ACLS Post Test 1 (Latest 2024-2025)
Actual Questions and Verified Answers
1. A 48-year-old man became unresponsive shortly after A. Call for help and
presenting to you with nausea and generalized chest begin chest com-
discomfort. You observe gasping breathing and are pressions.
unsure if you feel a pulse. You should know:
A. Call for help and begin chest compressions.
B. Wait until breathing stops and then check again for
a pulse.
C. Begin chest compressions only if you are certain a
pulse is absent.
D. Observe the patient for 2 minutes, then reassess
his breathing and pulse.
2. Which of the following is the most likely complication C. Bradydysrhyth-
of inferior wall myocardial infarction (MI)? mias
A. Cardiogenic shock
B. Ventricular rupture
C. Bradydysrhythmias
D. Tachydysrhythmias
3. A 52-year-old man is complaining of palpitations that D. Procainamide
came on suddenly after walking up a short flight of or amiodarone
stairs. His symptoms have been present for about
20 minutes. He denies chest pain and is not short
of breath. His skin is warm and dry; breath sounds
are clear. His blood pressure (BP) is 144/88 millime-
ters of mercury (mm Hg), his heart rate is 186 beats
per minute (beats/min), and his ventilatory rate is 18
breaths/min. The cardiac monitor reveals the rhythm
here. Vascular access has been established. Which of
the following medications is most appropriate in this
situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
4.
, ACLS Post Test 1 (Latest 2024-2025)
Actual Questions and Verified Answers
Your general impression of a 78-year-old woman re- C. Assess breath-
veals that her eyes are closed, she is not moving, you ing and determine
can see no rise and fall of her chest or abdomen, and whether she has a
her skincolor is pale. When you arrive at the patient's pulse.
side, you confirm that she is unresponsive. Your best
action in this situation will be to:
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has
a pulse.
D. Prepare the necessary equipment to insert an ad-
vanced airway.
5. A 60-year-old woman has suffered a cardiac arrest. A C. Gurgling
health care professional trained in endotracheal intu- sounds heard over
bation has intubated the patient. Which of the follow- the epigastrium
ing findings would indicate inadvertent esophageal
intubation?
A. Jugular vein distention
B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
6. Hypotension (ie, a systolic BP of less than 90 mm Hg) C. Epinephrine,
after the return of spontaneous circulation (ROSC) dopamine, or nor-
may necessitate the use of: epinephrine.
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
7. Which of the following is incorrect with regard to a C. The gather
postevent debriefing? phase of the de-
A. The facilitator should use open-ended questions to briefing includes
encourage discussion. a comparison of
B. Team members are encouraged to identify lessons the team's ac-
learned in a nonpunitive environment. tions with current
C. The gather phase of the debriefing includes a com- resuscitation algo-
parison of the team's actions with current resuscita- rithms.
, ACLS Post Test 1 (Latest 2024-2025)
Actual Questions and Verified Answers
tion algorithms.
D. Team members are given an opportunity to reflect
on their performance and how their performance can
be improved.
8. Assuming there are no contraindications, which of the B. Vagal maneu-
following can be performed as an initial intervention vers
for a stable but symptomatic patient with the rhythm
shown?
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) diltiazem
D. Administration of IV epinephrine
9. A 62-year-old man received IV tissue plasminogen B. Administer
activator (tPA) 2 hours ago after a diagnosis of acute IV antihistamines
ischemic stroke. While assessing the patient's vital and steroids.
signs, you observe swelling of the patient's lips and
tongue. Your best course of action will be to:
A. Administer aspirin and IV heparin.
B. Administer IV antihistamines and steroids.
C. Observe and reassess the patient every 15 minutes.
D. Request an emergent brain computed tomography
scan.
10. During a cardiac arrest, multiple attempts to establish B. Attempt in-
a peripheral IV have proved unsuccessful. Your best traosseous ac-
course of action at this time will be to: cess.
