ACLS EXAM VERSION A, B, C
QUESTIONS WITH VERIFIED
ANSWERS 2024-2025 A+ GRADE
VERSION A
you find an unresponsive patient who is not breathing. after activating the
emergency response system, you determine that there is no pulse. what is your
next action?
start chest compressions at a rate of at least 100/min.
you are evaluating a 58-year-old man with chest pain. the blood pressure is 92/50
mm hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 97%. what assessment step is most important
now?
obtaining 12-lead ecg.
what is the preferred method of access for epinephrine administration during
cardiac arrest in most patients?
peripheral intravenous
An activated AED does not promptly analyze the rhythm. What is your next
action?
begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below and
the pt. has no pulse. another member resumes chest compressions and an IV is
in place. What management step is your next priority?
administer one mg of epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The
patient has no pulse. What is the next action?
resume chest compressions
what is a common but sometimes fatal mistake in cardiac arrest management?
prolonged interruptions of chest compressions
,what action is a component of high-quality chest compressions?
uninterrupted compressions at a depth of 1 1/2 inches
Which action increases the chance of successful conversion of ventricular
fibrillation?
ventricular tachycardia with a pulse
which situation BEST describes pulseless electrical activity?
sinus rhythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an
advanced airway in place?
provide continuous chest compressions without pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiac arrest, one member of your team inserts
an endotracheal tube while another performs continuous chest compressions.
During subsequent ventilation, you notice the presence of a waveform on the
capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of
this finding?
chest compressions may not be effective
the use of quantitative capnography in intubated patients
allows for monitoring of cpr quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who
originally presented with ventricular fibrillation. After the 1st shock, the ECG
screen displayed asystole, which has persisted despite 2 doses of epi, a fluid
bolus, and high quality CPR. What is your next treatment?
consider terminating resuscitative efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence?
be sure oxygen is now blowing over the patient's chest during the shock
During your assessment, your pt suddenly loses consciousness. After calling for
help and determining that the pt. is not breathing, you are unsure whether the pt.
has a pulse. What is your next action?
Begin chest compressions
what is the advantage of using hands-free defibrillation pads instead of
defibrillation paddles?
,hands-free pads allow for a more rapid defibrillation
What action is recommended to help minimize interruptions in chest
compressions during CPR?
continue CPR while charging the defibrillator
what action is included in the bls survey?
early defibrillation
which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation?
amiodarone 300mg
what is the appropriate interval for an interruption in chest compression?
10 seconds or less
which of the following is a sign of effective CPR?
PETCO2 greater than or equal to 10mm hg
what is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)?
identifying and treating early clinical deterioration
Which action improves the quality of chest compressions delivered during
resuscitave attemepts?
switch providers about every 2 minutes or every 5 compression cycles.
what is the appropriate ventilation strategy for an adult in respiratory arrest with a
pulse rate of 80/min?
1 breath every 5 to 6 seconds
a patient presents to the emergency department with new onset of dizziness and
fatigue. on examination, the patient's heart rate is 35/min, the blood pressure is
70/50 mm hg, the respiratory rate is 22 breaths/min, and oxygen saturation is
95%. what is the appropriate first medication?
atropine 0.5 mg
a patient presents to the emergency department with dizziness and shortness of
breath with a sinus bradycardia of 40/min. the initial atropine dose was
ineffective, and your monitor/defibrillator is not equipped with a transcutaneous
pacemaker. what is the appropriate dose of dopamine for this patient?
, 2 to 10 mcg/kg per minute
a patient has sudden onset of dizziness. the patients heart rate is 180/min, blood
pressure is 110/70 mm hg, respiratory rate is 18 breaths/min, and pulse oximetry
reading is 98% on room air. the lead II ecg is shown below:
what is the appropriate intevention?
vagal maneuvers
a monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. the patient/s blood pressure is 128/58 mm Hg,
the PETCO2 is 38 mm hg, and the pulse oximetry reading is 98%. there is
vascular access at the left internal jugular vein, and the tachycardia with no
evidence of ischemia or infarction. the heart rate has not responded to vagal
maneuvers. what is the next recommended intervention.
adenosine 6mg IV push
You are receiving a radio report from an EMS team en route with a patient who
may be having an acute stroke. The hospital CT scanner is not working at this
time. What should you do in this situation?
divert the patient to a hospital 15 minutes away with ct capabilities
Choose an appropriate inidication to stop or withhold resuscitive efforts.
evidence of rigor mortis
a 49-year-old woman arrives in the emergency department with persistent
epigastric pain. she had been taking oral antacids for the past 6 hours because
she thought she had heartburn. the initial blood pressure is 118/72 mm Hg, the
heart rate is 92/min and regular, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 96%. which is the most appropriate intervention
to perform next.
obtain a 12 lead ecg
a patient in respiratory failure becomes apneic but continues to have a strong
pulse. the heart rate is dropping rapidly and now shows sinus bradycardia at a
rate of 30/min. what intervention has the highest priority?
