Advanced Cardiovascular Life Support
Exam Version B (50 questions)
Please do not mark on this exam. Record the best answer on the separate answer sheet.
1. What should be done to minimize interruptions in chest compressions during CPR?
A. Perform pulse checks only after defibrillation.
B. Continue CPR while the defibrillator is charging.
C. Administer IV medications only when breaths are given.
D. Continue to use AED even after the arrival of a manual defibrillator.
2. Which condition is an indication to stop or withhold resuscitative efforts?
A. Unwitnessed arrest
B. Safety threat to providers
C. Patient age greater than 85 years
D. No return of spontaneous circulation after 10 minutes of CPR
3. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
ventilation. The patient’s lead II ECG appears below. What is your next action?
A. IV or IO access
B. Endotracheal tube placement
C. Consultation with cardiology for possible PCI
D. Application of a transcutaneous pacemaker
4. After verifying unresponsiveness and abnormal breathing, you activate
the emergency response team. What is your next action?
A. Retrieve an AED.
B. Check for a pulse.
C. Deliver 2 rescue breaths.
D. Administer a precordial thump.
, 5. What Mis Mthe Mrecommendation Mon Mthe Muse Mof Mcricoid Mpressure Mto Mprevent
Maspiration Mduring Mcardiac Marrest?
A. Not Mrecommended Mfor Mroutine Muse
B. Recommended Mduring Mevery Mresuscitation Mattempt
C. Recommended Mwhen Mthe Mpatient Mis Mvomiting
D. Recommended Monly Mfor Msupraglottic Mairway Minsertion
6. What Msurvival Madvantages Mdoes MCPR Mprovide Mto Ma Mpatient Min Mventricular Mfibrillation?
A. Increases Mthe Mdefibrillation Mthreshold
B. Directly Mrestores Man Morganized Mrhythm
C. Opposes Mthe Mharmful Meffects Mof Mepinephrine
D. Produces Ma Msmall Mamount Mof Mblood Mflow Mto Mthe Mheart
7. What Mis Mthe Mrecommended Mcompression Mrate Mfor Mperforming MCPR?
A. 60 Mto M80 Mper Mminute
B. 80 Mto M100 Mper Mminute
C. About M100 Mper Mminute
D. At Mleast M100 Mper Mminute
8. EMS Mpersonnel Marrive Mto Mfind Ma Mpatient Min Mcardiac Marrest. MBystanders Mare
Mperforming MCPR. MAfter Mattaching Ma Mcardiac Mmonitor, Mthe Mresponder Mobserves
Mthe Mfollowing Mrhythm Mstrip. MWhat Mis Mthe Mmost Mimportant Mearly Mintervention?
A. Defibrillation
B. Endotracheal M intubation
C. Epinephrine Madministration
D. Antiarrhythmic M administration
9. A Mpatient M remains M in M ventricular M fibrillation M despite M 1 M shock M and M 2
M minutes M of Mcontinuous MCPR. MThe Mnext Mintervention Mis Mto
A. administer Mamiodarone.
B. administer Ma Msecond Mshock.
C. administer Mepinephrine.
D. insert Man Madvanced Mairway.
, 10. What Mis Mthe Mrecommended Mnext Mstep Mafter Ma Mdefibrillation Mattempt?
A. Open Mthe Mpatient’s Mairway.
B. Determine Mif Ma Mcarotid Mpulse Mis Mpresent.
C. Check Mthe MECG Mfor Mevidence Mof Ma Mrhythm.
D. Begin MCPR, Mstarting Mwith Mchest Mcompressions.
11. Which Mof Mthe Mfollowing Mis Mthe Mrecommended Mfirst Mchoice Mfor Mestablishing
Mintravenous Maccess Mduring Mthe Mattempted Mresuscitation Mof Ma Mpatient Min
Mcardiac Marrest?
A. Subclavian Mvein
B. Antecubital Mvein
C. Intraosseous Mline
D. Internal Mjugular Mvein
12. What Mis Mthe Mrecommended Mfirst Mintravenous Mdose Mof Mamiodarone Mfor Ma
Mpatient Mwith Mrefractory Mventricular Mfibrillation?
A. 1 Mmg
B. 1 Mmg/kg
C. 1 MmEq/kg
D. 300 Mmg
13. How Moften Mshould Mthe Mteam Mleader Mswitch Mchest Mcompressors Mduring Ma
Mresuscitation M attempt?
A. Every Mminute
B. Every M2 Mminutes
C. Every M3 Mminutes
D. Every M4 Mminutes
14. IV/IO Mdrug Madministration Mduring MCPR Mshould Mbe
A. given Mrapidly Mduring Mcompressions.
B. administered Mslowly Mduring Mthe Mpause Mfor Ma Mpulse Mcheck.
C. given Mby Minfusion.
D. given Mbefore Many Mdefibrillation Mattempts.
15. Which Mfinding Mis Ma Msign Mof Mineffective MCPR?
A. PETCO2 M <10 Mmm MHg
B. Patient Mtemperature M>32°C M(89.6°F)
C. Diastolic Mintra-arterial Mpressure M≥20 Mmm MHg
D. Measured Mpatient Murine Moutput Mof M1 MmL/kg Mper Mhour
Exam Version B (50 questions)
Please do not mark on this exam. Record the best answer on the separate answer sheet.
