ACLS Practice Questions and Answers
1. 1. Which type of atrioventricular block best describes this rhythm?: C) Second-
degree type II
2. 2. Your patient is in cardiac arrest and has been intubated. To assess CPR
quality, which should you do?: A) Monitor the patient's PETCO2
3. 3. Which facility is the most appropriate EMS destination for a patient with
sudden cardiac who achieved return of spontaneous circulation in the field?: D)
Coronary reperfusion-capable medical center
4. 4. Which of the following signs is a likely indicator of cardiac arrest in an
unresponsive patient?: C) Agonal gasps
5. 5. Which type of atrioventricular block best describes this rhythm?: B) Second-
degree atrioventricular block type I
6. 6. To properly ventilate a patient with a perfusing rhythm, how often do you
squeeze the bag?: B) Once every 5 to 6 seconds.
7. 7. In addition to clinical assessment, which is the most reliable method to
confirm and monitor correct placement of an endotracheal tube?: C) Continu- ous
waveform capnography
8. 8. You are caring for a patient with a suspected stroke whose symptoms started
2 hours ago. The CT scan was normal, with no signs of hemorrhage. The patient
does not have any contraindications to fibrinolytic therapy. Which treatment is the
best for this patient?: B) Start fibrinolytic therapy as soon as possible.
9. 9. Which best describes this rhythm?: D) Third-degree atrioventricular block.
, 10. 10. What is the recommended range from which a temperature should be
selected and maintained constantly to achieve targeted temperature manage- ment
after cardiac arrest?: C) 32 to 36 Degrees Celsius
11. 11. Which is the recommended first intravenous dose of amiodarone for a
patient with refractory ventricular fibrillation?: D) 300 mg
12. 12. What is the primary of a medical emergency team or rapid response team?:
B) Improving patient outcomes by identifying and treating early clinical deterioration.
13. 13. What is the recommended next step after a defibrillation attempt?: D)
Resume CPR, starting with chest compressions
14. 14. EMS providers are treating a patient with suspected stroke. According to
the Adult Suspected Stroke Algorithm, which critical action performed by the EMS
team will expedite this patient's care on arrival and reduce the time to treatment?:
A) Alert the hospital.
15. 15. A responder is caring for a patient with a history of congestive heart
failure. The patient is experiencing shortness of breath, a blood pressure
of 68/50 mmHg, and a heart rate of 190/min. The patient's lead II ECG is displayed
here. Which best characterizes this patient's rhythm?: D) Unstable supraventricular
tachycardia
16. 16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor.
You determine that he is unresponsive. Which is the next step in your assessment
and management of this patient?: B) Check the patient's breathing and pulse.
17. 17. Which best describes the length of time it should take to perform a pulse
check during the BLS assessment?: B) 5 to 10 seconds
1. 1. Which type of atrioventricular block best describes this rhythm?: C) Second-
degree type II
2. 2. Your patient is in cardiac arrest and has been intubated. To assess CPR
quality, which should you do?: A) Monitor the patient's PETCO2
3. 3. Which facility is the most appropriate EMS destination for a patient with
sudden cardiac who achieved return of spontaneous circulation in the field?: D)
Coronary reperfusion-capable medical center
4. 4. Which of the following signs is a likely indicator of cardiac arrest in an
unresponsive patient?: C) Agonal gasps
5. 5. Which type of atrioventricular block best describes this rhythm?: B) Second-
degree atrioventricular block type I
6. 6. To properly ventilate a patient with a perfusing rhythm, how often do you
squeeze the bag?: B) Once every 5 to 6 seconds.
7. 7. In addition to clinical assessment, which is the most reliable method to
confirm and monitor correct placement of an endotracheal tube?: C) Continu- ous
waveform capnography
8. 8. You are caring for a patient with a suspected stroke whose symptoms started
2 hours ago. The CT scan was normal, with no signs of hemorrhage. The patient
does not have any contraindications to fibrinolytic therapy. Which treatment is the
best for this patient?: B) Start fibrinolytic therapy as soon as possible.
9. 9. Which best describes this rhythm?: D) Third-degree atrioventricular block.
, 10. 10. What is the recommended range from which a temperature should be
selected and maintained constantly to achieve targeted temperature manage- ment
after cardiac arrest?: C) 32 to 36 Degrees Celsius
11. 11. Which is the recommended first intravenous dose of amiodarone for a
patient with refractory ventricular fibrillation?: D) 300 mg
12. 12. What is the primary of a medical emergency team or rapid response team?:
B) Improving patient outcomes by identifying and treating early clinical deterioration.
13. 13. What is the recommended next step after a defibrillation attempt?: D)
Resume CPR, starting with chest compressions
14. 14. EMS providers are treating a patient with suspected stroke. According to
the Adult Suspected Stroke Algorithm, which critical action performed by the EMS
team will expedite this patient's care on arrival and reduce the time to treatment?:
A) Alert the hospital.
15. 15. A responder is caring for a patient with a history of congestive heart
failure. The patient is experiencing shortness of breath, a blood pressure
of 68/50 mmHg, and a heart rate of 190/min. The patient's lead II ECG is displayed
here. Which best characterizes this patient's rhythm?: D) Unstable supraventricular
tachycardia
16. 16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor.
You determine that he is unresponsive. Which is the next step in your assessment
and management of this patient?: B) Check the patient's breathing and pulse.
17. 17. Which best describes the length of time it should take to perform a pulse
check during the BLS assessment?: B) 5 to 10 seconds
