Page 1 of 47
NEW ACLS VERSION A, B ACTUAL EXAM
WITH CORRECT ANSWERS NEW
MODIFIED
What action is recommended to help minimize interruptions in chest
compressions during CPR? -- ANSWER--continue CPR while charging the
defibrillator
what action is included in the bls survey? -- ANSWER--early defibrillation
which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation? -- ANSWER--amiodarone 300mg
what is the appropriate interval for an interruption in chest compression? --
ANSWER--10 seconds or less
which of the following is a sign of effective CPR? -- ANSWER--PETCO2
greater than or equal to 10mm hg
1
, Page 2 of 47
what is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)? -- ANSWER--identifying and treating early clinical
deterioration
Which action improves the quality of chest compressions delivered during
resuscitave attemepts? -- ANSWER--switch providers about every 2 minutes or
every 5 compression cycles.
what is the appropriate ventilation strategy for an adult in respiratory arrest with
a pulse rate of 80/min? -- ANSWER--1 breath every 5 to 6 seconds
a patient presents to the emergency department with new onset of dizziness and
fatigue. on examination, the patient's heart rate is 35/min, the blood pressure is
70/50 mm hg, the respiratory rate is 22 breaths/min, and oxygen saturation is
95%. what is the appropriate first medication? -- ANSWER--atropine 0.5 mg
a patient presents to the emergency department with dizziness and shortness of
breath with a sinus bradycardia of 40/min. the initial atropine dose was
ineffective, and your monitor/defibrillator is not equipped with a transcutaneous
pacemaker. what is the appropriate dose of dopamine for this patient? --
ANSWER--2 to 10 mcg/kg per minute
2
, Page 3 of 47
you are evaluating a 58-year-old man with chest pain. the blood pressure is
92/50 mm hg, the heart rate is 92/min, the nonlabored respiratory rate is 14
breaths/min, and the pulse oximetry reading is 97%. what assessment step is
most important now? -- ANSWER--obtaining 12-lead ecg.
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? -- ANSWER--start chest compressions at a rate of at least 100/min.
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The
patient has no pulse. What is the next action? -- ANSWER--resume chest
compressions
what is a common but sometimes fatal mistake in cardiac arrest management? --
ANSWER--prolonged interruptions of chest compressions
what action is a component of high-quality chest compressions? -- ANSWER-
Allowing complete chest recoil
what is the preferred method of access for epinephrine administration during
cardiac arrest in most patients? -- ANSWER--peripheral intravenous
3
, Page 4 of 47
An activated AED does not promptly analyze the rhythm. What is your next
action? -- ANSWER--begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below
and the pt. has no pulse. another member resumes chest compressions and an IV
is in place. What management step is your next priority? -- ANSWER-
administer one mg of epinephrine
Which action increases the chance of successful conversion of ventricular
fibrillation? -- ANSWER--Providing quality compressions immediately before a
defibrillation attempt.
which situation BEST describes pulseless electrical activity? -- ANSWER-sinus
rhythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an
advanced airway in place? -- ANSWER--provide continuous chest
compressions without pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiac arrest, one member of your team
inserts an endotracheal tube while another performs continuous chest
compressions. During subsequent ventilation, you notice the presence of a
waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is
4
NEW ACLS VERSION A, B ACTUAL EXAM
WITH CORRECT ANSWERS NEW
MODIFIED
What action is recommended to help minimize interruptions in chest
compressions during CPR? -- ANSWER--continue CPR while charging the
defibrillator
what action is included in the bls survey? -- ANSWER--early defibrillation
which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation? -- ANSWER--amiodarone 300mg
what is the appropriate interval for an interruption in chest compression? --
ANSWER--10 seconds or less
which of the following is a sign of effective CPR? -- ANSWER--PETCO2
greater than or equal to 10mm hg
1
, Page 2 of 47
what is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)? -- ANSWER--identifying and treating early clinical
deterioration
Which action improves the quality of chest compressions delivered during
resuscitave attemepts? -- ANSWER--switch providers about every 2 minutes or
every 5 compression cycles.
what is the appropriate ventilation strategy for an adult in respiratory arrest with
a pulse rate of 80/min? -- ANSWER--1 breath every 5 to 6 seconds
a patient presents to the emergency department with new onset of dizziness and
fatigue. on examination, the patient's heart rate is 35/min, the blood pressure is
70/50 mm hg, the respiratory rate is 22 breaths/min, and oxygen saturation is
95%. what is the appropriate first medication? -- ANSWER--atropine 0.5 mg
a patient presents to the emergency department with dizziness and shortness of
breath with a sinus bradycardia of 40/min. the initial atropine dose was
ineffective, and your monitor/defibrillator is not equipped with a transcutaneous
pacemaker. what is the appropriate dose of dopamine for this patient? --
ANSWER--2 to 10 mcg/kg per minute
2
, Page 3 of 47
you are evaluating a 58-year-old man with chest pain. the blood pressure is
92/50 mm hg, the heart rate is 92/min, the nonlabored respiratory rate is 14
breaths/min, and the pulse oximetry reading is 97%. what assessment step is
most important now? -- ANSWER--obtaining 12-lead ecg.
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? -- ANSWER--start chest compressions at a rate of at least 100/min.
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The
patient has no pulse. What is the next action? -- ANSWER--resume chest
compressions
what is a common but sometimes fatal mistake in cardiac arrest management? --
ANSWER--prolonged interruptions of chest compressions
what action is a component of high-quality chest compressions? -- ANSWER-
Allowing complete chest recoil
what is the preferred method of access for epinephrine administration during
cardiac arrest in most patients? -- ANSWER--peripheral intravenous
3
, Page 4 of 47
An activated AED does not promptly analyze the rhythm. What is your next
action? -- ANSWER--begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below
and the pt. has no pulse. another member resumes chest compressions and an IV
is in place. What management step is your next priority? -- ANSWER-
administer one mg of epinephrine
Which action increases the chance of successful conversion of ventricular
fibrillation? -- ANSWER--Providing quality compressions immediately before a
defibrillation attempt.
which situation BEST describes pulseless electrical activity? -- ANSWER-sinus
rhythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an
advanced airway in place? -- ANSWER--provide continuous chest
compressions without pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiac arrest, one member of your team
inserts an endotracheal tube while another performs continuous chest
compressions. During subsequent ventilation, you notice the presence of a
waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is
4
