AHA ACLS EXAM UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
✅Which conditionis a contraindication to theraputic hypothermia during the post-cardiac
arrest period for pt's who achieve return of spontaneous circulation (ROSC)? Answer:
Responding to verbal commands
✅What is the potential danger to using ties that pass circumfrentially around the pt's neck
when securing an advanced airway? Answer: Obstruction of veneous return from the brain
✅What is the most reliable method of confirming and montioring correct placement of an
ET tube? Answer: Continuous waveform capnography
✅What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves ROSC but
is hypotensive during the post-cardiac arrest period? Answer: 1 to 2 Liters
✅What is the minimum systolic BP one should attempt to achieve with fluid, Inotropic, or
vasopressor administration in a hypotensive post-cardiac arrest who achieves ROSC? Answer:
90mm Hg
✅What is the 1st treatment priority for a pt. who achieves ROSC? Answer: Optimizing
ventilation and oxygenation.
✅Which is an appropriate and important intervention to perform for a patient who achieves
ROSC during an out-of-hospital resuscitation? Answer: Transport the patient to a facility
capable of performing PCI.
✅What is the recommended oral dose of aspirin for patients suspected of having one of
the acute coronary syndromes? Answer: 160 to 325 mg
Administer Oxygen and Drugs: Aspirin (Acetylsalicyclic Acid)
, ✅An 80-year-old woman presents to the emergency department with dizziness. She now
states she is asymptomatic after walking around. Her blood pressure is 102/72 mm Hg. She is
alert and oriented. Her lead II ECG is above. After you start an IV, what is the next action?
(3rd degree heart block) Answer: Conduct a problem-focused history and physical
examination.
BLS and ACLS surveys
✅IV/IO drug administration during CPR should be Answer: Given rapidly during
compressions
Routes of Access for Drugs
✅Which treatment or medication is appropriate for the treatment of a patient in asystole?
Answer: Epinephrine
Administer Vasopressors
✅Which of the following is the recommended first choice for establishing intravenous
access during the attempted resuscitation of a patient in cardiac arrest? Answer: Antecubital
vein
✅A team leader orders 1 mg of epinephrine and a team member verbally acknowledges
when the medication is administered. What element of effective resuscitation team dynamics
does this represent? Answer: Closed-loop communication
✅After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
ventilation. The patient's lead II ECG appears above. What is your next action? Answer: IV or
IO access
The PEA Pathway of the Cardiac Arrest Algorithm
ANSWERS
✅Which conditionis a contraindication to theraputic hypothermia during the post-cardiac
arrest period for pt's who achieve return of spontaneous circulation (ROSC)? Answer:
Responding to verbal commands
✅What is the potential danger to using ties that pass circumfrentially around the pt's neck
when securing an advanced airway? Answer: Obstruction of veneous return from the brain
✅What is the most reliable method of confirming and montioring correct placement of an
ET tube? Answer: Continuous waveform capnography
✅What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves ROSC but
is hypotensive during the post-cardiac arrest period? Answer: 1 to 2 Liters
✅What is the minimum systolic BP one should attempt to achieve with fluid, Inotropic, or
vasopressor administration in a hypotensive post-cardiac arrest who achieves ROSC? Answer:
90mm Hg
✅What is the 1st treatment priority for a pt. who achieves ROSC? Answer: Optimizing
ventilation and oxygenation.
✅Which is an appropriate and important intervention to perform for a patient who achieves
ROSC during an out-of-hospital resuscitation? Answer: Transport the patient to a facility
capable of performing PCI.
✅What is the recommended oral dose of aspirin for patients suspected of having one of
the acute coronary syndromes? Answer: 160 to 325 mg
Administer Oxygen and Drugs: Aspirin (Acetylsalicyclic Acid)
, ✅An 80-year-old woman presents to the emergency department with dizziness. She now
states she is asymptomatic after walking around. Her blood pressure is 102/72 mm Hg. She is
alert and oriented. Her lead II ECG is above. After you start an IV, what is the next action?
(3rd degree heart block) Answer: Conduct a problem-focused history and physical
examination.
BLS and ACLS surveys
✅IV/IO drug administration during CPR should be Answer: Given rapidly during
compressions
Routes of Access for Drugs
✅Which treatment or medication is appropriate for the treatment of a patient in asystole?
Answer: Epinephrine
Administer Vasopressors
✅Which of the following is the recommended first choice for establishing intravenous
access during the attempted resuscitation of a patient in cardiac arrest? Answer: Antecubital
vein
✅A team leader orders 1 mg of epinephrine and a team member verbally acknowledges
when the medication is administered. What element of effective resuscitation team dynamics
does this represent? Answer: Closed-loop communication
✅After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
ventilation. The patient's lead II ECG appears above. What is your next action? Answer: IV or
IO access
The PEA Pathway of the Cardiac Arrest Algorithm
