{"id":120065,"date":"2023-09-20T11:48:48","date_gmt":"2023-09-20T11:48:48","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=120065"},"modified":"2023-09-20T11:48:52","modified_gmt":"2023-09-20T11:48:52","slug":"acls-exams-set-answers-exam-12-form-ab-final-exam-123-pharmacology-tests-aha-acls-post-test-123-pretest-practice-exam-12-study-guide-123-precourse-self-assessment-written-e","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/20\/acls-exams-set-answers-exam-12-form-ab-final-exam-123-pharmacology-tests-aha-acls-post-test-123-pretest-practice-exam-12-study-guide-123-precourse-self-assessment-written-e\/","title":{"rendered":"ACLS Exams Set ( Answers ) Exam 1,2 , Form A,B , Final Exam 1,2,3 , Pharmacology Tests, AHA ACLS Post Test 1,2,3 , PreTest, Practice Exam 1,2 , Study Guide 1,2,3 , Precourse Self Assessment, Written exam 1,2 | TEST BANK | Updated 2023 | Grad"},"content":{"rendered":"\n<p>ACLS Written Exam (Latest 2023 \/ 2024)<br>Complete Questions &amp; Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You find an unresponsive pt. who is not breathing. After activating the<br>emergency response system, you determine there is no pulse.What is yournext<br>action?- Answer Start chest compressions of at least 100 per min.<\/li>\n\n\n\n<li>You are evaluating a 58-year-old man with chest pain. The blood pressure is<br>92\/50 mm Hg, the heart rate is 92\/min, the nonlabored respiratory rate is 14<br>breaths\/min, and the pulse oximetry reading is 97%. What assessment step is most important now?- Answer Obtaining a 12 lead ECG.<\/li>\n\n\n\n<li>What is the preferred method of access for epi administration during<br>cardiac arrest in most pts?- Answer Peripheral IV<\/li>\n\n\n\n<li>An AED does not promptly analyze a rythm.What is your next step?-<br>Answer Beginchest compressions.<\/li>\n\n\n\n<li>You have completed 2 minutes of CPR. The ECG monitor displays the lead II<br>rhythm below, and the patient has no pulse. Another member of your team<br>resumes chest compressions, and an IV is in place. What management step is<br>your next priority?- Answer Administer 1mg of epinephrine<\/li>\n\n\n\n<li>During a pause in CPR, you see this lead II ECG rhythm on the monitor. The<br>patient has no pulse. What is the next action?- Answer Resume compressions<\/li>\n\n\n\n<li>What is a common but sometimes fatal mistake in cardiac arrest management?- Answer Prolonged interruptions in chest compressions.<\/li>\n\n\n\n<li>Which action is a componant of high-quality chest comressions?- Answer Allowingcomplete chest recoil<\/li>\n\n\n\n<li>Which action increasesthe chance ofsuccessful conversion of ventricular<br>fibrillation?- Answer Providing quality compressions immediately before a<br>defibrillation attempt.<\/li>\n\n\n\n<li>Which situation BEST describes pulseless electrical activity?- Answer<br>Sinus ry-thm without a pulse<\/li>\n\n\n\n<li>What is the BEST strategy for performing high-quality CPR on a patient<br>with an advanced airway in place?- Answer Provide continuous chest<br>compressions without pauses and 10 ventilations per minute.<\/li>\n\n\n\n<li>Three minutes after witnessing a cardiac arrest, one member of your team<br>inserts an endotracheal tube while another performs continuous chest<br>compressions. During subsequent ventilation, you notice the presence of a<br>waveform on the capnography screen and a PETCO2 level of 8 mm Hg.Whatis<br>the significance of this finding?- Answer Chest compressions may not be<br>effective.<\/li>\n\n\n\n<li>The use of quantitative capnography in intubated patients- Answer<br>allows formonitoring of CPR quality.<\/li>\n\n\n\n<li>For the past 25 minutes, an EMS crew has attempted resuscitation of a<br>patient who originally presented in ventricular fibrillation. After the first<br>shock, the ECG screen displayed asystole, which has persisted despite 2<br>doses of epinephrine, a fluid bolus, and high-quality CPR.What is your<br>next treatment?- Answer Consider terminating resuscitive efforts after<br>consulting medicalcontrol.<\/li>\n\n\n\n<li>Which is a safe and effective practice within the defibrillation sequence?-<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Answer Be sure oxygen is not blowing over the patient&#8217;s chest during the<br>shock.<\/li>\n<\/ul>\n\n\n\n<ol class=\"wp-block-list\">\n<li>During your assessment, your patient suddenly loses consciousness. After<br>calling for help and determining that the patient is not breathing, you are<br>unsure whether the patient has a pulse.What is your next action?- Answer<br>Beginchest compressions.<\/li>\n\n\n\n<li>What is an advantage of using hands-free defibrillation pads instead of<br>defibrillation paddles?- Answer Hands-free pads allow for a more rapid<br>defibrillation.<\/li>\n\n\n\n<li>What action is recommended to help minimize interruptions in chest<br>compressions during CPR?- Answer Continue CPR while charging the<br>defibrillator.<\/li>\n\n\n\n<li>Which action is included in the BLS survey?- Answer Early defibrillation20. Which drug and dose are recommended for the management of a patientin<br>refractory ventricular fibrillation?- Answer Amioderone 300mg<\/li>\n\n\n\n<li><\/li>\n<\/ol>\n\n\n\n<p>ACLS exam 1 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<br>Which of the following choices represents appropriate treatment<br>of anasystolic patient?<br>Answer: Administration of atropine<br>Each cycle of CPR consists of 30 and two .<br>Answer: -compressions and ventilations<br>Bradycardia in a normal adult patient is defined as:<br>Answer: a resting heart rate lessthan 60 beats per minute<br>Sinus tachycardia originates in the:<br>Answer: Sinoatrial node<br>Which of the following represents a true statement regarding the<br>NPA andOPA?<br>Answer: An NPA can be used on a semi-conscious or conscious<br>patient, while an OPA can only be used on an unconscious<br>patient.<br>In the management of an acute stroke patient, the goal is for the<br>patient toarrive in the Emergency Department (ED) within of<br>the onset of signsand symptoms.<br>Answer: ten minutes<br>Stable tachycardia is defined as:<br>Answer: a heart rate faster than 100 beats per minute(bpm)<\/p>\n\n\n\n<p>Begin use of TCP on a bradycardic patient with inadequate<br>perfusion:<br>Answer: ifatropine is ineffective or patient is exhibiting severe or<br>degrading symptoms<br>Vasopressin can be substituted for:<br>Answer: both the first dose of epinephrine andthe second dose of<br>epinephrine<br>When treating an acute stroke patient, you must immediately<br>createimmediate IV access.<br>Answer: True<br>Which of the following should be considered in the IV access of<br>anasystolic patient?<br>Answer: never interrupt CPR<br>Which of the following choicesrepresentsthe two types of<br>defibrillation?-<br>Answer: Biphasic and monophasic<br>Which of the following does NOT represent unstable<br>tachycardia?<br>Answer: Ventricular escape rhythm<br>clear the patient before delivering a shock:<br>Answer: Always<br>Which of the following represents a true statement about sinus<br>tachycardia?<\/p>\n\n\n\n<p>ACLS Exam 2 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Your patient is in cardiac arrest and has been intubated.To assess<br>CPRquality, which should you do?<br>A. Monitor the patients PETCO2<br>B. Obtain a 12-lead ECG<br>C. Check the patients pulse<br>D. Obtain a chest X-Ray<br>Answer: A. Monitor the patients PETCO2<\/li>\n\n\n\n<li>Which facility is the most appropriate EMS destination for a<br>patient with sudden cardiac arrest who achieved return of<br>spontaneous circulation in thefield?<br>A. Comprehensive stroke care unit<br>B. Acute rehabilitation care unit<br>C. Acute long-term care unit<br>D. Coronary reperfusion- capable medical center<br>Answer: D. Coronary reperfusion-capable medical center<\/li>\n\n\n\n<li>Which of the following signs is a likely indicator of cardiac<br>arrest in anunresponsive patient?<br>A. Slow, weak pulse rate<br>B. Cyanosis<br>C. Agonal gasps<br>D. Irregular, weak pulse rate<br>Answer: C. Agonal gasps<\/li>\n\n\n\n<li>To properly ventilate a patient with a perfusing rhythm, how<br>often do yousqueeze the bag?<br>A. Once every 3 to 4 seconds<br>B. Once every 5 to 6 seconds<br>C. Once every 10 seconds<br>D. Once every 12 seconds<br>Answer: B. Once every 5 to 6 seconds<\/li>\n\n\n\n<li>In addition to clinical assessment, which is the most reliable<br>method toconfirm and monitor correct placement of the<br>endotracheal tube?<br>A. Arterial Blood Gases<br>B. Chest radiography<br>C. Continuous waveform capnography<br>D. Hemoglobin levels<br>Answer: C. Continuous waveform capnography<\/li>\n\n\n\n<li>You are caring for a patient with a suspected stroke whose<br>symptoms started 2 hours ago.The CT scan was normal, with no<br>signs of hemorrhage.The patient does not have any<br>contraindications to fibrinolytic therapy. Which treatment approach<br>is the best for this patient?<br>A. Hold fibrinolytic therapy for 24 hours<br>B. Start fibrinolytic therapy as soon as possible<br>C. Order an echocardiogram before fibrinolytic administration<br>D.Wait for the results of the MRI<br>Answer: B. Start fibrinolytic therapy as soon as possible<\/li>\n\n\n\n<li>What is the recommended range from which a temperature<br>should be selected and maintained constantly to achieve targeted<\/li>\n<\/ol>\n\n\n\n<p>ACLS Exam Form A (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You find an unresponsive patient who is not breathing. after<br>activating theemergency response system, you determine that there<br>is no pulse. what is your next action?<br>Answer: start chest compressions at a rate of at least 100\/min.