ACLS EXAM VERSION 1 / ACLS FINAL EXAM 2024 / ACTUAL EXAM QUESTIONS AND ANSWERS ALREADY GRADED A+ Q1.) A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a bag -valve -mask (BVM) resuscitator. The development of which condition during the provision of care would lead the team to suspect that improper BVM technique is being used? Select the correct answer to this question. Rib fracture Esophageal injury Pneumothorax Hypertension ANSWER: - Pneumotho rax Q2.) A member of the resuscitation team is preparing to administer medications intravenously to a patient in cardiac arrest. The team member follows each medication administration with a bolus of fluid. How much would the team member give? Select the correct answer to this question. 5 to 10 mL 10 to 20 mL 20 to 30 mL 30 to 40 mL ANSWER: - When administering medications during a cardiac arrest, all medications administrated through the IV or intraosseous infusion route should be followed by a 10 - to 20 -mL fluid bolus. Q3.) The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a patient brought to the emergency department. Which finding on a 12 - lead ECG would confirm this suspicion? Wide -complex ventricular rhythm and ta ll, peaked T waves ST -segment changes, T-wave inversion Flat T waves, prominent U waves and possibly prolonged QT intervals Narrow -
complex ventricular tachycardia ANSWER: - Wide -complex ventricular rhythm and tall, peaked T waves In hyperkalemia the patient's 12 -lead ECG rhythm strip will show wide -complex ventricular rhythm and tall, peaked T waves. Q4.) A patient with an ischemic stroke arrives at the emergency department at 2 a.m. The patient's symptoms started about 12:30 a.m. After completing the necessary assessments, the healthcare team diagnoses an ischemic stroke, and the patient is determined to be a candidate for fibrinolytic therapy. To achieve the best outcomes, the team should initiate therapy for this patient no late r than by which time? Select the correct answer to this question. 3:00 a.m. 5:30 a.m. 6:00 a.m. 8:30 a.m. ANSWER: - 1 3:00 a.m. Q5.) A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest, and advanced cardiac l ife support was initiated. The patient required the placement of an advanced airway to maintain airway patency. Which statement indicates that the team performed high -quality CPR? Select the correct answer to this question. "We kept the rate of chest comp ressions to around 100 per minute but adjusted their depth to 1.5 inches while giving 1 ventilation every 3 seconds." "We delivered chest compressions at a rate of 80 to 100 per minute to a depth of at least 2 inches and gave 1 ventilation every 6 seconds ." "We initiated chest compressions at a rate of 100 to 110 per minute to a depth of 2.4 inches and then gave 1 ventilation every 10 seconds." "We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to 120 compressions per mi nute." ANSWER: - 4 "We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to 120 compressions per minute." Q6.) A patient with a suspected stroke arrives at the emergency department at 7:10 p.m. The stroke team ensures that a comprehensive neurologic assessment using the National Institutes of Health Stroke Scale (NIHSS) is completed and that brain imaging is performed by which time? 7:20 p.m. 7:30 p.m. 7:40 p.m. 7:50 p.m. Within 20 minutes of the patient's arrival, a comprehensive neurologic assessment should be completed and brain imaging should be performed. That would be 7:30 p.m. for this patient . Q7.) The emergency department team is providing care to a patient who is experiencing ventricular tachycardia. The patient's serum electrolyte levels are a contributing cause of the patient's current condition. Which electrolyte imbalance(s) would most likely be involved? Select all correct options that apply. Hyperkalemia Hypo chloremia Hypernatremia Hypomagnesemia Hypocalcemia Hypocalcemia Q8.) A 30 -year-old patient has been brought to the emergency department in cardiac arrest. The cardiac monitor shows the following rhythm. Interpretation of this rhythm would suggest which o f the following as a possible precipitating factor? ANSWER: - The rhythm is ventricular fibrillation. Precipitating causes of ventricular fibrillation include electrocution, myocardial ischemia or infarction, shock, stimulant overdose and ventricular tachy cardia. electrocution Q9.)A patient enters the emergency department in respiratory compromise. The team is monitoring the patient using capnography and identifies that ETCO2 levels are initially 33 mmHg and later 40 mmHg. From these readings, the team id entifies that the patient is progressing in what stage of respiratory compromise? Respiratory acidosis Respiratory failure Respiratory distress Respiratory arrest ANSWER: - 3 Capnography can objectively assess the severity of a patient's respiratory distr ess. Early on, the patient will often hyperventilate, leading to hypocapnia that is reflected by a low ETCO2 value (less than 35 mmHg). As respiratory distress increases, and the patient begins to tire, the ETCO2 value may return to the normal range (35 to 45 mmHg). However, if the patient progresses to respiratory failure, the ETCO2 level will increase to greater than 45 mmHg, which indicates hypoventilation. Q10.)A patient comes to the emergency department complaining of palpitations and "some shortness o f breath." Cardiac monitoring is initiated and reveals the following ECG rhythm strip. The provider interprets this strip as indicating which arrhythmia?
