ACLS STUDY GUIDE
1. Which best describes the length of time it should take to perform a pulsecheck during the
BLS Assessment?
Answer: 5 to 10 seconds
2. You instruct a team member to give 0.5 mg atropine IV. Which response isan example of
closed-loop communication?
Answer: "I'll draw up 0.5 mg of atropine."
3. What is an effect of excessive ventilation?
Answer: Decreased cardiac output
4. If a team member is about to make a mistake during a resuscitation attempt, which best
describes the action that the team leader or other teammembers should take?
Answer: Address the team member immediately
5. Which best describes this rhythm?
Answer: Monomorphic ventricular tachycardia
6. For STEMI patients, which best describes the recommended maximum goal time for
emergency department door-to-balloon inflation time for percutaneous coronary intervention?
Answer: 90 minutes
7. Which is the maximum interval you should allow for an interruption inchest
compressions?
Answer: 10 seconds
8. Which is one way to minimize interruptions in chest compressions duringCPR?
Answer: Continue CPR while the defibrillator charges
9. Which best describes an action taken by the team leader to avoid inefficiencies during a
resuscitation attempt?
Answer: Clearly delegate tasks
10. Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?
Answer: Measure from the corner of the mouth to the angle of the mandible
11. 27. You are evaluating a 58-year-old man with chest discomfort, his bloodpressure is
92/50 mmHg, his heart rate is 92/min, his nonlabored respiratoryrat is 14 breaths/min, and his
pulse oximetry reading is 97%. Which assessment step is most important?
Answer: Obtaining a 12-lead ECG
12. A patient in respiratory distress and with a blood pressure of 70/50 mmHgpresents with
, the lead II ECG rhythm shown here. Which is the appropriate treatment?
Answer: Performing synchronized cardioversion
13. During post-cardiac arrest care, which is the recommended duration oftargeted
temperature management after reaching the correct temperature range?
Answer: At least 24 hours
14. Three minutes into a cardiac arrest resuscitation attempt, one member ofyour team inserts
an endotracheal (ET) tube while another performs chest compressions. Capnography shows a
persistent waveform and a PetCO2 of 8mmHg.Which is the significance of this finding?
Answer: Chest compressions may notbe effective
15. Which is the recommended oral dose of aspirin for a patient with a suspected acute
coronary syndrome?
Answer: 160 to 325 mg
16. A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. Which action should the team membertake?
Answer: Ask for a new task or role
17. As the team leader, when do you tell the chest compressors to switch?
Answer: -About every 2 minutes
18. You are performing chest compressions during an adult resuscitation attempt.Which rate
should you use to perform the compressions?
Answer: 100 to 120per minute
19. A patient is being resuscitated in a very noisy environment. A team member thinks he
heard an order for 500 mg of amiodarone IV. Which is the best response from the team
member?
Answer: "I have an order to give 500 mg of amiodarone
IV. Is this correct?"
20. A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to
the first dose of adenosine. Which dose would you administernext?
Answer: 12mg
21. A patient has a witness loss of consciousness. The lead II ECG reveals thisrhythm. Which is
the appropriate treatment?
Answer: Defibrillation
22. Which of these tests should be performed for a patient with suspected stroke within 25
minutes of hospital arrival?
Answer: Noncontract CT scan of the head
23. What is the minimum systolic blood pressure one should attempt toachieve with fluid
1. Which best describes the length of time it should take to perform a pulsecheck during the
BLS Assessment?
Answer: 5 to 10 seconds
2. You instruct a team member to give 0.5 mg atropine IV. Which response isan example of
closed-loop communication?
Answer: "I'll draw up 0.5 mg of atropine."
3. What is an effect of excessive ventilation?
Answer: Decreased cardiac output
4. If a team member is about to make a mistake during a resuscitation attempt, which best
describes the action that the team leader or other teammembers should take?
Answer: Address the team member immediately
5. Which best describes this rhythm?
Answer: Monomorphic ventricular tachycardia
6. For STEMI patients, which best describes the recommended maximum goal time for
emergency department door-to-balloon inflation time for percutaneous coronary intervention?
Answer: 90 minutes
7. Which is the maximum interval you should allow for an interruption inchest
compressions?
Answer: 10 seconds
8. Which is one way to minimize interruptions in chest compressions duringCPR?
Answer: Continue CPR while the defibrillator charges
9. Which best describes an action taken by the team leader to avoid inefficiencies during a
resuscitation attempt?
Answer: Clearly delegate tasks
10. Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?
Answer: Measure from the corner of the mouth to the angle of the mandible
11. 27. You are evaluating a 58-year-old man with chest discomfort, his bloodpressure is
92/50 mmHg, his heart rate is 92/min, his nonlabored respiratoryrat is 14 breaths/min, and his
pulse oximetry reading is 97%. Which assessment step is most important?
Answer: Obtaining a 12-lead ECG
12. A patient in respiratory distress and with a blood pressure of 70/50 mmHgpresents with
, the lead II ECG rhythm shown here. Which is the appropriate treatment?
Answer: Performing synchronized cardioversion
13. During post-cardiac arrest care, which is the recommended duration oftargeted
temperature management after reaching the correct temperature range?
Answer: At least 24 hours
14. Three minutes into a cardiac arrest resuscitation attempt, one member ofyour team inserts
an endotracheal (ET) tube while another performs chest compressions. Capnography shows a
persistent waveform and a PetCO2 of 8mmHg.Which is the significance of this finding?
Answer: Chest compressions may notbe effective
15. Which is the recommended oral dose of aspirin for a patient with a suspected acute
coronary syndrome?
Answer: 160 to 325 mg
16. A team member is unable to perform an assigned task because it is beyond the team
member's scope of practice. Which action should the team membertake?
Answer: Ask for a new task or role
17. As the team leader, when do you tell the chest compressors to switch?
Answer: -About every 2 minutes
18. You are performing chest compressions during an adult resuscitation attempt.Which rate
should you use to perform the compressions?
Answer: 100 to 120per minute
19. A patient is being resuscitated in a very noisy environment. A team member thinks he
heard an order for 500 mg of amiodarone IV. Which is the best response from the team
member?
Answer: "I have an order to give 500 mg of amiodarone
IV. Is this correct?"
20. A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to
the first dose of adenosine. Which dose would you administernext?
Answer: 12mg
21. A patient has a witness loss of consciousness. The lead II ECG reveals thisrhythm. Which is
the appropriate treatment?
Answer: Defibrillation
22. Which of these tests should be performed for a patient with suspected stroke within 25
minutes of hospital arrival?
Answer: Noncontract CT scan of the head
23. What is the minimum systolic blood pressure one should attempt toachieve with fluid
