ACLS Exam Review with Review Questions ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct

ACLS Exam Review with Review Questions ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct

ACLS Review 2 ( Updated 2024 )
Complete Questions & Answers (Solved) 100% Correct

1. You find an unresponsive pt. who is not breathing. After activating the emergency
   response system, you determine there is no pulse.What is yournext action?
   Answer: Start chest compressions of at least 100 per min.
2. 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 14breaths/min, and the pulse
   oximetry reading is 97%.What assessment step ismost important now?
   Answer: Obtaining a 12 lead ECG.
3. What isthe preferred method of accessfor epi administration during cardiacarrest in most pts?
   Answer: Peripheral IV
4. An AED does not promptly analyze a rythm.What is your next step?
   Answer: Beginchest compressions.
5. You have completed 2 minutes of CPR.The ECG monitor displays the leadII rhythm
   below, and the patient has no pulse. Another member of your teamresumes chest
   compressions, and an IV is in place. What management stepis your next priority?
   Answer: Administer 1mg of epinephrine
6. During a pause in CPR, you see this lead II ECG rhythm on the monitor.Thepatient has no
   pulse.What is the next action?
   Answer: Resume compressions
7. What is a common but sometimes fatal mistake in cardiac arrest management?
   Answer: Prolonged interruptions in chest compressions.
8. Which action is a componant of high-quality chest comressions?
   Answer: Allowingcomplete chest recoil
9. Which action increases the chance of successful conversion of ventricularfibrillation?
   Answer: Providing quality compressions immediately before a defibrillation attempt.
10. Which situation BEST describes pulseless electrical activity?
    Answer: Sinus rythmwithout a pulse
11. What is the BEST strategy for performing high-quality CPR on a patientwith an
    advanced airway in place?
    Answer: Provide continuous chest compressions without pauses and 10 ventilations per
    minute.
12. Three minutes after witnessing a cardiac arrest, one member of your team inserts an
    endotracheal tube while another performs continuous chestcompressions. During subsequent
    ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2
    level of 8 mm Hg.Whatis the significance of this finding?
    Answer: Chest compressions may not be effective.
13. The use of quantitative capnography in intubated patients
    Answer: allows for monitoring of CPR quality.
14. For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who
    originally presented in ventricular fibrillation.Afterthe firstshock,the ECG screen displayed
    asystole, which has persisted despite 2 doses of
    epinephrine, a fluid bolus, and high-qualityCPR.What is your next treatment?-
    Answer: Consider terminating resuscitive efforts after consulting medical control.
15. Which is a safe and effective practice within the defibrillation sequence?-
    Answer: Be sure oxygen is not blowing over the patient’s chest during the shock.
16. 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?
    Answer: Beginchest compressions.
17. What is an advantage of using hands-free defibrillation pads instead ofdefibrillation
    paddles?
    Answer: Hands-free pads allow for a more rapid defibrillation.
18. What action is recommended to help minimize interruptions in chest com-pressions during
    CPR?
    Answer: Continue CPR while charging the defibrillator.
19. Which action is included in the BLS survey?
    Answer: Early defibrillation
20. Which drug and dose are recommended for the management of a patientin refractory
    ventricular fibrillation?
    Answer: Amiodarone 300mg
21. What is the appropriate interval for an interruption in chest compressions?
    Answer: 10 seconds or less
22. Which of the following is a sign of effective CPR?
    Answer: PETCO2 e10 mm Hg

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ACLS Review Questions ( Updated 2024 )
Complete Questions & Answers (Solved) 100% Correct

1. What is the primary purpose of the CPR coach on a resuscitation team?
   Answer: -increasing CPR quality
2. What is the most common type of stroke?
   Answer: ischemic stroke
3. What is a contraindication to the administration of aspirin for the management of a pt with
   acute coronary syndromes?
   Answer: recent gastrointestinal bleeding
4. What blood component is acted upon by aspirin administration during themanagement of a
   pt with ACS?
   Answer: platelets
5. What is the most appropriate destination for pts with suspected acuteischemic stroke?
   Answer: certified stroke center
6. A 49-year-old man arrives at the emergency department with chest discom- fort. He states
   that he was working in the garden this morning when his cheststarted hurting. The last episode
   lasted about 25 minutes, and he was sweaty.The chest discomfort is not relieved with rest.
   Within the first 10 minutes, on the basis of the pt showing symptoms suggestive of MI, what
   will your first actions include (if not completed by EMS beforearrival)?
   Answer:
   If SpO2 is less than 90%, start oxygen
   Obtain a 12-lead EKG
   Administer aspirin and establish IV access
   Assess ABCs
   Consider nitroglycerin, morphine, and a P2Y inhibitor
   Activate the STEMI team
7. His initial VS are HR 120/min, BP 135/88 mmHg, RR 23/min, SpO2 87%, andtemperature
   37.3 degrees C.
   When considering oxygen saturation, what is your course of action?

