ACLS Exam {338 Questions & Answers}
2024/2025
Which of the following choices represents appropriate treatment of an
asystolic patient? - CORRECT ANSWER Administration of atropine
Each cycle of CPR consists of 30 ____________ and two ____________. -
CORRECT ANSWER compressions and ventilations
Bradycardia in a normal adult patient is defined as: - CORRECT ANSWER
a resting heart rate less than 60 beats per minute
Sinus tachycardia originates in the: - CORRECT ANSWER Sinoatrial
node
Which of the following represents a true statement regarding the NPA
and OPA? - CORRECT ANSWER An NPA can be used on a semi-
conscious or conscious patient, while an OPA can only be used on an
unconscious patient.
In the management of an acute stroke patient, the goal is for the
patient to arrive in the Emergency Department (ED) within ______ of
the onset of signs and symptoms. - CORRECT ANSWER ten minutes
Stable tachycardia is defined as: - CORRECT ANSWER a heart rate
faster than 100 beats per minute (bpm)
Begin use of TCP on a bradycardic patient with inadequate perfusion:
- CORRECT ANSWER if atropine is ineffective or patient is exhibiting
severe or degrading symptoms
Vasopressin can be substituted for: - CORRECT ANSWER both the first
dose of epinephrine and the second dose of epinephrine
,When treating an acute stroke patient, you must immediately create
immediate IV access. - CORRECT ANSWER True
Which of the following should be considered in the IV access of an
asystolic patient? - CORRECT ANSWER never interrupt CPR
Which of the following choices represents the two types of
defibrillation? - CORRECT ANSWER Biphasic and monophasic
Which of the following does NOT represent unstable tachycardia? -
CORRECT ANSWER Ventricular escape rhythm
____________ clear the patient before delivering a shock: - CORRECT
ANSWER Always
Which of the following represents a true statement about sinus
tachycardia? - CORRECT ANSWER Sinus tachycardia may result from
hypovolemia
Chest pain that is indicative of myocardial ischemia may be
accompanied by nausea. - CORRECT ANSWER True
Patients with symptomatic bradycardia and _____________ may quickly
degrade into cardiac arrest: - CORRECT ANSWER poor perfusion
Hypotension may indicate that the patient is unstable. - CORRECT
ANSWER True
After defibrillation, CPR may be necessary. - CORRECT ANSWER True
A sinus rhythm originates in the: - CORRECT ANSWER sinoatrial node
The QRS complex on an ECG represents the: - CORRECT ANSWER
contraction of the ventricles
,Myocardial ischemia is caused by: - CORRECT ANSWER insufficient
oxygen/blood supply
Use of the child AED pads is necessary if the patient is: - CORRECT
ANSWER 8 years of age or younger
Which of the following choices is NOT considered to be an underlying
cause of PEA? - CORRECT ANSWER Hyperglycemia
Pulseless V tach or V Fib algorithm - CORRECT ANSWER CPR 2 min,
Shock at 120 Jewels, CPR 2 min, Shock at 120 Jewels, give 40 units
of vasopressin, CPR 2 min, 300 mg Amiodarone, CPR 2 min, 1 mg
epinephrine, CPR 2 min, 150 mg Amiodarone
When you see a suspected asystole or PEA what are the first actions
that you need to take in order to ensure that is the rthythm you see -
CORRECT ANSWER increase gain on monitor, check leads to make
sure none have fallen off
Asystole/PEA - CORRECT ANSWER CPR 2 minutes, 1 mg every 3-5
minutes, CPR 2 minutes, treat possible causes
What are the 5 H's and 5 T's - CORRECT ANSWER Hypovolemia,
Hypoxia, Hydrogen ion, HYpo/Hyperkalemia, Hypothermia
5 T's: Toxins, Tamponade, Tension pneumothorax, thrombosis
(coronary or pulmonary)
What is the treatment if a patient is dead and in acidosis - CORRECT
ANSWER 1 meq/kg Bicarb
What is the treatment for Hyperkalemia - CORRECT ANSWER amp of
calcium, bicarb, insulin (10 units) and glucose
What are some causes of a patient going in to Metabolic ACidosis -
CORRECT ANSWER aspirin, antifreeze
, What is the treatment for Hypokalemia - CORRECT ANSWER give
potassium
What is the treatment for Hypothermia - CORRECT ANSWER warm
saline rapid infuser, bear hugger, increase temp on vent
What is the reversal drug for opiates and the dosage - CORRECT
ANSWER Narcan 0.4-2 mg
What is the reversal drug for benzodiazepiens - CORRECT ANSWER
Romazincon 0.2 mg, 0.3, then 0.5 till a max dose of 3 mg
What are signs of a patient being in cardiac tamponade - CORRECT
ANSWER JVD< purple from nipple line up
What is a good diagnostic tool to determine if a patient is in cardiac
tamponade - CORRECT ANSWER Echo machine to see if there's fluid
Wht is the treatment for Cardiac Tamponade - CORRECT ANSWER
Pericardial centesis ( 5th intercostal space midclavicular line, needle
in to drain line)
What are the symptoms of your patient having a tension
pneumothorax - CORRECT ANSWER tracheal deviation, JVD, difficulty
bagging, Low 02 sat
What is the treatment for a tension pneumothorax - CORRECT ANSWER
needle in 2nd intercostal space midclavicular line
What are some signs of a patient having a pulmonary embolus -
CORRECT ANSWER low sats, JVD
What is the treatment for Pulmonary embolus - CORRECT ANSWER
thorombolytic and take to cath lab ( typically not a good prognosis)
2024/2025
Which of the following choices represents appropriate treatment of an
asystolic patient? - CORRECT ANSWER Administration of atropine
Each cycle of CPR consists of 30 ____________ and two ____________. -
CORRECT ANSWER compressions and ventilations
Bradycardia in a normal adult patient is defined as: - CORRECT ANSWER
a resting heart rate less than 60 beats per minute
Sinus tachycardia originates in the: - CORRECT ANSWER Sinoatrial
node
Which of the following represents a true statement regarding the NPA
and OPA? - CORRECT ANSWER An NPA can be used on a semi-
conscious or conscious patient, while an OPA can only be used on an
unconscious patient.