A. Insert a central line.
B. Attempt intraosseous access.
C. Discontinue resuscitation efforts.
D. Continue peripheral IV attempts until successful.
11. Synchronized cardioversion: B. Delivers a shock
A. Is used only for atrial dysrhythmias. during ventricular
B. Delivers a shock during ventricular depolarization. depolarization.
Actual Questions and Verified Answers
1. A 48-year-old man became unresponsive shortly after A. Call for help and
presenting to you with nausea and generalized chest begin chest com-
discomfort. You observe gasping breathing and are pressions.
unsure if you feel a pulse. You should know:
A. Call for help and begin chest compressions.
B. Wait until breathing stops and then check again for
a pulse.
C. Begin chest compressions only if you are certain a
pulse is absent.
D. Observe the patient for 2 minutes, then reassess
his breathing and pulse.
2. Which of the following is the most likely complication C. Bradydysrhyth-
of inferior wall myocardial infarction (MI)? mias
A. Cardiogenic shock
B. Ventricular rupture
C. Bradydysrhythmias
D. Tachydysrhythmias
3. A 52-year-old man is complaining of palpitations that D. Procainamide
came on suddenly after walking up a short flight of or amiodarone
stairs. His symptoms have been present for about
20 minutes. He denies chest pain and is not short
of breath. His skin is warm and dry; breath sounds
are clear. His blood pressure (BP) is 144/88 millime-
ters of mercury (mm Hg), his heart rate is 186 beats
per minute (beats/min), and his ventilatory rate is 18
breaths/min. The cardiac monitor reveals the rhythm
here. Vascular access has been established. Which of
the following medications is most appropriate in this
situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
4.
, ACLS Post Test 1 (Latest 2024-2025)
Actual Questions and Verified Answers
Your general impression of a 78-year-old woman re- C. Assess breath-
veals that her eyes are closed, she is not moving, you ing and determine
can see no rise and fall of her chest or abdomen, and whether she has a
her skincolor is pale. When you arrive at the patient's pulse.
side, you confirm that she is unresponsive. Your best
action in this situation will be to:
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has
a pulse.
D. Prepare the necessary equipment to insert an ad-
vanced airway.
5. A 60-year-old woman has suffered a cardiac arrest. A C. Gurgling
health care professional trained in endotracheal intu- sounds heard over
bation has intubated the patient. Which of the follow- the epigastrium
ing findings would indicate inadvertent esophageal
intubation?
A. Jugular vein distention
B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
6. Hypotension (ie, a systolic BP of less than 90 mm Hg) C. Epinephrine,
after the return of spontaneous circulation (ROSC) dopamine, or nor-
may necessitate the use of: epinephrine.
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
7. Which of the following is incorrect with regard to a C. The gather
postevent debriefing? phase of the de-
A. The facilitator should use open-ended questions to briefing includes
encourage discussion. a comparison of
B. Team members are encouraged to identify lessons the team's ac-
learned in a nonpunitive environment. tions with current
C. The gather phase of the debriefing includes a com- resuscitation algo-
parison of the team's actions with current resuscita- rithms.
, ACLS Post Test 1 (Latest 2024-2025)
Actual Questions and Verified Answers
tion algorithms.
D. Team members are given an opportunity to reflect
on their performance and how their performance can
be improved.
8. Assuming there are no contraindications, which of the B. Vagal maneu-
following can be performed as an initial intervention vers
for a stable but symptomatic patient with the rhythm
shown?
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) diltiazem
D. Administration of IV epinephrine
9. A 62-year-old man received IV tissue plasminogen B. Administer
activator (tPA) 2 hours ago after a diagnosis of acute IV antihistamines
ischemic stroke. While assessing the patient's vital and steroids.
signs, you observe swelling of the patient's lips and
tongue. Your best course of action will be to:
A. Administer aspirin and IV heparin.
B. Administer IV antihistamines and steroids.
C. Observe and reassess the patient every 15 minutes.
D. Request an emergent brain computed tomography
scan.
10. During a cardiac arrest, multiple attempts to establish B. Attempt in-
a peripheral IV have proved unsuccessful. Your best traosseous ac-
course of action at this time will be to: cess.
A. Insert a central line.
B. Attempt intraosseous access.
C. Discontinue resuscitation efforts.
D. Continue peripheral IV attempts until successful.
11. Synchronized cardioversion: B. Delivers a shock
A. Is used only for atrial dysrhythmias. during ventricular
B. Delivers a shock during ventricular depolarization. depolarization.
