ACLS Final Exam 1 – 3 ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct

ACLS Final Exam 1 – 3 ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct

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

1. A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a
   bag-valve-mask (BVM) resuscitator. The development ofwhich condition during the provision
   of care would lead the team to suspectthat improper BVM technique is being used?
   Hypertension
   Esophageal injury
   Pneumothorax
   Rib fracture
   Answer: Pneumothorax
   Complications can occur with the use of a BVM resuscitator due to improper technique.
   Delivering excessive volume or ventilating too fast creates excessive pressure that can damage
   the airways, lungs and other organs. Excessive volumecan lead to tension pneumothorax.
2. A person suddenly collapses while sitting in the sunroom of a healthcare facility. A
   healthcare provider observes the event and hurries over to assessthe situation.The healthcare
   provider performs which assessment first?
   Rapid assessment
   Basic life support assessment
   Secondary assessment
   Primary assessment
   Answer: Rapid assessment
   A systematic approach to assessment is necessary.The healthcare provider shouldfirst perform
   a rapid assessment. A rapid assessment is a visual survey to ensure safety, form an initial
   impression about the patient’s condition (including looking forlife-threatening bleeding), and
   determine the need for additional resources. This would be followed by a primary assessment
   and then a secondary assessment.
3. A patient is receiving ventilation support via bag-valve-mask (BVM) resus-citator.
   Capnography is established and a blood gas is obtained to evaluate the adequacy of the
   ventilations.Which arterial carbon dioxide (PaCO2) valuesignifies adequate ventilations?
   10 to 15 mmHg
   20 to 25 mmHg
   25 to 30 mmHg
   35 to 45 mmHg
   Answer: 35 to 45 mmHg

Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg confirmadequacy of
ventilation.

4. A resuscitation team is debriefing following a recent event. A patient expe-rienced cardiac
   arrest, and advanced 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?
   “We initiated chest compressions at a rate of 100 to 110 per minute to a depthof 2.4 inches and
   then gave 1 ventilation every 10 seconds.”
   “We provided chest compressions at a rate of 100 to 120 compressions per minute while
   giving 1 ventilation every 6 seconds without pausing compressions.”
   “We provided chest compressions at a rate of 80 to 120 per minute to a depthof at least 2
   inches and gave 1 ventilation every 6 seconds without pausing compressions.”
   “We kept the rate of chest compressions to around 100 per minute but adjust- ed their depth to
   1.5 inches while giving 1 ventilation every 3 seconds withoutpausing compressions.”
   Answer: “We provided chest compressions at a rate of 100 to 120compressions per minute while
   giving 1 ventilation every 6 seconds without pausingcompressions.”
   When an advanced airway has been placed in a patient who is in cardiac arrest, compressions
   should be delivered continuously (100 to 120 per minute) with nopauses for ventilations.
5. Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterialoxygen
   saturation (SaO2) level of 88%. The provider would interpret these findings as indicative of
   which condition?
   Respiratory failure
   Respiratory arrest
   Cardiac arrest
   Respiratory distress
   Answer: Respiratory failure
   An SaO2 level of less than 90% (PaO2 of less than 50 mmHg) accompanied byETCO2 values
   greater than 50 mmHg is indicative of respiratory failure.
6. A responsive patient is choking.What method should the provider use firstto clear the
   obstructed airway?
   Back blows
   Abdominal thrusts
   Magill forceps extraction
   Chest compressions
   Answer: Back blows
   To clear an obstructed airway in a responsive adult, first provide up to 5 back blowsto clear the

obstruction.

7. A patient arrives at the emergency department complaining of shortnessof breath. The
   patient has a long history of chronic obstructive pulmonary disease. Assessment reveals
   respiratory failure.Which action would be theinitial priority to address the respiratory failure?
   Establishment of vascular access
   Delivery of supplemental oxygen via nasal cannula
   Assisted ventilation with BVM resuscitator
   Initiation of capnography
   Answer: Assisted ventilation with BVM resuscitator
   Patients who cannot ventilate adequately despite an open airway or who have insufficient
   respiratory effort require assisted ventilation initially provided via a BVMresuscitator.
8. A 20-year-old man with respiratory depression is brought to the emergencydepartment by
   his parents. Opioid overdose is suspected, and an initial doseof naloxone is administered at 10
   p.m. The patient does not respond to this initial dose. The team would expect to administer a
   second dose after how many minutes?
   2 minutes
   4 minutes
   6 minutes
   8 minutes
   Answer: 2 minutes
   The dose of naloxone may be repeated after 2 to 3 minutes.
9. Assessment of a patient in the emergency department reveals that the patient is
   experiencing respiratory compromise. From the assessment, the team identifies that the patient
   is in the earliest stage of this condition.Whichstage would this be?
   Respiratory distress
   Respiratory failure
   Respiratory arrest
   Respiratory acidosis
   Answer: Respiratory distress
   Respiratory compromise occurs along a continuum, beginning with respiratorydistress,
   progressing to respiratory failure and then to respiratory arrest.
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ACLS Final Exam 3 ( Updated 2024 )
Complete Questions & Answers (Solved) 100% Correct

