Ë• The ACLS Certification Exam has passing score of 90%
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### 1 . Which type of atrioventricular block best describes this rhythm?
- A. First-degree
- B. Second-degree type I
- C. Second-degree type II
- D. Third-degree
C. Second-degree type II**
Second-degree atrioventricular block type I I, also
known as Mobitz type II, typically shows a constant PR interval with sudden
drops in QRS complexes. This can lead to significant bradycardia or
asystole. Understanding the subtle differences between degrees of AV
block is critical to effective management, particularly during cardiac
emergencies (American Heart Association, 2020).
### 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
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- B. Obtain a 1 2-lead ECG
- C. Check the patient's pulse
- D. Obtain a chest x-ray
A. Monitor the patient's PETCO2**
Measuring end-tidal carbon dioxide (PETCO2) is a
direct indicator of perfusion and the effectiveness of CPR. A PETCO2 of
more than 1 0 mm Hg suggests effective compressions and is essential to
gauge the quality of CPR in real-time (Nolan et al. , 201 5).
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### 3. Which facility is the most appropriate EMS destination for a patient
with sudden cardiac arrest who achieved return of spontaneous circulation
in the field?
- A. Comprehensive stroke care unit
- B. Acute rehabilitation care unit
- C. Acute long-term care unit
- D. Coronary reperfusion-capable medical center
D. Coronary reperfusion-capable medical center**
A coronary reperfusion-capable medical center is
essential for managing patients who have had cardiac arrest and achieved
ROSC, as these facilities are equipped to handle potential myocardial
ischemia with advanced cardiac care (US Department of Health and
Human Services, 2021 ).
### 4. Which of the following signs is a likely indicator of cardiac arrest in
an unresponsive patient?
- A. Slow, weak pulse rate
- B. Cyanosis