<\/li>\n\n\n\n<li>you are evaluating a 58-year-old man with chest pain. the blood<br>pressureis 92\/50 mm hg, the heart rate is 92\/min, the nonlabored<br>respiratory rate is 14breaths\/min, and the pulse oximetry reading is<br>97%. what assessment stepis most important now?<br>Answer: obtaining 12-lead ecg.<\/li>\n\n\n\n<li>what is the preferred method of access for epinephrine<br>administrationduring cardiac arrest in most patients?<br>Answer: peripheral intravenous<\/li>\n\n\n\n<li>An activated AED does not promptly analyze the rhythm.What is<br>your nextaction?<br>Answer: begin chest compressions.<\/li>\n\n\n\n<li>You have completed 2 min of CPR. The ECG monitor displays<br>the lead be- low and the pt. has no pulse. another member resumes<br>chest compressions and an IV is in place. What management step is<br>your next priority?<br>Answer: administerone mg of epinephrine<\/li>\n\n\n\n<li>During a pause in CPR, you see this lead II ECG rhythm on the<br>monitor.Thepatient has no pulse.What is the next action?<br>Answer: resume chest compressions<\/li>\n\n\n\n<li>what is a common but sometimes fatal mistake in cardiac arrest<br>management?<br>Answer: prolonged interruptions of chest compressions<\/li>\n\n\n\n<li>what action is a component of high-quality chest compressions?<br>Answer: uninterrupted compressions at a depth of 1 1\/2 inches<\/li>\n\n\n\n<li>Which action increasesthe chance ofsuccessful conversion of<br>ventricularfibrillation?<br>Answer: ventricular tachycardia with a pulse<\/li>\n\n\n\n<li>which situation BEST describes pulseless electrical activity?<br>Answer: sinusrhythm without a pulse<\/li>\n\n\n\n<li>What is the best strategy for perfoming high-quality CPR on a<br>pt.with an advanced airway in place?<br>Answer: provide continuous chest compressions withoutpauses and<br>10 ventilations per minute.<\/li>\n\n\n\n<li>Three minutes after witnessing a cardiac arrest, one member of<br>your team inserts an endotracheal tube while another performs<br>continuous chestcompressions. During subsequent ventilation, you<br>notice the presence of a waveform on the capnography screen and a<br>PETCO2 level of 8 mm Hg.Whatis the significance of this finding?<br>Answer: chest compressions may not be effective<\/li>\n<\/ol>\n\n\n\n<p>ACLS Exam Form B (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>What should be done to minimize interruptions in chest<br>compressionsduring CPR?<br>Answer: continue CPR while the defibrillator is charging<\/li>\n\n\n\n<li>what condition is an indication to stop of withhold resuscitative<br>efforts?-<br>Answer: safety to threat providers?<\/li>\n\n\n\n<li>After verifying the absence of a pulse, you initiate CPR with<br>adequate bag-mask ventilation.The patient&#8217;s lead II ECG appears<br>below.What is yournext action?<br>Answer: IV or IO access<\/li>\n\n\n\n<li>After verifying unresponsiveness and abnormal breathing, you<br>activatethe emergency response team.What is your next action?<br>Answer: check for a pulse<\/li>\n\n\n\n<li>what is the recommendation on the use of cricoid pressure to<br>preventaspiration during cardiac arrest?<br>Answer: not recommended for routine use?<\/li>\n\n\n\n<li>What survival advantages does CPR provide to a patient in<br>ventricularfibrillation?<br>Answer: produces a small amount of blood flow to the heart<\/li>\n\n\n\n<li>what is the recommended compression rate for performing CPR?<br>Answer: at least100 per minute<\/li>\n\n\n\n<li>EMS personnel arrive to find a patient in cardiac arrest.<br>Bystanders are performing CPR. After attaching a cardiac monitor,<br>the responder observesthe following rhythm strip.What is the most<br>important early intervention?<br>Answer: -defibrillation<\/li>\n\n\n\n<li>a patient remains in ventricular fibrillation despite 1 shock and 2<br>minutesof continuous CPR. the next intervention is to:<br>Answer: administer a second shock<\/li>\n\n\n\n<li>what is the recommended next step after a defibrillation<br>attempt?<br>Answer: beginCPR, starting with chest compressions<\/li>\n\n\n\n<li>which of the following is the recommended first choice for<br>establishing intravenous access during the attempted resuscitation of<br>a patient in cardiacarrest?<br>Answer: antecubital vein<\/li>\n\n\n\n<li>what is the recommended first intravenous dose of amiodarone<br>for apatient with refractory ventricular fibrillation?<br>Answer: 300 mg<\/li>\n\n\n\n<li>IV\/IO drug administration during CPR should be<br>Answer: given rapidly during com-pressions<\/li>\n<\/ol>\n\n\n\n<p>ACLS Final Exam 1 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A patient experiences cardiac arrest, and the resuscitation team<br>initiates ventilations using a bag-valve-mask (BVM) resuscitator.<br>The development ofwhich condition during the provision of care<br>would lead the team to suspectthat improper BVM technique is<br>being used?<br>Select the correct answer to this question.<br>Rib fracture Esophageal injuryPneumothorax<br>Hypertension<br>Answer: Pneumothorax<\/li>\n\n\n\n<li>1 A member of the resuscitation team is preparing to administer<br>medications intravenously to a patient in cardiac arrest.The team<br>member followseach medication administration with a bolus of<br>fluid. How much would the team member give?<br>Select the correct answer to this question.<br>5 to 10 mL<br>10 to 20 mL<br>20 to 30 mL<br>30 to 40 mL<br>Answer: When administering medications during a cardiac arrest,<br>all medications administrated through the IV or intraosseous<br>infusion route should be followed by a 10- to 20-mL fluid bolus.<\/li>\n\n\n\n<li>The resuscitation team suspects that hyperkalemia is the cause of<br>cardiac arrest in a patient brought to the emergency department.<br>Which finding on a12-lead ECG would confirm this suspicion?<\/li>\n<\/ol>\n\n\n\n<p>Wide-complex ventricular rhythm and tall, peaked T waves<br>ST-segment changes,T-wave inversion<br>Flat T waves, prominent U waves and possibly prolonged QT<br>intervals Narrow-complex ventricular tachycardia<br>Answer: Wide-complex ventricular rhythm andtall, peaked T waves<br>In hyperkalemia the patient&#8217;s 12-lead ECG rhythm strip will show<br>wide-complexventricular rhythm and tall, peaked T waves.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\">\n<li>A patient with an ischemic stroke arrives at the emergency<br>department at2 a.m.The patient&#8217;s symptoms started about 12:30<br>a.m. After completing thenecessary assessments, the healthcare<br>team diagnoses an ischemic stroke,and the patient is determined to<br>be a candidate for fibrinolytic therapy. To achieve the best<br>outcomes, the team should initiate therapy for this patient no later<br>than by which time?<br>Select the correct answer to this question.<br>3:00 a.m.<br>5:30 a.m.<br>6:00 a.m.<br>8:30 a.m.<br>Answer: 1<br>3:00 a.m.<\/li>\n\n\n\n<li>A resuscitation team is debriefing following a recent event. A<br>patient experienced cardiac arrest, and advanced cardiac life<br>support was initiated.The patient required the placement of an<br>advanced airway to maintain airwaypatency. Which statement<br>indicates that the team performed high-quality CPR?<br>Select the correct answer to this question.<br>&#8220;We kept the rate of chest compressions to around 100 per minute<\/li>\n<\/ol>\n\n\n\n<p>but adjusted their depth to 1.5 inches while giving 1 ventilation every<br>3 seconds.&#8221;<br>&#8220;We delivered chest compressions at a rate of 80 to 100 per minute to<br>a depthof at least 2 inches and gave 1 ventilation every 6 seconds.&#8221;<br>&#8220;We initiated chest compressions at a rate of 100 to 110 per minute to<br>a depthof 2.4 inches and then gave 1 ventilation every 10 seconds.&#8221;<br>&#8220;We delivered 1 ventilation every 6 seconds and chest<br>compressions at arate of 100 to 120 compressions per minute.&#8221;<br>Answer: 4<br>&#8220;We delivered 1 ventilation every 6 seconds and chest<br>compressions at a rate of100 to 120 compressions per minute.&#8221;<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"6\">\n<li>A patient with a suspected stroke arrives at the emergency<br>department at 7:10 p.m.The stroke team ensures that a<br>comprehensive neurologic as-sessment using the National<br>Institutes of Health Stroke Scale (NIHSS) is completed and that<br>brain imaging is performed by which time?<br>7:20 p.m.<br>7:30 p.m.<br>7:40 p.m.<br>7:50 p.m.<br>Answer: 2<br>Within 20 minutes of the patient&#8217;s arrival, a comprehensive<br>neurologic assessment should be completed and brain imaging<br>should be performed.That would be 7:30<br>p.m. for this patient.<\/li>\n<\/ol>\n\n\n\n<p>ACLS Final Exam 2 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A patient with suspected acute coronary syndromes (ACS) is<br>placed on acardiac monitor.The patient is complaining of dyspnea<br>and is given supple-mental oxygen. The provider determines that the<br>oxygen is effective based on which SaO2 level?<br>Answer: When a patient presents with potential ACS, the patient<br>should have oxygen administered to maintain an SaO2 of at least<br>94%.<\/li>\n\n\n\n<li>A patient experiences cardiac arrest, and the resuscitation team<br>initiates ventilations using a bag-valve-mask (BVM) resuscitator.<br>The development ofwhich condition during the provision of care<br>would lead the team to suspectthat improper BVM technique is being<br>used?<br>Answer: Complications can occur with theuse of a BVM resuscitator<br>due to improper technique. Delivering excessive volumeor<br>ventilating too fast creates excessive pressure that can damage the<br>airways, lungs and other organs. Excessive volume can lead to<br>tension pneumothorax.