AMERICAN RED CROSS-ACLS-FINAL QUESTIONS AND
ANSWERS UPDATED SOLUTIONS 2024 - 2025
A,patient,is,in,cardiac,arrest.,The,cardiac,monitor,shows,asystole.,In,addition,to,providing,continuous,high
-quality,CPR,,what,is,the,other,priority,intervention,for,this,patient?,,,ANS,-
Administering,epinephrine,as,early,as,possible
A,patient,has,experienced,return,of,spontaneous,circulation,(ROSC),after,cardiac,arrest.,The,healthcare,te
am,is,conducting,a,secondary,assessment,to,determine,the,possible,cause,of,the,patient's,cardiac,arrest.,
Before,the,arrest,,the,patient,exhibited,jugular,venous,distension,,cyanosis,,apnea,and,hyperresonance,o
n,percussion.,The,patient,was,also,difficult,to,ventilate,during,the,response.,The,team,would,most,likely,s
uspect,which,condition,as,the,cause?,,,ANS,-Tension,Pneumothorax
A,patient,with,suspected,stroke,arrives,at,the,emergency,department.,The,patient,is,diagnosed,with,acute
,ischemic,stroke,and,is,a,candidate,for,fibrinolytic,therapy.,To,achieve,the,best,outcomes,,this,therapy,sho
uld,be,initiated,within,what,time,frame?,,,ANS,-Within,1,hour,of,patient's,arrival.
A,patient,in,the,telemetry,unit,is,receiving,continuous,cardiac,monitoring.,The,patient,has,a,history,of,my
ocardial,infarction.,The,patient's,ECG,rhythm,strip,is,shown,in,the,following,figure.,The,provider,interprets
,this,strip,as,indicating,which,arrhythmia?,,,ANS,-Third-degree,AV,block
A,28-year-
old,pregnant,patient,who,resides,in,transitional,housing,presents,to,the,emergency,department,with,com
plaints,of,feeling,feverish,and,very,faint.,The,patient,tells,the,emergency,nurse,that,she,does,not,know,wh
en,she,became,pregnant.,Upon,palpation,,the,fundus,is,not,at,or,above,the,umbilicus.,The,patient's,condit
ion,quickly,deteriorates,and,she,goes,into,cardiac,arrest.,If,available,and,able,to,be,used,without,impeding
,or,delaying,the,resuscitation,effort,,what,diagnostic,tool,could,be,used,to,guide,decision-
making,in,the,care,of,this,patient?,,,ANS,-Point-of-care,ultrasound
Cardiac,monitoring,indicates,that,a,patient,has,a,ventricular,tachyarrhythmia.,The,patient,has,a,pulse,and,
is,not,showing,any,signs,of,hemodynamic,compromise.,A,12-
lead,ECG,reveals,an,irregular,rhythm,with,QRS,complexes,greater,than,0.12,second,in,duration.,Which,acti
on,would,be,appropriate,at,this,time?,,,ANS,-Consider,an,antiarrhythmic,medication
A,responsive,patient,is,choking.,What,method,should,the,provider,use,first,to,clear,the,obstructed,airway
?,,,ANS,-Back,blows
, What,is,the,priority,intervention,for,a,patient,with,a,narrow-
complex,tachycardia,(160,bpm),and,a,blood,pressure,of,72/48,mmHg?,,,ANS,-
Perform,immediate,synchronized,cardioversion
A,patient,is,admitted,to,the,emergency,department,with,signs,and,symptoms,of,stroke.,The,stroke,team,s
hould,complete,a,comprehensive,neurologic,assessment,and,obtain,brain,imaging,results,within,what,tim
e,frame?,,,ANS,-Within,20,minutes
Cardiac,monitoring,of,a,patient,in,cardiac,arrest,reveals,ventricular,fibrillation.,In,addition,to,high-
quality,CPR,,what,intervention,should,be,a,priority,for,the,team?,,,ANS,-Defibrillation.
A,patient,with,suspected,acute,coronary,syndromes,(ACS),has,a,pulse,oximetry,reading,of,86%,and,is,give
n,supplemental,oxygen.,The,provider,determines,that,the,supplemental,oxygen,dose,is,correct,based,on,
which,SaO2,level?,,,ANS,-93%
After,cardiac,arrest,and,successful,resuscitation,,the,patient,has,a,return,of,spontaneous,circulation.,The,
patient,is,unable,to,follow,verbal,commands.,Targeted,temperature,management,is,initiated.,Which,met
hod(s),would,be,appropriate,for,the,resuscitation,team,to,use?,,,ANS,--
Applying,cooling,blankets,to,the,patient's,body
-Using,an,endovascular,catheter
-Giving,an,ice-cold,IV,fluid,bolus
A,patient,comes,to,the,emergency,department,complaining,of,palpitations,and,"some,shortness,of,breath
.",Cardiac,monitoring,is,initiated,and,reveals,the,following,ECG,rhythm,strip.,The,provider,interprets,this,s
trip,as,indicating,which,arrhythmia?,,,ANS,-Atrial,flutter
A,35-year-old,female,patient's,ECG,is,consistent,with,STEMI.,The,ECG,reveals,a,new,ST-
segment,elevation,at,the,J,point,in,leads,V2,and,V3,of,at,least,which,size?,,,ANS,-0.15,mV
The,following,capnogram,is,from,a,patient,experiencing,respiratory,distress.,At,which,point,in,the,wavefor
m,would,the,patient's,ETCO2,level,be,measured?,,,ANS,-D
ANSWERS UPDATED SOLUTIONS 2024 - 2025
A,patient,is,in,cardiac,arrest.,The,cardiac,monitor,shows,asystole.,In,addition,to,providing,continuous,high
-quality,CPR,,what,is,the,other,priority,intervention,for,this,patient?,,,ANS,-
Administering,epinephrine,as,early,as,possible
A,patient,has,experienced,return,of,spontaneous,circulation,(ROSC),after,cardiac,arrest.,The,healthcare,te
am,is,conducting,a,secondary,assessment,to,determine,the,possible,cause,of,the,patient's,cardiac,arrest.,
Before,the,arrest,,the,patient,exhibited,jugular,venous,distension,,cyanosis,,apnea,and,hyperresonance,o
n,percussion.,The,patient,was,also,difficult,to,ventilate,during,the,response.,The,team,would,most,likely,s
uspect,which,condition,as,the,cause?,,,ANS,-Tension,Pneumothorax
A,patient,with,suspected,stroke,arrives,at,the,emergency,department.,The,patient,is,diagnosed,with,acute
,ischemic,stroke,and,is,a,candidate,for,fibrinolytic,therapy.,To,achieve,the,best,outcomes,,this,therapy,sho
uld,be,initiated,within,what,time,frame?,,,ANS,-Within,1,hour,of,patient's,arrival.
