American Red Cross – ACLS/ALS Final Exam (Complete
Set of Questions and 100% Correct Answers)
Introduction:
This document provides a comprehensive collection of Advanced
Cardiovascular Life Support (ACLS) and Advanced Life Support
(ALS) final exam questions and answers based on the official
American Red Cross curriculum. It covers critical topics such as
cardiac arrest management, arrhythmia recognition, stroke and
respiratory emergency response, pharmacology (e.g., epinephrine,
atropine, amiodarone), post-cardiac arrest care, and acute coronary
syndrome (ACS) protocols. The material includes over 60 verified
questions with accurate answers, making it an ideal resource for
healthcare professionals preparing for ACLS or ALS certification
exams.
Exam Questions and Answers
A patient comes to the emergency department with a suspected
stroke. The patient is alert and oriented and accompanied by a
family member. The family member says, "I noticed he was slurring
his words and had trouble walking, like his leg was numb." After
completing the primary assessment, the stroke team completes a
secondary assessment. Which finding would suggest that the
patient is experiencing a condition that mimics a stroke? --- correct
answer ---Hypoglycemia
,The stroke team is assessing a patient with a suspected stroke. The
patient is alert and able to carry on a conversation, although the
patient has difficulty getting the words out. Testing confirms that
the patient has had an ischemic stroke. Based on the patient's
medical history, a history of which arrhythmia would alert the team
to the patient's increased risk for stroke? --- correct answer ---
Atrial fibrillation
A patient with an ischemic stroke arrives at the emergency
department at 2 a.m. The patient's symptoms started about 12:30
a.m. After completing the necessary assessments, the healthcare
team diagnoses an ischemic stroke, and the patient is determined to
be a candidate for fibrinolytic therapy. To achieve the best
outcomes, the team should initiate therapy for this patient no later
than by which time? --- correct answer ---3:00 a.m.
A patient enters the emergency department in respiratory
compromise. The team is monitoring the patient using capnography
and identifies that ETCO2 levels are initially 33 mmHg and later 40
mmHg. From these readings, the team identifies that the patient
is progressing in what stage of respiratory compromise? --- correct
answer ---Respiratory distress
The ECG rhythm strip of a patient who arrived in the emergency
department complaining of dizziness, syncope and shortness of
breath reveals sinus bradycardia. When reviewing the patient's
,medication history, the healthcare provider identifies which
agent(s) as a potential cause of the patient's current condition? ---
correct answer ---1.
Metoprolol
2. Verapamil
3. Digoxin
A person suddenly collapses while sitting in the sunroom of a
healthcare facility. A healthcare provider observes the event and
hurries over to assess the situation. The healthcare provider
performs which assessment first? --- correct answer ---Rapid
assessment
A healthcare provider initiates ventilations to ensure adequate
breathing and oxygenation. While ventilations are being performed,
capnography is established to evaluate the adequacy of the
ventilations. The healthcare provider determines that ventilations
are adequate based on which end-tidal carbon dioxide (ETCO2)
value? --- correct answer ---35 to 45 mmHg
A healthcare provider is establishing cardiac monitoring using a
five-electrode system. The healthcare provider demonstrates proper
use of the system by placing the green electrode in which location?
--- correct answer ---On the lower right abdomen
, A patient experiences cardiac arrest, and the resuscitation team
initiates ventilations using a bag-valve-mask (BVM) resuscitator.
The development of which condition during the provision of care
would lead the team to suspect that improper BVM technique is
being used? --- correct answer ---Pneumothorax
A resuscitation team is debriefing following a recent event. A
patient experienced cardiac arrest, and advanced cardiac life
support was initiated. The patient required the placement of an
advanced airway to maintain airway patency. Which statement
indicates that the team performed high-quality CPR? --- correct
answer ---"We delivered 1 ventilation every 6 seconds and chest
compressions at a rate of 100 to 120 compressions per minute."
The resuscitation team suspects that hyperkalemia is the cause of
cardiac arrest in a patient brought to the emergency department.
