ACLS Practice Exam with Practice Questions ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct
ACLS Practice Exam ( Updated 2024 )
Complete Questions & Answers (Solved) 100% Correct
- 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. - 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. - What isthe preferred method of accessfor epi administration during cardiacarrest in most pts?
Answer: Peripheral IV - An AED does not promptly analyze a rythm.What is your next step?
Answer: Beginchest compressions. - 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 - 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 - What is a common but sometimes fatal mistake in cardiac arrest management?
Answer: Prolonged interruptions in chest compressions. - Which action is a componant of high-quality chest compressions?
Answer: Allowingcomplete chest recoil - Which action increases the chance of successful conversion of ventricularfibrillation?
Answer: Providing quality compressions immediately before a defibrillation attempt. - Which situation BEST describes pulseless electrical activity?
Answer: Sinus rythmwithout a pulse - 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. - 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. - The use of quantitative capnography in intubated patients
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.Afterthe firstshock,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?-
Answer: Consider terminating resuscitive efforts after consulting medical control. - 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. - 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. - What is an advantage of using hands-free defibrillation pads instead ofdefibrillation
paddles?
Answer: Hands-free pads allow for a more rapid defibrillation. - What action is recommended to help minimize interruptions in chest com-pressions during
CPR?
Answer: Continue CPR while charging the defibrillator. - Which action is included in the BLS survey?
Answer: Early defibrillation - Which drug and dose are recommended for the management of a patientin refractory
ventricular fibrillation?
Answer: Amioderone 300mg - What is the appropriate interval for an interruption in chest compressions?
Answer: 10 seconds or less - Which of the following is a sign of effective CPR?
Answer: PETCO2 e10 mm Hg
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ACLS Practice Questions 2 ( Updated 2024 )
Complete Questions & Answers (Solved) 100% Correct
- Rate of chest compressions for adults
Answer: 100-120 compressions per minute - Ratio of compressions to breaths in adults
Answer: 30:2 - Rate of bag valve mask ventilation for adults in respiratory arrest
Answer: Onceevery 5-6 seconds or 10-12 times per minute - Treatmentsfor hypotension following cardiac arrest
Answer:
IV dopamine infusion, IVepinephrine infusion
IV Ringer’s lactate, IV normal saline - Recommended ED door-to-balloon inflation time for a STEMI patient
Answer: Nolonger than 90 minutes - Waysto estimate effectiveness of CPR
Answer: Arterial diastolic blood pressure, quantitative waveform capnography, central venous
oxygen saturation - Best drug used for narrow complex supraventriculartachycardia
Answer: Adenosine - Drug used for pulseless electrical activity
Answer: Epinephrine - Sequence of basic life support
Answer: Compressions, airway, breathing (CAB) - Initial dose of adenosine for treatment of supraventricular tachycardia
Answer: 6mg IV - Heart rate at which tachycardia usually becomes symptomatic
Answer: 150 bpm - Longest duration for pulse check
Answer: 10 seconds - Recommended initial dosage of atropine forsymptomatic bradycardia
Answer: 0.5mg IV - Recommended dose of oxygen during CPR
Answer: 100% - Goal for initiation of fibrinolytic therapy in stroke patients
Answer: Within 1 hour ofED arrival - Common reversible causes of cardiac arrest (“H’s andT’s”)
Answer: Hypotension,hypoxia, hypothermia, hydrogen ions (acidosis), hypo-/hyperkalemia
Tension pneumothorax, tamponade, thrombosis (coronary), thrombosis (pulmonary), toxins - Best option for treatment of STEMI diagnosed in ambulance via 12-leadECG
Answer: Transport to PCI-capable hospital - Components of Cincinnati Prehospital Stroke Scale (CPSS)
Answer: Facial droop,arm drift, speech abnormality - Asystole should be treated with all of the following EXCEPT
Answer:
CPR
Ventilations
Defibrillation
Epinephrine: Asystole should be treated with all of the following
EXCEPT:
CPR
Ventilations
DefibrillationEpinephrine - Appropriate response to an AED that is having problems analyzing rhythmAnswer: Continue chest compressions
- Which of the following is treated with synchronized shocks?
