ACLS CertificationExam, Questions
With CorrectAnswers2025 Update
Any organizedrhythmwithouta pulseis definedas pulselesselectricalactivity(PEA). - ANS-True
Synchronizedcardioversionis appropriatefor treatingan unknownwidecomplextachycardia.- ANS-
True
The aortais thewall thatseparatestheventriclesof theheart.- ANS-False
The mosteffectivetreatmentfor ventricularfibrillationis defibrillation.- ANS-True
An individual shouldbe cleared-Ñ prior to a shock only whenconvenient.- ANS-False
PEA and asystoleareconsiderednon-shockablerhythmsand followthesameACLS algorithm.- ANS-
True
Transcutaneous pacing should be used on an individual with bradycardiainadequate
and perfusionif
atropineis ineffectiveand theindividual is exhibitingseveresymptoms.- ANS-True
Low bloodpressuremay be an indicationof hemodynamicinstability.- ANS-True
Urgentdefibrillationis essentialfor survivalin themanagementof acutestrokes.- ANS- False
Fibrinolytic therapywithin threehours(in somecases4.5 hours) of first onsetof symptoms is the
standard when treating ischemic stroke.
- ANS-True
100%oxygenis acceptablefor earlyinterventionbut not for extendedperiodsof time.- ANS-True
In a suspectedacutestrokeindividual,you mustalwaysimmediatelyobtainIV access.- ANS-False
There is nevera pulseassociatedwith VF; therefore,you shouldfollowthePEA algorithm with
individuals in VF. - ANS-False
If theAED advisesno shock,you shouldstill defibrillatebecausedefibrillationoftenrestarts the heart
with no pulse.- ANS-False
If transcutaneouspacingfails,thereareno otheroptionsto consider.- ANS-False
Medicationis theonly treatmentfor an unstabletachycardicindividual.- ANS-False
,For an individiual in respiratoryarrestwith a pulse,how oftenshouldtheybe ventilated?
A) Give twobreathsevery8 to 9 seconds,or 13 to 15 breathsper minute.
B) Give onebreathevery5 to 6 seconds,or 10 to 12 breathsper minute.
C) Give one breathevery3 to 4 seconds,or 15 to 20 breathsper minute.
D) Give onebreathevery8 to 9 seconds,or 6 to 8 breathsper minute.- ANS-B) Give one breath
every 5 to 6 seconds, or 10 to 12 breaths per minute.
Which itemis NOT a basic airwayskill?
A) Placementof endotrachealtube(ET tube)
B) Bag-mask ventilation
C) Jaw-thrustmaneuverwithoutheadextension
D) Head-tilt-chin-lift maneuver- ANS-A) Placementof endotrachealtube(ET tube)
Which of thefollowingbasicairwayadjunctscan be usedin a consciousor semiconscious indivudual
(with an intact cough and gag reflex)?
A) Oropharyngealairway(OPA)
B) Endotrachealtube(ET tube)
C) Nasopharyngealairway(NPA)
D) Esophageal-trachealtube(combitube)- ANS-C) Nasopharyngealairway(NPA)
Blood or secretionsin themouthor upperrespiratorytractmay threatentheairway.How can they be
removed?
A) Bag-mask ventllation
B) Laryngealtube
C) None of theabove
D) Suctioning- ANS-D) Suctioning
What itemis NOT an exampleof AdvancedAirways?
A) Esophageal-trachealtube(combitube)
B) Oropharyngealairway(OPA)
C) Endotrachealtube(ET tube)D) Laryngealmaskairway(LMA) - ANS-B)
Oropharyngeal airway (OPA)
The compression-to-ventilationratioduring CPR prior to placementof an advancedairway is:
A) 15:02
B) 20:01
C) 30:01:00
D) 30:02:00- ANS-D) 30:02:00
True statementsaboutAED usein specialsituationsincludeall of thefollowingEXCEPT:
A) Do not usean AED in water.
, B) Leavemedicationpatchesin placeand placetheAED electrodepadsdirectlyover the patch.
