ACLS FINAL TEST QUESTIONS AND
ANSWERS WELL ILLUSTRATED.
1. Which type of atrioventricular block best describes this rhythm? - correct answer. C)
Second-degree type II
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality,
which should you do? - correct answer. A) Monitor the patient's PETCO2
3. Which facility is the most appropriate EMS destination for a patient with sudden
cardiac who achieved return of spontaneous circulation in the field? - correct answer.
D) Coronary reperfusion-capable medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive
patient? - correct answer. C) Agonal gasps
5. Which type of atrioventricular block best describes this rhythm? - correct answer. B)
Second-degree atrioventricular block type I
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the
bag? - correct answer. B) Once every 5 to 6 seconds.
7. In addition to clinical assessment, which is the most reliable method to confirm and
monitor correct placement of an endotracheal tube? - correct answer. C) Continuous
waveform capnography
8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours
ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have
any contraindications to fibrinolytic therapy. Which treatment is the best for this patient?
- correct answer. B) Start fibrinolytic therapy as soon as possible.
9. Which best describes this rhythm? - correct answer. D) Third-degree
atrioventricular block.
, 10. What is the recommended range from which a temperature should be selected and
maintained constantly to achieve targeted temperature management after cardiac
arrest? - correct answer. C) 32 to 36 Degrees Celsius
11. Which is the recommended first intravenous dose of amiodarone for a patient with
refractory ventricular fibrillation? - correct answer. D) 300 mg
12. What is the primary of a medical emergency team or rapid response team? - correct
answer. B) Improving patient outcomes by identifying and treating early clinical
deterioration.
13. What is the recommended next step after a defibrillation attempt? - correct answer.
D) Resume CPR, starting with chest compressions
14. EMS providers are treating a patient with suspected stroke. According to the Adult
Suspected Stroke Algorithm, which critical action performed by the EMS team will
expedite this patient's care on arrival and reduce the time to treatment? - correct
answer. A) Alert the hospital.
15. A responder is caring for a patient with a history of congestive heart failure. The
patient is experiencing shortness of breath, a blood pressure of 68/50 mmHg, and a
heart rate of 190/min. The patient's lead II ECG is displayed here. Which best
characterizes this patient's rhythm? - correct answer. D) Unstable supraventricular
tachycardia
16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You
determine that he is unresponsive. Which is the next step in your assessment and
management of this patient? - correct answer. B) Check the patient's breathing and
pulse.
17. Which best describes the length of time it should take to perform a pulse check
during the BLS assessment? - correct answer. B) 5 to 10 seconds
18. You instruct a team member to give 1 mg Atropine IV. Which is the best example of
closed-loop communication? - correct answer. C) I'll draw up 1 mg of Atropine.
19. What is an effect of excessive ventilation? - correct answer. A) Decreased cardiac
output.
20. If a team member is about to make a mistake during a resuscitation attempt, which
best describes the action that the team leader or other team members should take? -
correct answer. C) Address the team members immediately.
21. Which best describes this rhythm? - correct answer. A) Monomorphic ventricular
tachycardia.
ANSWERS WELL ILLUSTRATED.
1. Which type of atrioventricular block best describes this rhythm? - correct answer. C)
Second-degree type II
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality,
which should you do? - correct answer. A) Monitor the patient's PETCO2
3. Which facility is the most appropriate EMS destination for a patient with sudden
cardiac who achieved return of spontaneous circulation in the field? - correct answer.
D) Coronary reperfusion-capable medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive
patient? - correct answer. C) Agonal gasps
5. Which type of atrioventricular block best describes this rhythm? - correct answer. B)
Second-degree atrioventricular block type I
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the
bag? - correct answer. B) Once every 5 to 6 seconds.
7. In addition to clinical assessment, which is the most reliable method to confirm and
monitor correct placement of an endotracheal tube? - correct answer. C) Continuous
waveform capnography
8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours
ago. The CT scan was normal, with no signs of hemorrhage. The patient does not have
any contraindications to fibrinolytic therapy. Which treatment is the best for this patient?
- correct answer. B) Start fibrinolytic therapy as soon as possible.
9. Which best describes this rhythm? - correct answer. D) Third-degree
atrioventricular block.
, 10. What is the recommended range from which a temperature should be selected and
maintained constantly to achieve targeted temperature management after cardiac
arrest? - correct answer. C) 32 to 36 Degrees Celsius
11. Which is the recommended first intravenous dose of amiodarone for a patient with
refractory ventricular fibrillation? - correct answer. D) 300 mg
12. What is the primary of a medical emergency team or rapid response team? - correct
answer. B) Improving patient outcomes by identifying and treating early clinical
deterioration.
13. What is the recommended next step after a defibrillation attempt? - correct answer.
D) Resume CPR, starting with chest compressions
14. EMS providers are treating a patient with suspected stroke. According to the Adult
Suspected Stroke Algorithm, which critical action performed by the EMS team will
expedite this patient's care on arrival and reduce the time to treatment? - correct
answer. A) Alert the hospital.
15. A responder is caring for a patient with a history of congestive heart failure. The
patient is experiencing shortness of breath, a blood pressure of 68/50 mmHg, and a
heart rate of 190/min. The patient's lead II ECG is displayed here. Which best
characterizes this patient's rhythm? - correct answer. D) Unstable supraventricular
tachycardia
16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You
determine that he is unresponsive. Which is the next step in your assessment and
management of this patient? - correct answer. B) Check the patient's breathing and
pulse.
17. Which best describes the length of time it should take to perform a pulse check
during the BLS assessment? - correct answer. B) 5 to 10 seconds
18. You instruct a team member to give 1 mg Atropine IV. Which is the best example of
closed-loop communication? - correct answer. C) I'll draw up 1 mg of Atropine.
19. What is an effect of excessive ventilation? - correct answer. A) Decreased cardiac
output.
20. If a team member is about to make a mistake during a resuscitation attempt, which
best describes the action that the team leader or other team members should take? -
correct answer. C) Address the team members immediately.
21. Which best describes this rhythm? - correct answer. A) Monomorphic ventricular
tachycardia.
