ACLS WRITTEN EXAM QUIZZES &
VERIFIED ANSWERS.
You,find,an,unresponsive,pt.,who,is,not,breathing.,After,activating,the,emergency,response,system,,you,d
etermine,there,is,no,pulse.,What,is,your,next,action?,,,ANS,-
Start,chest,compressions,of,at,least,100,per,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,res
piratory,rate,is,14,breaths/min,,and,the,pulse,oximetry,reading,is,97%.,What,assessment,step,is,most,imp
ortant,now?,,,ANS,-Obtaining,a,12,lead,ECG.
What,is,the,preferred,method,of,access,for,epi,administration,during,cardiac,arrest,in,most,pts?,,,ANS,-
Peripheral,IV
An,AED,does,not,promptly,analyze,a,rythm.,What,is,your,next,step?,,,ANS,-Begin,chest,compressions.
You,have,completed,2,minutes,of,CPR.,The,ECG,monitor,displays,the,lead,II,rhythm,below,,and,the,patient
,has,no,pulse.,Another,member,of,your,team,resumes,chest,compressions,,and,an,IV,is,in,place.,What,man
agement,step,is,your,next,priority?,,,ANS,-Administer,1mg,of,epinephrine
During,a,pause,in,CPR,,you,see,this,lead,II,ECG,rhythm,on,the,monitor.,The,patient,has,no,pulse.,What,is,th
e,next,action?,,,ANS,-Resume,compressions
What,is,a,common,but,sometimes,fatal,mistake,in,cardiac,arrest,management?,,,ANS,-
Prolonged,interruptions,in,chest,compressions.
Which,action,is,a,componant,of,high-quality,chest,comressions?,,,ANS,-Allowing,complete,chest,recoil
Which,action,increases,the,chance,of,successful,conversion,of,ventricular,fibrillation?,,,ANS,-
Providing,quality,compressions,immediately,before,a,defibrillation,attempt.
, Which,situation,BEST,describes,pulseless,electrical,activity?,,,ANS,-Sinus,rythm,without,a,pulse
What,is,the,BEST,strategy,for,performing,high-
quality,CPR,on,a,patient,with,an,advanced,airway,in,place?,,,ANS,-
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,w
hile,another,performs,continuous,chest,compressions.,During,subsequent,ventilation,,you,notice,the,pres
ence,of,a,waveform,on,the,capnography,screen,and,a,PETCO2,level,of,8,mm,Hg.,What,is,the,significance,of
,this,finding?,,,ANS,-Chest,compressions,may,not,be,effective.
The,use,of,quantitative,capnography,in,intubated,patients,,,ANS,-allows,for,monitoring,of,CPR,quality.
For,the,past,25,minutes,,an,EMS,crew,has,attempted,resuscitation,of,a,patient,who,originally,presented,in
,ventricular,fibrillation.,After,the,first,shock,,the,ECG,screen,displayed,asystole,,which,has,persisted,despit
e,2,doses,of,epinephrine,,a,fluid,bolus,,and,high-quality,CPR.,What,is,your,next,treatment?,,,ANS,-
Consider,terminating,resuscitive,efforts,after,consulting,medical,control.
Which,is,a,safe,and,effective,practice,within,the,defibrillation,sequence?,,,ANS,-
Be,sure,oxygen,is,not,blowing,over,the,patient's,chest,during,the,shock.
During,your,assessment,,your,patient,suddenly,loses,consciousness.,After,calling,for,help,and,determining
,that,the,patient,is,not,breathing,,you,are,unsure,whether,the,patient,has,a,pulse.,What,is,your,next,action
?,,,ANS,-Begin,chest,compressions.
What,is,an,advantage,of,using,hands-free,defibrillation,pads,instead,of,defibrillation,paddles?,,,ANS,-
Hands-free,pads,allow,for,a,more,rapid,defibrillation.
What,action,is,recommended,to,help,minimize,interruptions,in,chest,compressions,during,CPR?,,,ANS,-
Continue,CPR,while,charging,the,defibrillator.
Which,action,is,included,in,the,BLS,survey?,,,ANS,-Early,defibrillation
VERIFIED ANSWERS.
