ACLS Exam Questions
Which are the elements of a system of care? - ANS Structure, processes, system, patient outcome
What element of a system of care is represented by properly functioning resuscitation equipment? -
ANS Structure
Among others, which factor has been associated with improved survival in patients with cardiac
arrest? - ANS Immediate high- quality CPR
What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? - ANS Activation
of emergency response
What are signs of clinical deterioration that would prompt the activation of a rapid response
system? - ANS Systemic hypertension, unexplained agitation, seizure
What is the primary purpose of a rapid response team (RRT) or medical emergency team (MET)? -
ANS To improve patient outcomes by identifying and treating early clinical deterioration
What happens when teams rapidly assess and intervene when patients have abnormal vital signs? -
ANS The number of in-hospital cardiac- arrest decreases
In addition to decreased IHCA, what are some other benefits of implementing a rapid response
system? - ANS Decrease ICU length of stay, decreased in total hospital length of stay
Which component of effective high-performance teams is represented by the use of real-time
feedback devices? - ANS Quality
What is the main advantage of effective teamwork? - ANS Division of tasks
Which is the best example of a role of the team leader? - ANS Models excellent team behavior
Which is the best example of a role of a team member? - ANS Prepared to fulfill their role
responsibilities
,What is primary purpose of the CPR coach on a resuscitation team? - ANS Increasing CPR quality
Which member of the high-performance team has the responsibility for assigning roles (positions)? -
ANS Team leader
Which high-performance team member is part of the resuscitation triangle? - ANS Monitor/
defibrillator/ CPR coach
Which is an example of knowledge sharing by a team leader? - ANS Asking for suggestions about
interventions
Which is an example of summarizing and reevaluating? - ANS Increasing monitoring of the patient's
condition deteriorates
Which is a step of closed-loop communication? - ANS Confirming task completion before assigning
another task
Which are examples of mutual respect? - ANS · Acknowledging correctly completed tasks in a
positive way
· Ensuring that only 1 person talks at a time
What are the components of high-quality CPR? - ANS · Compression depth of at least 2 inches (5cm)
· Complete chest recoil after each compression
· Interruptions limited £ 10 seconds
· Switching compressions every 2 minutes
· Avoiding excessive ventilation
Which of the following defines chest compression fraction (CCF)? - ANS CCF= actual chest
compression time/
Total code time
During CPR, chest compression fraction (CCF) should be at least --- and ideally greater than 80%. -
ANS 60%
, How do interruptions in chest compressions negatively impact survival after cardiac arrest? - ANS
Decrease coronary perfusion pressure
Coronary perfusion pressure (CPP) equals aortic ---- pressure minus right atrial diastolic pressure. -
ANS diastolic
What is the only intervention that can restore on organize rhythm in patients with ventricular
fibrillation (VF)? - ANS Early and effective defibrillation
How quickly does the chance of survival describe for every minute of defibrillation delay in patients
with ventricular fibrillation (VF) who do not receive bystander CPR? - ANS 7-10%
What is the advantage of a systematic approach to patient assessment? - ANS Reduces the chances
of missing important signs and symptoms
What is the first step in the systematic approach to patient assessment? - ANS Initial impression
What is the maximum amount of time you should simultaneously perform the pulse and breathing
checks? - ANS 10 seconds
The BLS Assessment is a systematic approach to BLS for trained healthcare providers. This approach
stresses: - ANS Early CPR and defibrillation
While you performing the BLS Assessment, you initiate high-quality CPR and assist ventilation with a
bag-mask device. The AED does not recommend a shock. Which action in the Primary Assessment
should you perform first? - ANS Determine if the patient's airway is patent
The initial assessment reveals a conscious patent. The patient's airway is patent, and an advanced
airway is not indicated. Which action is the Primary Assessment should perform next? - ANS
Administer oxygen as needed
Which action is part of the Secondary Assessment of conscious patient? - ANS Formulate a
differential diagnosis
