ACLS Post Test 1 (Latest ) Actual Questions and Answers
100% Correct
3 mins into cardiac arrest resuscitation attempt, one member of your team inserts an
endotracheal tube while another performs chest compressions. Capnography shows a
persistent waveform & a PETCO2 of 8mmHg. What is the significance of the finding?
a. chest compression may not be effective
b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
d. the patient meets the criteria for termination of efforts -ansa. chest compression may
not be effective
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set
is 89% on room air. -ansanswer has to do with acute coronary syndrome
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set
is 89% on room air. Despite 2 defib attempt, the patient remains in V-fib. Which drug &
dose should be given?
a. lidocaine 1 mg/kg
b. amiodarone 300mg
c. epi 1mg
d. atropine 1 mg -ansepi 1 mg
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set
is 89% on room air. despite the drug provided above & continuous CPR, the patient
remains in v-fib. which drug should be given next?
a. atropine 1mg
b. mag sulfate 1g
c. amiodarone 300mg
d. epi 1 mg -ansc. amiodarone 300mg
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set
is 89% on room air. The patient has returned of spontaneous circulation (ROSC) & is
not able to follow commands. Which immediate post-cardiac arrest care intervention do
you choose for the patient?
a. extubate
b. check glucose
c. give epi
d. initiate targeted temp. management -ansinitiate targeted temperature management
(the guideline no longer has post-arrest optimal glucose level)
,ACLS Post Test 1 (Latest ) Actual Questions and Answers
100% Correct
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set
is 89% on room air. When applied, the cardiac monitor initially showed ventricular
tachycardia, which then quickly changed to ventricular fibrillation. What do we do?
a. chest compression
b. vasoactive meds
c. vascular access
d. advanced airway -ansa. chest compression
A 45M has coronary artery stents placed 2 days ago. Today, he is in severe distress &
crushing chest discomfort. he is pale, diaphoretic, & cool to the touch. His radial pulse is
very weak. Blood pressure is 64/40 mm Hg, respiratory rate is 28 bpm & O2 is 89%.
cardiac monitor initially showed ventricular tachycardia, which quickly changed to v-fib.
what would you have done first if the patient had not gone into v-fib?
a. give atropine 1mg
b. establish IV
c. do a 12 lead
d. performed synchronized cardioversion -ansperformed synchronized cardioversion
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak,
thready & fast. Your are unable to get a BP. She has no obvious dependent edema, &
her neck veins are flat. Her lung sounds are equal w/ moderate rales present bilaterally.
The cardiac monitor shows rhythm seen here. After your initial assessment, which
intervention should be preformed? -anssynchronized cardioversiion
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak,
thready & fast. Your are unable to get a BP. She has no obvious dependent edema, &
her neck veins are flat. Her lung sounds are equal w/ moderate rales present bilaterally.
The cardiac monitor shows rhythm seen here. Based on the patient's initial assessment,
what adult ACLS algorithm should you follow? -anstachycardia
wide complex (monophasic) tachycardia
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak,
thready & fast. Your are unable to get a BP. She has no obvious dependent edema, &
her neck veins are flat. Her lung sounds are equal w/ moderate rales present bilaterally.
The cardiac monitor shows rhythm seen here. If the patient became apnic & pulseless
but the rhythm remained the same, which would take the highest priority? -ansperform
defibrillation
,ACLS Post Test 1 (Latest ) Actual Questions and Answers
100% Correct
A patient has a witnessed loss of consciousness. The lead 2 ECG is shown. appropriate
treatment? -ansdefibrillation
A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory
to the 1st dose of adenosine. Which dose would you administer next? -ans12mg
a patient is being resuscitated in a very noisy environment. A team member thinks he
heard an order of 500mg of amiodarone IV. which is the best response from the team
member? -ansI have an order to give 500mg of amiodarone IV. Is this correct?
A patient is respiratory distress, 70/50, presents with lead 2 ECG shown. appropriate
treatment?
a. defibrillation
b. perform synchronized cardioversion
c. administering adenosine 6mg IV pust
d. perform vagal maneuvers -ansperforming synchronized cardioversion
A responder is caring for a patient with a history of congestive heart failure. The patient
is experiencing shortness of breath, 68/50 mmHg, heart rate 190/min. The patient's lead
2 ECG is shown. Which best characterizes this patient's rhythm? -ansunstable
supraventicular tachycardia
A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. Which action should the team member take? -ansask for a
new task or role
As a team leader, when do you tell the chest compressors to switch? -ansabout every 2
minutes
chest compressions during for adult rate -ans100-120/min
During post-cardiac arrest, which is recommended duration of targeted temp.
management after reaching the correct temperature range?
a. at least 24 hours
b. 0-8 hour
c. at least 36 hours
d. at least 48 hours -ansat least 24 hours
effect of excessive ventilation
a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return -ansdecreased cardiac output
For STEMI pt, maximum goal time for ED door-to-balloon-inflation time for PCI?