A,patient,in,the,telemetry,unit,is,receiving,continuous,cardiac,monitoring.,The,patient,has,a,history,of,my
ocardial,infarction.,The,patient's,ECG,rhythm,strip,is,shown,in,the,following,figure.,The,provider,interprets
,this,strip,as,indicating,which,arrhythmia?,,,ANS,-Third-degree,AV,block
A,28-year-
old,pregnant,patient,who,resides,in,transitional,housing,presents,to,the,emergency,department,with,com
plaints,of,feeling,feverish,and,very,faint.,The,patient,tells,the,emergency,nurse,that,she,does,not,know,wh
en,she,became,pregnant.,Upon,palpation,,the,fundus,is,not,at,or,above,the,umbilicus.,The,patient's,condit
ion,quickly,deteriorates,and,she,goes,into,cardiac,arrest.,If,available,and,able,to,be,used,without,impeding
,or,delaying,the,resuscitation,effort,,what,diagnostic,tool,could,be,used,to,guide,decision-
making,in,the,care,of,this,patient?,,,ANS,-Point-of-care,ultrasound
Cardiac,monitoring,indicates,that,a,patient,has,a,ventricular,tachyarrhythmia.,The,patient,has,a,pulse,and,
is,not,showing,any,signs,of,hemodynamic,compromise.,A,12-
lead,ECG,reveals,an,irregular,rhythm,with,QRS,complexes,greater,than,0.12,second,in,duration.,Which,acti
on,would,be,appropriate,at,this,time?,,,ANS,-Consider,an,antiarrhythmic,medication
A,responsive,patient,is,choking.,What,method,should,the,provider,use,first,to,clear,the,obstructed,airway
?,,,ANS,-Back,blows
, What,is,the,priority,intervention,for,a,patient,with,a,narrow-
complex,tachycardia,(160,bpm),and,a,blood,pressure,of,72/48,mmHg?,,,ANS,-
Perform,immediate,synchronized,cardioversion
A,patient,is,admitted,to,the,emergency,department,with,signs,and,symptoms,of,stroke.,The,stroke,team,s
hould,complete,a,comprehensive,neurologic,assessment,and,obtain,brain,imaging,results,within,what,tim
e,frame?,,,ANS,-Within,20,minutes
Cardiac,monitoring,of,a,patient,in,cardiac,arrest,reveals,ventricular,fibrillation.,In,addition,to,high-
quality,CPR,,what,intervention,should,be,a,priority,for,the,team?,,,ANS,-Defibrillation.
A,patient,with,suspected,acute,coronary,syndromes,(ACS),has,a,pulse,oximetry,reading,of,86%,and,is,give
n,supplemental,oxygen.,The,provider,determines,that,the,supplemental,oxygen,dose,is,correct,based,on,
which,SaO2,level?,,,ANS,-93%
After,cardiac,arrest,and,successful,resuscitation,,the,patient,has,a,return,of,spontaneous,circulation.,The,
patient,is,unable,to,follow,verbal,commands.,Targeted,temperature,management,is,initiated.,Which,met
hod(s),would,be,appropriate,for,the,resuscitation,team,to,use?,,,ANS,--
Applying,cooling,blankets,to,the,patient's,body
-Using,an,endovascular,catheter
-Giving,an,ice-cold,IV,fluid,bolus
A,patient,comes,to,the,emergency,department,complaining,of,palpitations,and,"some,shortness,of,breath
.",Cardiac,monitoring,is,initiated,and,reveals,the,following,ECG,rhythm,strip.,The,provider,interprets,this,s
trip,as,indicating,which,arrhythmia?,,,ANS,-Atrial,flutter
A,35-year-old,female,patient's,ECG,is,consistent,with,STEMI.,The,ECG,reveals,a,new,ST-
segment,elevation,at,the,J,point,in,leads,V2,and,V3,of,at,least,which,size?,,,ANS,-0.15,mV
The,following,capnogram,is,from,a,patient,experiencing,respiratory,distress.,At,which,point,in,the,wavefor
m,would,the,patient's,ETCO2,level,be,measured?,,,ANS,-D
