AHA ACLS Review Questions with verified answers
-Do you pause compressions during ventilation with ETT? Ans✓✓✓ -NO PAUSE in
compressions!
-What is the ventilation rate on the pulseless patient after advanced airway
placement? Ans✓✓✓ 1 breath every 6-8 seconds (8-10 breaths per minute)
After ROSC, what is the target PETCO2 reading? Ans✓✓✓ 35-40mmHg
After you determine your patient is unresponsive and call for what is your next
assessment? Ans✓✓✓ Start CPR and call for an AED
Best way to minimize interruption in chest compressions (time off chest)?
Ans✓✓✓ -High quality CPR minimize interruption in compressions.
Max Time off chest= 10 seconds
Can an AED be used on a pt who is lying on snow? Ans✓✓✓ Yes
Correct treatments for unstable bradycardia? Ans✓✓✓ -Oxygen (1st then drugs)
-Atropine 0.5mg IVP every 3-5 min (max dose 3mg)
-Transcutaneous pacemaker
-Dopamine 2-20mcg/kg/min >Epi 2-10mcg/min>
-Isuprel 2-10mcg/min
-Transvenous or permanent pacemaker
, Describe the relationship between the p wave and the QRS in third-degree or
complete heart block. