ACLS EXAM
DESIGNED BY THE AMERICAN HEART
ASSOCIATION (AHA)
ADVANCED CARDIOVASCULAR
LIFE SUPPORT
QUESTIONS AND VERIFIED ANSWERS|
100% CORRECT| GRADED A+
AMERICAN HEART ASSOCIATION
,You find an unresponsive pt. who is not breathing. After activating the
emergency response system, you determine there is no pulse. What is your
next action? - CORRECT-ANSWERS--Start chest compressions of at least 100
per min.
You are evaluating a 58-year-old man with chest pain. The blood pressure is
92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14
breaths/min, and the pulse oximetry reading is 97%. What assessment step
is most important now? - CORRECT-ANSWERS--Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during
cardiac arrest in most pts? - CORRECT-ANSWERS--Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? -
CORRECT-ANSWERS--Begin chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays the lead II
rhythm below, and the patient has no pulse. Another member of your team
resumes chest compressions, and an IV is in place. What management step is
your next priority? - CORRECT-ANSWERS--Administer 1mg of epinephrine
,During a pause in CPR, you see this lead II ECG rhythm on the monitor. The
patient has no pulse. What is the next action? - CORRECT-ANSWERS--
Resume compressions
What is a common but sometimes fatal mistake in cardiac arrest
management? - CORRECT-ANSWERS--Prolonged interruptions in chest
compressions.
Which action is a componant of high-quality chest comressions? - CORRECT-
ANSWERS--Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular
fibrillation? - CORRECT-ANSWERS--Providing quality compressions
immediately before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? - CORRECT-
ANSWERS--Sinus rythm without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with
an advanced airway in place? - CORRECT-ANSWERS--Provide continuous
chest compressions without pauses and 10 ventilations per minute.
, Three minutes after witnessing a cardiac arrest, one member of your team
inserts an endotracheal tube while another performs continuous chest
compressions. During subsequent ventilation, you notice the presence of a
waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What
is the significance of this finding? - CORRECT-ANSWERS--Chest
compressions may not be effective.
The use of quantitative capnography in intubated patients - CORRECT-
ANSWERS--allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a
patient who originally presented in ventricular fibrillation. After the first
shock, the ECG screen displayed asystole, which has persisted despite 2
doses of epinephrine, a fluid bolus, and high-quality CPR. What is your next
treatment? - CORRECT-ANSWERS--Consider terminating resuscitive efforts
after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? -
CORRECT-ANSWERS--Be sure oxygen is not blowing over the patient's chest
during the shock.
During your assessment, your patient suddenly loses consciousness. After
calling for help and determining that the patient is not breathing, you are
unsure whether the patient has a pulse. What is your next action? -
CORRECT-ANSWERS--Begin chest compressions.