1. A patient admitted to the ED with signs & symptoms of stroke. The stroke team should
   complete a comprehensive neurologic assessment and obtainbrain imaging results within what
   time frame?
   Answer: With in 20 mins
2. A person suddenly collapses while sitting in the sunroom of a healthcare facility.A healthcare
   provider observesthe event and hurries over to assess thesituation. The healthcare provider
   performs which assessment first?
   Answer: Rapid assessment
3. A patient is receiving ventilation support via BVM resuscitator. Capnography is
   established & a blood gas is obtained to evaluate the adequacy of the ventilations.Which PaO2
   value signifies adequate ventilations?
   Answer: 35 – 45 mmHg
4. A patient experiences cardiac arrest & the resuscitation team initiates ventilations using a
   BVM resuscitator. The development of which condition during the provision care would lead
   the team to suspect that improper BVMtechnique is being used?
   Answer: Pneumothorax
5. A resuscitation team is debriefing following a recent event. A patient experienced cardiac
   arrest & ALS wasinitiated.The patient required the placementof an advanced airway to
   maintain airway latency. Which statement indicatesthat the team performed high quality CPR?
   Answer: We provided chest compressions ata rate of 100-120 compressions/minute while
   giving 1 ventilation Q 6secs. without pausing compressions.
6. Assessment of a patient reveals an ETCO2 level of 55mmHg & an SaO2 level of 88%.The
   provider would interpret these findings asindicative of whichcondition?
   Answer: Respiratory failure
7. A responsive patient is choking.What method should the provider use firstto clear the
   obstructed airway?
   Answer: Back blows
8. A patient arrives at the ED complaining of SOB. The patient has a long history of COPD.
   Assessment reveals respiratory failure.Which action wouldbe the initial priority to addressthe
   respiratory failure?
   Answer: Assisted ventilation withBVM resuscitator
9. A 20YO man with respiratory depression is brought to the ED by his parents. Opioid OD is
   suspected & an initial dose of naloxone is administered at 10pm.The patient doesn’t not respond

to this initial dose. The team would expect to administer a second dose after how many
minutes?
Answer: 2 minutes

10. Assessment of a patient in the ED reveals that the patient is experiencingrespiratory
    compromise. From the assessment, the team identifies that the patient is in the earliest stage of
    this condition.Which stage would this be?
    Answer: Respiratory distress
11. The following capnogram is from a patient experiencing respiratory dis-tress. At which
    point in the waveform would the patient’s ETCO2 level be measured?
    Answer: D
12. A patient is experiencing respiratory distress secondary to extinction of COPD.The
    patient beginsto exhibitsigns &symptoms of worsening respiratory function and experiences
    respiratory arrest.The team intervenes,deliveringventilations via BVM resuscitator. The team
    should provide ventilations at a rate of 1 ventilation:
    Answer: Every 6 seconds
13. A patient enters the ED in respiratory compromise.The team is monitoringthe patient using
    capnography and ID’s the ETCO2 levels are initially 33mmHg and later 40mmHg. From these
    readings, the team identifies that the patient is progressing in what stage of respiratory
    compromise?
    Answer: Respiratory distress
14. A patient is in cardiac arrest.The underlying cause is thought to be opioidtoxicity. Which
    statement accurately describes the use of naloxone for this patient?
    Answer: Naloxone should be administered ASAP but is not a priority over high quality CPR
    & AED use.
15. A patient in the telemetry unit is receiving continuous cardiac monitoring.
    The patient has a history of MI.The patient’s ECG rhythm strip is shown
    in the following figure.The provider interprets this strip as indicating whicharrhythmia?
    Answer: Third degree AV block
16. A patient with dyspnea, inadequate BP & a change in mentalstatus arrivesat the ED. The
    healthcare team completes the necessary assessment & be- gins to care for the patient,
    including initiating cardiac monitoring and pulseoximetry; providing supplemental oxygen
    and ensuring adequate ventilation;and obtaining vascular access. The team reviews the
    patients EKG strip as shown. Which agent would the team most likely administer?
    Answer: Atropine 1 mg Q3-5 minutes
17. A patient comes to the ED complaining of palpations and SOB. Cardiac monitoring is
    initiated and reveals the following EKG.The provider interpretsthis as which arrhythmia?
    get pdf at https://learnexams.com/search/study?query=hesi

