ADVANCED LIFE SUPPORT (ALS) ONLINE
SESSION FINAL EXAM 2024-2025 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED
A+|NEWEST|GUARANTEED PASS |LATEST
UPDATE
An ECG strip of a patient in the emergency department reveals the following rhythm. Which feature
would the healthcare provider interpret as indicating atrial fibrillation?
Absence of discrete P waves and presence of irregularly irregular QRS complexes
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg, what
interventions should be considered?
Initiate a dopamine infusion
Administer atropine
Initiate transcutaneous pacing
A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest, the patient's
ECG showed peaked T waves. What might be causing the patient's cardiac arrest?
Hyperkalemia
A patient is admitted to the emergency department of a large medical center. The patient is diagnosed
with STEMI. The facility is capable of administering PCI. To achieve the best outcomes, therapy should
be administered to this patient within what time frame?
Within 90 minutes of the patient's first medical contact
1|Page
,A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator. Capnography is
established and a blood gas is obtained to evaluate the adequacy of the ventilations. Which arterial
carbon dioxide (PaCO2) value signifies adequate ventilations?
35 to 45 mmHg
Which statements accurately reflect the recommendations for post-cardiac arrest patient care?
Arterial blood gases may be used to guide ventilation and oxygenation in the post-cardiac arrest patient.
Perfusion should be assessed and maintained to ensure the best outcome for the post-cardiac arrest
patient.
A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare provider
observes the event and hurries over to assess the situation. The healthcare provider performs which
assessment first?
Rapid assessment
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?
Pneumothorax
A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest, and
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 provided chest compressions at a rate of 100 to 120 compressions per minute while giving 1
ventilation every 6 seconds without pausing compressions."
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
A responsive patient is choking. What method should the provider use first to clear the obstructed
airway?
Back blows
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. Which
action would be the initial priority to address the respiratory failure?
Assisted ventilation with BVM resuscitator
A 20-year-old man with respiratory depression is brought to the emergency department by his parents.
Opioid overdose is suspected, and an initial dose of naloxone is administered at 10 p.m. The patient
2|Page
, does not respond to this initial dose. The team would expect to administer a second dose after how
many minutes?
2 minutes
Assessment of a patient in the emergency department reveals that the patient is experiencing
respiratory compromise. From the assessment, the team identifies that the patient is in the earliest
stage of this condition. Which stage would this be?
Respiratory distress
The following capnogram is from a patient experiencing respiratory distress. At which point in the
waveform would the patient's ETCO2 level be measured?
D
The ETCO2 value is measured at the end of exhalation (point D), which represents the peak level.
A patient is experiencing respiratory distress secondary to an exacerbation of chronic obstructive
pulmonary disease. The patient begins to exhibit signs and symptoms of worsening respiratory function
and experiences respiratory arrest. The team intervenes, delivering ventilations via BVM resuscitator.
The team should provide ventilations at a rate of 1 ventilation:
Every 6 seconds
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 identifies that the patient is progressing in what stage of respiratory
compromise?
Respiratory Distress
A patient is in cardiac arrest. The underlying cause is thought to be opioid toxicity. Which statement
accurately describes the use of naloxone for this patient?
Naloxone should be administered as soon as possible but is not a priority over high-quality CPR and AED
use.
A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has a history of
myocardial infarction. The patient's ECG rhythm strip is shown in the following figure. The provider
interprets this strip as indicating which arrhythmia?
Third-degree AV block
A patient with dyspnea, inadequate blood pressure and a change in mental status arrives at the
emergency department. The healthcare team completes the necessary assessments and begins to care
for the patient, including initiating cardiac monitoring and pulse oximetry; providing supplemental
oxygen and ensuring adequate ventilation; and obtaining vascular access. The team reviews the
patient's ECG rhythm strip, as shown in the following figure. Which agent would the team most likely
administer?
3|Page
SESSION FINAL EXAM 2024-2025 WITH
ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
SOLUTIONS |ALREADY GRADED
A+|NEWEST|GUARANTEED PASS |LATEST
UPDATE
An ECG strip of a patient in the emergency department reveals the following rhythm. Which feature
would the healthcare provider interpret as indicating atrial fibrillation?
Absence of discrete P waves and presence of irregularly irregular QRS complexes
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg, what
interventions should be considered?
Initiate a dopamine infusion
Administer atropine
Initiate transcutaneous pacing
A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest, the patient's
ECG showed peaked T waves. What might be causing the patient's cardiac arrest?
Hyperkalemia
A patient is admitted to the emergency department of a large medical center. The patient is diagnosed
with STEMI. The facility is capable of administering PCI. To achieve the best outcomes, therapy should
be administered to this patient within what time frame?
Within 90 minutes of the patient's first medical contact
1|Page
,A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator. Capnography is
established and a blood gas is obtained to evaluate the adequacy of the ventilations. Which arterial
carbon dioxide (PaCO2) value signifies adequate ventilations?
35 to 45 mmHg
Which statements accurately reflect the recommendations for post-cardiac arrest patient care?
Arterial blood gases may be used to guide ventilation and oxygenation in the post-cardiac arrest patient.
Perfusion should be assessed and maintained to ensure the best outcome for the post-cardiac arrest
patient.
A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare provider
observes the event and hurries over to assess the situation. The healthcare provider performs which
assessment first?
Rapid assessment
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?
Pneumothorax
A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest, and
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 provided chest compressions at a rate of 100 to 120 compressions per minute while giving 1
ventilation every 6 seconds without pausing compressions."
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
A responsive patient is choking. What method should the provider use first to clear the obstructed
airway?
Back blows
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. Which
action would be the initial priority to address the respiratory failure?
Assisted ventilation with BVM resuscitator
A 20-year-old man with respiratory depression is brought to the emergency department by his parents.
Opioid overdose is suspected, and an initial dose of naloxone is administered at 10 p.m. The patient
2|Page
, does not respond to this initial dose. The team would expect to administer a second dose after how
many minutes?
2 minutes
Assessment of a patient in the emergency department reveals that the patient is experiencing
respiratory compromise. From the assessment, the team identifies that the patient is in the earliest
stage of this condition. Which stage would this be?
Respiratory distress
The following capnogram is from a patient experiencing respiratory distress. At which point in the
waveform would the patient's ETCO2 level be measured?
D
The ETCO2 value is measured at the end of exhalation (point D), which represents the peak level.
A patient is experiencing respiratory distress secondary to an exacerbation of chronic obstructive
pulmonary disease. The patient begins to exhibit signs and symptoms of worsening respiratory function
and experiences respiratory arrest. The team intervenes, delivering ventilations via BVM resuscitator.
The team should provide ventilations at a rate of 1 ventilation:
Every 6 seconds
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 identifies that the patient is progressing in what stage of respiratory
compromise?
Respiratory Distress
A patient is in cardiac arrest. The underlying cause is thought to be opioid toxicity. Which statement
accurately describes the use of naloxone for this patient?
Naloxone should be administered as soon as possible but is not a priority over high-quality CPR and AED
use.
A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has a history of
myocardial infarction. The patient's ECG rhythm strip is shown in the following figure. The provider
interprets this strip as indicating which arrhythmia?
Third-degree AV block
A patient with dyspnea, inadequate blood pressure and a change in mental status arrives at the
emergency department. The healthcare team completes the necessary assessments and begins to care
for the patient, including initiating cardiac monitoring and pulse oximetry; providing supplemental
oxygen and ensuring adequate ventilation; and obtaining vascular access. The team reviews the
patient's ECG rhythm strip, as shown in the following figure. Which agent would the team most likely
administer?
3|Page
