ACLS Final Exam
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1. A patient experiences cardiac arrest, and the Pneumothorax
resuscitation team initiates ventilations using a
bag-valve-mask (BVM) resuscitator. The develop- Complications can occur with the
ment of which condition during the provision of use of a BVM resuscitator due
care would lead the team to suspect that improp- to improper technique. Delivering
er BVM technique is being used? excessive volume or ventilating too
fast creates excessive pressure that
Hypertension can damage the airways, lungs
Esophageal injury and other organs. Excessive vol-
Pneumothorax ume can lead to tension pneu-
Rib fracture mothorax.
2. A person suddenly collapses while sitting in the Rapid assessment
sunroom of a healthcare facility. A healthcare
provider observes the event and hurries over to A systematic approach to assess-
assess the situation. The healthcare provider per- ment is necessary. The healthcare
forms which assessment first? provider should first perform a
rapid assessment. A rapid assess-
Rapid assessment ment is a visual survey to ensure
Basic life support assessment safety, form an initial impression
Secondary assessment about the patient's condition (in-
Primary assessment cluding looking for life-threaten-
ing bleeding), and determine the
need for additional resources. This
would be followed by a primary
assessment and then a secondary
assessment.
3. A patient is receiving ventilation support via 35 to 45 mmHg
bag-valve-mask (BVM) resuscitator. Capnography
is established and a blood gas is obtained to Arterial carbon dioxide (PaCO2)
evaluate the adequacy of the ventilations. Which values in the range of 35 to 45
, ACLS Final Exam
Study online at https://quizlet.com/_a3kq2l
arterial carbon dioxide (PaCO2) value signifies ad- mmHg confirm adequacy of venti-
equate ventilations? lation.
10 to 15 mmHg
20 to 25 mmHg
25 to 30 mmHg
35 to 45 mmHg
4. A resuscitation team is debriefing following a re- "We provided chest compressions
cent event. A patient experienced cardiac arrest, at a rate of 100 to 120 compres-
and advanced life support was initiated. The pa- sions per minute while giving 1
tient required the placement of an advanced air- ventilation every 6 seconds with-
way to maintain airway patency. Which statement out pausing compressions."
indicates that the team performed high-quality
CPR? When an advanced airway has
been placed in a patient who
"We initiated chest compressions at a rate of 100 is in cardiac arrest, compressions
to 110 per minute to a depth of 2.4 inches and should be delivered continuously
then gave 1 ventilation every 10 seconds." (100 to 120 per minute) with no
"We provided chest compressions at a rate of 100 pauses for ventilations.
to 120 compressions per minute while giving 1
ventilation every 6 seconds without pausing com-
pressions."
"We provided chest compressions at a rate of 80
to 120 per minute to a depth of at least 2 inches
and gave 1 ventilation every 6 seconds without
pausing compressions."
"We kept the rate of chest compressions to
around 100 per minute but adjusted their depth
to 1.5 inches while giving 1 ventilation every 3
seconds without pausing compressions."
, ACLS Final Exam
Study online at https://quizlet.com/_a3kq2l
5. Assessment of a patient reveals an ETCO2 level Respiratory failure
of 55 mmHg and an arterial oxygen saturation
(SaO2) level of 88%. The provider would interpret An SaO2 level of less than 90%
these findings as indicative of which condition? (PaO2 of less than 50 mmHg)
accompanied by ETCO2 values
Respiratory failure greater than 50 mmHg is indica-
Respiratory arrest tive of respiratory failure.
Cardiac arrest
Respiratory distress
6. A responsive patient is choking. What method Back blows
should the provider use first to clear the obstruct-
ed airway? To clear an obstructed airway in a
responsive adult, first provide up
Back blows to 5 back blows to clear the ob-
Abdominal thrusts struction.
Magill forceps extraction
Chest compressions
7. A patient arrives at the emergency department Assisted ventilation with BVM re-
complaining of shortness of breath. The patient suscitator
has a long history of chronic obstructive pul-
monary disease. Assessment reveals respiratory Patients who cannot ventilate ade-
quately despite an open airway or
failure. Which action would be the initial priority
to address the respiratory failure? who have insufficient respiratory
effort require assisted ventilation
Establishment of vascular access initially provided via a BVM resus-
Delivery of supplemental oxygen via nasal cannu- citator.
la
Assisted ventilation with BVM resuscitator
Initiation of capnography
8.