, ACLS Post Test 1 (Latest ) Actual Questions and Answers
100% Correct
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins -ans90 mins
If a team member is about to make a mistake during a resuscitation attempt, which best
describes the action that the team leader or other team members should take? -
ansaddress the team member immediately
In addition to clinical assessment, which is the most reliable method to confirm &
monitor correct placement of an endotracheal tube? -anscontinous waveform
capnography
temperature to achieve targeted temperature management after cardiac arrest -ans32-
36C
The patient's pulse ox shows a reading of 84% on room air. Which initial action do you
take? -ansapply oxygen
(I think I put Bag valve mask for this and I got it wrong)
to properly ventilate a patient w/ perfusing rhythm, how often do you squeeze the bag? -
ansonce every 5-6 seconds
What is the minimum systolic blood pressure one should attempt to achieve w/ fluid
administration or vasoactive agents in a hypotensive post-cardiac arrest patient who
achieves return of spontaneous circulation? -ans90 mmHg
Which best describes an action taken by the team leader to avoid inefficiencies during a
resuscitation attempt? -ansclearly delegate tasks
Which best describes the length of time it should take to perform a pulse check during
BLS assessment? -ans5-10 seconds
Which best describes the rhythm? -ansmonomorphic ventricular tachycardia
Which facility is the most appropriate EMS destination for a patient w/ a sudden cardiac
arrest who achieved return of spontaneous circulation in the field? -anscoronary
reperfusion-capable medical center
which is an acceptable method of selecting an appropriately sized oropharyngeal
airway? -ansmeasure from the corner of the mouth to the angle of the mandible
which is one way to minimize interruptions in chest compressions during CPR? -
anscontinue CPR while the defibrillator charges
100% Correct
3 mins into cardiac arrest resuscitation attempt, one member of your team inserts an
endotracheal tube while another performs chest compressions. Capnography shows a
persistent waveform & a PETCO2 of 8mmHg. What is the significance of the finding?
a. chest compression may not be effective
b. The endotrachael tube is in the esophagus
c. the team is ventilating the patient too often
d. the patient meets the criteria for termination of efforts -ansa. chest compression may
not be effective
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set
is 89% on room air. -ansanswer has to do with acute coronary syndrome
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set
is 89% on room air. Despite 2 defib attempt, the patient remains in V-fib. Which drug &
dose should be given?
a. lidocaine 1 mg/kg
b. amiodarone 300mg
c. epi 1mg
d. atropine 1 mg -ansepi 1 mg
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set
is 89% on room air. despite the drug provided above & continuous CPR, the patient
remains in v-fib. which drug should be given next?
a. atropine 1mg
b. mag sulfate 1g
c. amiodarone 300mg
d. epi 1 mg -ansc. amiodarone 300mg
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set
is 89% on room air. The patient has returned of spontaneous circulation (ROSC) & is
not able to follow commands. Which immediate post-cardiac arrest care intervention do
you choose for the patient?
a. extubate
b. check glucose
c. give epi
d. initiate targeted temp. management -ansinitiate targeted temperature management
(the guideline no longer has post-arrest optimal glucose level)
,ACLS Post Test 1 (Latest ) Actual Questions and Answers
100% Correct
A 45M had coronary artery stents placed 2 days ago. Today he is in severe distress and
reporting "crushing" chest discomfort. He is pale, diphoretic, and cool to the touch. His
radial pulse is very weak, blood pressure is 64/40, respiratory is 28 bpm/min and O2 set
is 89% on room air. When applied, the cardiac monitor initially showed ventricular
tachycardia, which then quickly changed to ventricular fibrillation. What do we do?
a. chest compression
b. vasoactive meds
c. vascular access
d. advanced airway -ansa. chest compression
A 45M has coronary artery stents placed 2 days ago. Today, he is in severe distress &
crushing chest discomfort. he is pale, diaphoretic, & cool to the touch. His radial pulse is
very weak. Blood pressure is 64/40 mm Hg, respiratory rate is 28 bpm & O2 is 89%.
cardiac monitor initially showed ventricular tachycardia, which quickly changed to v-fib.
what would you have done first if the patient had not gone into v-fib?
a. give atropine 1mg
b. establish IV
c. do a 12 lead
d. performed synchronized cardioversion -ansperformed synchronized cardioversion
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak,
thready & fast. Your are unable to get a BP. She has no obvious dependent edema, &
her neck veins are flat. Her lung sounds are equal w/ moderate rales present bilaterally.