Which are the elements of a system of care? - ANS Structure, processes, system, patient outcome
What element of a system of care is represented by properly functioning resuscitation equipment? -
ANS Structure
Among others, which factor has been associated with improved survival in patients with cardiac
arrest? - ANS Immediate high- quality CPR
What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? - ANS Activation
of emergency response
What are signs of clinical deterioration that would prompt the activation of a rapid response
system? - ANS Systemic hypertension, unexplained agitation, seizure
What is the primary purpose of a rapid response team (RRT) or medical emergency team (MET)? -
ANS To improve patient outcomes by identifying and treating early clinical deterioration
What happens when teams rapidly assess and intervene when patients have abnormal vital signs? -
ANS The number of in-hospital cardiac- arrest decreases
In addition to decreased IHCA, what are some other benefits of implementing a rapid response
system? - ANS Decrease ICU length of stay, decreased in total hospital length of stay
Which component of effective high-performance teams is represented by the use of real-time
feedback devices? - ANS Quality
What is the main advantage of effective teamwork? - ANS Division of tasks
Which is the best example of a role of the team leader? - ANS Models excellent team behavior
Which is the best example of a role of a team member? - ANS Prepared to fulfill their role
responsibilities
,What is primary purpose of the CPR coach on a resuscitation team? - ANS Increasing CPR quality
Which member of the high-performance team has the responsibility for assigning roles (positions)? -
ANS Team leader
Which high-performance team member is part of the resuscitation triangle? - ANS Monitor/
defibrillator/ CPR coach
Which is an example of knowledge sharing by a team leader? - ANS Asking for suggestions about
interventions
Which is an example of summarizing and reevaluating? - ANS Increasing monitoring of the patient's
condition deteriorates
Which is a step of closed-loop communication? - ANS Confirming task completion before assigning
another task
Which are examples of mutual respect? - ANS · Acknowledging correctly completed tasks in a
positive way
· Ensuring that only 1 person talks at a time
What are the components of high-quality CPR? - ANS · Compression depth of at least 2 inches (5cm)
· Complete chest recoil after each compression
· Interruptions limited £ 10 seconds
· Switching compressions every 2 minutes
· Avoiding excessive ventilation
Which of the following defines chest compression fraction (CCF)? - ANS CCF= actual chest
compression time/
Total code time
During CPR, chest compression fraction (CCF) should be at least --- and ideally greater than 80%. -
ANS 60%
, How do interruptions in chest compressions negatively impact survival after cardiac arrest? - ANS
Decrease coronary perfusion pressure
Coronary perfusion pressure (CPP) equals aortic ---- pressure minus right atrial diastolic pressure. -
ANS diastolic
What is the only intervention that can restore on organize rhythm in patients with ventricular
fibrillation (VF)? - ANS Early and effective defibrillation
How quickly does the chance of survival describe for every minute of defibrillation delay in patients
with ventricular fibrillation (VF) who do not receive bystander CPR? - ANS 7-10%
What is the advantage of a systematic approach to patient assessment? - ANS Reduces the chances
of missing important signs and symptoms
What is the first step in the systematic approach to patient assessment? - ANS Initial impression
What is the maximum amount of time you should simultaneously perform the pulse and breathing
checks? - ANS 10 seconds
The BLS Assessment is a systematic approach to BLS for trained healthcare providers. This approach
stresses: - ANS Early CPR and defibrillation
While you performing the BLS Assessment, you initiate high-quality CPR and assist ventilation with a
bag-mask device. The AED does not recommend a shock. Which action in the Primary Assessment
should you perform first? - ANS Determine if the patient's airway is patent
The initial assessment reveals a conscious patent. The patient's airway is patent, and an advanced
airway is not indicated. Which action is the Primary Assessment should perform next? - ANS
Administer oxygen as needed
Which action is part of the Secondary Assessment of conscious patient? - ANS Formulate a
differential diagnosis