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1. A patient experiences cardiac arrest, and the Pneumothorax
resuscitation team initiates ventilations using a
bag-valve-mask (BVM) resuscitator. The develop- Complications can occur with the
ment of which condition during the provision of use of a BVM resuscitator due
care would lead the team to suspect that improp- to improper technique. Delivering
er BVM technique is being used? excessive volume or ventilating too
fast creates excessive pressure that
Hypertension can damage the airways, lungs
Esophageal injury and other organs. Excessive vol-
Pneumothorax ume can lead to tension pneu-
Rib fracture mothorax.
2. A person suddenly collapses while sitting in the Rapid assessment
sunroom of a healthcare facility. A healthcare
provider observes the event and hurries over to A systematic approach to assess-
assess the situation. The healthcare provider per- ment is necessary. The healthcare
forms which assessment first? provider should first perform a
rapid assessment. A rapid assess-
Rapid assessment ment is a visual survey to ensure
Basic life support assessment safety, form an initial impression
Secondary assessment about the patient's condition (in-
Primary assessment cluding looking for life-threaten-
ing bleeding), and determine the
need for additional resources. This
would be followed by a primary
assessment and then a secondary
assessment.
3. A patient is receiving ventilation support via 35 to 45 mmHg
bag-valve-mask (BVM) resuscitator. Capnography
is established and a blood gas is obtained to Arterial carbon dioxide (PaCO2)
evaluate the adequacy of the ventilations. Which values in the range of 35 to 45
, ACLS Final Exam
Study online at https://quizlet.com/_a3kq2l
arterial carbon dioxide (PaCO2) value signifies ad- mmHg confirm adequacy of venti-
equate ventilations? lation.
10 to 15 mmHg
20 to 25 mmHg
25 to 30 mmHg
35 to 45 mmHg
4. A resuscitation team is debriefing following a re- "We provided chest compressions
cent event. A patient experienced cardiac arrest, at a rate of 100 to 120 compres-
and advanced life support was initiated. The pa- sions per minute while giving 1
tient required the placement of an advanced air- ventilation every 6 seconds with-
way to maintain airway patency. Which statement out pausing compressions."
indicates that the team performed high-quality
CPR? When an advanced airway has
been placed in a patient who
"We initiated chest compressions at a rate of 100 is in cardiac arrest, compressions
to 110 per minute to a depth of 2.4 inches and should be delivered continuously
then gave 1 ventilation every 10 seconds." (100 to 120 per minute) with no
"We provided chest compressions at a rate of 100 pauses for ventilations.
to 120 compressions per minute while giving 1
ventilation every 6 seconds without pausing com-
pressions."
"We provided chest compressions at a rate of 80
to 120 per minute to a depth of at least 2 inches
and gave 1 ventilation every 6 seconds without
pausing compressions."
"We kept the rate of chest compressions to
around 100 per minute but adjusted their depth
to 1.5 inches while giving 1 ventilation every 3
seconds without pausing compressions."
, ACLS Final Exam
Study online at https://quizlet.com/_a3kq2l
5. Assessment of a patient reveals an ETCO2 level Respiratory failure
of 55 mmHg and an arterial oxygen saturation
(SaO2) level of 88%. The provider would interpret An SaO2 level of less than 90%
these findings as indicative of which condition? (PaO2 of less than 50 mmHg)
accompanied by ETCO2 values
Respiratory failure greater than 50 mmHg is indica-
Respiratory arrest tive of respiratory failure.
Cardiac arrest
Respiratory distress
6. A responsive patient is choking. What method Back blows
should the provider use first to clear the obstruct-
ed airway? To clear an obstructed airway in a
responsive adult, first provide up
Back blows to 5 back blows to clear the ob-
Abdominal thrusts struction.
Magill forceps extraction
Chest compressions
7. A patient arrives at the emergency department Assisted ventilation with BVM re-
complaining of shortness of breath. The patient suscitator
has a long history of chronic obstructive pul-
monary disease. Assessment reveals respiratory Patients who cannot ventilate ade-
quately despite an open airway or
failure. Which action would be the initial priority
to address the respiratory failure? who have insufficient respiratory
effort require assisted ventilation
Establishment of vascular access initially provided via a BVM resus-
Delivery of supplemental oxygen via nasal cannu- citator.
la
Assisted ventilation with BVM resuscitator
Initiation of capnography
8.