<\/li>\n\n\n\n<li>Assessment of a patient reveals an ETCO2 level of 55 mmHg and<br>an arterialoxygen saturation (SaO2) level of 88%. The provider<br>would interpret these findings as indicative of which condition?<br>Answer: An SaO2 level of less than 90% (PaO2 of less than 50<br>mmHg) accompanied by ETCO2 values greater than 50 mmHg is<br>indicative of respiratory failure.<\/li>\n\n\n\n<li>A healthcare provider initiates ventilations to ensure adequate<br>breathing and oxygenation. While ventilations are being performed,<br>capnography is established to evaluate the adequacy of the<br>ventilations. The healthcare provider determines that ventilations are<br>adequate based on which end-tidalcarbon dioxide (ETCO2) value?<br>Answer: End-tidal carbon dioxide values in the range of35 to 45<br>mmHg confirm adequacy of ventilation.<\/li>\n\n\n\n<li>A patient comesto the emergency department complaining of<br>palpitationsand &#8220;some shortness of breath.&#8221; Cardiac monitoring is<br>initiated and revealsthe following ECG rhythm strip. The provider<br>interprets this strip as indicating which arrhythmia?<br>Answer: In atrial flutter, atrial contraction occurs at such a rapid<br>rate that discrete P waves separated by a flat baseline cannot be seen<br>on the strip.Instead, the baseline continually rises and falls,<br>producing the &#8220;flutter&#8221; waves. In leads II and III, the flutter waves<br>may be quite prominent, creating a &#8220;sawtooth&#8221; pattern. Because of<br>the volume of atrial impulses, the AV node allows only someof the<br>impulses to pass through to the ventricles. In atrial flutter, a 2:1<br>ratio is the most common (i.e., for every two flutter waves, only one<br>impulse passes through the AV node to generate a QRS complex).<br>Ratios of 3:1 and 4:1 are also frequentlyseen.<\/li>\n\n\n\n<li>A person suddenly collapses while sitting in the sunroom of a<br>healthcarefacility. A healthcare provider observes the event and<br>hurries over to assess the situation. The healthcare provider performs<br>which assessment first?<br>Answer: A systematic approach to assessment is necessary.The<br>healthcare provider shouldfirst perform a rapid assessment. A rapid<br>assessment is a quick visual survey to ensure safety, to form an<br>initial impression about the patient&#8217;s condition, andto check for<br>responsiveness, breathing and a pulse if the patient appears to<\/li>\n<\/ol>\n\n\n\n<p>ACLS Final Exam 3 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Dosing of epinephrine in the setting of VF\/pVT and asystole\/PEA<br>Answer: 1 mgevery 3-5 minutes<\/li>\n\n\n\n<li>Dosing of amiodarone (first and second dose) in the setting of<br>cardiacarrest<br>Answer:<br>300mg first dose<br>150mg second dose after 3-5 min<\/li>\n\n\n\n<li>Dosing of lidocaine (first and second dose) in the setting of cardiac<br>arrestAnswer:<br>1-1.5mg\/kg first dose<br>0.5-0.75 mg\/kg second dose, repeat in 5-10 min<\/li>\n\n\n\n<li>What is the maximum dose of lidocaine?<br>Answer: 3 doses or 3mg\/kg<\/li>\n\n\n\n<li>ROSC is typically signified by a PETCO2 of what?<br>Answer: 40 mm Hg or more<\/li>\n\n\n\n<li>The &#8220;Hs&#8221; of reversible causes of cardiac arrest<br>Answer:<\/li>\n\n\n\n<li>Hypovolemia<\/li>\n\n\n\n<li>Hypoxia<\/li>\n\n\n\n<li>Hydrogen ions (acidosis)<\/li>\n\n\n\n<li>Hypo\/hyperkalemia<\/li>\n\n\n\n<li>Hypothermia<\/li>\n\n\n\n<li>The &#8220;Ts&#8221; of reversible causes of cardiac arrest<br>Answer:<br>1.Tension pneumothorax<\/li>\n\n\n\n<li>Tamponade, cardiac<\/li>\n\n\n\n<li>Toxins<\/li>\n\n\n\n<li>Thrombosis, pulmonary<\/li>\n\n\n\n<li>Thrombosis, coronary<\/li>\n\n\n\n<li>In the setting of cardiac arrest, once an advanced airway is in<br>place, 1 breath should be given every seconds. Should chest<br>compressionsbe interrupted once an advanced airway is in place?<br>Answer: 6-8 seconds (8-10 breaths\/min) with continuous chest<br>compressions<\/li>\n\n\n\n<li>If PETCO2 falls below , attempts should be made to<br>improve chestcompressions<br>Answer: 10<\/li>\n\n\n\n<li>If intra-arterial pressure monitoring is being utilized during a<br>resuscitation attempt, if the diastolic pressure falls below mm Hg,<br>attempts shouldbe made to improve chest compressions<br>Answer: 20<\/li>\n\n\n\n<li>depth of adequate chest compressions<br>Answer: 2 inches<\/li>\n\n\n\n<li>rate of adequate chest compressions<br>Answer: 100-120\/min<\/li>\n\n\n\n<li>If no advanced airway is in place, what is the ratio of chest<br>compressionsto ventilations?<br>Answer: 30:2<\/li>\n\n\n\n<li>Shock energy that should be used on a biphasic machine for<br>defibrillation<br>Answer: 120-200 J, if recommended setting not known, use<br>maximum available<\/li>\n\n\n\n<li>Shock energy that should be used on a monophasic machine for<br>defibrillation<br>Answer: 360J<\/li>\n\n\n\n<li>In the setting of cardiac arrest, when should vasopressors be<br>administered?<br>Answer: after the patient hasfailed CPR and defibrillation (shockrefractory arrhythmias)<\/li>\n\n\n\n<li>The only vasopressor recommended in the cardiac arrest<br>algorithm<br>Answer: epinephrine<\/li>\n\n\n\n<li>Why is vasopressin no longer recommended in the cardiac arrest<br>algorithm as a vasopressor?<br>Answer: no additional benefit and may increase delays in<br>medication administration<\/li>\n\n\n\n<li>Are higher doses of epinephrine recommended in certain<br>situations of cardiac arrest? If so, what situations are higher doses of<br>epinephrine recommended?<br>Answer: no; no benefit to support use, possible harm<\/li>\n\n\n\n<li>When is endotracheal medication administration recommended?<br>Answer: not recommended unless unable to give meds IV or IO<\/li>\n\n\n\n<li>Which medications can be administered via endotracheal tube?<br>Answer: lidocaine, epinephrine, atropine, naloxone<\/li>\n\n\n\n<li>What is different about the dosing of medications if<br>endotracheal medication administration is performed?<br>Answer: Typically ETT dose 2-2.5 higher than IVdue to lower<br>absorption and dilution in 5-10mL of fluid is recommended<\/li>\n\n\n\n<li>When can antiarrhythmics be considered in the setting of cardiac<br>arrest?-<br>Answer: use may be considered in patients with VF\/VT who have<br>failed high-quality CPR,shocks, and vasopressors<\/li>\n\n\n\n<li>Why must antiarrhythmics never interfere with CPR and shocks?<br>Answer: neverbeen shown to increase survival to discharge<\/li>\n\n\n\n<li>Antiarrhythmics that could be considered in the setting of<br>VF\/VT<br>Answer: amiodarone and lidocaine<\/li>\n<\/ol>\n\n\n\n<p>ACLS Pharmacology Form A (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>ADENOSINE<br>indications for use<br>Answer: *First drug for most forms of stable narrow complex SVT.<br>*Effective in terminating those due to reentry involving AV node<br>or sinus node.<\/li>\n\n\n\n<li>AMIODARONE<br>indications for use<br>Answer: *VF\/pulseless VT unresponsive to shock delivery, CPR,<br>anda vasopressor.<br>*Recurrent, hemodynamically unstable VT<\/li>\n\n\n\n<li>ATROPINE SULFATE<br>indications for use<br>Answer: *First drug for symptomatic bradycardia<br>*May be beneficial in pressence of AV nodal block<br>*Organophosphate poisoning<\/li>\n\n\n\n<li>DOPAMINE<br>indications for use<br>Answer: *Second line drug for symptomatic bradycardia<br>*For hypotension with signs and symptoms of shock<\/li>\n\n\n\n<li>EPINEPHRINE<br>indications for use<br>Answer: *Cardiac arrest: VF, pulseless VT, asystole, PEA<br>*Symptomatic bradycardia<br>*Severe hypotension<br>*Anaphylaxis, severe allergic reactions<\/li>\n\n\n\n<li>LIDOCAINE<br>indications for use<\/li>\n<\/ol>\n\n\n\n<p>Answer: *Alternative to amiodarone in cardiac arrest from VF\/VT<br>*Stable monophasic VT with preserved ventricular function<br>*Stable polymorphic VT with normal baseline QT interval &amp;<br>preserves LV function<br>*Stable polymorphic VT with baseline QT-interval prolongation if<br>torsadessuspect-ed<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"7\">\n<li>MAGNESIUM SULFATE<br>indications for use<br>Answer: *For use in cardiac arrest only if torsades-de-pointes or<br>suspected hypomagnesemia present<br>*Life threatening ventricular arrhyhmias due to digitalis toxicity<\/li>\n\n\n\n<li>VASOPRESSIN<br>indicationsfor use<br>Answer: *Alternative to epinephrine in treatment of adult shock<br>refractory VF<br>*Alternative to epinphrine in asystole, PEA<br>*Useful for hemodynamic support in vasodilatory shock<\/li>\n\n\n\n<li>ADENOSINE<br>adult dosage<br>Answer: *Initial bolus of 6 mg given RAPIDLY OVER 1 TO 3<br>SECONDS<br>followed by 20 ml bolus of NS, then elevate extremity<br>*Second dose of 12 mg can be given after 1 to 2 minutes if needed<\/li>\n\n\n\n<li>AMIODARONE<br>adult dosage<br>Answer: <em>VF\/VT Cardiac Arrest<\/em> First dose 300 mg IV\/IO push,<br>Second doseif needed 150 mg IV\/IO push<br><em>Life Tnhreatening Arrhythmias<\/em> 2.2 g IV over 24 hours. Rapid<br>infusion: 150 mg IVover 10 minutes, may repeat every 10 minutes.<br>Slow infusion: 360 mg IV over 6 hours. Maintenamce infusion:<br>540 mg IV over 18 hours.<\/li>\n<\/ol>\n\n\n\n<p>ACLS Pharmacology Exam (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Goals of ACLS<br>Answer: restoration of spontaneous ventilation and circulation<br>cerebral perfusion and resuscitation<\/li>\n\n\n\n<li>Keys to ACLS: Early<br>Answer: access, CPR, defibrillation, ACLS<\/li>\n\n\n\n<li>Classes: I<br>Answer: benefit far greater than risk- Do Tx<br>IIa: benefit greater than risk- Do Tx<br>IIb: benefit equal to or greater than risk- consider TxIII: risk greater<br>than or equal to benefit-do NOT do<\/li>\n\n\n\n<li>ACLS meds<br>Answer: AdenosineAmiodarone<br>Atropine Beta blockersdigoxin diltiazem dopamine epinephrine<br>lidocaine<br>magnesium sulfate sodium bicarbonateverapamil<\/li>\n\n\n\n<li>Routes for ACLS administration<br>Answer: IV: peripheral or centralIO: all ages, takes 30-60 seconds,<br>any med that is IV<br>ET tube: Epi, vasopressin, atropine, lidocaine, naloxone<\/li>\n\n\n\n<li>Why should you smile?