Which finding on a 12-lead ECG would confirm this suspicion? ---
correct answer ---Wide-complex ventricular rhythm or tall, pointed
T waves
A patient with dyspnea and a change in mental status arrives at the
emergency department. The healthcare team completes the
necessary assessments and begins to care for the patient, including
initiating cardiac monitoring, pulse oximetry, supplemental oxygen
and vascular access. The team reviews the patient's ECG rhythm
strip, as shown in the following figure. Which agent would the team
most likely administer? --- correct answer ---Atropine 0.5 mg every
4 to 5 minutes
Set of Questions and 100% Correct Answers)
Introduction:
This document provides a comprehensive collection of Advanced
Cardiovascular Life Support (ACLS) and Advanced Life Support
(ALS) final exam questions and answers based on the official
American Red Cross curriculum. It covers critical topics such as
cardiac arrest management, arrhythmia recognition, stroke and
respiratory emergency response, pharmacology (e.g., epinephrine,
atropine, amiodarone), post-cardiac arrest care, and acute coronary
syndrome (ACS) protocols. The material includes over 60 verified
questions with accurate answers, making it an ideal resource for
healthcare professionals preparing for ACLS or ALS certification
exams.
Exam Questions and Answers
A patient comes to the emergency department with a suspected
stroke. The patient is alert and oriented and accompanied by a
family member. The family member says, "I noticed he was slurring
his words and had trouble walking, like his leg was numb." After
completing the primary assessment, the stroke team completes a
secondary assessment. Which finding would suggest that the
patient is experiencing a condition that mimics a stroke? --- correct
answer ---Hypoglycemia
,The stroke team is assessing a patient with a suspected stroke. The
patient is alert and able to carry on a conversation, although the
patient has difficulty getting the words out. Testing confirms that
the patient has had an ischemic stroke. Based on the patient's
medical history, a history of which arrhythmia would alert the team
to the patient's increased risk for stroke? --- correct answer ---
Atrial fibrillation
A patient with an ischemic stroke arrives at the emergency
department at 2 a.m. The patient's symptoms started about 12:30
a.m. After completing the necessary assessments, the healthcare
team diagnoses an ischemic stroke, and the patient is determined to
be a candidate for fibrinolytic therapy. To achieve the best
outcomes, the team should initiate therapy for this patient no later
than by which time? --- correct answer ---3:00 a.m.
A patient enters the emergency department in respiratory
compromise. The team is monitoring the patient using capnography
and identifies that ETCO2 levels are initially 33 mmHg and later 40
mmHg. From these readings, the team identifies that the patient
is progressing in what stage of respiratory compromise? --- correct
answer ---Respiratory distress
The ECG rhythm strip of a patient who arrived in the emergency
department complaining of dizziness, syncope and shortness of
breath reveals sinus bradycardia. When reviewing the patient's
,medication history, the healthcare provider identifies which
agent(s) as a potential cause of the patient's current condition? ---
correct answer ---1.
Metoprolol
2. Verapamil
3. Digoxin
A person suddenly collapses while sitting in the sunroom of a
healthcare facility. A healthcare provider observes the event and
hurries over to assess the situation. The healthcare provider
performs which assessment first? --- correct answer ---Rapid
assessment
A healthcare provider initiates ventilations to ensure adequate
breathing and oxygenation. While ventilations are being performed,
capnography is established to evaluate the adequacy of the
ventilations. The healthcare provider determines that ventilations
are adequate based on which end-tidal carbon dioxide (ETCO2)
value? --- correct answer ---35 to 45 mmHg
A healthcare provider is establishing cardiac monitoring using a
five-electrode system. The healthcare provider demonstrates proper
use of the system by placing the green electrode in which location?
--- correct answer ---On the lower right abdomen
, A patient experiences cardiac arrest, and the resuscitation team
initiates ventilations using a bag-valve-mask (BVM) resuscitator.
The development of which condition during the provision of care
would lead the team to suspect that improper BVM technique is
being used? --- correct answer ---Pneumothorax
A resuscitation team is debriefing following a recent event. A
patient experienced cardiac arrest, and advanced cardiac life
support was initiated. The patient required the placement of an
advanced airway to maintain airway patency. Which statement
indicates that the team performed high-quality CPR? --- correct
answer ---"We delivered 1 ventilation every 6 seconds and chest
compressions at a rate of 100 to 120 compressions per minute."
The resuscitation team suspects that hyperkalemia is the cause of
cardiac arrest in a patient brought to the emergency department.
Which finding on a 12-lead ECG would confirm this suspicion? ---
correct answer ---Wide-complex ventricular rhythm or tall, pointed
T waves
A patient with dyspnea and a change in mental status arrives at the
emergency department. The healthcare team completes the
necessary assessments and begins to care for the patient, including
initiating cardiac monitoring, pulse oximetry, supplemental oxygen
and vascular access. The team reviews the patient's ECG rhythm
strip, as shown in the following figure. Which agent would the team
most likely administer? --- correct answer ---Atropine 0.5 mg every
4 to 5 minutes