The cardiac monitor shows rhythm seen here. After your initial assessment, which
intervention should be preformed? -anssynchronized cardioversiion
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak,
thready & fast. Your are unable to get a BP. She has no obvious dependent edema, &
her neck veins are flat. Her lung sounds are equal w/ moderate rales present bilaterally.
The cardiac monitor shows rhythm seen here. Based on the patient's initial assessment,
what adult ACLS algorithm should you follow? -anstachycardia
wide complex (monophasic) tachycardia
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake &
responsive but ill-appearing, pale, and grossly diaphoretic. Her radial pulse is weak,
thready & fast. Your are unable to get a BP. She has no obvious dependent edema, &
her neck veins are flat. Her lung sounds are equal w/ moderate rales present bilaterally.
The cardiac monitor shows rhythm seen here. If the patient became apnic & pulseless
but the rhythm remained the same, which would take the highest priority? -ansperform
defibrillation
,ACLS Post Test 1 (Latest ) Actual Questions and Answers
100% Correct
A patient has a witnessed loss of consciousness. The lead 2 ECG is shown. appropriate
treatment? -ansdefibrillation
A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory
to the 1st dose of adenosine. Which dose would you administer next? -ans12mg
a patient is being resuscitated in a very noisy environment. A team member thinks he
heard an order of 500mg of amiodarone IV. which is the best response from the team
member? -ansI have an order to give 500mg of amiodarone IV. Is this correct?
A patient is respiratory distress, 70/50, presents with lead 2 ECG shown. appropriate
treatment?
a. defibrillation
b. perform synchronized cardioversion
c. administering adenosine 6mg IV pust
d. perform vagal maneuvers -ansperforming synchronized cardioversion
A responder is caring for a patient with a history of congestive heart failure. The patient
is experiencing shortness of breath, 68/50 mmHg, heart rate 190/min. The patient's lead
2 ECG is shown. Which best characterizes this patient's rhythm? -ansunstable
supraventicular tachycardia
A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. Which action should the team member take? -ansask for a
new task or role
As a team leader, when do you tell the chest compressors to switch? -ansabout every 2
minutes
chest compressions during for adult rate -ans100-120/min
During post-cardiac arrest, which is recommended duration of targeted temp.
management after reaching the correct temperature range?
a. at least 24 hours
b. 0-8 hour
c. at least 36 hours
d. at least 48 hours -ansat least 24 hours
effect of excessive ventilation
a. decresed cardiac output
b. decreased intrathoracic pressure
c. increased perfusion pressure
d. increased venous return -ansdecreased cardiac output
For STEMI pt, maximum goal time for ED door-to-balloon-inflation time for PCI?
, ACLS Post Test 1 (Latest ) Actual Questions and Answers
100% Correct
a. 150 mins
b. 180 mins
c. 120 mins
d. 90 mins -ans90 mins
If a team member is about to make a mistake during a resuscitation attempt, which best
describes the action that the team leader or other team members should take? -
ansaddress the team member immediately
In addition to clinical assessment, which is the most reliable method to confirm &
monitor correct placement of an endotracheal tube? -anscontinous waveform
capnography
temperature to achieve targeted temperature management after cardiac arrest -ans32-
36C
The patient's pulse ox shows a reading of 84% on room air. Which initial action do you
take? -ansapply oxygen
(I think I put Bag valve mask for this and I got it wrong)
to properly ventilate a patient w/ perfusing rhythm, how often do you squeeze the bag? -
ansonce every 5-6 seconds
What is the minimum systolic blood pressure one should attempt to achieve w/ fluid
administration or vasoactive agents in a hypotensive post-cardiac arrest patient who
achieves return of spontaneous circulation? -ans90 mmHg
Which best describes an action taken by the team leader to avoid inefficiencies during a
resuscitation attempt? -ansclearly delegate tasks
Which best describes the length of time it should take to perform a pulse check during
BLS assessment? -ans5-10 seconds
Which best describes the rhythm? -ansmonomorphic ventricular tachycardia
Which facility is the most appropriate EMS destination for a patient w/ a sudden cardiac
arrest who achieved return of spontaneous circulation in the field? -anscoronary
reperfusion-capable medical center
which is an acceptable method of selecting an appropriately sized oropharyngeal
airway? -ansmeasure from the corner of the mouth to the angle of the mandible
which is one way to minimize interruptions in chest compressions during CPR? -
anscontinue CPR while the defibrillator charges