<br>Answer: There is only one month left of the semester, lessnow!<\/li>\n\n\n\n<li>Why do you need ACLS?<br>Answer:<br>pulseless arrest<br>-VFib\/VTach<br>-Asystole<br>-PEA<br>Bradycardia Tachycardia (w\/ pulses)<br>-stable<br>-unstableACS<br>Acute stroke<\/li>\n\n\n\n<li>possible primary causes of asystole or PEA to consider H&#8217;s andT&#8217;s<br>Answer:<br>Hypo-volemia Toxins<br>Hypoxia Tamponade<br>Hydrogen ion(acidosis) Tension Pneumo.hyper\/hypokalemia<br>Throbosis hypoglycemia (coronary or pulm) hypothermia Trauma<\/li>\n\n\n\n<li>Adenosine indications<br>Answer: stable narrow-complex SVTNOT AFib\/AFlutter\/VTach<\/li>\n\n\n\n<li>Adenosine MOA<br>Answer: Slows conduction through AV node and causes coronary<br>vasodilation<\/li>\n\n\n\n<li>Adenosine Cautions<br>Answer: flushing, chest pain\/tightness,brief asystole\/bradycardia<\/li>\n<\/ol>\n\n\n\n<p>ACLS Pharmacology Test (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>what are the goals of ACLS?<br>Answer: -restoration of spontaneous ventilation andcirculation<\/li>\n\n\n\n<li>what is the key of ACLS?<br>Answer:<br>-early access<br>-early CPR<br>-early defibrillation<br>-early ACLS<\/li>\n\n\n\n<li>what is the emphasis now of ACLS?<br>Answer: compressions<\/li>\n\n\n\n<li>what is class I of ACLS meds recommendations?<br>Answer:<br>-procedure\/tx or diagnostic test\/assessment should be<br>performed\/administeed<br>-benefit&gt; risk<\/li>\n\n\n\n<li>what is class IIa of ACLS meds recommendations?<br>Answer:<br>-reasonable to performprocedure\/administer tx or perform<br>diagnostic test or assessment<br>-benefit &gt; risk<\/li>\n\n\n\n<li>what is class IIb of ACLS meds recommendations?<br>Answer:<br>-procedure\/tx or diagnostic test\/assessment may be considered<br>-benefit e risk<\/li>\n\n\n\n<li>what is class III of ACLS meds recommendations?<br>Answer:<br>-procedure\/tx or diagnostic test\/assessment should not be<br>performed\/administered<br>-not helpful and may be harmful<br>-risk e benefit<\/li>\n\n\n\n<li>what are the possible routes of administration of ACLS<br>pharmacology?<br>Answer: &#8211;<br>-IV (peripheral or central)<br>-intraosseous (IO)<br>-endotracheal tube<\/li>\n\n\n\n<li>what is intraosseous?<br>Answer: needle in bone, usually tibial tuberosity<\/li>\n\n\n\n<li>what medications can be given via an endotracheal tube?<br>Answer:<br>-epi<br>-vasopressin<br>-atropine<br>-lidocaine<br>-naloxone<\/li>\n\n\n\n<li>what is the typical dose administered via endotracheal tube?<br>Answer: 2-2.5x IVdose<\/li>\n<\/ol>\n\n\n\n<p>ACLS Post Test 1 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which type of atrioventricular (AV) block best describesthis<br>rhythm?<br>Answer: Second degree type II<\/li>\n\n\n\n<li>Your patient is in cardiac arrest and has been intubated.To assess<br>CPRquality, which should you do?<br>Answer: Monitor the patient&#8217;s PetCO2<\/li>\n\n\n\n<li>Which facility is the most appropriate EMS destination for a<br>patient with sudden cardiac arrest who achieved return a<br>spontaneous circulation in thefield?<br>Answer: Coronary reperfusion-capable medical center<\/li>\n\n\n\n<li>Which of the following signs is a likely indicator of cardiac<br>arrest in anunresponsive patient?<br>Answer: Gasps<\/li>\n\n\n\n<li>Which type of atrioventricular (AV) block best describesthis<br>rhythm?<br>Answer: Second degree atrioventricular (AV) block type I<\/li>\n\n\n\n<li>To properly ventilate a patient with a perfusing rhythm, how<br>often do yousqueeze the bag?<br>Answer: Once every 5 to 6 seconds<\/li>\n\n\n\n<li>In addition to clinical assessment, which is the most reliable<br>method to confirm and monitor correct placement of an<br>endotracheal (ET) tube?<br>Answer: Continuous waveform capnography<\/li>\n\n\n\n<li>You are caring for a patient with a suspected stroke whose<br>symptoms started 2 hours ago.The CT scan was normal, with no<br>signs of hemorrhage.The patient does not have any<br>contraindications to fibrinolytic therapy. Which treatment approach<br>is best for this patient?<br>Answer: Start fibrinolytic therapy as soon as possible<\/li>\n\n\n\n<li>Which best describes this rhythm?<br>Answer: Third-degree atrioventricular block<\/li>\n\n\n\n<li>What is the recommended range from which a temperature<br>should be selected and maintained constantly to achieve targeted<br>management aftercardiac arrest?<br>Answer: 32 degrees celsius to 36 degrees Celsius<\/li>\n\n\n\n<li>Which is the recommended first intravenous (IV) dose of<br>amiodarone fora patient with refractory ventricular fibrillation?<br>Answer: 300mg<\/li>\n\n\n\n<li>Which is the primary purpose of a medical emergency team or<br>rapid response team?<br>Answer: Improving patient outcomes by identifying and treating<br>earlyclinical deterioration<\/li>\n<\/ol>\n\n\n\n<p>ACLS Post Test 2 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You are caring for a patient with a suspected stroke whose<br>symptoms started 2 hours ago.The CT was normal with no sign of<br>hemorrhage.Thepatient does not have any contraindications to<br>fibrinolytic therapy.Whichtreatment is best?<br>a. start fibrinolytic therapy ASAP<br>b. hold fibrinolytic therapy for 24 hours<br>c. order an echo before fibrinolytic administration<br>d. wait for MRI result<br>Answer: a. start fibrinolytic therapy ASAP<\/li>\n\n\n\n<li>For STEMI pt, maximum goal time for ED door-to-ballooninflation time forPCI?<br>a. 150 mins<br>b. 180 mins<br>c. 120 mins<br>d. 90 mins<br>Answer: d. 90 mins<\/li>\n\n\n\n<li>Which is the recommended oral dose of aspirin for a patient with<br>suspect-ed acute coronary syndrome?<br>a. 81 mg<br>b. 325-650 mg<br>c. 160-325 mg<br>d. 40 mg<br>Answer: c. 160-325 mg<\/li>\n\n\n\n<li>chest compressions during for adult rate<br>a. 40-60\/min<br>b. 60-80\/min<br>c. 80-100\/min<br>d. 100-120\/min<br>Answer: d. 100-120\/min<\/li>\n\n\n\n<li>What is the effect of excessive ventilation?<br>a. decresed cardiac output<br>b. decreased intrathoracic pressure<br>c. increased perfusion pressure<br>d. increased venous return<br>Answer: a. decreased cardiac output<\/li>\n\n\n\n<li>temperature to achieve targeted temperature management after<br>cardiacarrest<br>a. 30-34C<br>b. 32-36C<br>c. 36-40C<br>d. 38-42C<br>Answer: b. 32-36C<\/li>\n\n\n\n<li>3 mins into cardiac arrest resuscitation attempt, one member of<br>your teaminserts an endotracheal tube while another performs chest<br>compressions. Capnography shows a persistent waveform &amp; a<br>PETCO2 of 8mmHg.What isthe significance of the finding?<br>a. chest compression may not be effective<br>b.The endotrachael tube is in the esophagus<br>c. the team is ventilating the patient too often<\/li>\n<\/ol>\n\n\n\n<p>ACLS Post Test 3 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A 48-year-old man became unresponsive shortly after presenting<br>to you with nausea and generalized chest discomfort.You observe<br>gasping breathing and are unsure if you feel a pulse.You should<br>know:<br>A. Call for help and begin chest compressions.<br>B.Wait until breathing stops and then check again for a pulse.<br>C. Begin chest compressions only if you are certain a pulse is<br>absent.<br>D.Observe the patient for 2 minutes, then reassess his breathing and<br>pulse.-<br>Answer: A. Call for help and begin chest compressions.<\/li>\n\n\n\n<li>Which of the following is the most likely complication of<br>inferior wallmyocardial infarction (MI)?<br>A. Cardiogenic shock<br>B. Ventricular rupture<br>C. Bradydysrhythmias<br>D.Tachydysrhythmias<br>Answer: C. Bradydysrhythmias<\/li>\n\n\n\n<li>A 52-year-old man is complaining of palpitations that came on<br>suddenly after walking up a short flight of stairs. His symptoms<br>have been present for about 20 minutes. He denies chest pain and<br>is not short of breath. His skin is warm and dry; breath sounds are<br>clear. His blood pressure (BP) is 144\/88 millimeters of mercury<br>(mm Hg), his heart rate is 186 beats per minute(beats\/min), and his<br>ventilatory rate is 18 breaths\/min. The cardiac monitor reveals the<br>rhythm here.Vascular access has been established.Which of the<\/li>\n<\/ol>\n\n\n\n<p>following medications is most appropriate in this situation?<br>A. Dopamine or sotalol<br>B. Furosemide or atropine<br>C. Nitroglycerin (NTG) or morphine<br>D. Procainamide or amiodarone<br>Answer: D. Procainamide or amiodarone<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\">\n<li>Your general impression of a 78-year-old woman reveals that her<br>eyes are closed, she is not moving, you can see no rise and fall of<br>her chest or abdomen, and her skincolor is pale. When you arrive at<br>the patient&#8217;s side, you confirm that she is unresponsive.Your best<br>action in this situation willbe to:<br>A. Open her airway and give two breaths.<br>B. Apply an automated external defibrillator (AED).<br>C. Assess breathing and determine whether she has a pulse.<br>D. Prepare the necessary equipment to insert an advanced airway.<br>Answer: C. Assessbreathing and determine whether she has a<br>pulse.<\/li>\n\n\n\n<li>A 60-year-old woman has suffered a cardiac arrest. A health care<br>professional trained in endotracheal intubation has intubated the<br>patient.Which of the following findings would indicate inadvertent<br>esophageal intubation?