ACLS AHA EXAM
1. What is the recommended depth of chest compression for an adult victim?
Answer: At least *2"*
2. PVC Bigemini
Answer: When a sinus beat is shortly followed by an premature ectopicbeat (PVC), a pause,
another normal beat, and then another PVC.
3. PVC Trigeminy
Answer: When 2 sinus beats are shortly followed by an premature ectopic beat (PVC), a
pause, another 2 normal beat, and then another PVC andso on;
4. JER
Answer:
• Present on an underlined rhythm (HR: 40-60);
• delayed heartbeat originating from an ectopic focus somewhere in the AV junction;
• P inverted after QRS or not detected;
• usually irregular;
• prolonged PR;
5. What can cause PVCs?
Answer: Stress, exhaustion, alcohol, caffeine,cocaine, methamphetamines,
nicotine, etc.;
6. Life Pack
Answer: Set to shock:
• turn on and place paddles;
• set on 'paddles';
• set on 200-360J;
7. A patient was in *refractory V-fib*. A 3rd shock has just been administered.Your team
looks to you for instructions.
What is your next action?
Answer: Resume high-quality CPR
8. A 35-year-old woman presents with a chief complaint of *palpitations*. Shehas no chest
discomfort, shortness of breath, or light-headedness.
Her bloody pressure is 120/78 mm Hg.
Which intervention is indicated first?
Answer: Vagal maneuvers
, 9. Which action is likely to cause air to enter the victim's stomach (gastricinflation) during
bag-mask ventilation?
Answer: Ventilating too quickly
10. A patient has been resuscitated from cardiac arrest.
During post-ROSC treatment, the patient becomes unresponsive, with *V-fib*.Which action is
indicated next?
Answer: Give immediate unsynchronized high-energy shock: *defibrillation dose*
11. A patient's 12-lead ECG is transmitted by the paramedics and shows a
*STEMI*.
When the patient arrives in the emergency department, rhythm shows STelevation.
The patient has resolution of moderate (5/10) chest pain after 3 doses ofsublingual
nitroglycerin.
Blood pressure is 104/70 mm Hg.
Which intervention is most important in reducing this patient's in-hospital and30-day mortality
rate?
Answer: Reperfusion therapy (*PCI* and *CABG*)
12. A patient becomes unresponsive.
You are uncertain if a faint pulse is present.The rhythm is *PEA*.
An IV is in place.
Which action do you take next?
Answer: Start high-quality *CPR*
13. Your patient is not responsive and is not breathing.You can detect apalpable *carotid
pulse*.
Which action do you take next?
Answer: Start *rescue breathing*
14. Your rescue team arrives to find a 59-year-old man lying on the kitchenfloor.
You determine that he is *unresponsive*.
Which is the next step in your assessment of this patient?
Answer: Check the patient'sbreathing and pulse
15. What is an effect of *excessive ventilation*?
Answer: Decreased cardiac output
16. Which is one of the signs that is likely indicative of cardiac arrest in anunresponsive
patient?
Answer: Agonal gasps
17. Chest compression will produce a end-tidal CO2
Answer: low
18. PETCO2 reading > 45 mm Hg suggests .
1. What is the recommended depth of chest compression for an adult victim?
Answer: At least *2"*
2. PVC Bigemini
Answer: When a sinus beat is shortly followed by an premature ectopicbeat (PVC), a pause,
another normal beat, and then another PVC.
3. PVC Trigeminy
Answer: When 2 sinus beats are shortly followed by an premature ectopic beat (PVC), a
pause, another 2 normal beat, and then another PVC andso on;
4. JER
Answer:
• Present on an underlined rhythm (HR: 40-60);
• delayed heartbeat originating from an ectopic focus somewhere in the AV junction;
• P inverted after QRS or not detected;
• usually irregular;
• prolonged PR;
5. What can cause PVCs?
Answer: Stress, exhaustion, alcohol, caffeine,cocaine, methamphetamines,
nicotine, etc.;
6. Life Pack
Answer: Set to shock:
• turn on and place paddles;
• set on 'paddles';
• set on 200-360J;
7. A patient was in *refractory V-fib*. A 3rd shock has just been administered.Your team
looks to you for instructions.
What is your next action?
Answer: Resume high-quality CPR
8. A 35-year-old woman presents with a chief complaint of *palpitations*. Shehas no chest
discomfort, shortness of breath, or light-headedness.
Her bloody pressure is 120/78 mm Hg.
Which intervention is indicated first?
Answer: Vagal maneuvers
, 9. Which action is likely to cause air to enter the victim's stomach (gastricinflation) during
bag-mask ventilation?
Answer: Ventilating too quickly
10. A patient has been resuscitated from cardiac arrest.
During post-ROSC treatment, the patient becomes unresponsive, with *V-fib*.Which action is
indicated next?
Answer: Give immediate unsynchronized high-energy shock: *defibrillation dose*
11. A patient's 12-lead ECG is transmitted by the paramedics and shows a
*STEMI*.
When the patient arrives in the emergency department, rhythm shows STelevation.
The patient has resolution of moderate (5/10) chest pain after 3 doses ofsublingual
nitroglycerin.
Blood pressure is 104/70 mm Hg.
Which intervention is most important in reducing this patient's in-hospital and30-day mortality
rate?
Answer: Reperfusion therapy (*PCI* and *CABG*)
12. A patient becomes unresponsive.
You are uncertain if a faint pulse is present.The rhythm is *PEA*.
An IV is in place.
Which action do you take next?
Answer: Start high-quality *CPR*
13. Your patient is not responsive and is not breathing.You can detect apalpable *carotid
pulse*.
Which action do you take next?
Answer: Start *rescue breathing*
14. Your rescue team arrives to find a 59-year-old man lying on the kitchenfloor.
You determine that he is *unresponsive*.
Which is the next step in your assessment of this patient?
Answer: Check the patient'sbreathing and pulse
15. What is an effect of *excessive ventilation*?
Answer: Decreased cardiac output
16. Which is one of the signs that is likely indicative of cardiac arrest in anunresponsive
patient?
Answer: Agonal gasps
17. Chest compression will produce a end-tidal CO2
Answer: low
18. PETCO2 reading > 45 mm Hg suggests .
