ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS)
EXAM 2023 ACTUAL EXAM 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A
- Which action is a component of high-quality chest compressions?
Allowing complete chest recoil
Chest compressions without ventilation
60 to 100 compressions per minute with a 15:2 ratio
Uninterrupted compressions at a depth of 11⁄2 inches – ANSWER- Allowing complete
chest recoil - Which action increases the chance of successful conversion of ventricular fibrillation?
Pausing chest compressions immediately after a defibrillation attempt
Administering 4 quick ventilations immediately before a defibrillation attempt
Using manual defibrillator paddles with light pressure against the chest
Providing quality compressions immediately before a defibrillation attempt – ANSWERProviding quality compressions immediately before a defibrillation attempt - Which situation BEST describes pulseless electrical activity?
Asystole without a pulse
Sinus rhythm without a pulse
Torsades de pointes with a pulse
Ventricular tachycardia with a pulse – ANSWER- Sinus rhythm without a pulse - What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place?
Provide compressions and ventilations with a 15:2 ratio.
Provide compressions and ventilations with a 30:2 ratio.
Provide a single ventilation every 6 seconds during the compression pause.
Provide continuous chest compressions without pauses and 10 ventilations per minute.
- ANSWER- 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?
Chest compressions may not be effective.
The endotracheal tube is no longer in the trachea.
The patient meets the criteria for termination of efforts.
The team is ventilating the patient too often (hyperventilation). – ANSWER- Chest
compressions may not be effective.
- The use of quantitative capnography in intubated patients:
allows for monitoring of CPR quality.
measures oxygen levels at the alveoli level.
determines inspired carbon dioxide relating to cardiac output.
detects electrolyte abnormalities early in code management. – ANSWER- 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?
Apply a transcutaneous pacemaker.
Administer 1 mg of intravenous atropine.
Administer 40 units of intravenous vasopressin.
Consider terminating resuscitative efforts after consulting medical control. – ANSWERConsider terminating resuscitative efforts after consulting medical control. - Which is a safe and effective practice within the defibrillation sequence?
Stop chest compressions as you charge the defibrillator.
Be sure oxygen is not blowing over the patient’s chest during the shock.
Assess for the presence of a pulse immediately after the shock.
Commandingly announce “clear” after you deliver the defibrillation shock. – ANSWERBe 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?
Leave and get an AED.
Begin chest compressions.
Deliver 2 quick ventilations.
Check the patient’s mouth for the presence of a foreign body. – ANSWER- Begin chest
compressions. - What is an advantage of using hands-free defibrillation pads instead of defibrillation
paddles?
Hands-free pads deliver more energy than paddles.
Hands-free pads increase electrical arc.
Hands-free pads allow for a more rapid defibrillation.
Hands-free pads have universal adaptors that can work with any machine. – ANSWERHands-free pads allow for a more rapid defibrillation. - What action is recommended to help minimize interruptions in chest compressions
during CPR?
Continue CPR while charging the defibrillator.
Perform pulse checks immediately after defibrillation.
Administer IV medications only when delivering breaths.
Continue to use an AED even after the arrival of a manual defibrillator. – ANSWERContinue CPR while charging the defibrillator. - Which action is included in the BLS Survey?
Early defibrillation
Advanced airway management
Rapid medication administration
Preparation for therapeutic hypothermia – ANSWER- Early defibrillation - Which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation?
Atropine 2 mg
Amiodarone 300 mg
Vasopressin 1 mg/kg
Dopamine 2 mg/kg per minute – ANSWER- Amiodarone 300 mg - What is the appropriate interval for an interruption in chest compressions?
10 seconds or less
10 to 15 seconds
15 to 20 seconds
Interruptions are never acceptable – ANSWER- 10 seconds or less - You find an unresponsive patient who is not breathing. After activating the emergency
response system, you determine that there is no pulse. What is your next action?
Open the airway with a head tilt-chin lift.
Administer epinephrine at a dose of 1 mg/kg.
Deliver 2 rescue breaths each over 1 second.