<br>A. Jugular vein distention<br>B. Subcutaneous emphysema<br>C. Gurgling sounds heard over the epigastrium<br>D. Breath sounds heard on only one side of the chest<br>Answer: C. Gurgling soundsheard over the epigastrium<\/li>\n\n\n\n<li>Hypotension (ie, a systolic BP of less than 90 mm Hg) after the<br>return ofspontaneous circulation (ROSC) may necessitate the use<br>of:<br>A. Fluid boluses and isoproterenol.<\/li>\n<\/ol>\n\n\n\n<p>B. Procainamide, epinephrine, or dopamine.<br>C. Epinephrine, dopamine, or norepinephrine.<br>D.Fluid boluses, procainamide, and isoproterenol.<br>Answer: C.Epinephrine, dopamine,or norepinephrine.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"7\">\n<li>Which of the following is incorrect with regard to a postevent<br>debriefing?<br>A.The facilitatorshould use open-ended questionsto encourage<br>discussion.<br>B.Team members are encouraged to identify lessons learned in a<br>nonpuni-tive environment.<br>C.The gather phase of the debriefing includes a comparison of the<br>team&#8217;sactions with current resuscitation algorithms.<br>D.Team members are given an opportunity to reflect on their<br>performanceand how their performance can be improved.<br>Answer: C. The gather phase of the debriefing includes a<br>comparison of the team&#8217;s actions with current resuscitation<br>algorithms.<\/li>\n\n\n\n<li>Assuming there are no contraindications, which of the following<br>can be performed as an initial intervention for a stable but<br>symptomatic patient withthe rhythm shown?<br>A. Defibrillation<br>B. Vagal maneuvers<br>C. Administration of intravenous (IV) diltiazem<br>D. Administration of IV epinephrine<br>Answer: B. Vagal maneuvers<\/li>\n\n\n\n<li>A 62-year-old man received IV tissue plasminogen activator<br>(tPA) 2 hoursago after a diagnosis of acute ischemic stroke.While<br>assessing the patient&#8217;svital signs, you observe swelling of the<br>patient&#8217;s lips and tongue. Your bestcourse of action will be to:<\/li>\n<\/ol>\n\n\n\n<p>ACLS PreTest- Pharmacology and Practical Application<br>(Latest 2023 &#8211; 2024) Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A patient is in refractory ventricular fibrillation and has received multiple<br>appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial<br>dose of amiodarone 300mg IV.The patient is intubated.Which best describethe<br>recommended second does of amiodarone for this patient?<br>Answer: 150 mg IV amiodarone<\/li>\n\n\n\n<li>A 35-year-old woman has palpitations, light-headedness, and a stable<br>tachycardia. The monitor shows a regular narrow-complex QRS at a rate of<br>180\/min.Vagal maneuvers have not been effective in terminating the rhythm.An<br>IV has been established.Which drug should be administered?<br>Answer: Adenosine6 mg<\/li>\n\n\n\n<li>A patient has a rapid irregular wide-complex tachycardia. The ventricular<br>rate is 138\/min. He is asymptomatic, with a blood pressure of 110\/70 mm Hg.<br>He has a history of angina.What action is recommended next?<br>Answer: Seekingexpert consultation<\/li>\n\n\n\n<li>A patient with possible STEMI has ongoing chest discomfort. What is a<br>contraindication to nitrate administration?<br>Answer: Use of a phosphodiestrase inhibitorwithin the previous 24 hours<\/li>\n\n\n\n<li>How does complete chest recoil contribute to effective CPR?<br>Answer: Allows maximum blood return to the heart<\/li>\n\n\n\n<li>A patient becomes unresponsive. You are uncertain if a faint pulse is<br>present.They rhythm shown here is seen on the cardiac monitor. An IV isin<\/li>\n<\/ol>\n\n\n\n<p>pace.Which action do you take next?<br>Answer: start high quality CPR<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"7\">\n<li>A patient has been resuscitated from cardiac arrest. During post-ROSC<br>treatment, the patient becomes unresponsive, with the rhythm shown here.<br>Which action is indicated next?<br>Answer: Give an immediate unsynchronized high-energy shock (defibrillation<br>dose)<\/li>\n\n\n\n<li>You are caring for a 66-year-old man with a history of a large intracerebral<br>hemorrhage 2 months ago. He is being evaluated for another acute stroke. The<br>CT scan is negative for hemorrhage.The patient is receiving oxygen vianasal<br>cannula at 2 L\/min, and an IV has been established. His blood pressureis<br>180\/100 mm Hg.Which drug do you anticipate giving to this patient?<br>Aspirin<br>Glucose (D50)<br>Nicardipiner<br>tPA<br>Answer: A<\/li>\n\n\n\n<li>In which situation does bradycardia require treatment?<br>12-lead ECG showing a normal sinus rhythm<br>Hypotension<br>Diastolic blood pressure greater than 90 mm Hg<br>Systolic blood pressure greater than 100 mm Hg<br>Answer: B<\/li>\n<\/ol>\n\n\n\n<p>ACLS Practice Exam (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You find an unresponsive pt. who is not breathing. After<br>activating the emergency response system, you determine there is<br>no pulse.What is yournext action?<br>Answer: Start chest compressions of at least 100 per min.<\/li>\n\n\n\n<li>You are evaluating a 58-year-old man with chest pain. The blood<br>pressure is 92\/50 mm Hg, the heart rate is 92\/min, the nonlabored<br>respiratory rate is 14 breaths\/min, and the pulse oximetry reading is<br>97%. What assessment stepis most important now?<br>Answer: Obtaining a 12 lead ECG.<\/li>\n\n\n\n<li>What is the preferred method of access for epi administration<br>duringcardiac arrest in most pts?<br>Answer: Peripheral IV<\/li>\n\n\n\n<li>An AED does not promptly analyze a rythm.What is your next<br>step?<br>Answer: Beginchest compressions.<\/li>\n\n\n\n<li>You have completed 2 minutes of CPR. The ECG monitor<br>displays the lead II rhythm below, and the patient has no pulse.<br>Another member of your team resumes chest compressions, and an<br>IV is in place.What management stepis your next priority?<br>Answer: Administer 1mg of epinephrine<\/li>\n\n\n\n<li>During a pause in CPR, you see this lead II ECG rhythm on the<br>monitor.Thepatient has no pulse.What is the next action?<br>Answer: Resume compressions<\/li>\n\n\n\n<li>What is a common but sometimes fatal mistake in cardiac arrest<br>management?<br>Answer: Prolonged interruptions in chest compressions.<\/li>\n\n\n\n<li>Which action is a componant of high-quality chest comressions?<br>Answer: Allowingcomplete chest recoil<\/li>\n\n\n\n<li>Which action increasesthe chance ofsuccessful conversion of<br>ventricularfibrillation?<br>Answer: Providing quality compressions immediately before a<br>defibrillation attempt.<\/li>\n\n\n\n<li>Which situation BEST describes pulseless electrical activity?<br>Answer: Sinus rythm without a pulse<\/li>\n\n\n\n<li>What is the BEST strategy for performing high-quality CPR on<br>a patientwith an advanced airway in place?<br>Answer: Provide continuous chest compressions without pauses<br>and 10 ventilations per minute.<\/li>\n\n\n\n<li>Three minutes after witnessing a cardiac arrest, one member of<br>your team inserts an endotracheal tube while another performs<br>continuous chestcompressions. During subsequent ventilation, you<br>notice the presence of awaveform on the capnography screen and a<br>PETCO2 level of 8 mm Hg.Whatis the significance of this finding?<\/li>\n<\/ol>\n\n\n\n<p>Answer: Chest compressions may not be effective.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"13\">\n<li>The use of quantitative capnography in intubated patients<br>Answer: allows formonitoring of CPR quality.<\/li>\n\n\n\n<li>For the past 25 minutes, an EMS crew has attempted<br>resuscitation of a patient who originally presented in ventricular<br>fibrillation. After the firstshock, the ECG screen displayed asystole,<br>which has persisted despite 2doses of epinephrine, a fluid bolus,<br>and high-quality CPR.What is your next treatment?<br>Answer: Consider terminating resuscitive efforts after consulting<br>medicalcontrol.<\/li>\n\n\n\n<li>Which is a safe and effective practice within the defibrillation<br>sequence?-<br>Answer: Be sure oxygen is not blowing over the patient&#8217;s chest<br>during the shock.<\/li>\n\n\n\n<li>During your assessment, your patient suddenly loses<br>consciousness. After calling for help and determining that the<br>patient is not breathing, you are unsure whether the patient has a<br>pulse.What is your next action?<br>Answer: Beginchest compressions.<\/li>\n\n\n\n<li>What is an advantage of using hands-free defibrillation pads<br>instead ofdefibrillation paddles?<br>Answer: Hands-free pads allow for a more rapid defibrillation.<\/li>\n\n\n\n<li>What action is recommended to help minimize interruptions in<br>chestcompressions during CPR?<br>Answer: Continue CPR while charging the defibrillator.<\/li>\n<\/ol>\n\n\n\n<p>ACLS Practice Exam 2 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220\/min. The patient&#8217;s blood pressure is 128\/58<br>mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%.<br>There is vascular access in the left arm, and the patient has not been given<br>any vasoactive drugs, A 12-lead ECG confirms a super ventricular<br>tachycardia with no evidence of ischemia or infarction.The heart rate hasnot<br>responded to vagal maneuvers.What is your next action?<br>a) Administer adenosine 6 mg IV push<br>b) Administer adenosine 300 mg IV push<br>c) Perform synchronized cardioversion at 50 J<br>d) Perform synchronized cardioversion at 200 J<br>Answer: a) Administer adenosine 6 mgIV push<\/li>\n\n\n\n<li>A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of<br>epinephrine have been given.Which drug should be given next?