ACLS Written Exam – Latest 2025 Edition |
Accurate Q&A, Graded A+
Which of the following is a sign of effective CPR?
PETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid response team (RRT)?
Identifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a resuscitation attempt?
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?
1 breath every 5-6 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 the oxygen saturation is 95%. What is the appropriate first medication?
Atropine 0.5mg
,A patient 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?
2 to 10 mcg/kg per minute
A patient has sudden onset of dizziness. The patient's heart rate is 180/min, blood pressure is 110/70
mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is 98% on room air. The lead II
ECG is shown below:
Vagal manuever.
A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of
220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse
oximetry reading is 98%. There is vascular access at the left internal jugular vein, and the patient has not
been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no
evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. What is the
next recommended intervention?
Adenosine 6mg IV push
You are receiving a radio report from an EMS team en route with a patient who may be having an acute
stroke. The hospital CT scanner is not working at this time. What should you do in this situation?
Divert the patient to a hospital 15 minutes away with CT capabilities.
Choose an appropriate indication to stop or withhold resuscitative efforts.
Evidence of rigor mortis.
, A 49-year-old woman arrives in the emergency department with persistent epigastric pain. She had
been taking oral antacids for the past 6 hours because she thought she had heartburn. The initial blood
pressure is 118/72 mm Hg, the heart rate is 92/min and regular, the nonlabored respiratory rate is 14
breaths/min, and the pulse oximetry reading is 96%. Which is the most appropriate intervention to
perform next?
Obtain a 12 lead ECG.
A patient in respiratory failure becomes apneic but continues to have a strong pulse. The heart rate is
dropping rapidly and now shows a sinus bradycardia at a rate of 30/min. What intervention has the
highest priority?
Simple airway manuevers and assisted ventilations.
What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is
selected?
Suction during withdrawal but for no longer than 10 seconds.
While treating a patient with dizziness, a blood pressure of 68/30 mm Hg, and cool, clammy skin, you
see this lead II ECG rhythm:What is the first intervention ?
Atropine 0.5mg
A 68-year-old woman experienced a sudden onset of right arm weakness. EMS personnel measure a
blood pressure of 140/90 mm Hg, a heart rate of 78/min, a nonlabored respiratory rate of 14
breaths/min, and a pulse oximetry reading of 97%. The lead II ECG displays sinus rhythm. What is the
most appropriate action for the EMS team to perform next?
Cincinnati Prehospital Stroke Scale assessment
Accurate Q&A, Graded A+
Which of the following is a sign of effective CPR?
PETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid response team (RRT)?
Identifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a resuscitation attempt?
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?
1 breath every 5-6 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 the oxygen saturation is 95%. What is the appropriate first medication?
Atropine 0.5mg
,A patient 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?
2 to 10 mcg/kg per minute
A patient has sudden onset of dizziness. The patient's heart rate is 180/min, blood pressure is 110/70
mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is 98% on room air. The lead II
ECG is shown below:
Vagal manuever.
A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of
220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse
oximetry reading is 98%. There is vascular access at the left internal jugular vein, and the patient has not
been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no
evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. What is the
next recommended intervention?
Adenosine 6mg IV push
You are receiving a radio report from an EMS team en route with a patient who may be having an acute
stroke. The hospital CT scanner is not working at this time. What should you do in this situation?
Divert the patient to a hospital 15 minutes away with CT capabilities.
Choose an appropriate indication to stop or withhold resuscitative efforts.
Evidence of rigor mortis.
, A 49-year-old woman arrives in the emergency department with persistent epigastric pain. She had
been taking oral antacids for the past 6 hours because she thought she had heartburn. The initial blood
pressure is 118/72 mm Hg, the heart rate is 92/min and regular, the nonlabored respiratory rate is 14
breaths/min, and the pulse oximetry reading is 96%. Which is the most appropriate intervention to
perform next?
Obtain a 12 lead ECG.
A patient in respiratory failure becomes apneic but continues to have a strong pulse. The heart rate is
dropping rapidly and now shows a sinus bradycardia at a rate of 30/min. What intervention has the
highest priority?
Simple airway manuevers and assisted ventilations.
What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is
selected?
Suction during withdrawal but for no longer than 10 seconds.
While treating a patient with dizziness, a blood pressure of 68/30 mm Hg, and cool, clammy skin, you
see this lead II ECG rhythm:What is the first intervention ?
Atropine 0.5mg
A 68-year-old woman experienced a sudden onset of right arm weakness. EMS personnel measure a
blood pressure of 140/90 mm Hg, a heart rate of 78/min, a nonlabored respiratory rate of 14
breaths/min, and a pulse oximetry reading of 97%. The lead II ECG displays sinus rhythm. What is the
most appropriate action for the EMS team to perform next?
Cincinnati Prehospital Stroke Scale assessment