You,find,an,unresponsive,pt.,who,is,not,breathing.,After,activating,the,emergency,response,system,,you,d
etermine,there,is,no,pulse.,What,is,your,next,action?,,,ANS,-
Start,chest,compressions,of,at,least,100,per,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,res
piratory,rate,is,14,breaths/min,,and,the,pulse,oximetry,reading,is,97%.,What,assessment,step,is,most,imp
ortant,now?,,,ANS,-Obtaining,a,12,lead,ECG.
What,is,the,preferred,method,of,access,for,epi,administration,during,cardiac,arrest,in,most,pts?,,,ANS,-
Peripheral,IV
An,AED,does,not,promptly,analyze,a,rythm.,What,is,your,next,step?,,,ANS,-Begin,chest,compressions.
You,have,completed,2,minutes,of,CPR.,The,ECG,monitor,displays,the,lead,II,rhythm,below,,and,the,patient
,has,no,pulse.,Another,member,of,your,team,resumes,chest,compressions,,and,an,IV,is,in,place.,What,man
agement,step,is,your,next,priority?,,,ANS,-Administer,1mg,of,epinephrine
During,a,pause,in,CPR,,you,see,this,lead,II,ECG,rhythm,on,the,monitor.,The,patient,has,no,pulse.,What,is,th
e,next,action?,,,ANS,-Resume,compressions
What,is,a,common,but,sometimes,fatal,mistake,in,cardiac,arrest,management?,,,ANS,-
Prolonged,interruptions,in,chest,compressions.
Which,action,is,a,componant,of,high-quality,chest,comressions?,,,ANS,-Allowing,complete,chest,recoil
Which,action,increases,the,chance,of,successful,conversion,of,ventricular,fibrillation?,,,ANS,-
Providing,quality,compressions,immediately,before,a,defibrillation,attempt.
, Which,situation,BEST,describes,pulseless,electrical,activity?,,,ANS,-Sinus,rythm,without,a,pulse
What,is,the,BEST,strategy,for,performing,high-
quality,CPR,on,a,patient,with,an,advanced,airway,in,place?,,,ANS,-
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,w
hile,another,performs,continuous,chest,compressions.,During,subsequent,ventilation,,you,notice,the,pres
ence,of,a,waveform,on,the,capnography,screen,and,a,PETCO2,level,of,8,mm,Hg.,What,is,the,significance,of
,this,finding?,,,ANS,-Chest,compressions,may,not,be,effective.
The,use,of,quantitative,capnography,in,intubated,patients,,,ANS,-allows,for,monitoring,of,CPR,quality.
For,the,past,25,minutes,,an,EMS,crew,has,attempted,resuscitation,of,a,patient,who,originally,presented,in
,ventricular,fibrillation.,After,the,first,shock,,the,ECG,screen,displayed,asystole,,which,has,persisted,despit
e,2,doses,of,epinephrine,,a,fluid,bolus,,and,high-quality,CPR.,What,is,your,next,treatment?,,,ANS,-
Consider,terminating,resuscitive,efforts,after,consulting,medical,control.
Which,is,a,safe,and,effective,practice,within,the,defibrillation,sequence?,,,ANS,-
Be,sure,oxygen,is,not,blowing,over,the,patient's,chest,during,the,shock.
During,your,assessment,,your,patient,suddenly,loses,consciousness.,After,calling,for,help,and,determining
,that,the,patient,is,not,breathing,,you,are,unsure,whether,the,patient,has,a,pulse.,What,is,your,next,action
?,,,ANS,-Begin,chest,compressions.
What,is,an,advantage,of,using,hands-free,defibrillation,pads,instead,of,defibrillation,paddles?,,,ANS,-
Hands-free,pads,allow,for,a,more,rapid,defibrillation.
What,action,is,recommended,to,help,minimize,interruptions,in,chest,compressions,during,CPR?,,,ANS,-
Continue,CPR,while,charging,the,defibrillator.
Which,action,is,included,in,the,BLS,survey?,,,ANS,-Early,defibrillation