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

1. A patient with suspected acute coronary syndromes (ACS) is placed on a cardiac monitor.
   The patient is complaining of dyspnea and is given supple- mental oxygen.The provider
   determines that the oxygen is effective based onwhich SaO2 level?
   Answer: When a patient presents with potential ACS, the patientshouldhave oxygen
   administered to maintain an SaO2 of at least 94%.
2. 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 suspectthat improper BVM technique is being used?
   Answer: Complications can occur with theuse of a BVM resuscitator due to improper
   technique. Delivering excessive volumeor ventilating too fast creates excessive pressure that can
   damage the airways, lungsand other organs. Excessive volume can lead to tension
   pneumothorax.
3. Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterialoxygen
   saturation (SaO2) level of 88%. The provider would interpret these findings as indicative of
   which condition?
   Answer: An SaO2 level of less than 90% (PaO2 of less than 50 mmHg) accompanied by
   ETCO2 values greater than 50 mmHg is indicative of respiratory failure.
4. 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 providerdetermines that ventilations are adequate based on
   which end-tidal carbon dioxide (ETCO2) value?
   Answer: End-tidal carbon dioxide values in the range of 35 to 45mmHg confirm adequacy of
   ventilation.
5. A patient comes to the emergency department complaining of palpitationsand “some
   shortness of breath.” Cardiac monitoring is initiated and reveals the following ECG rhythm
   strip.The provider interprets this strip as indicatingwhich arrhythmia?
   Answer: In atrial flutter, atrial contraction occurs atsuch a rapid rate thatdiscrete P waves
   separated by a flat baseline cannot be seen on the strip. Instead,the baseline continually rises
   and falls, producing the “flutter” waves.In leads II andIII, the flutter waves may be quite
   prominent, creating a “sawtooth” pattern.Becauseof the volume of atrial impulses, the AV
   node allows only some of the impulses to passthrough to the ventricles.In atrial flutter, a 2:1
   ratio isthe most common (i.e., forevery two flutter waves, only one impulse passes through the
   AV node to generatea QRS complex). Ratios of 3:1 and 4:1 are also frequently seen.
6. A person suddenly collapses while sitting in the sunroom of a healthcare
   facility. A healthcare provider observes the event and hurries over to assessthe situation. The
   healthcare provider performs which assessment first?
   Answer: A systematic approach to assessment is necessary. The healthcare provider should

first perform a rapid assessment. A rapid assessment is a quick visual survey to
ensure safety, to form an initial impression about the patient’s condition, and to check for
responsiveness, breathing and a pulse if the patient appears to be unresponsive.This would be
followed by a primary assessment and then a secondary assessment.

7. A 35-year-old female patient’s ECG is consistent with STEMI. The ECG reveals a new STsegment elevation at the J point in leads V2 and V3 of at least which size?
   Answer: New ST-segment elevation at the J point in leads V2 and V3 ofat least 0.15 mV (1.5
   mm) in women 40 years or younger is considered diagnosticof STEMI.
8. An ECG strip of a patient in the emergency department revealsthe followingrhythm. Which
   feature would the healthcare provider interpret as indicating atrial fibrillation?
   Answer: The two key features of atrial fibrillation on ECG are the absenceof discrete P waves
   and the presence of irregularly irregular QRS complexes.
9. A patient presents to the emergency department with mild to moderate re-current chest
   pain,without any nausea or vomiting.A 12-lead ECG is obtainedand shows ST-segment
   depression with transient T-wave elevation indicativeof NSTE-ACS.Cardiac enzyme levels are
   obtained and are not elevated.Thesefindings suggest which condition?
   Answer: A patient who presents with ECG findings consistent with NSTE-ACS and does not
   have elevated cardiac serum markersistobe considered as having unstable angina.
10. A healthcare provider is establishing cardiac monitoring using a five-electrode system.The
    healthcare provider demonstrates proper use of the systemby placing the green electrode in
    which location?
    Answer: In a five-electrode cardiac monitoring system, the green electrode should be placed
    on the lower right abdomen.
11. 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 air- way patency.Which statement indicates that the team
    performed high-qualityCPR?
    Answer: When an advanced airway has been placed in a patient who is in cardiac arrest,
    compressions and ventilations are delivered continuously with no interruptions.One provider
    delivers 1 ventilation every 6 seconds, while the second providerperforms compressions at a
    rate of 100 to 120 compressions per minute.
12. A patient’s capnogram reveals the following waveform. Which segment would the
    healthcare provider interpret as reflecting the beginning of exhalation?
    Answer: The A-B segment is the respiratory baseline that represents the beginningof
    exhalation.
13. A patient arrives at the emergency department complaining of shortnessof breath. The
    patient has a long history of chronic obstructive pulmonary disease. Assessment reveals
    respiratory failure.Which action would be the
    get pdf at https://learnexams.com/search/study?query=hesi