1. What should be done to minimize interruptions in chest compressions during CPR?
A. Perform pulse checks only after defibrillation.
B. Continue CPR while the defibrillator is charging.
C. Administer IV medications only when breaths are given.
D. Continue to use AED even after the arrival of a manual defibrillator.
2. Which condition is an indication to stop or withhold resuscitative efforts?
A. Unwitnessed arrest
B. Safety threat to providers
C. Patient age greater than 85 years
D. No return of spontaneous circulation after 10 minutes of CPR
3. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
ventilation. The patient’s lead II ECG appears below. What is your next action?
A. IV or IO access
B. Endotracheal tube placement
C. Consultation with cardiology for possible PCI
D. Application of a transcutaneous pacemaker
4. After verifying unresponsiveness and abnormal breathing, you activate
the emergency response team. What is your next action?
A. Retrieve an AED.
B. Check for a pulse.
C. Deliver 2 rescue breaths.
D. Administer a precordial thump.
, 5. What Mis Mthe Mrecommendation Mon Mthe Muse Mof Mcricoid Mpressure Mto Mprevent
Maspiration Mduring Mcardiac Marrest?
A. Not Mrecommended Mfor Mroutine Muse
B. Recommended Mduring Mevery Mresuscitation Mattempt
C. Recommended Mwhen Mthe Mpatient Mis Mvomiting
D. Recommended Monly Mfor Msupraglottic Mairway Minsertion
6. What Msurvival Madvantages Mdoes MCPR Mprovide Mto Ma Mpatient Min Mventricular Mfibrillation?
A. Increases Mthe Mdefibrillation Mthreshold
B. Directly Mrestores Man Morganized Mrhythm
C. Opposes Mthe Mharmful Meffects Mof Mepinephrine
D. Produces Ma Msmall Mamount Mof Mblood Mflow Mto Mthe Mheart
7. What Mis Mthe Mrecommended Mcompression Mrate Mfor Mperforming MCPR?
A. 60 Mto M80 Mper Mminute
B. 80 Mto M100 Mper Mminute
C. About M100 Mper Mminute
D. At Mleast M100 Mper Mminute
8. EMS Mpersonnel Marrive Mto Mfind Ma Mpatient Min Mcardiac Marrest. MBystanders Mare
Mperforming MCPR. MAfter Mattaching Ma Mcardiac Mmonitor, Mthe Mresponder Mobserves
Mthe Mfollowing Mrhythm Mstrip. MWhat Mis Mthe Mmost Mimportant Mearly Mintervention?
A. Defibrillation
B. Endotracheal M intubation
C. Epinephrine Madministration
D. Antiarrhythmic M administration
9. A Mpatient M remains M in M ventricular M fibrillation M despite M 1 M shock M and M 2
M minutes M of Mcontinuous MCPR. MThe Mnext Mintervention Mis Mto
A. administer Mamiodarone.
B. administer Ma Msecond Mshock.
C. administer Mepinephrine.
D. insert Man Madvanced Mairway.
, 10. What Mis Mthe Mrecommended Mnext Mstep Mafter Ma Mdefibrillation Mattempt?
A. Open Mthe Mpatient’s Mairway.
B. Determine Mif Ma Mcarotid Mpulse Mis Mpresent.
C. Check Mthe MECG Mfor Mevidence Mof Ma Mrhythm.
D. Begin MCPR, Mstarting Mwith Mchest Mcompressions.
11. Which Mof Mthe Mfollowing Mis Mthe Mrecommended Mfirst Mchoice Mfor Mestablishing
Mintravenous Maccess Mduring Mthe Mattempted Mresuscitation Mof Ma Mpatient Min
Mcardiac Marrest?
A. Subclavian Mvein
B. Antecubital Mvein
C. Intraosseous Mline
D. Internal Mjugular Mvein
12. What Mis Mthe Mrecommended Mfirst Mintravenous Mdose Mof Mamiodarone Mfor Ma
Mpatient Mwith Mrefractory Mventricular Mfibrillation?
A. 1 Mmg
B. 1 Mmg/kg
C. 1 MmEq/kg
D. 300 Mmg
13. How Moften Mshould Mthe Mteam Mleader Mswitch Mchest Mcompressors Mduring Ma
Mresuscitation M attempt?
A. Every Mminute
B. Every M2 Mminutes
C. Every M3 Mminutes
D. Every M4 Mminutes
14. IV/IO Mdrug Madministration Mduring MCPR Mshould Mbe
A. given Mrapidly Mduring Mcompressions.
B. administered Mslowly Mduring Mthe Mpause Mfor Ma Mpulse Mcheck.
C. given Mby Minfusion.
D. given Mbefore Many Mdefibrillation Mattempts.
15. Which Mfinding Mis Ma Msign Mof Mineffective MCPR?
A. PETCO2 M <10 Mmm MHg
B. Patient Mtemperature M>32°C M(89.6°F)
C. Diastolic Mintra-arterial Mpressure M≥20 Mmm MHg
D. Measured Mpatient Murine Moutput Mof M1 MmL/kg Mper Mhour
