as needed
Upon reviewing a patients 12 lead ECG, you note ST elevation of 2mm in leads II, III,
and aVF. How would you classify these ECG findings?
Non-st segment elevation MI
ST-segment elevation myocardial infarction
Normal findings - ANS - ST segment elevation MI
Upon reviewing a patients 12 lead ECG, you note ST segment elevation of 2mm in
leads 2, 3, and aVF.
How would you classify the ECG finding? - ANS - ST-segment elevation myocardial
infarction
Upon reviewing a patients 12-lead ECG, you note ST-segment elevation of 2mm in
leads II, III and aVF.
How would you classify these ECG findings? - ANS - ST-segment elevation
myocardial infarction
What are signs of clinical deterioration that would prompt the activation of rapid
response system?
Symptomatic hypertension
Seizure
Evidence suggest that there is a higher likelihood of good to excellent functional
outcome when alteplase is given to adults with an acute ischemic stroke within what
time frame?
12 hours
3 hours
24 hours
6 hours - ANS - 3hrs
How do interruptions in chest compressions negatively impact survival after cardiac
arrest?
Increase intracranial pressure
Decrease coronary perfusion pressure
Reduce right ventricular period
Increase intrathoracic pressure - ANS - Decrease coronary perfusion pressure
How do you calculate Coronary Perfusion Pressure (CPP)? - ANS - Aortic diastolic
pressure "minus" Right Atrial Diastolic Pressure
How do you calculate the chest compression fraction (CCF)? What is ideal percentage?
- ANS - Divide chest compression time by total code time. You want this at least 60%
but ideally greater than 80%
How long should the second rescuer squeeze the bag mask device when providing
2-rescuer ventilation?
1 sec
3 sec
4 sec
2 sec - ANS - 1sec
How quickly does the chance of survival decline for every minute of defibrillation delay
in patients with ventricular fibrillation who do receive bystander CPR?
,3-4%
5-6%
11-13%
7-10% - ANS - 7-10%
Identify the diastolic blood pressure threshold for withholding fibrinolytic therapy to
otherwise eligible patients with acute ischemic stroke.
110
105
115
100 - ANS - 110
Identify the systolic blood pressure threshold for withholding fibrinolytic therapy to
otherwise eligible patients with acute ischemic stroke. - ANS - 185
180
177
190
If a patient with stable ventricular tachycardia does not response to vagal maneuvers,
what drug and dose regimen is to be given? - ANS - Give Adenosine 6mg over 1
second followed by a flush in a large vein and elevate arm quickly after
If they don't response in 1-2 minutes, Administer 12 mg IV followed by a flush and
elevate arm quickly
If someone starts developing hypotension after giving morphine or nitroglycerin? - ANS
- Administer fluids
In addition to decreased IHCA, what are some other benefits of implementing a rapid
response system? Select all that apply
Decreased ICU length of stay
Decreased emergency department admissions
Increased ICU admissions
Increased Hospital Length of Stay
Decreased in total hospital length of stay - ANS -
, Obtaining a what is the most important assessment tool for a patient displaying signs
and symptoms of acute coronary syndrome? - ANS - 12 lead ekg
Oxygen should be delivered to a patient who has obvious signs of heart failure if the
oxygen saturation is less than? - ANS - 90%
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?
Remove clothing to perform a physical examination
Check for neuro function
Administer oxygen as needed
Check for the presence of a pulse - ANS - Administer oxygen as needed
Upon reviewing a patients 12 lead ECG, you note ST elevation of 2mm in leads II, III,
and aVF. How would you classify these ECG findings?
Non-st segment elevation MI
ST-segment elevation myocardial infarction
Normal findings - ANS - ST segment elevation MI
Upon reviewing a patients 12 lead ECG, you note ST segment elevation of 2mm in
leads 2, 3, and aVF.
How would you classify the ECG finding? - ANS - ST-segment elevation myocardial
infarction
Upon reviewing a patients 12-lead ECG, you note ST-segment elevation of 2mm in
leads II, III and aVF.
How would you classify these ECG findings? - ANS - ST-segment elevation
myocardial infarction
What are signs of clinical deterioration that would prompt the activation of rapid
response system?
Symptomatic hypertension
Seizure