<br>a) Adenosine 6 mg<br>b) Amiodarone 300 mg<br>c) Epinephrine 3 mg<br>d) Lidocaine 0.5 mg\/kg<br>Answer: b) Amiodarone 300 mg<\/li>\n\n\n\n<li>Which intervention is more appropriate for the treatment of a patient in<br>asystole?<\/li>\n<\/ol>\n\n\n\n<p>a) Atropine<br>b) Defibrillation<br>c) Epinephrine<br>d) Transcutaneous pacing<br>Answer: c) Epinephrine<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"4\">\n<li>A 35-year-old woman has palpitations, light-headedness, and a stable<br>tachycardia. The monitor shows a regular narrow-complex QRS at a rate of<br>180\/min.Vagal maneuvers have not been effective in terminating the rhythm.An<br>IV has been established.Which drug should be administered?<br>a) Adenosine 6 mg<br>b) Atropine 0.5 mg<br>c) Epinephrine 2 to 10 mcg\/kg per minute<br>d) Lidocaine 1 mg\/kg<br>Answer: a) Adenosine 6 mg<\/li>\n\n\n\n<li>You arrive on the scene with the code team. High-quality CPR is in<br>progress. An AED has previously advised &#8220;no shock indicated.&#8221; A rhythm<br>check now finds asystole. After resuming high-quality compressions, which<br>action do you take next?<br>a) Call for a pulse check<br>b) Establish IV or IO access<br>c) Insert a laryngeal airway<br>d) Perform endotracheal intubation<br>Answer: b) Establish IV or IO access<\/li>\n\n\n\n<li>What is the indication for the use of magnesium in cardiac arrest?<br>a) Ventricular tachycardia associated with a normal QT interval<br>b) Shock-refractory monomorphic ventricular tachycardia<br>c) Pulseless ventricular tachycardia-associated torsades de pointes<\/li>\n<\/ol>\n\n\n\n<p>d) Shock-refractory ventricular fibrillation<br>Answer: c) Pulseless ventricular tachycardia-associated torsades de pointes<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"7\">\n<li>A 62-year-old man suddenly experienced difficulty speaking and left-sided<br>weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan ofthe<br>brain is ordered.Which best describes the guidelines for antiplatelet and<br>fibrinolytic therapy?<br>a) Give asprin 160 to 325 mg to be chewed immediately<br>b) Give asprin 160 mg and clopidogrel 75 mg orally<br>c) Give heprin if the CT scan is negative for hemorrhage<br>d) Hold asprin for at least 24 hours if rtPA is administered:<br>Answer d) Hold asprin forat least 24 hours if rtPA is administered<\/li>\n\n\n\n<li>In which situation does bradycardia require treatment?<br>a) 12-lead ECG showing a normal sinus rhythm<br>b) Hypertension<br>c) Diastolic blood pressure greater than 90 mm Hg<br>d) Systolic blood pressure greater than 100 mm Hg<br>Answer: b) Hypertension<\/li>\n\n\n\n<li>A 57-year-old woman has palpitations, chest discomfort, and tachycardia.The monitor shows a regular wide-complex QRS at a rate of 100\/min. She becomes diaphoretic, and her blood pressure is 80\/60 mm Hg.Which actiondo you take<br>next?<br>a) Establish IV access<br>b) Obtain a 12-lead ECG<br>c) Perform electrical cardioversion<br>d) Seek expert consultation<br>Answer: c) Perform electrical cardioversion<\/li>\n\n\n\n<li>A patient with STEMI has ongoing chest discomfort. Heparin 4000 unitsIV<br>bolus and a heparin infusion of 1000 units per hour are being administered.The<br>patient did not take asprin because he has a history of gastritis, which was<br>treated 5 years ago.What is your next action?<br>a) Give asprin 160 to 325 mg to chew<br>b) Give clopidogrel 300 mg orally<br>c) Give enteric-coated asprin 75 mg orally<br>d) Give enteric-coated asprin 325 mg rectally<br>Answer: a) Give asprin 160 to 325 mg tochew<\/li>\n\n\n\n<li>A patient is in refractory ventricular fibrillation. High-quality CPR is in<br>progress. One dose of epinephrine was given after the second shock. An<br>antiarrhythmic drug was given immediately after the third shock.You are the<br>team leader.Which medication do you order next?<br>a) Epinephrine 1 mg<br>b) Epinephrine 3 mg<br>c) Sodium bicarbinate 50 mEq<br>d) A second dose of the antiarrhythmic drug<br>Answer: a) Epinephrine 1 mg<\/li>\n\n\n\n<li>A patient has sinus bradycardia with a heart rate of 36\/min. Atropine has<br>been administered to a total dose of 3 mg. A transcutaneous pacemaker has<br>failed to capture. The patient is confused, and her blood pressure is 88\/56 mm<br>Hg.Which therapy is now indicated?<br>a) Atropine 1 mg<br>b) Epinephrine 2 to 10 mcg\/min<br>c) Adenosine 6 mg<br>d) Normal saline 250 mL to 500 mL bolus<br>Answer: b) Epinephrine 2 to 10 mcg\/min<\/li>\n<\/ol>\n\n\n\n<p>ACLS Precourse Self Assessment (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>how often should you switch compressors to avoid fatigue<br>Answer: every 2 mins<\/li>\n\n\n\n<li>pt was in refractory v fib. third shock has been administrated. what is the<br>next action<br>Answer: resume high quality compressions<\/li>\n\n\n\n<li>you arrive and CPR isin progress. pt wasrecovering from PE and suddenly<br>collapsed. two shocks have been delivered and IV has been initiated. what<br>do you administer now<br>Answer: 1 mg epi IV<\/li>\n\n\n\n<li>12 lead shows STEMI. pt has resolution of moderate chest pain after 3<br>doses of sublingual nitroglycerin. BP is 104\/70. what intervention is most<br>important in reducing pt&#8217;s in hospital and 30 day mortality rate<br>Answer: reperfusiontherapy<\/li>\n\n\n\n<li>pt is pale and diaphoretic. BP is 80\/60, and in sinus bradycardia. On O2 at4<br>L\/min by NC and IV is established. what do you administer<br>Answer: 0.5 mg AtropineIV<\/li>\n\n\n\n<li>what action should you take immediately after providing an AED shock<br>Answer: -resume chest compressions<\/li>\n\n\n\n<li>pt is not responsive and not breathing. you can palpate a carotid pulse.<br>which action do you take next<br>Answer: start rescue breathing<\/li>\n\n\n\n<li>what is the recommended depth of chest compressions for an adult victim<br>Answer: at least 2 inches<\/li>\n\n\n\n<li>how does complete chest recoil contribute to effective CPR<br>Answer: allows maxi-mum blood to return to heart<\/li>\n\n\n\n<li>pt has history of palpitations and develops light headedness and<br>palpitations. received adenosine 6 mg IV for V-tach. BP is 128\/70. what is<br>next appropriate intervention?<br>Answer: adenosine 12 mg IV<\/li>\n\n\n\n<li>pt in ICU has narrow-complex tachy at 220\/min.BP 128\/58mmHg. PETCO2<br>38mmHg, 98% O2 sat. 12 ECG confirms SVT w\/o ischemia or infarction.<br>Hasnot been given vasoactive drugs and vagal manuevers are ineffective.<br>Whatis the next action?<br>Answer: adenosine 6 mg IV push<\/li>\n\n\n\n<li>what action minimizesthe risk of air entering the victim&#8217;s stomach duringbag<br>mask ventilation<br>Answer: ventilating until you see chest rise<\/li>\n\n\n\n<li>you are providing bag mask ventilations to a patient in respiratory arrest.how<br>often should you provide ventilation<br>Answer: every 5 &#8211; 6 breaths<\/li>\n<\/ul>\n\n\n\n<p>ACLS Precourse Self Assessment Pharmacology<br>(Latest 2023 &#8211; 2024) Actual Questions and Answers 100%<br>Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A 57-year-old woman has palpitations, chest discomfort, and<br>tachycardia. The monitor shows a regular wide-complex QRS at a<br>rate of 180 bpm. She becomes diaphoretic, and her bp is 80\/60<br>mmHG. Which action next?<br>Answer: Per- form electrical cardioversion (pg.79)<\/li>\n\n\n\n<li>You arrive on scene with the code team. High quality CPR is in<br>progress. An AED has previously advised &#8220;no shock indicated.&#8221; A<br>rhythm now finds asystole. After resuming high-quality<br>compressions, which action next?<br>Answer: Establish IV or IO access (pg. 117)<\/li>\n\n\n\n<li>A pt isin pulseless V-Tach.Two shocks and 1 dose of epi have<br>been given. Which drug next?<br>Answer: Amiodarone 300omg bolus<\/li>\n\n\n\n<li>Stroke pt (question 4\/20)<br>Answer: admin Aspirin<\/li>\n\n\n\n<li>A pt is in cardiac arrest. High quality compressions are given.<br>The pt is intubated, and a IV has been started.The rhythm is<br>asystole.What drug\/dose do you give?<br>Answer: Epinephrine 1 mg<\/li>\n<\/ol>\n\n\n\n<p>ACLS Precourse Self Assessment Practical Application<br>(Latest 2023 &#8211; 2024) Actual Questions and Answers 100%<br>Correct<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>How does complete recoil contribute to effective CPR?<br>Answer: Allows maximumblood return to the heart<\/li>\n\n\n\n<li>Your pt is not responsive and is not breathing.You can palpate<br>a carotidpulse.Which action next?<br>Answer: Start rescue breathing<\/li>\n\n\n\n<li>You arrive on scene to find CPR in progress. Nursing staff<br>report pt wasrecovering from PE and suddenly collapsed.Two<br>shocks have been given,and IV in place.What do you admin<br>now?<br>Answer: Epi 1 mg IV<\/li>\n\n\n\n<li>CPR in progress. On next rhythm check, you see the rhythm<br>shown (sinusbrady). Team says pt was well but reported chest<br>discomfort the collapsed.No pulse or respirations. Bag is<br>producing chest rise, IV in place. Which intervention next?<br>Answer: Epi 1 mg<\/li>\n\n\n\n<li>Fine v-fib is present on monitor after initation of CPR and 1<br>shock. A second shock is given and chest compression resume.<br>IV in place but nodrugs have been given. Next intervention?<br>Answer: Epi 1 mg<\/li>\n<\/ul>\n\n\n\n<p>ACLS Study Guide (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A 68-year-old woman presents with light-headedness, nausea,<br>and chestdiscomfort.Your assessment finds her awake and<br>responsive but ill-appearing, pale, and goodly disphorttie. Her radial<br>is weak, thready, and fast. You areunable to obtain a blood pressure.