Unstable atrial fibrillation
Sinus tachycardia
VT without a pulse
VF: Which of the following is treated with synchronized shocks?
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ACLS Practice Questions ( Updated 2024 )
Complete Questions & Answers (Solved) 100% Correct
- What element of a system of care is represented by properly functioningresuscitation
equipment?
System
Structure
Process
Patient outcome
Answer: Structure - What is the first link in the out-of-hospital cardiac arrest (OHCA) chain ofsurvival?
Activation of emergency response
Defibrillation
Advanced resuscitation
High-quality CPR
Answer: Activation of emergency response - What are signs of clinical deterioration that would prompt the activation ofrapid response
system?
Symptomatic hypertension
Seizure
Unexplained agitation
Diastolic blood pressure greater than 60 mm Hg or less than 100 mm Hg
Answer: –
Symptomatic hypertension
Seizure
Unexplained agitation - What is the primary purpose of a rapid response team (RRT) or medicalemergency team
(MET)?
To provide diagnostic consultation to emergency department patients
To improve care for patients admitted to critical care units
To improve patient outcomes by identifying and treating early clinical deterioration
To provide online consultation to emergency medical services personnel inthe field
Answer: To improve patient outcomes by identifying and treating early clinical deterioration - What happens when teamsrapidly assess and intervene when patients haveabnormal vital
signs?
Morbidity and mortality rates are maintained
The number of out of hospital cardiac arrest increases
The number of in hospital cardiac arrest decreases
Morbidity and mortality rates increase
Answer: The number of in hospital cardiac arrestdecreases - In addition to decreased IHCA, what are some other benefits of implementing a rapid
response system? Select all that apply
Decreased ICU length of stay
Decreased emergency department admissions
Increased ICU admissions
Increased Hospital Length of Stay Decreased in total hospital length of stay: - Which is the main advantage of effective teamwork?
Early defibrillation
Division of tasks
Mastery or resuscitation skills
Immediate CPR
Answer: Division of tasks - Which is the best example of a role of the team leader?
Proficient at endotracheal intubation
Does not over ventilate the patient
Performs within scope of practice
Models excellent team behavior
Answer: Models excellent team behavior - Which is the best example of a role of a team member?
Monitors individual team members
Helps train future team leaders
Focuses on comprehensive patient care
Prepared to fulfill their role responsibilities
Answer: Prepared to fulfill their role responsibilities - What is the primary purpose of the CPR coach on a resuscitation team?
Recording CPR data
Resolving team conflicts
Increasing CPR quality
Giving encouragement
Answer: Increasing CPR quality - What are the 6 positions for high performance teams in resuscitation?
Answer: – Team leader Airway Timer/recorder
Compressor (rotate every 2 minutes)Monitor/defibrillator/cpr coach IV/IO/Medications - Which member of the high performance team has the responsibility forassigning roles
(positions)?
Compressor
Time/recorder
Airway
Team leader
Answer: Team leader - Which high performance team member is part of the resuscitation triangle?
Timer/recorder
Monitor/defibrillator/Cpr coach
IV/IO/medications
Team leader
Answer: Monitor/defibrillator/cpr coach - Which is an example of knowledge sharing by a team leader?
Changing a treatment strategy when supported by new information
Maintaining an ongoing record of treatments
Asking for suggestions about interventions
Asking the compressor to decrease or increase rate
Answer: Asking for suggestionsabout interventions - Which is an example of summarizing and reevaluating?
“1mg of epinephrine given”
Questioning a colleague who is about to make a mistake”Compressions are at a good rate”
Increasing monitoring if the patients condition deteriorates
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