American Red Cross-ACLS-Finals|
Question Bank| Updated Answers 2024|
A level
During a cardiac arrest, what is the most critical component of high-quality CPR?
Effective chest compressions with minimal interruptions.
What is the correct compression depth for adult CPR in ACLS?
At least 2 inches (5 cm) but not more than 2.4 inches (6 cm).
In the ACLS algorithm, what is the first drug administered for a patient in cardiac arrest with a
shockable rhythm?
Epinephrine 1 mg IV/IO after the second shock.
What is the primary indication for using an advanced airway during resuscitation?
To provide continuous ventilation during CPR without interrupting compressions.
If a patient presents with a wide-complex tachycardia, what is the first step in the ACLS
management?
Assess the patient's stability (stable vs. unstable).
What should be the targeted end-tidal carbon dioxide (EtCO2) during CPR?
1
, At least 10 mmHg; ideally, it should be 35-45 mmHg post-arrest.
What is the appropriate dose of Amiodarone for a patient experiencing ventricular fibrillation
(VF) during ACLS?
300 mg IV/IO push for the first dose, followed by 150 mg for the second dose if needed.
How do you confirm correct placement of an endotracheal tube during resuscitation?
Use capnography to detect exhaled carbon dioxide.
What is the appropriate treatment for symptomatic bradycardia in the ACLS protocol?
Atropine 0.5 mg IV every 3-5 minutes, up to a total of 3 mg.
During post-cardiac arrest care, what is the recommended target for induced hypothermia?
Target a temperature of 32-36°C (89.6-96.8°F).
If a patient is in asystole, what should be your first action?
Confirm the rhythm and ensure high-quality CPR is being performed.
In the case of a patient presenting with acute coronary syndrome, what is the primary treatment?
Aspirin 160-325 mg chewed immediately.
What is the primary purpose of performing a pulse check during ACLS?
2
, To determine if effective circulation is present and to guide further treatment.
What rhythm is considered a non-shockable rhythm in ACLS?
Asystole and pulseless electrical activity (PEA).
What should be done if the defibrillator indicates "no shock advised"?
Continue high-quality CPR and reassess the rhythm every 2 minutes.
What is the preferred drug for treating tachycardia with a pulse in ACLS?
Adenosine for certain types of tachycardia, such as paroxysmal supraventricular tachycardia
(SVT).
If you encounter a patient with suspected opioid overdose and respiratory depression, what is the
first-line treatment?
Administer Naloxone (Narcan).
What is the recommended initial management for a patient in shock?
Administer oxygen and establish IV access for fluid resuscitation.
In cases of acute heart failure, what medication can be used to relieve pulmonary congestion?
Diuretics, such as furosemide (Lasix).
3
Question Bank| Updated Answers 2024|
A level
During a cardiac arrest, what is the most critical component of high-quality CPR?
Effective chest compressions with minimal interruptions.
What is the correct compression depth for adult CPR in ACLS?
At least 2 inches (5 cm) but not more than 2.4 inches (6 cm).
In the ACLS algorithm, what is the first drug administered for a patient in cardiac arrest with a
shockable rhythm?
Epinephrine 1 mg IV/IO after the second shock.
What is the primary indication for using an advanced airway during resuscitation?
To provide continuous ventilation during CPR without interrupting compressions.
If a patient presents with a wide-complex tachycardia, what is the first step in the ACLS
management?
Assess the patient's stability (stable vs. unstable).
What should be the targeted end-tidal carbon dioxide (EtCO2) during CPR?
1
, At least 10 mmHg; ideally, it should be 35-45 mmHg post-arrest.
What is the appropriate dose of Amiodarone for a patient experiencing ventricular fibrillation
(VF) during ACLS?
300 mg IV/IO push for the first dose, followed by 150 mg for the second dose if needed.
How do you confirm correct placement of an endotracheal tube during resuscitation?
Use capnography to detect exhaled carbon dioxide.
What is the appropriate treatment for symptomatic bradycardia in the ACLS protocol?
Atropine 0.5 mg IV every 3-5 minutes, up to a total of 3 mg.
During post-cardiac arrest care, what is the recommended target for induced hypothermia?
Target a temperature of 32-36°C (89.6-96.8°F).
If a patient is in asystole, what should be your first action?
Confirm the rhythm and ensure high-quality CPR is being performed.
In the case of a patient presenting with acute coronary syndrome, what is the primary treatment?
Aspirin 160-325 mg chewed immediately.
What is the primary purpose of performing a pulse check during ACLS?
2
, To determine if effective circulation is present and to guide further treatment.
What rhythm is considered a non-shockable rhythm in ACLS?
Asystole and pulseless electrical activity (PEA).
What should be done if the defibrillator indicates "no shock advised"?
Continue high-quality CPR and reassess the rhythm every 2 minutes.
What is the preferred drug for treating tachycardia with a pulse in ACLS?
Adenosine for certain types of tachycardia, such as paroxysmal supraventricular tachycardia
(SVT).
If you encounter a patient with suspected opioid overdose and respiratory depression, what is the
first-line treatment?
Administer Naloxone (Narcan).
What is the recommended initial management for a patient in shock?
Administer oxygen and establish IV access for fluid resuscitation.
In cases of acute heart failure, what medication can be used to relieve pulmonary congestion?
Diuretics, such as furosemide (Lasix).
3
