AHA ACLS WRITTEN TEST QUESTIONS
WITH CORRECT ANSWERS
You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action? - Answer-
Start chest compressions of at least 100 per min.
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate
of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What
assessment step is most important now? - Answer-Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in
most pts? - Answer-Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - Answer-Begin
chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA)
and the pt. has no pulse. You partner resumes chest compressions and an IV is in
place. What management step is your next priority? - Answer-Administer 1mg of
epinepherine
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no
pulse. What is the next action? - Answer-Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? -
Answer-Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - Answer-Allowing
complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
Answer-Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes PEA? - Answer-Sinus rythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced
airway in place? - Answer-Provide continuous chest compressionswithout pauses and
10 ventilations per minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube
while another performs continuous chest comressions. During subsequent bentilation,
you notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8
, mm Hg. What is the significance of this finding? - Answer-Chest compressions may not
be effective.
The use of quantitative capnography in intubated pt's does what? - Answer-Allowsfor
monitoring CPR quality
For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally
presented with V-FIB. 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 resuscitive efforts after consulting
medical control.
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.
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-Amioderone 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 primary purpose of a medical emergency team or rapid response team? -
Answer-Identifying and treating early clinical deterioration.
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
WITH CORRECT ANSWERS
You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action? - Answer-
Start chest compressions of at least 100 per min.
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate
of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What
assessment step is most important now? - Answer-Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in
most pts? - Answer-Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - Answer-Begin
chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA)
and the pt. has no pulse. You partner resumes chest compressions and an IV is in
place. What management step is your next priority? - Answer-Administer 1mg of
epinepherine
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no
pulse. What is the next action? - Answer-Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? -
Answer-Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - Answer-Allowing
complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
Answer-Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes PEA? - Answer-Sinus rythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced
airway in place? - Answer-Provide continuous chest compressionswithout pauses and
10 ventilations per minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube
while another performs continuous chest comressions. During subsequent bentilation,
you notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8
, mm Hg. What is the significance of this finding? - Answer-Chest compressions may not
be effective.
The use of quantitative capnography in intubated pt's does what? - Answer-Allowsfor
monitoring CPR quality
For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally
presented with V-FIB. 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 resuscitive efforts after consulting
medical control.
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.
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-Amioderone 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 primary purpose of a medical emergency team or rapid response team? -
Answer-Identifying and treating early clinical deterioration.
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
