Final Exam ACLS Questions and Answers
A+ Guide
A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag-valve-mask (BVM) resuscitator. The development of
which condition during the provision of care would lead the team to suspect
that improper BVM technique is being used?
Select the correct answer to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension - correct answer ✅✅Pneumothorax
1 A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each
medication administration with a bolus of fluid. How much would the team
member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL - correct answer ✅✅When administering medications during
a cardiac arrest, all medications administrated through the IV or intraosseous
infusion route should be followed by a 10- to 20-mL fluid bolus.
The resuscitation team suspects that hyperkalemia is the cause of cardiac
arrest in a patient brought to the emergency department. Which finding on a
12-lead ECG would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
,Final Exam ACLS Questions and Answers
A+ Guide
Narrow-complex ventricular tachycardia - correct answer ✅✅Wide-
complex ventricular rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-
complex ventricular rhythm and tall, peaked T waves.
A patient with an ischemic stroke arrives at the emergency department at 2
a.m. The patient's symptoms started about 12:30 a.m. After completing the
necessary assessments, the healthcare team diagnoses an ischemic stroke,
and the patient is determined to be a candidate for fibrinolytic therapy. To
achieve the best outcomes, the team should initiate therapy for this patient
no later than by which time?
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m. - correct answer ✅✅1
3:00 a.m.
A resuscitation team is debriefing following a recent event. A patient
experienced cardiac arrest, and advanced cardiac life support was initiated.
The patient required the placement of an advanced airway to maintain
airway patency. Which statement indicates that the team performed high-
quality CPR?
Select the correct answer to this question.
"We kept the rate of chest compressions to around 100 per minute but
adjusted their depth to 1.5 inches while giving 1 ventilation every 3
seconds."
, Final Exam ACLS Questions and Answers
A+ Guide
"We delivered chest compressions at a rate of 80 to 100 per minute to a
depth of at least 2 inches and gave 1 ventilation every 6 seconds."
"We initiated chest compressions at a rate of 100 to 110 per minute to a
depth of 2.4 inches and then gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute." - correct answer ✅✅4
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute."
A patient with a suspected stroke arrives at the emergency department at
7:10 p.m. The stroke team ensures that a comprehensive neurologic
assessment using the National Institutes of Health Stroke Scale (NIHSS) is
completed and that brain imaging is performed by which time?
7:20 p.m.
7:30 p.m.
7:40 p.m.
7:50 p.m. - correct answer ✅✅2
Within 20 minutes of the patient's arrival, a comprehensive neurologic
assessment should be completed and brain imaging should be performed.
That would be 7:30 p.m. for this patient.
The emergency department team is providing care to a patient who is
experiencing ventricular tachycardia. The patient's serum electrolyte levels
are a contributing cause of the patient's current condition. Which electrolyte
imbalance(s) would most likely be involved?
Select all correct options that apply.
A+ Guide
A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag-valve-mask (BVM) resuscitator. The development of
which condition during the provision of care would lead the team to suspect
that improper BVM technique is being used?
Select the correct answer to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension - correct answer ✅✅Pneumothorax
1 A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each
medication administration with a bolus of fluid. How much would the team
member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL - correct answer ✅✅When administering medications during
a cardiac arrest, all medications administrated through the IV or intraosseous
infusion route should be followed by a 10- to 20-mL fluid bolus.
The resuscitation team suspects that hyperkalemia is the cause of cardiac
arrest in a patient brought to the emergency department. Which finding on a
12-lead ECG would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
,Final Exam ACLS Questions and Answers
A+ Guide
Narrow-complex ventricular tachycardia - correct answer ✅✅Wide-
complex ventricular rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-
complex ventricular rhythm and tall, peaked T waves.
A patient with an ischemic stroke arrives at the emergency department at 2
a.m. The patient's symptoms started about 12:30 a.m. After completing the
necessary assessments, the healthcare team diagnoses an ischemic stroke,
and the patient is determined to be a candidate for fibrinolytic therapy. To
achieve the best outcomes, the team should initiate therapy for this patient
no later than by which time?
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m. - correct answer ✅✅1
3:00 a.m.
A resuscitation team is debriefing following a recent event. A patient
experienced cardiac arrest, and advanced cardiac life support was initiated.
The patient required the placement of an advanced airway to maintain
airway patency. Which statement indicates that the team performed high-
quality CPR?
Select the correct answer to this question.
"We kept the rate of chest compressions to around 100 per minute but
adjusted their depth to 1.5 inches while giving 1 ventilation every 3
seconds."
, Final Exam ACLS Questions and Answers
A+ Guide
"We delivered chest compressions at a rate of 80 to 100 per minute to a
depth of at least 2 inches and gave 1 ventilation every 6 seconds."
"We initiated chest compressions at a rate of 100 to 110 per minute to a
depth of 2.4 inches and then gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute." - correct answer ✅✅4
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute."
A patient with a suspected stroke arrives at the emergency department at
7:10 p.m. The stroke team ensures that a comprehensive neurologic
assessment using the National Institutes of Health Stroke Scale (NIHSS) is
completed and that brain imaging is performed by which time?
7:20 p.m.
7:30 p.m.
7:40 p.m.
7:50 p.m. - correct answer ✅✅2
Within 20 minutes of the patient's arrival, a comprehensive neurologic
assessment should be completed and brain imaging should be performed.
That would be 7:30 p.m. for this patient.
The emergency department team is providing care to a patient who is
experiencing ventricular tachycardia. The patient's serum electrolyte levels
are a contributing cause of the patient's current condition. Which electrolyte
imbalance(s) would most likely be involved?
Select all correct options that apply.
