AHA ACLS FINAL PRACTICE QUESTIONS AND
DETAILED SOLUTIONS
◉ Which is a safe and effective practice within the defibrillation
sequence?
Answer: Be sure O2 is NOT blowing over the pt's chest during shock.
◉ During your assessment, your pt suddenly loses consciousness.
After calling for help and determining that the pt. is not breathing,
you are unsure whether the pt. has a pulse. What is your next action?
Answer: Begin chest compressions.
◉ What is an advantage of using hands-free d-fib pads instead of d-
fib paddles?
Answer: Hands-free allows for more rapid d-fib.
◉ What action is recommended to help minimize interruptions in
chest compressions during CPR?
Answer: Continue CPR while charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is
Charging
,◉ Which action is included in the BLS survey?
Answer: Early defibrillation
◉ Which drug and dose are recommended for the management of a
pt. in refractory V-FIB?
Answer: Amiodarone 300mg
◉ What is the appropriate intervalfor an interruption in chest
compressions?
Answer: 10 seconds or less
◉ Which of the following is a sign of effective CPR?
Answer: PETCO2 = or > 10mm Hg
◉ What is the purpose of a medical emergency team (MET) or rapid
response team?
Answer: Improving patient outcomes by identifying and treating
early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid
Response Teams (RRTs)
, ◉ Which action improves the quality of chest compressions
delivered during resuscitave attemepts?
Answer: Shitch providers about every 2 min or every 5 compression
cycles.
◉ What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse of 80 beats/min?
Answer: 1 breath every 5-6 seconds
◉ A pt. presents to the ER with a new onset of dizziness and fatugue.
Onexamination, the pt's heart rate is 35 beats/min, BP is 70/50,
resp. rate is 22 per min, O2 sat is 95%. What is the appropriate 1st
medication?
Answer: Atropine 0.5mg
◉ A pt. presents to the ER with dizziness and SOB with a sinus brady
of 40/min. The initial atropine dose was ineffective and your
monitor does not provide TCP. What is the appropriate dose of
Dopamine for this pt?
Answer: 2-20mcg/kg/min
◉ A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is
110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow complex
tach rythm. What is the next intervention?
Answer: Vagal manuever.
DETAILED SOLUTIONS
◉ Which is a safe and effective practice within the defibrillation
sequence?
Answer: Be sure O2 is NOT blowing over the pt's chest during shock.
◉ During your assessment, your pt suddenly loses consciousness.
After calling for help and determining that the pt. is not breathing,
you are unsure whether the pt. has a pulse. What is your next action?
Answer: Begin chest compressions.
◉ What is an advantage of using hands-free d-fib pads instead of d-
fib paddles?
Answer: Hands-free allows for more rapid d-fib.
◉ What action is recommended to help minimize interruptions in
chest compressions during CPR?
Answer: Continue CPR while charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is
Charging
,◉ Which action is included in the BLS survey?
Answer: Early defibrillation
◉ Which drug and dose are recommended for the management of a
pt. in refractory V-FIB?
Answer: Amiodarone 300mg
◉ What is the appropriate intervalfor an interruption in chest
compressions?
Answer: 10 seconds or less
◉ Which of the following is a sign of effective CPR?
Answer: PETCO2 = or > 10mm Hg
◉ What is the purpose of a medical emergency team (MET) or rapid
response team?
Answer: Improving patient outcomes by identifying and treating
early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid
Response Teams (RRTs)
, ◉ Which action improves the quality of chest compressions
delivered during resuscitave attemepts?
Answer: Shitch providers about every 2 min or every 5 compression
cycles.
◉ What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse of 80 beats/min?
Answer: 1 breath every 5-6 seconds
◉ A pt. presents to the ER with a new onset of dizziness and fatugue.
Onexamination, the pt's heart rate is 35 beats/min, BP is 70/50,
resp. rate is 22 per min, O2 sat is 95%. What is the appropriate 1st
medication?
Answer: Atropine 0.5mg
◉ A pt. presents to the ER with dizziness and SOB with a sinus brady
of 40/min. The initial atropine dose was ineffective and your
monitor does not provide TCP. What is the appropriate dose of
Dopamine for this pt?
Answer: 2-20mcg/kg/min
◉ A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is
110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow complex
tach rythm. What is the next intervention?
Answer: Vagal manuever.
