ACLS VERSION A EXAM QUESTIONS
WITH VERIFIED ANSWERS
Question:
1. You are receiving a radio report from an EMS team en route with a patient who may be
having an acute stroke. The hospital CT scanner is not working at this time. What should
you do in this situation?
Answer:
divert the patient to a hospital 15 minutes away with ct capabilities
Question:
2. 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?
Answer:
chest compressions may not be effective
Question:
3. For the past 25 min, EMS crews have attempted resuscitation of a pt who originally
presented with ventricular fibrillation. After the 1st shock, the ECG screen displayed
asystole, which has persisted despite 2 doses of epi, a fluid bolus, and high quality CPR.
What is your next treatment?
Answer:
consider terminating resuscitative efforts after consulting medical control.
Question:
4. Which action improves the quality of chest compressions delivered during resuscitave
attemepts?
Answer:
switch providers about every 2 minutes or every 5 compression cycles.
Question:
5. which condition is a contraindication to therapeutic hypothermia during the post-cardiac
arrest period for patients who achieve return of spontaneous circulation ROSC?
Answer:
Responding to verbal commands
Question:
6. what is a common but sometimes fatal mistake in cardiac arrest management?
Answer:
prolonged interruptions of chest compressions
Question:
7. 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?
Answer:
, resume chest compressions
Question:
8. What is the usual post-cardiac arrest target range for PETCO2 who achieves return of
spontaneous circulation (ROSC)?
Answer:
35 to 40 mm Hg
Question:
9. Which is a safe and effective practice within the defibrillation sequence?
Answer:
be sure oxygen is now blowing over the patient's chest during the shock
Question:
10. 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?
Answer:
obtaining 12-lead ecg.
Question:
11. a 68-year-old woman experienced a sudden onset of right arm weakness. EMS
personnel measure a blood pressure of 140/90 mm Hg, a heart rate of 78/min, a nonlabored
respiratory rate at 14 breaths/min, and a pulse oximetry reading of 97%. the lead II ECG
displays sinus rhythm. what is the most appropriate action for the ems team to perform
best?
Answer:
cincinnati prehospital stroke scale assessment
Question:
12. You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale,
diaphretic, and slow to respond to your questions. BP is 58/32, pulse is 190/min, resp rate is
18, and you are unable to obtain an 02 sat due to no radial pulse. The ECG shows a wide
complex tach rythm. What intervention should be next?
Answer:
synchronized cardioversion
Question:
WITH VERIFIED ANSWERS
Question:
1. You are receiving a radio report from an EMS team en route with a patient who may be
having an acute stroke. The hospital CT scanner is not working at this time. What should
you do in this situation?
Answer:
divert the patient to a hospital 15 minutes away with ct capabilities
Question:
2. 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?
Answer:
chest compressions may not be effective
Question:
3. For the past 25 min, EMS crews have attempted resuscitation of a pt who originally
presented with ventricular fibrillation. After the 1st shock, the ECG screen displayed
asystole, which has persisted despite 2 doses of epi, a fluid bolus, and high quality CPR.
What is your next treatment?
Answer:
consider terminating resuscitative efforts after consulting medical control.
Question:
4. Which action improves the quality of chest compressions delivered during resuscitave
attemepts?
Answer:
switch providers about every 2 minutes or every 5 compression cycles.
Question:
5. which condition is a contraindication to therapeutic hypothermia during the post-cardiac
arrest period for patients who achieve return of spontaneous circulation ROSC?
Answer:
Responding to verbal commands
Question:
6. what is a common but sometimes fatal mistake in cardiac arrest management?
Answer:
prolonged interruptions of chest compressions
Question:
7. 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?
Answer:
, resume chest compressions
Question:
8. What is the usual post-cardiac arrest target range for PETCO2 who achieves return of
spontaneous circulation (ROSC)?
Answer:
35 to 40 mm Hg
Question:
9. Which is a safe and effective practice within the defibrillation sequence?
Answer:
be sure oxygen is now blowing over the patient's chest during the shock
Question:
10. 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?
Answer:
obtaining 12-lead ecg.
Question:
11. a 68-year-old woman experienced a sudden onset of right arm weakness. EMS
personnel measure a blood pressure of 140/90 mm Hg, a heart rate of 78/min, a nonlabored
respiratory rate at 14 breaths/min, and a pulse oximetry reading of 97%. the lead II ECG
displays sinus rhythm. what is the most appropriate action for the ems team to perform
best?
Answer:
cincinnati prehospital stroke scale assessment
Question:
12. You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale,
diaphretic, and slow to respond to your questions. BP is 58/32, pulse is 190/min, resp rate is
18, and you are unable to obtain an 02 sat due to no radial pulse. The ECG shows a wide
complex tach rythm. What intervention should be next?
Answer:
synchronized cardioversion
Question:
