ACLS Final Exam Questions With
Answers
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?
Hypertension
Esophageal .injury
Pneumothorax
Rib .fracture .- .(correct .answer) .-Pneumothorax
Complications .can .occur .with .the .use .of .a .BVM .resuscitator .due .to .improper .technique. .Delivering .e
xcessive .volume .or .ventilating .too .fast .creates .excessive .pressure .that .can .damage .the .airways, .lung
s .and .other .organs. .Excessive .volume .can .lead .to .tension .pneumothorax.
A .person .suddenly .collapses .while .sitting .in .the .sunroom .of .a .healthcare .facility. .A .healthcare .provi
der .observes .the .event .and .hurries .over .to .assess .the .situation. .The .healthcare .provider .performs .w
hich .assessment .first?
Rapid .assessment
Basic .life .support .assessment
Secondary .assessment
Primary .assessment .- .(correct .answer) .-Rapid .assessment
,A .systematic .approach .to .assessment .is .necessary. .The .healthcare .provider .should .first .perform .a .ra
pid .assessment. .A .rapid .assessment .is .a .visual .survey .to .ensure .safety, .form .an .initial .impression .ab
out .the .patient's .condition .(including .looking .for .life-
threatening .bleeding), .and .determine .the .need .for .additional .resources. .This .would .be .followed .by .
a .primary .assessment .and .then .a .secondary .assessment.
A .patient .is .receiving .ventilation .support .via .bag-valve-mask .
(BVM) .resuscitator. .Capnography .is .established .and .a .blood .gas .is .obtained .to .evaluate .the .adequac
y .of .the .ventilations. .Which .arterial .carbon .dioxide .(PaCO2) .value .signifies .adequate .ventilations?
10 .to .15 .mmHg
20 .to .25 .mmHg
25 .to .30 .mmHg
35 .to .45 .mmHg .- .(correct .answer) .-35 .to .45 .mmHg
Arterial .carbon .dioxide .
(PaCO2) .values .in .the .range .of .35 .to .45 .mmHg .confirm .adequacy .of .ventilation.
A .resuscitation .team .is .debriefing .following .a .recent .event. .A .patient .experienced .cardiac .arrest, .an
d .advanced .life .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?
"We .initiated .chest .compressions .at .a .rate .of .100 .to .110 .per .minute .to .a .depth .of .2.4 .inches .and .t
hen .gave .1 .ventilation .every .10 .seconds."
"We .provided .chest .compressions .at .a .rate .of .100 .to .120 .compressions .per .minute .while .giving .1 .v
entilation .every .6 .seconds .without .pausing .compressions."
"We .provided .chest .compressions .at .a .rate .of .80 .to .120 .per .minute .to .a .depth .of .at .least .2 .inches .
and .gave .1 .ventilation .every .6 .seconds .without .pausing .compressions."
"We .kept .the .rate .of .chest .compressions .to .around .100 .per .minute .but .adjusted .their .depth .to .1.5 .
inches .while .giving .1 .ventilation .every .3 .seconds .without .pausing .compression .- .
(correct .answer) .-"We .provided .chest .compressions .at .a .rate .of .100 .to .120 .compressions .per .minut
e .while .giving .1 .ventilation .every .6 .seconds .without .pausing .compressions."
, When .an .advanced .airway .has .been .placed .in .a .patient .who .is .in .cardiac .arrest, .compressions .shoul
d .be .delivered .continuously .(100 .to .120 .per .minute) .with .no .pauses .for .ventilations.
Assessment .of .a .patient .reveals .an .ETCO2 .level .of .55 .mmHg .and .an .arterial .oxygen .saturation .
(SaO2) .level .of .88%. .The .provider .would .interpret .these .findings .as .indicative .of .which .condition?
Respiratory .failure
Respiratory .arrest
Cardiac .arrest
Respiratory .distress .- .(correct .answer) .-Respiratory .failure
An .SaO2 .level .of .less .than .90% .
(PaO2 .of .less .than .50 .mmHg) .accompanied .by .ETCO2 .values .greater .than .50 .mmHg .is .indicative .of .
respiratory .failure.
A .responsive .patient .is .choking. .What .method .should .the .provider .use .first .to .clear .the .obstructed .
airway?
Back .blows
Abdominal .thrusts
Magill .forceps .extraction
Chest .compressions .- .(correct .answer) .-Back .blows
To .clear .an .obstructed .airway .in .a .responsive .adult, .first .provide .up .to .5 .back .blows .to .clear .the .ob
struction.
A .patient .arrives .at .the .emergency .department .complaining .of .shortness .of .breath. .The .patient .has .
a .long .history .of .chronic .obstructive .pulmonary .disease. .Assessment .reveals .respiratory .failure. .Whic
h .action .would .be .the .initial .priority .to .address .the .respiratory .failure?
Establishment .of .vascular .access
Delivery .of .supplemental .oxygen .via .nasal .cannula
Answers
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?
Hypertension
Esophageal .injury
Pneumothorax
Rib .fracture .- .(correct .answer) .-Pneumothorax
Complications .can .occur .with .the .use .of .a .BVM .resuscitator .due .to .improper .technique. .Delivering .e
xcessive .volume .or .ventilating .too .fast .creates .excessive .pressure .that .can .damage .the .airways, .lung
s .and .other .organs. .Excessive .volume .can .lead .to .tension .pneumothorax.
A .person .suddenly .collapses .while .sitting .in .the .sunroom .of .a .healthcare .facility. .A .healthcare .provi
der .observes .the .event .and .hurries .over .to .assess .the .situation. .The .healthcare .provider .performs .w
hich .assessment .first?
Rapid .assessment
Basic .life .support .assessment
Secondary .assessment
Primary .assessment .- .(correct .answer) .-Rapid .assessment
,A .systematic .approach .to .assessment .is .necessary. .The .healthcare .provider .should .first .perform .a .ra
pid .assessment. .A .rapid .assessment .is .a .visual .survey .to .ensure .safety, .form .an .initial .impression .ab
out .the .patient's .condition .(including .looking .for .life-
threatening .bleeding), .and .determine .the .need .for .additional .resources. .This .would .be .followed .by .
a .primary .assessment .and .then .a .secondary .assessment.
A .patient .is .receiving .ventilation .support .via .bag-valve-mask .
(BVM) .resuscitator. .Capnography .is .established .and .a .blood .gas .is .obtained .to .evaluate .the .adequac
y .of .the .ventilations. .Which .arterial .carbon .dioxide .(PaCO2) .value .signifies .adequate .ventilations?
10 .to .15 .mmHg
20 .to .25 .mmHg
25 .to .30 .mmHg
35 .to .45 .mmHg .- .(correct .answer) .-35 .to .45 .mmHg
Arterial .carbon .dioxide .
(PaCO2) .values .in .the .range .of .35 .to .45 .mmHg .confirm .adequacy .of .ventilation.
A .resuscitation .team .is .debriefing .following .a .recent .event. .A .patient .experienced .cardiac .arrest, .an
d .advanced .life .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?
"We .initiated .chest .compressions .at .a .rate .of .100 .to .110 .per .minute .to .a .depth .of .2.4 .inches .and .t
hen .gave .1 .ventilation .every .10 .seconds."
"We .provided .chest .compressions .at .a .rate .of .100 .to .120 .compressions .per .minute .while .giving .1 .v
entilation .every .6 .seconds .without .pausing .compressions."
"We .provided .chest .compressions .at .a .rate .of .80 .to .120 .per .minute .to .a .depth .of .at .least .2 .inches .
and .gave .1 .ventilation .every .6 .seconds .without .pausing .compressions."
"We .kept .the .rate .of .chest .compressions .to .around .100 .per .minute .but .adjusted .their .depth .to .1.5 .
inches .while .giving .1 .ventilation .every .3 .seconds .without .pausing .compression .- .
(correct .answer) .-"We .provided .chest .compressions .at .a .rate .of .100 .to .120 .compressions .per .minut
e .while .giving .1 .ventilation .every .6 .seconds .without .pausing .compressions."
, When .an .advanced .airway .has .been .placed .in .a .patient .who .is .in .cardiac .arrest, .compressions .shoul
d .be .delivered .continuously .(100 .to .120 .per .minute) .with .no .pauses .for .ventilations.
Assessment .of .a .patient .reveals .an .ETCO2 .level .of .55 .mmHg .and .an .arterial .oxygen .saturation .
(SaO2) .level .of .88%. .The .provider .would .interpret .these .findings .as .indicative .of .which .condition?
Respiratory .failure
Respiratory .arrest
Cardiac .arrest
Respiratory .distress .- .(correct .answer) .-Respiratory .failure
An .SaO2 .level .of .less .than .90% .
(PaO2 .of .less .than .50 .mmHg) .accompanied .by .ETCO2 .values .greater .than .50 .mmHg .is .indicative .of .
respiratory .failure.
A .responsive .patient .is .choking. .What .method .should .the .provider .use .first .to .clear .the .obstructed .
airway?
Back .blows
Abdominal .thrusts
Magill .forceps .extraction
Chest .compressions .- .(correct .answer) .-Back .blows
To .clear .an .obstructed .airway .in .a .responsive .adult, .first .provide .up .to .5 .back .blows .to .clear .the .ob
struction.
A .patient .arrives .at .the .emergency .department .complaining .of .shortness .of .breath. .The .patient .has .
a .long .history .of .chronic .obstructive .pulmonary .disease. .Assessment .reveals .respiratory .failure. .Whic
h .action .would .be .the .initial .priority .to .address .the .respiratory .failure?
Establishment .of .vascular .access
Delivery .of .supplemental .oxygen .via .nasal .cannula