In the management of an acute stroke patient, the goal is for the
patient to arrive in the Emergency Department (ED) within ______ of
the onset of signs and symptoms. - CORRECT ANSWER ten minutes
Stable tachycardia is defined as: - CORRECT ANSWER a heart rate
faster than 100 beats per minute (bpm)
Begin use of TCP on a bradycardic patient with inadequate perfusion:
- CORRECT ANSWER if atropine is ineffective or patient is exhibiting
severe or degrading symptoms
Vasopressin can be substituted for: - CORRECT ANSWER both the first
dose of epinephrine and the second dose of epinephrine
,When treating an acute stroke patient, you must immediately create
immediate IV access. - CORRECT ANSWER True
Which of the following should be considered in the IV access of an
asystolic patient? - CORRECT ANSWER never interrupt CPR
Which of the following choices represents the two types of
defibrillation? - CORRECT ANSWER Biphasic and monophasic
Which of the following does NOT represent unstable tachycardia? -
CORRECT ANSWER Ventricular escape rhythm
____________ clear the patient before delivering a shock: - CORRECT
ANSWER Always
Which of the following represents a true statement about sinus
tachycardia? - CORRECT ANSWER Sinus tachycardia may result from
hypovolemia
Chest pain that is indicative of myocardial ischemia may be
accompanied by nausea. - CORRECT ANSWER True
Patients with symptomatic bradycardia and _____________ may quickly
degrade into cardiac arrest: - CORRECT ANSWER poor perfusion
Hypotension may indicate that the patient is unstable. - CORRECT
ANSWER True
After defibrillation, CPR may be necessary. - CORRECT ANSWER True
A sinus rhythm originates in the: - CORRECT ANSWER sinoatrial node
The QRS complex on an ECG represents the: - CORRECT ANSWER
contraction of the ventricles
,Myocardial ischemia is caused by: - CORRECT ANSWER insufficient
oxygen/blood supply
Use of the child AED pads is necessary if the patient is: - CORRECT
ANSWER 8 years of age or younger
Which of the following choices is NOT considered to be an underlying
cause of PEA? - CORRECT ANSWER Hyperglycemia
Pulseless V tach or V Fib algorithm - CORRECT ANSWER CPR 2 min,
Shock at 120 Jewels, CPR 2 min, Shock at 120 Jewels, give 40 units
of vasopressin, CPR 2 min, 300 mg Amiodarone, CPR 2 min, 1 mg
epinephrine, CPR 2 min, 150 mg Amiodarone
When you see a suspected asystole or PEA what are the first actions
that you need to take in order to ensure that is the rthythm you see -
CORRECT ANSWER increase gain on monitor, check leads to make
sure none have fallen off
Asystole/PEA - CORRECT ANSWER CPR 2 minutes, 1 mg every 3-5
minutes, CPR 2 minutes, treat possible causes
What are the 5 H's and 5 T's - CORRECT ANSWER Hypovolemia,
Hypoxia, Hydrogen ion, HYpo/Hyperkalemia, Hypothermia
5 T's: Toxins, Tamponade, Tension pneumothorax, thrombosis
(coronary or pulmonary)
What is the treatment if a patient is dead and in acidosis - CORRECT
ANSWER 1 meq/kg Bicarb
What is the treatment for Hyperkalemia - CORRECT ANSWER amp of
calcium, bicarb, insulin (10 units) and glucose
What are some causes of a patient going in to Metabolic ACidosis -
CORRECT ANSWER aspirin, antifreeze
, What is the treatment for Hypokalemia - CORRECT ANSWER give
potassium
What is the treatment for Hypothermia - CORRECT ANSWER warm
saline rapid infuser, bear hugger, increase temp on vent
What is the reversal drug for opiates and the dosage - CORRECT
ANSWER Narcan 0.4-2 mg
What is the reversal drug for benzodiazepiens - CORRECT ANSWER
Romazincon 0.2 mg, 0.3, then 0.5 till a max dose of 3 mg
What are signs of a patient being in cardiac tamponade - CORRECT
ANSWER JVD< purple from nipple line up
What is a good diagnostic tool to determine if a patient is in cardiac
tamponade - CORRECT ANSWER Echo machine to see if there's fluid
Wht is the treatment for Cardiac Tamponade - CORRECT ANSWER
Pericardial centesis ( 5th intercostal space midclavicular line, needle
in to drain line)
What are the symptoms of your patient having a tension
pneumothorax - CORRECT ANSWER tracheal deviation, JVD, difficulty
bagging, Low 02 sat
What is the treatment for a tension pneumothorax - CORRECT ANSWER
needle in 2nd intercostal space midclavicular line
What are some signs of a patient having a pulmonary embolus -
CORRECT ANSWER low sats, JVD
What is the treatment for Pulmonary embolus - CORRECT ANSWER
thorombolytic and take to cath lab ( typically not a good prognosis)
