ACLS Exam Newest Exam / ACLS Exam Preparation
ACLS EXAM NEWEST EXAM / ACLS EXAM PREPARATION/ACLS
EXAM PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS| BRAND NEW VERSION!
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? - Correct Answer-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? - Correct Answer-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: - Correct Answer-
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? - Correct Answer-
Adenosine 6mg IV push
1|Page
, ACLS Exam Newest Exam / ACLS Exam Preparation
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? - Correct Answer-Divert the patient to a
hospital 15 minutes away with CT capabilities.
Choose an appropriate indication to stop or withhold resuscitative efforts. -
Correct Answer-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? - Correct Answer-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? - Correct Answer-
Simple airway manuevers and assisted ventilations.
What is the appropriate procedure for endotracheal tube suctioning after the
appropriate catheter is selected? - Correct Answer-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 ? -
Correct Answer-Atropine 0.5mg
2|Page
, ACLS Exam Newest Exam / ACLS Exam Preparation
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? - Correct Answer-Cincinnati Prehospital Stroke
Scale assessment
EMS is transporting a patient with a positive prehospital stroke assessment. Upon
arrival in the emergency department, the initial blood pressure is 138/78 mm Hg,
the pulse rate is 80/min, the respiratory rate is 12 breaths/min, and the pulse
oximetry reading is 95% on room air. The lead II ECG displays sinus rhythm. The
blood glucose level is within normal limits. What intervention should you perform
next? - Correct Answer-Head CT scan
What is the proper ventilation rate for a patient in cardiac arrest who has an
advanced airway in place? - Correct Answer-8-10 breaths per minute
A 62-year-old man in the emergency department says that his heart is beating
fast. He says he has no chest pain or shortness of breath. The blood pressure is
142/98 mm Hg, the pulse is 200/min, the respiratory rate is 14 breaths/min, and
pulse oximetry is 95% on room air. What intervention should you perform next? -
Correct Answer-Obtain a 12 lead ECG.
You are evaluating a 48-year-old man with crushing substernal chest pain. The
patient is pale, diaphoretic, cool to the touch, and slow to respond to your
questions. The blood pressure is 58/32 mm Hg, the heart rate is 190/min, the
respiratory rate is 18 breaths/min, and the pulse oximeter is unable to obtain a
reading because there is no radial pulse. The lead II ECG displays a regular wide-
3|Page
ACLS EXAM NEWEST EXAM / ACLS EXAM PREPARATION/ACLS
EXAM PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS| BRAND NEW VERSION!
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? - Correct Answer-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? - Correct Answer-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: - Correct Answer-
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? - Correct Answer-
Adenosine 6mg IV push
1|Page
, ACLS Exam Newest Exam / ACLS Exam Preparation
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? - Correct Answer-Divert the patient to a
hospital 15 minutes away with CT capabilities.
Choose an appropriate indication to stop or withhold resuscitative efforts. -
Correct Answer-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? - Correct Answer-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? - Correct Answer-
Simple airway manuevers and assisted ventilations.
What is the appropriate procedure for endotracheal tube suctioning after the
appropriate catheter is selected? - Correct Answer-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 ? -
Correct Answer-Atropine 0.5mg
2|Page
, ACLS Exam Newest Exam / ACLS Exam Preparation
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? - Correct Answer-Cincinnati Prehospital Stroke
Scale assessment
EMS is transporting a patient with a positive prehospital stroke assessment. Upon
arrival in the emergency department, the initial blood pressure is 138/78 mm Hg,
the pulse rate is 80/min, the respiratory rate is 12 breaths/min, and the pulse
oximetry reading is 95% on room air. The lead II ECG displays sinus rhythm. The
blood glucose level is within normal limits. What intervention should you perform
next? - Correct Answer-Head CT scan
What is the proper ventilation rate for a patient in cardiac arrest who has an
advanced airway in place? - Correct Answer-8-10 breaths per minute
A 62-year-old man in the emergency department says that his heart is beating
fast. He says he has no chest pain or shortness of breath. The blood pressure is
142/98 mm Hg, the pulse is 200/min, the respiratory rate is 14 breaths/min, and
pulse oximetry is 95% on room air. What intervention should you perform next? -
Correct Answer-Obtain a 12 lead ECG.
You are evaluating a 48-year-old man with crushing substernal chest pain. The
patient is pale, diaphoretic, cool to the touch, and slow to respond to your
questions. The blood pressure is 58/32 mm Hg, the heart rate is 190/min, the
respiratory rate is 18 breaths/min, and the pulse oximeter is unable to obtain a
reading because there is no radial pulse. The lead II ECG displays a regular wide-
3|Page