Start oxygen at 4L/min via nasal cannula
Do not start oxygen
Intubate pt immediately
Administer albuterol nebulizer
Answer: Start oxygen at 4L/min via nasal cannula

8. What additional questions help you determine next steps?
   Answer:
   When did thesymptoms start?
   Do you have any allergies?
   Do you take any medication?
9. Your pt continues to say that he has chest discomfort.
   What treatment can you repeat as long as it is not contraindicated by vitalsigns?
   Nitroglycerin IV every 1 to 3 mins Morphine sublingual every 1 to 3 mins
   Nitroglycerin sublingual or translingual every 3 to 5 mins
   Morphine IV every 1 to 3 mins
   Answer: Nitroglycerin sublingual or translingual every 3 to5 mins
10. What is your interpretation of the pt’s EKG tracing?
    Answer: Anterior STEMI
11. With the diagnosis of STEMI, what is the most probable treatment?
    Admission for observation Admission for PCI or fibrinolysisAdmission to ICU
    Release to home
    Answer: Admission for PCI or fibrinolysis
12. What is your goal for PCI when treating this patient?
    First medical contact-to-balloon inflation time of 90 mins
    First medical contact-to-needle time of 30 mins
    Door-to-needle time of 90 mins
    Door-to-balloon inflation time of 30 mins
    Answer: First medical contact-to-balloon inflation time of 90 mins
13. Among others, which of the following factors has been associated withimproved survival
    in pts with cardiac arrest?
    Immediate high-quality CPR
    Presence of 2 or more rescuers
    Compression-only CPR
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ACLS Exam Review ( Updated 2024 )
Complete Questions & Answers (Solved) 100% Correct

1. What are the 6 principles behind AHA’s definition of “High-Quality CPR”. (ie.What needs
   to be done to achieve “high-quality” CPR?): High-quality CPRmeans
   Answer:

• Rate of at least 100 chest compressions/minute.
• Compression depth of at least 2″ in the adult victim.
• Complete chest recoil after each chest compression.
• Minimizing interruption in compressions.
• Switching providers every 2 minutes (5 cycles of CPR).
• Avoiding excessive ventilations.

1. What does the AHA suggest as a target for CPP (coronary perfusion pressure) to increase
   the chances of SROC (spont. return of circulation)?
   Answer: It is recommended that the CPP be 10mm/Hg to give the best chances for achieving
   SROC.
   This requires “high-quality CPR”.
2. An end-tidal CO2 reading of will not achieve ROSC according to
   the AHA.
   Answer: A PETCO2 reading of 10mm Hg or less indicates poor or inadequate CPP (coronary
   perfusion pressure) because chest compressions are not providingadequate circulation to the
   lungs to eliminate CO2.
3. An intra-arterialrelaxation pressure of < indicatesineffective
   compressions.
   Answer: Intra-arterial relaxation pressures of < 20mmHg correlate with poor CPP (coronary
   perfusion pressure) and ineffective compressions.
4. The recommended sternal compression depth for an adult during resuscitation is inches.
   Answer: The recommended sternal compression depth for an adultduring resuscitation is 2
   inches.
   Keep in mind, there needs to be complete chest recoil or CPP will remain sub-optimal.
5. AHA recommends that, during resuscitation, the tidal volumes for adults be between and
   mmHg.
   Answer: Adult Vt’s should be between 500 – 600mmHg which correlates to about 1/2 the
   squeeze of an adult ambubag.
6. What 4 negative consequences of excessive ventilation does the AHAemphasize?
   Answer: Excessive ventilation can cause:

• gastric inflation
• increased intrathoracic pressures
• decreased venous return
• overall lower survival

1. What are the 5 “critical concepts” for BLS according to the AHA?
   Answer: The criticalconcepts are:

• Push hard and fast (100+/min)
• Allow complete chest recoil
• Minimize interruptions in compressions
• Switch providers Q 2 minutes
• Avoid excessive ventilations
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