complex ventricular tachycardia ANSWER: - Wide -complex ventricular rhythm and tall, peaked T waves In hyperkalemia the patient's 12 -lead ECG rhythm strip will show wide -complex ventricular rhythm and tall, peaked T waves. Q4.) A patient with an ischemic stroke arrives at the emergency department at 2 a.m. The patient's symptoms started about 12:30 a.m. After completing the necessary assessments, the healthcare team diagnoses an ischemic stroke, and the patient is determined to be a candidate for fibrinolytic therapy. To achieve the best outcomes, the team should initiate therapy for this patient no late r than by which time? Select the correct answer to this question. 3:00 a.m. 5:30 a.m. 6:00 a.m. 8:30 a.m. ANSWER: - 1 3:00 a.m. Q5.) A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest, and advanced cardiac l ife support was initiated. The patient required the placement of an advanced airway to maintain airway patency. Which statement indicates that the team performed high -quality CPR? Select the correct answer to this question. "We kept the rate of chest comp ressions to around 100 per minute but adjusted their depth to 1.5 inches while giving 1 ventilation every 3 seconds." "We delivered chest compressions at a rate of 80 to 100 per minute to a depth of at least 2 inches and gave 1 ventilation every 6 seconds ." "We initiated chest compressions at a rate of 100 to 110 per minute to a depth of 2.4 inches and then gave 1 ventilation every 10 seconds." "We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to 120 compressions per mi nute." ANSWER: - 4 "We delivered 1 ventilation every 6 seconds and chest compressions at a rate of 100 to 120 compressions per minute." Q6.) A patient with a suspected stroke arrives at the emergency department at 7:10 p.m. The stroke team ensures that a comprehensive neurologic assessment using the National Institutes of Health Stroke Scale (NIHSS) is completed and that brain imaging is performed by which time? 7:20 p.m. 7:30 p.m. 7:40 p.m. 7:50 p.m. Within 20 minutes of the patient's arrival, a comprehensive neurologic assessment should be completed and brain imaging should be performed. That would be 7:30 p.m. for this patient . Q7.) The emergency department team is providing care to a patient who is experiencing ventricular tachycardia. The patient's serum electrolyte levels are a contributing cause of the patient's current condition. Which electrolyte imbalance(s) would most likely be involved? Select all correct options that apply. Hyperkalemia Hypo chloremia Hypernatremia Hypomagnesemia Hypocalcemia Hypocalcemia Q8.) A 30 -year-old patient has been brought to the emergency department in cardiac arrest. The cardiac monitor shows the following rhythm. Interpretation of this rhythm would suggest which o f the following as a possible precipitating factor? ANSWER: - The rhythm is ventricular fibrillation. Precipitating causes of ventricular fibrillation include electrocution, myocardial ischemia or infarction, shock, stimulant overdose and ventricular tachy cardia. electrocution Q9.)A patient enters the emergency department in respiratory compromise. The team is monitoring the patient using capnography and identifies that ETCO2 levels are initially 33 mmHg and later 40 mmHg. From these readings, the team id entifies that the patient is progressing in what stage of respiratory compromise? Respiratory acidosis Respiratory failure Respiratory distress Respiratory arrest ANSWER: - 3 Capnography can objectively assess the severity of a patient's respiratory distr ess. Early on, the patient will often hyperventilate, leading to hypocapnia that is reflected by a low ETCO2 value (less than 35 mmHg). As respiratory distress increases, and the patient begins to tire, the ETCO2 value may return to the normal range (35 to 45 mmHg). However, if the patient progresses to respiratory failure, the ETCO2 level will increase to greater than 45 mmHg, which indicates hypoventilation. Q10.)A patient comes to the emergency department complaining of palpitations and "some shortness o f breath." Cardiac monitoring is initiated and reveals the following ECG rhythm strip. The provider interprets this strip as indicating which arrhythmia?