<br>She has no obvious dependent edema, and her neck veins are flat.<br>Her lung sounds are equal, with moderate ralespresent bilaterally.<br>The cardiac monitor shows the rhythm seen here.<br>After your initial assessment of this patient, which intervention<br>should beperformed next?<br>Answer: Synchronized cardioversion<\/li>\n\n\n\n<li>Which type of atrioventricular (AV) block best describesthis<br>rhythm?<br>Answer: Second degree type II<\/li>\n\n\n\n<li>Your patient is in cardiac arrest and has been intubated.To assess<br>CPRquality, which should you do?<br>Answer: Monitor the patient&#8217;s PetCO2<\/li>\n\n\n\n<li>Which facility is the most appropriate EMS destination for a<br>patient with sudden cardiac arrest who achieved return a<br>spontaneous circulation in thefield?<br>Answer: Coronary reperfusion-capable medical center<\/li>\n\n\n\n<li>Which of the following signs is a likely indicator of cardiac<br>arrest in anunresponsive patient?<br>Answer: Agonal gasps<\/li>\n\n\n\n<li>Which type of atrioventricular (AV) block best describesthis<br>rhythm?<br>Answer: Second degree atrioventricular (AV) block type I<\/li>\n\n\n\n<li>To properly ventilate a patient with a perfusing rhythm, how<br>often do yousqueeze the bag?<br>Answer: Once every 5 to 6 seconds<\/li>\n\n\n\n<li>In addition to clinical assessment, which is the most reliable<br>method to confirm and monitor correct placement of an<br>endotracheal (ET) tube?<br>Answer: Continuous waveform capnography<\/li>\n\n\n\n<li>You are caring for a patient with a suspected stroke whose<br>symptoms started 2 hours ago.The CT scan was normal, with no<br>signs of hemorrhage.The patient does not have any<br>contraindications to fibrinolytic therapy. Which treatment approach<br>is best for this patient?<br>Answer: Start fibrinolytic therapy as soon as possible<\/li>\n\n\n\n<li>Which best describes this rhythm?<br>Answer: Third-degree atrioventricular block<\/li>\n\n\n\n<li>What is the recommended range from which a temperature<br>should be selected and maintained constantly to achieve targeted<\/li>\n<\/ol>\n\n\n\n<p>ACLS Study Guide 2 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Which type of atrioventricular (AV) block best describesthis<br>rhythm?<br>Answer: Second degree type II<\/li>\n\n\n\n<li>Your patient is in cardiac arrest and has been intubated.To assess<br>CPRquality, which should you do?<br>Answer: Monitor the patient&#8217;s PetCO2<\/li>\n\n\n\n<li>Which facility is the most appropriate EMS destination for a<br>patient with sudden cardiac arrest who achieved return a<br>spontaneous circulation in thefield?<br>Answer: Coronary reperfusion-capable medical center<\/li>\n\n\n\n<li>Which of the following signs is a likely indicator of cardiac<br>arrest in anunresponsive patient?<br>Answer: Cyanosis<\/li>\n\n\n\n<li>Which type of atrioventricular (AV) block best describesthis<br>rhythm?<br>Answer: Second degree atrioventricular (AV) block type I<\/li>\n\n\n\n<li>To properly ventilate a patient with a perfusing rhythm, how<br>often do yousqueeze the bag?<br>Answer: Once every 5 to 6 seconds<\/li>\n\n\n\n<li>In addition to clinical assessment, which is the most reliable<br>method to confirm and monitor correct placement of an<br>endotracheal (ET) tube?<br>Answer: Continuous waveform capnography<\/li>\n\n\n\n<li>You are caring for a patient with a suspected stroke whose<br>symptoms started 2 hours ago.The CT scan was normal, with no<br>signs of hemorrhage.The patient does not have any<br>contraindications to fibrinolytic therapy. Which treatment approach<br>is best for this patient?<br>Answer: Start fibrinolytic therapy as soon as possible<\/li>\n\n\n\n<li>Which best describes this rhythm?<br>Answer: Third-degree atrioventricular block<\/li>\n\n\n\n<li>What is the recommended range from which a temperature<br>should be selected and maintained constantly to achieve targeted<br>management aftercardiac arrest?<br>Answer: 32 degrees celsius to 36 degrees Celsius<\/li>\n\n\n\n<li>Which is the recommended first intravenous (IV) dose of<br>amiodarone fora patient with refractory ventricular fibrillation?<br>Answer: 300mg<\/li>\n\n\n\n<li>Which is the primary purpose of a medical emergency team or<br>rapid response team?<br>Answer: Improving patient outcomes by identifying and treating<br>earlyclinical deterioration<\/li>\n<\/ol>\n\n\n\n<p>ACLS Study Guide 3 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Your patient is in cardiac arrest and has been intubated.To assess<br>CPRquality, which should you do?<br>Answer: Monitor the patient&#8217;s PetCO2<\/li>\n\n\n\n<li>Which facility is the most appropriate EMS destination for a<br>patient with sudden cardiac arrest who achieved return a<br>spontaneous circulation in thefield?<br>Answer: Coronary reperfusion-capable medical center<\/li>\n\n\n\n<li>Which of the following signs is a likely indicator of cardiac<br>arrest in anunresponsive patient?<br>Answer: Cyanosis<\/li>\n\n\n\n<li>Which type of atrioventricular (AV) block best describesthis<br>rhythm?<br>Answer: Second degree atrioventricular (AV) block type I<\/li>\n\n\n\n<li>To properly ventilate a patient with a perfusing rhythm, how<br>often do yousqueeze the bag?<br>Answer: Once every 5 to 6 seconds<\/li>\n\n\n\n<li>In addition to clinical assessment, which is the most reliable<br>method to confirm and monitor correct placement of an<br>endotracheal (ET) tube?<br>Answer: Continous waveform capnography<\/li>\n\n\n\n<li>You are caring for a patient with a suspected stroke whose<br>symptoms started 2 hours ago.The CT scan was normal, with no<br>signs of hemorrhage.The patient does not have any<br>contraindications to fibrinolytic therapy. Which treatment approach<br>is best for this patient?<br>Answer: Start fibrinolytic therapy as soon as possible<\/li>\n\n\n\n<li>Which best describes this rhythm?<br>Answer: Third-degree atrioventricular block<\/li>\n\n\n\n<li>What is the recommended range from which a temperature<br>should be selected and maintained constantly to achieve targeted<br>management aftercardiac arrest?<br>Answer: 32 degrees celsius to 36 degrees Celsius<\/li>\n\n\n\n<li>Which is the recommended first intravenous (IV) dose of<br>amiodarone fora patient with refractory ventricular fibrillation?<br>Answer: 300mg<\/li>\n\n\n\n<li>Which is the primary purpose of a medical emergency team or<br>rapid response team?<br>Answer: Improving patient outcomes by identifying and treating<br>earlyclinical deterioration<\/li>\n\n\n\n<li>Which is the recommended next step after a defibrillation<br>attempt?<br>Answer: Resume CPR, starting with chest compressions<\/li>\n<\/ol>\n\n\n\n<p>ACLS Written Exam 1 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>You find an unresponsive pt. who is not breathing. After<br>activating the emergency response system, you determine there is<br>no pulse.What is yournext action?<br>Answer: Start chest compressions of at least 100 per min.<\/li>\n\n\n\n<li>You are evaluating a 58-year-old man with chest pain. The blood<br>pressure is 92\/50 mm Hg, the heart rate is 92\/min, the nonlabored<br>respiratory rate is 14 breaths\/min, and the pulse oximetry reading is<br>97%. What assessment stepis most important now?<br>Answer: Obtaining a 12 lead ECG.<\/li>\n\n\n\n<li>What is the preferred method of access for epi administration<br>duringcardiac arrest in most pts?<br>Answer: Peripheral IV<\/li>\n\n\n\n<li>An AED does not promptly analyze a rythm.What is your next<br>step?<br>Answer: Beginchest compressions.<\/li>\n\n\n\n<li>You have completed 2 minutes of CPR. The ECG monitor<br>displays the lead II rhythm below, and the patient has no pulse.<br>Another member of your team resumes chest compressions, and an<br>IV is in place.What management stepis your next priority?<br>Answer: Administer 1mg of epinephrine<\/li>\n\n\n\n<li>During a pause in CPR, you see this lead II ECG rhythm on the<br>monitor.Thepatient has no pulse.What is the next action?<br>Answer: Resume compressions<\/li>\n\n\n\n<li>What is a common but sometimes fatal mistake in cardiac arrest<br>management?<br>Answer: Prolonged interruptions in chest compressions.<\/li>\n\n\n\n<li>Which action is a componant of high-quality chest comressions?<br>Answer: Allowing complete chest recoil<\/li>\n\n\n\n<li>Which action increasesthe chance ofsuccessful conversion of<br>ventricular fibrillation?<br>Answer: Providing quality compressions immediately before a<br>defibrillation attempt.<\/li>\n\n\n\n<li>Which situation BEST describes pulseless electrical activity?<br>Answer: Sinus rythm without a pulse<\/li>\n\n\n\n<li>What is the BEST strategy for performing high-quality CPR on<br>a patientwith an advanced airway in place?<br>Answer: Provide continuous chest compressions without pauses<br>and 10 ventilations per minute.<\/li>\n\n\n\n<li>Three minutes after witnessing a cardiac arrest, one member of<br>your team inserts an endotracheal tube while another performs<br>continuous chestcompressions. During subsequent ventilation, you<br>notice the presence of awaveform on the capnography screen and a<br>PETCO2 level of 8 mm Hg.Whatis the significance of this finding?<\/li>\n<\/ol>\n\n\n\n<p>Answer: Chest compressions may not be effective.<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"13\">\n<li>The use of quantitative capnography in intubated patients<br>Answer: allows formonitoring of CPR quality.<\/li>\n\n\n\n<li>For the past 25 minutes, an EMS crew has attempted<br>resuscitation of a patient who originally presented in ventricular<br>fibrillation. After the firstshock, the ECG screen displayed asystole,<br>which has persisted despite 2doses of epinephrine, a fluid bolus,<br>and high-quality CPR.What is your next treatment?