With CorrectAnswers2025 Update
Any organizedrhythmwithouta pulseis definedas pulselesselectricalactivity(PEA). - ANS-True
Synchronizedcardioversionis appropriatefor treatingan unknownwidecomplextachycardia.- ANS-
True
The aortais thewall thatseparatestheventriclesof theheart.- ANS-False
The mosteffectivetreatmentfor ventricularfibrillationis defibrillation.- ANS-True
An individual shouldbe cleared-Ñ prior to a shock only whenconvenient.- ANS-False
PEA and asystoleareconsiderednon-shockablerhythmsand followthesameACLS algorithm.- ANS-
True
Transcutaneous pacing should be used on an individual with bradycardiainadequate
and perfusionif
atropineis ineffectiveand theindividual is exhibitingseveresymptoms.- ANS-True
Low bloodpressuremay be an indicationof hemodynamicinstability.- ANS-True
Urgentdefibrillationis essentialfor survivalin themanagementof acutestrokes.- ANS- False
Fibrinolytic therapywithin threehours(in somecases4.5 hours) of first onsetof symptoms is the
standard when treating ischemic stroke.
- ANS-True
100%oxygenis acceptablefor earlyinterventionbut not for extendedperiodsof time.- ANS-True
In a suspectedacutestrokeindividual,you mustalwaysimmediatelyobtainIV access.- ANS-False
There is nevera pulseassociatedwith VF; therefore,you shouldfollowthePEA algorithm with
individuals in VF. - ANS-False
If theAED advisesno shock,you shouldstill defibrillatebecausedefibrillationoftenrestarts the heart
with no pulse.- ANS-False
If transcutaneouspacingfails,thereareno otheroptionsto consider.- ANS-False
Medicationis theonly treatmentfor an unstabletachycardicindividual.- ANS-False
,For an individiual in respiratoryarrestwith a pulse,how oftenshouldtheybe ventilated?
A) Give twobreathsevery8 to 9 seconds,or 13 to 15 breathsper minute.
B) Give onebreathevery5 to 6 seconds,or 10 to 12 breathsper minute.
C) Give one breathevery3 to 4 seconds,or 15 to 20 breathsper minute.
D) Give onebreathevery8 to 9 seconds,or 6 to 8 breathsper minute.- ANS-B) Give one breath
every 5 to 6 seconds, or 10 to 12 breaths per minute.
Which itemis NOT a basic airwayskill?
A) Placementof endotrachealtube(ET tube)
B) Bag-mask ventilation
C) Jaw-thrustmaneuverwithoutheadextension
D) Head-tilt-chin-lift maneuver- ANS-A) Placementof endotrachealtube(ET tube)
Which of thefollowingbasicairwayadjunctscan be usedin a consciousor semiconscious indivudual
(with an intact cough and gag reflex)?
A) Oropharyngealairway(OPA)
B) Endotrachealtube(ET tube)
C) Nasopharyngealairway(NPA)
D) Esophageal-trachealtube(combitube)- ANS-C) Nasopharyngealairway(NPA)
Blood or secretionsin themouthor upperrespiratorytractmay threatentheairway.How can they be
removed?
A) Bag-mask ventllation
B) Laryngealtube
C) None of theabove
D) Suctioning- ANS-D) Suctioning
What itemis NOT an exampleof AdvancedAirways?
A) Esophageal-trachealtube(combitube)
B) Oropharyngealairway(OPA)
C) Endotrachealtube(ET tube)D) Laryngealmaskairway(LMA) - ANS-B)
Oropharyngeal airway (OPA)
The compression-to-ventilationratioduring CPR prior to placementof an advancedairway is:
A) 15:02
B) 20:01
C) 30:01:00
D) 30:02:00- ANS-D) 30:02:00
True statementsaboutAED usein specialsituationsincludeall of thefollowingEXCEPT:
A) Do not usean AED in water.
, B) Leavemedicationpatchesin placeand placetheAED electrodepadsdirectlyover the patch.
