Advanced Cardiovascular Life Support Final Examination
Exam Questions and Answers
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 suspect that
improper BVM technique is being used?
Select the correct ANSWER to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension - ANSWER>>Pneumothorax
1 A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each
medication administration with a bolus of fluid. How much would the team
member give?
Select the correct ANSWER to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL - ANSWER>>When administering medications during a cardiac arrest,
all medications administrated through the IV or intraosseous infusion route
should be followed by a 10- to 20-mL fluid bolus.
The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest
in a patient brought to the emergency department. Which finding on a 12-lead
ECG would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
,ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
Narrow-complex ventricular tachycardia - ANSWER>>Wide-complex ventricular
rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-complex
ventricular rhythm and tall, peaked T waves.
A patient with an ischemic stroke arrives at the emergency department at 2 a.m.
The patient's symptoms started about 12:30 a.m. After completing the necessary
assessments, the healthcare team diagnoses an ischemic stroke, and the patient
is determined to be a candidate for fibrinolytic therapy. To achieve the best
outcomes, the team should initiate therapy for this patient no later than by which
time?
Select the correct ANSWER to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m. - ANSWER>>1
3:00 a.m.
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 airway patency. Which
statement indicates that the team performed high-quality CPR?
Select the correct ANSWER to this question.
"We kept the rate of chest compressions to around 100 per minute but adjusted
their depth to 1.5 inches while giving 1 ventilation every 3 seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a depth of
at least 2 inches and gave 1 ventilation every 6 seconds."
, "We initiated chest compressions at a rate of 100 to 110 per minute to a depth of
2.4 inches and then gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of
100 to 120 compressions per minute." - ANSWER>>4
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of
100 to 120 compressions per minute."
A patient with a suspected stroke arrives at the emergency department at 7:10
p.m. The stroke team ensures that a comprehensive neurologic assessment using
the National Institutes of Health Stroke Scale (NIHSS) is completed and that brain
imaging is performed by which time?
7:20 p.m.
7:30 p.m.
7:40 p.m.
7:50 p.m. - ANSWER>>2
Within 20 minutes of the patient's arrival, a comprehensive neurologic
assessment should be completed and brain imaging should be performed. That
would be 7:30 p.m. for this patient.
The emergency department team is providing care to a patient who is
experiencing ventricular tachycardia. The patient's serum electrolyte levels are a
contributing cause of the patient's current condition. Which electrolyte
imbalance(s) would most likely be involved?
Select all correct options that apply.
Hyperkalemia
Hypochloremia
Hypernatremia
Hypomagnesemia
Exam Questions and Answers
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 suspect that
improper BVM technique is being used?
Select the correct ANSWER to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension - ANSWER>>Pneumothorax
1 A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each
medication administration with a bolus of fluid. How much would the team
member give?
Select the correct ANSWER to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL - ANSWER>>When administering medications during a cardiac arrest,
all medications administrated through the IV or intraosseous infusion route
should be followed by a 10- to 20-mL fluid bolus.
The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest
in a patient brought to the emergency department. Which finding on a 12-lead
ECG would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
,ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
Narrow-complex ventricular tachycardia - ANSWER>>Wide-complex ventricular
rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-complex
ventricular rhythm and tall, peaked T waves.
A patient with an ischemic stroke arrives at the emergency department at 2 a.m.
The patient's symptoms started about 12:30 a.m. After completing the necessary
assessments, the healthcare team diagnoses an ischemic stroke, and the patient
is determined to be a candidate for fibrinolytic therapy. To achieve the best
outcomes, the team should initiate therapy for this patient no later than by which
time?
Select the correct ANSWER to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m. - ANSWER>>1
3:00 a.m.
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 airway patency. Which
statement indicates that the team performed high-quality CPR?
Select the correct ANSWER to this question.
"We kept the rate of chest compressions to around 100 per minute but adjusted
their depth to 1.5 inches while giving 1 ventilation every 3 seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a depth of
at least 2 inches and gave 1 ventilation every 6 seconds."
, "We initiated chest compressions at a rate of 100 to 110 per minute to a depth of
2.4 inches and then gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of
100 to 120 compressions per minute." - ANSWER>>4
"We delivered 1 ventilation every 6 seconds and chest compressions at a rate of
100 to 120 compressions per minute."
A patient with a suspected stroke arrives at the emergency department at 7:10
p.m. The stroke team ensures that a comprehensive neurologic assessment using
the National Institutes of Health Stroke Scale (NIHSS) is completed and that brain
imaging is performed by which time?
7:20 p.m.
7:30 p.m.
7:40 p.m.
7:50 p.m. - ANSWER>>2
Within 20 minutes of the patient's arrival, a comprehensive neurologic
assessment should be completed and brain imaging should be performed. That
would be 7:30 p.m. for this patient.
The emergency department team is providing care to a patient who is
experiencing ventricular tachycardia. The patient's serum electrolyte levels are a
contributing cause of the patient's current condition. Which electrolyte
imbalance(s) would most likely be involved?
Select all correct options that apply.
Hyperkalemia
Hypochloremia
Hypernatremia
Hypomagnesemia
