ACLS Exam A Questions and Answers
1. Which of these tests should be performed for a pt with suspected
stroke as early as possible but no more than 20 min after hospital
arrival?: Non-contrast CT scan of head
2. Which best describes this rhythm?: Monomorphic Vent Tach
3. Which is an acceptable method of selecting an appropriately
sized oropharyngeal airway?: Measure from the corner of the mouth to the angle of
mandible
4. You are caring for a pt with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal, with no signs of
hemorrhage. The pt does not have any contraindications to fibrinolytic
therapy. Which treatment is best for this pt?: Give fibrinolytic therapy as soon as
possible and consider endovascular therapy
5. Which is the recommended next step after a defibrillation attempt?:
Resume CPR, starting with chest compressions
6. Which of the following signs is a likely indicator of cardiac arrest
in an unre- sponsive pt?: Agonal gasps
7. You are evaluating a 58YO man with chest discomfort. His BP is
1/
11
, 92/50 mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his
pulse ox is 97%. Which assessment step is most important now?:
Obtaining a 12-lead ECG
8. During post-cardiac arrest care, which is the recommended
duration of targeted temperature management after reaching the
correct temperature range?: At least 24 hours
9. Your rescue team arrives to find a 59YO man lying on the kitchen
floor. You determine that he is unresponsive. What is the next step in
your assessment and management of this pt?: Check the pt's breathing and
pulse
10. (SET) A 45YO man had coronary stents placed 2 days ago. Today
he is in severe distress and is reporting "crushing" chest discomfort.
Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you
suspect led to the cardiac arrest?: Acute Coronary Syndrome
11. (SET) A 45YO man had coronary stents placed 2 days ago.
Today he is in severe distress and is reporting "crushing" chest
discomfort. Pale, diaphoretic,
cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89%
2/
11
1. Which of these tests should be performed for a pt with suspected
stroke as early as possible but no more than 20 min after hospital
arrival?: Non-contrast CT scan of head
2. Which best describes this rhythm?: Monomorphic Vent Tach
3. Which is an acceptable method of selecting an appropriately
sized oropharyngeal airway?: Measure from the corner of the mouth to the angle of
mandible
4. You are caring for a pt with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal, with no signs of
hemorrhage. The pt does not have any contraindications to fibrinolytic
therapy. Which treatment is best for this pt?: Give fibrinolytic therapy as soon as
possible and consider endovascular therapy
5. Which is the recommended next step after a defibrillation attempt?:
Resume CPR, starting with chest compressions
6. Which of the following signs is a likely indicator of cardiac arrest
in an unre- sponsive pt?: Agonal gasps
7. You are evaluating a 58YO man with chest discomfort. His BP is
1/
11
, 92/50 mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his
pulse ox is 97%. Which assessment step is most important now?:
Obtaining a 12-lead ECG
8. During post-cardiac arrest care, which is the recommended
duration of targeted temperature management after reaching the
correct temperature range?: At least 24 hours
9. Your rescue team arrives to find a 59YO man lying on the kitchen
floor. You determine that he is unresponsive. What is the next step in
your assessment and management of this pt?: Check the pt's breathing and
pulse
10. (SET) A 45YO man had coronary stents placed 2 days ago. Today
he is in severe distress and is reporting "crushing" chest discomfort.
Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you
suspect led to the cardiac arrest?: Acute Coronary Syndrome
11. (SET) A 45YO man had coronary stents placed 2 days ago.
Today he is in severe distress and is reporting "crushing" chest
discomfort. Pale, diaphoretic,
cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89%
2/
11