<br>Answer: Consider terminating resuscitive efforts after consulting<br>medicalcontrol.<\/li>\n\n\n\n<li>Which is a safe and effective practice within the defibrillation<br>sequence?-<br>Answer: Be sure oxygen is not blowing over the patient&#8217;s chest<br>during the shock.<\/li>\n\n\n\n<li>During your assessment, your patient suddenly loses<br>consciousness. After calling for help and determining that the<br>patient is not breathing, you are unsure whether the patient has a<br>pulse.What is your next action?<br>Answer: Beginchest compressions.<\/li>\n\n\n\n<li>What is an advantage of using hands-free defibrillation pads<br>instead ofdefibrillation paddles?<br>Answer: Hands-free pads allow for a more rapid defibrillation.<\/li>\n\n\n\n<li>What action is recommended to help minimize interruptions in<br>chestcompressions during CPR?<br>Answer: Continue CPR while charging the defibrillator.<\/li>\n<\/ol>\n\n\n\n<p>ACLS Written exam 2 (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<br>Pulseless V tach or V Fib algorithm<br>Answer: CPR 2 min, Shock at 120 Jewels, CPR2 min, Shock at<br>120 Jewels, give 40 units of vasopressin, CPR 2 min, 300 mg<br>Amiodarone, CPR 2 min, 1 mg epinephrine, CPR 2 min, 150 mg<br>Amiodarone<br>When you see a suspected asystole or PEA what are the first<br>actions thatyou need to take in order to ensure that is the rthythm<br>you see<br>Answer: increase gainon monitor, check leads to make sure none<br>have fallen off<br>Asystole\/PEA<br>Answer: CPR 2 minutes, 1 mg every 3-5 minutes, CPR 2<br>minutes, treatpossible causes<br>What are the 5 H&#8217;s and 5T&#8217;s<br>Answer: Hypovolemia, Hypoxia, Hydrogen ion, HYpo\/Hyperkalemia, Hypothermia<br>5 T&#8217;s: Toxins, Tamponade, Tension pneumothorax, thrombosis<br>(coronary or pul-monary)<br>What is the treatment if a patient is dead and in acidosis<br>Answer: 1 meq\/kg Bicarb<\/p>\n\n\n\n<p>What is the treatment for Hyperkalemia<br>Answer: amp of calcium, bicarb, insulin (10units) and glucose<br>What are some causes of a patient going in to Metabolic Acidosis<br>Answer: aspirin,antifreeze<br>What is the treatment for Hypokalemia<br>Answer: give potassium<br>What is the treatment for Hypothermia<br>Answer: warm saline rapid infuser, bear hug-ger, increase temp<br>on vent<br>What is the reversal drug for opiates and the dosage<br>Answer: Narcan 0.4-2 mg<br>What is the reversal drug for benzodiazepiens<br>Answer: Romazincon 0.2 mg, 0.3,then 0.5 till a max dose of 3<br>mg<br>What are signs of a patient being in cardiac tamponade<br>Answer: JVD&lt; purple fromnipple line up<br>What is a good diagnostic tool to determine if a patient is in<br>cardiactamponade<br>Answer: Echo machine to see if there&#8217;s fluid<br>What is the treatment for Cardiac Tamponade<br>Answer: Pericardial centesis ( 5thintercostal space midclavicular<\/p>\n\n\n\n<p>ACLS Certification Exam (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Any organized rhythm without a pulse is defined as pulseless<br>electricalactivity (PEA).<br>Answer: True<\/li>\n\n\n\n<li>Synchronized cardioversion is appropriate for treating an<br>unknown widecomplex tachycardia.<br>Answer: True<\/li>\n\n\n\n<li>The aorta is the wall that separates the ventricles of the heart.<br>Answer: False<\/li>\n\n\n\n<li>The most effective treatment for ventricular fibrillation is<br>defibrillation.<br>Answer: -True<\/li>\n\n\n\n<li>An individual should be cleared-\u00d1 prior to a shock only when<br>convenient.-<br>Answer: False<\/li>\n\n\n\n<li>PEA and asystole are considered non-shockable rhythms and<br>follow thesame ACLS algorithm.<br>Answer: True<\/li>\n\n\n\n<li>Transcutaneous pacing should be used on an individual with<br>bradycardiaand inadequate perfusion if atropine is ineffective and<br>the individual is exhibiting severe symptoms.<\/li>\n<\/ol>\n\n\n\n<p>Answer: True<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"8\">\n<li>Low blood pressure may be an indication of hemodynamic<br>instability.<br>Answer: True<\/li>\n\n\n\n<li>Urgent defibrillation is essential for survival in the management<br>of acutestrokes.<br>Answer: False<\/li>\n\n\n\n<li>Fibrinolytic therapy within three hours (in some cases 4.5<br>hours) of firstonset of symptoms is the standard when treating<br>ischemic stroke.<br>Answer: True<\/li>\n\n\n\n<li>100% oxygen is acceptable for early intervention but not for<br>extendedperiods of time.<br>Answer: True<\/li>\n\n\n\n<li>In a suspected acute stroke individual, you must always<br>immediatelyobtain IV access.<br>Answer: False<\/li>\n\n\n\n<li>There is never a pulse associated with VF; therefore, you should<br>followthe PEA algorithm with individuals in VF.<br>Answer: False<\/li>\n\n\n\n<li>If the AED advises no shock, you should still defibrillate<br>because defibrillation often restarts the heart with no pulse.<\/li>\n<\/ol>\n\n\n\n<p>Answer: False<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"15\">\n<li>If transcutaneous pacing fails, there are no other options to<br>consider.<br>Answer: -False<\/li>\n\n\n\n<li>Medication is the only treatment for an unstable tachycardic<br>individual.-<br>Answer: False<\/li>\n\n\n\n<li>For an individiual in respiratory arrest with a pulse, how often<br>should theybe ventilated?<br>A) Give two breaths every 8 to 9 seconds, or 13 to 15 breaths per<br>minute.<br>B) Give one breath every 5 to 6 seconds, or 10 to 12 breaths per<br>minute.<br>C) Give one breath every 3 to 4 seconds, or 15 to 20 breaths per<br>minute.<br>D) Give one breath every 8 to 9 seconds, or 6 to 8 breaths per minute.<br>Answer: B) Giveone breath every 5 to 6 seconds, or 10 to 12<br>breaths per minute.<\/li>\n\n\n\n<li>Which item is NOT a basic airway skill?<br>A) Placement of endotracheal tube (ET tube)<br>B) Bag-mask ventilation<br>C) Jaw-thrust maneuver without head extension<br>D) Head-tilt-chin-lift maneuver<br>Answer: A) Placement of endotracheal tube (ET tube)<\/li>\n\n\n\n<li>Which of the following basic airway adjuncts can be used in a<br>consciousor semiconscious indivudual (with an intact cough and<br>gag reflex)?<br>A)Oropharyngeal airway (OPA)<br>B) Endotracheal tube (ET tube)<br>C) Nasopharyngeal airway (NPA)<\/li>\n<\/ol>\n\n\n\n<p>AHA ACLS Post Test (Latest 2023 &#8211; 2024)<br>Actual Questions and Answers 100% Correct<br>You find an unresponsive pt. who is not breathing. After<br>activating the emergency response system, you determine there is<br>no pulse.What is yournext action?<br>Answer: Start chest compressions of at least 100 per min.<br>You are evaluating a 58 year old man with chest pain.The BP is<br>92\/50 anda heart rate of 92\/min, non-labored respiratory rate is 14<br>breaths\/min and thepulse O2 is 97%.What assessment step is<br>most important now?<br>Answer: Obtaining a12 lead ECG.<br>What is the preferred method of access for epi administration<br>duringcardiac arrest in most pts?<br>Answer: Peripheral IV<br>An AED does not promptly analyze a rythm.What is your next<br>step?<br>Answer: Beginchest compressions.<br>You have completed 2 min of CPR.The ECG monitor displays<br>the lead be-low (PEA) and the pt. has no pulse.You partner<br>resumes chest compressionsand an IV isin place.What<br>management step is your next priority?<br>Answer: Administer1mg of epinepherine<br>During a pause in CPR, you see a narrow complex rythm on the<br>monitor.The pt. has no pulse.What is the next action?<\/p>\n\n\n\n<p>Answer: Resume compressions<br>What is acommon but sometimes fatal mistake in cardiac arrest<br>management?<br>Answer: Prolonged interruptions in chest compressions.<br>Which action is a componant of high-quality chest comressions?<br>Answer: Allowingcomplete chest recoil<br>Which action increasesthe chance of successful conversion of<br>ventricularfibrillation?<br>Answer: Providing quality compressions immediately before a<br>defibrillation attempt.<br>Which situation BEST describes PEA?<br>Answer: Sinus rythm without a pulse<br>What is the best strategy for perfoming high-quality CPR on a<br>pt.with an advanced airway in place?<br>Answer: Provide continuous chest compressionswithoutpauses<br>and 10 ventilations per minute.<br>3 min after witnessing a cardiac arrest, one member of your team<br>inserts an ET tube while another performs continuous chest<br>comressions. During subsequent ventilation, you notice the<br>presence of a wavefom on thecapnogrophy screen and a PET CO2<br>of 8 mm Hg.What is the significance ofthis finding?<br>Answer: Chest compressions may not be effective.<br>The use of quantitative capnography in intubated pt&#8217;s does what?<br>Answer: Allowsfor monitoring CPR quality<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ACLS Written Exam (Latest 2023 \/ 2024)Complete Questions &amp; Answers 100% Correct ACLS exam 1 (Latest 2023 &#8211; 2024)Actual Questions and Answers 100% CorrectWhich of the following choices represents appropriate treatmentof anasystolic patient?Answer: Administration of atropineEach cycle of CPR consists of 30 and two .Answer: -compressions and ventilationsBradycardia in a normal adult patient is defined [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-120065","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120065","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=120065"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/120065\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=120065"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=120065"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=120065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}