AHA ACLS POST FINAL PAPER UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
✔✔Your rescue team arrives to find a 59-year-old man lying on the kitchen floor.
You determine that he is *unresponsive*.
Which is the next step in your assessment of this patient? - ✔✔Check the patient's
breathing and pulse
✔✔What is an effect of *excessive ventilation*? - ✔✔Decreased cardiac output
✔✔Which is one of the signs that is likely indicative of cardiac arrest in an unresponsive
patient? - ✔✔Agonal gasps
✔✔Chest compression will produce a ______ end-tidal CO2 - ✔✔low
✔✔PETCO2 reading > 45 mm Hg suggests __________. - ✔✔hypoventilation or
asthma, COPD
✔✔To proper ventilate a patient with a perfusing rhythm, how often do you squeeze the
bag? - ✔✔Once every 5-6 seconds
✔✔Which is an *acceptable* method of selecting an appropriate sized oropharingeal
airway? - ✔✔Measure from the corner of the mouth to the angle of the mandible.
✔✔Which is one way to minimize interruptions in chest compression during CPR? -
✔✔Continue CPR while the defibrillation charges
✔✔What is the *minimum systolic pressure* one should attempt to achieve with fluid
administration or vasoactive agents in a hypotensive post-cardiac arrest patient who
achieves ROSC? - ✔✔*90mm Hg*
✔✔In addition to clinical assessment, which is the most reliable method to confirm and
monitor correct placement of an endotracheal tube? - ✔✔Continuous Waveform
Capnography
(35-37mm Hg)
✔✔3 minutes into a cardiac resuscitation attempt, one member of your team inserts an
endothracheal tube while another performs chest compression. Capnography shows a
persistent waveform and a *PETCO2 of 8mm Hg*.
Which is significance of this finding? - ✔✔Chest compression may not be effective.
✔✔Contraindication for amiodarone adminstration - ✔✔A-fib exceeding 48hrs of
duration
, ✔✔During post-cardiac arrest care, which is the recommended duration of *targeted
temperature management* after reaching the correct temperature range? - ✔✔*≥24hrs*
✔✔A patient (with a pulse) is in respiratory distress with a blood pressure of *70/15
mmHg* presents with the lead II ECG a *SVT*.
Which is the appropriate treatment? - ✔✔Performing *Synchronized Cardioversion*
✔✔A patient in a stable narrow-complex *tachycardia*, with a peripheral IV in place, is
refractory to the first dose of adenosine (6mg).
Which would you administer as second dose? - ✔✔Adenosine *12 mg* (double)
✔✔*V-tach* on the ECG - ✔✔P=∅;
HR = V only >100 Reg.;
*QRS = wide*;
✔✔Vasopressin IV/IO dose of ______ units can replace the first or second dose of
epineprhine; - ✔✔40
✔✔_______ breaths/min with *continuos chest compression* - ✔✔8-10
✔✔With Capnography in place, placement of the colorimetric CO2 is necessary.
T/F? - ✔✔False
✔✔CPR Quality Criteria - ✔✔1) Push hard ≥ 2" and fast ≥100/min;
2) Minimize interruption: max 10 seconds;
3) If no advanced airway are in place, compress at 30:2 rate and rotate every 2 minutes;
4) If PETCO2 <10mm HG, improve CPR;
5) If diastolic Pressure <20mm Hg, improve CPR;
✔✔Biphasic Shock Energy - ✔✔120-200J
✔✔Monophasic Shock Energy - ✔✔360J
✔✔*STEMI* on ECG - ✔✔
✔✔STEMI evolution over time - ✔✔
✔✔ED Assessment - ✔✔• Check vital signs;
• Obtain medical history;
• Review fibrinolytic checklist;
• Obtain blood studies;
• Obtain portable x-ray;
CORRECT ANSWERS
✔✔Your rescue team arrives to find a 59-year-old man lying on the kitchen floor.
You determine that he is *unresponsive*.
Which is the next step in your assessment of this patient? - ✔✔Check the patient's
breathing and pulse
✔✔What is an effect of *excessive ventilation*? - ✔✔Decreased cardiac output
✔✔Which is one of the signs that is likely indicative of cardiac arrest in an unresponsive
patient? - ✔✔Agonal gasps
✔✔Chest compression will produce a ______ end-tidal CO2 - ✔✔low
✔✔PETCO2 reading > 45 mm Hg suggests __________. - ✔✔hypoventilation or
asthma, COPD
✔✔To proper ventilate a patient with a perfusing rhythm, how often do you squeeze the
bag? - ✔✔Once every 5-6 seconds
✔✔Which is an *acceptable* method of selecting an appropriate sized oropharingeal
airway? - ✔✔Measure from the corner of the mouth to the angle of the mandible.
✔✔Which is one way to minimize interruptions in chest compression during CPR? -
✔✔Continue CPR while the defibrillation charges
✔✔What is the *minimum systolic pressure* one should attempt to achieve with fluid
administration or vasoactive agents in a hypotensive post-cardiac arrest patient who
achieves ROSC? - ✔✔*90mm Hg*
✔✔In addition to clinical assessment, which is the most reliable method to confirm and
monitor correct placement of an endotracheal tube? - ✔✔Continuous Waveform
Capnography
(35-37mm Hg)
✔✔3 minutes into a cardiac resuscitation attempt, one member of your team inserts an
endothracheal tube while another performs chest compression. Capnography shows a
persistent waveform and a *PETCO2 of 8mm Hg*.
Which is significance of this finding? - ✔✔Chest compression may not be effective.
✔✔Contraindication for amiodarone adminstration - ✔✔A-fib exceeding 48hrs of
duration
, ✔✔During post-cardiac arrest care, which is the recommended duration of *targeted
temperature management* after reaching the correct temperature range? - ✔✔*≥24hrs*
✔✔A patient (with a pulse) is in respiratory distress with a blood pressure of *70/15
mmHg* presents with the lead II ECG a *SVT*.
Which is the appropriate treatment? - ✔✔Performing *Synchronized Cardioversion*
✔✔A patient in a stable narrow-complex *tachycardia*, with a peripheral IV in place, is
refractory to the first dose of adenosine (6mg).
Which would you administer as second dose? - ✔✔Adenosine *12 mg* (double)
✔✔*V-tach* on the ECG - ✔✔P=∅;
HR = V only >100 Reg.;
*QRS = wide*;
✔✔Vasopressin IV/IO dose of ______ units can replace the first or second dose of
epineprhine; - ✔✔40
✔✔_______ breaths/min with *continuos chest compression* - ✔✔8-10
✔✔With Capnography in place, placement of the colorimetric CO2 is necessary.
T/F? - ✔✔False
✔✔CPR Quality Criteria - ✔✔1) Push hard ≥ 2" and fast ≥100/min;
2) Minimize interruption: max 10 seconds;
3) If no advanced airway are in place, compress at 30:2 rate and rotate every 2 minutes;
4) If PETCO2 <10mm HG, improve CPR;
5) If diastolic Pressure <20mm Hg, improve CPR;
✔✔Biphasic Shock Energy - ✔✔120-200J
✔✔Monophasic Shock Energy - ✔✔360J
✔✔*STEMI* on ECG - ✔✔
✔✔STEMI evolution over time - ✔✔
✔✔ED Assessment - ✔✔• Check vital signs;
• Obtain medical history;
• Review fibrinolytic checklist;
• Obtain blood studies;
• Obtain portable x-ray;
