ACLS WRITTEN EXAM
QUESTIONS AND ANSWERS
ADVANCED CARDIOVASCULAR
LIFE SUPPORT CERTIFICATION
PRACTICE TEST STUDY GUIDE
You find an unresponsive pt. who is not breathing. After
activating the emergency response system, you determine there
is no pulse. What is your next action? - CORRECT ANSWER -Start
chest compressions of at least 100 per min.
You are evaluating a 58-year-old man with chest pain. The blood
pressure is 92/50 mm Hg, the heart rate is 92/min, the
nonlabored respiratory rate is 14 breaths/min, and the pulse
,oximetry reading is 97%. What assessment step is most
important now? - CORRECT ANSWER -Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration
during cardiac arrest in most pts? - CORRECT ANSWER -
Peripheral IV
An AED does not promptly analyze a rythm. What is your next
step? - CORRECT ANSWER -Begin chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays
the lead II rhythm below, and the patient has no pulse. Another
member of your team resumes chest compressions, and an IV is
in place. What management step is your next priority? -
CORRECT ANSWER -Administer 1mg of epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the
monitor. The patient has no pulse.
,What is the next action? - CORRECT ANSWER -Resume
compressions
What is a common but sometimes fatal mistake in cardiac
arrest management? - CORRECT ANSWER -Prolonged
interruptions in chest compressions.
Which action is a componant of high-quality chest comressions?
- CORRECT ANSWER -Allowing complete chest recoil
Which action increases the chance of successful conversion of
ventricular fibrillation? - CORRECT ANSWER -Providing quality
compressions immediately before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? -
CORRECT ANSWER -Sinus rythm without a pulse
, What is the BEST strategy for performing high-quality CPR on a
patient with an advanced airway in place? - CORRECT ANSWER -
Provide continuous chest compressions without pauses and 10
ventilations per minute.
Three minutes after witnessing a cardiac arrest, one member of
your team inserts an endotracheal tube while another performs
continuous chest compressions. During subsequent ventilation,
you notice the presence of a waveform on the capnography
screen and a PETCO2 level of 8 mm Hg. What is the significance
of this finding? - CORRECT ANSWER -Chest compressions may
not be effective.
The use of quantitative capnography in intubated patients -
CORRECT ANSWER -allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted
resuscitation of a patient who originally presented in ventricular
fibrillation. After the first shock, the ECG screen displayed
QUESTIONS AND ANSWERS
ADVANCED CARDIOVASCULAR
LIFE SUPPORT CERTIFICATION
PRACTICE TEST STUDY GUIDE
You find an unresponsive pt. who is not breathing. After
activating the emergency response system, you determine there
is no pulse. What is your next action? - CORRECT ANSWER -Start
chest compressions of at least 100 per min.
You are evaluating a 58-year-old man with chest pain. The blood
pressure is 92/50 mm Hg, the heart rate is 92/min, the
nonlabored respiratory rate is 14 breaths/min, and the pulse
,oximetry reading is 97%. What assessment step is most
important now? - CORRECT ANSWER -Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration
during cardiac arrest in most pts? - CORRECT ANSWER -
Peripheral IV
An AED does not promptly analyze a rythm. What is your next
step? - CORRECT ANSWER -Begin chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays
the lead II rhythm below, and the patient has no pulse. Another
member of your team resumes chest compressions, and an IV is
in place. What management step is your next priority? -
CORRECT ANSWER -Administer 1mg of epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the
monitor. The patient has no pulse.
,What is the next action? - CORRECT ANSWER -Resume
compressions
What is a common but sometimes fatal mistake in cardiac
arrest management? - CORRECT ANSWER -Prolonged
interruptions in chest compressions.
Which action is a componant of high-quality chest comressions?
- CORRECT ANSWER -Allowing complete chest recoil
Which action increases the chance of successful conversion of
ventricular fibrillation? - CORRECT ANSWER -Providing quality
compressions immediately before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? -
CORRECT ANSWER -Sinus rythm without a pulse
, What is the BEST strategy for performing high-quality CPR on a
patient with an advanced airway in place? - CORRECT ANSWER -
Provide continuous chest compressions without pauses and 10
ventilations per minute.
Three minutes after witnessing a cardiac arrest, one member of
your team inserts an endotracheal tube while another performs
continuous chest compressions. During subsequent ventilation,
you notice the presence of a waveform on the capnography
screen and a PETCO2 level of 8 mm Hg. What is the significance
of this finding? - CORRECT ANSWER -Chest compressions may
not be effective.
The use of quantitative capnography in intubated patients -
CORRECT ANSWER -allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted
resuscitation of a patient who originally presented in ventricular
fibrillation. After the first shock, the ECG screen displayed