simple airway maneuvers and assisted ventilation
QUESTIONS WITH VERIFIED
ANSWERS 2024-2025 A+ GRADE
VERSION A
you find an unresponsive patient who is not breathing. after activating the
emergency response system, you determine that there is no pulse. what is your
next action?
start chest compressions at a rate of at least 100/min.
you are evaluating a 58-year-old man with chest pain. the blood pressure is 92/50
mm hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 97%. what assessment step is most important
now?
obtaining 12-lead ecg.
what is the preferred method of access for epinephrine administration during
cardiac arrest in most patients?
peripheral intravenous
An activated AED does not promptly analyze the rhythm. What is your next
action?
begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below and
the pt. has no pulse. another member resumes chest compressions and an IV is
in place. What management step is your next priority?
administer one mg of epinephrine
During a pause in CPR, you see this lead II ECG rhythm on the monitor. The
patient has no pulse. What is the next action?
resume chest compressions
what is a common but sometimes fatal mistake in cardiac arrest management?
prolonged interruptions of chest compressions
,what action is a component of high-quality chest compressions?
uninterrupted compressions at a depth of 1 1/2 inches
Which action increases the chance of successful conversion of ventricular
fibrillation?
ventricular tachycardia with a pulse
which situation BEST describes pulseless electrical activity?
sinus rhythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an
advanced airway in place?
provide continuous chest compressions without pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiac arrest, one member of your team inserts
an endotracheal tube while another performs continuous chest compressions.
During subsequent ventilation, you notice the presence of a waveform on the
capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of
this finding?
chest compressions may not be effective
the use of quantitative capnography in intubated patients
allows for monitoring of cpr quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who
originally presented with ventricular fibrillation. After the 1st shock, the ECG
screen displayed asystole, which has persisted despite 2 doses of epi, a fluid
bolus, and high quality CPR. What is your next treatment?
consider terminating resuscitative efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence?
be sure oxygen is now blowing over the patient's chest during the shock
During your assessment, your pt suddenly loses consciousness. After calling for
help and determining that the pt. is not breathing, you are unsure whether the pt.
has a pulse. What is your next action?
Begin chest compressions
what is the advantage of using hands-free defibrillation pads instead of
defibrillation paddles?
,hands-free pads allow for a more rapid defibrillation
What action is recommended to help minimize interruptions in chest
compressions during CPR?
continue CPR while charging the defibrillator
what action is included in the bls survey?
early defibrillation
which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation?
amiodarone 300mg
what is the appropriate interval for an interruption in chest compression?
10 seconds or less
which of the following is a sign of effective CPR?
PETCO2 greater than or equal to 10mm hg
what is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)?
identifying and treating early clinical deterioration
Which action improves the quality of chest compressions delivered during
resuscitave attemepts?
switch providers about every 2 minutes or every 5 compression cycles.
what is the appropriate ventilation strategy for an adult in respiratory arrest with a
pulse rate of 80/min?
1 breath every 5 to 6 seconds
a patient presents to the emergency department with new onset of dizziness and
fatigue. on examination, the patient's heart rate is 35/min, the blood pressure is
70/50 mm hg, the respiratory rate is 22 breaths/min, and oxygen saturation is
95%. what is the appropriate first medication?
atropine 0.5 mg
a patient presents to the emergency department with dizziness and shortness of
breath with a sinus bradycardia of 40/min. the initial atropine dose was
ineffective, and your monitor/defibrillator is not equipped with a transcutaneous
pacemaker. what is the appropriate dose of dopamine for this patient?
, 2 to 10 mcg/kg per minute
a patient has sudden onset of dizziness. the patients heart rate is 180/min, blood
pressure is 110/70 mm hg, respiratory rate is 18 breaths/min, and pulse oximetry
reading is 98% on room air. the lead II ecg is shown below:
what is the appropriate intevention?
vagal maneuvers
a monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. the patient/s blood pressure is 128/58 mm Hg,
the PETCO2 is 38 mm hg, and the pulse oximetry reading is 98%. there is
vascular access at the left internal jugular vein, and the tachycardia with no
evidence of ischemia or infarction. the heart rate has not responded to vagal
maneuvers. what is the next recommended intervention.
adenosine 6mg IV push
You are receiving a radio report from an EMS team en route with a patient who
may be having an acute stroke. The hospital CT scanner is not working at this
time. What should you do in this situation?
divert the patient to a hospital 15 minutes away with ct capabilities
Choose an appropriate inidication to stop or withhold resuscitive efforts.
evidence of rigor mortis
a 49-year-old woman arrives in the emergency department with persistent
epigastric pain. she had been taking oral antacids for the past 6 hours because
she thought she had heartburn. the initial blood pressure is 118/72 mm Hg, the
heart rate is 92/min and regular, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 96%. which is the most appropriate intervention
to perform next.
obtain a 12 lead ecg
a patient in respiratory failure becomes apneic but continues to have a strong
pulse. the heart rate is dropping rapidly and now shows sinus bradycardia at a
rate of 30/min. what intervention has the highest priority?
simple airway maneuvers and assisted ventilation
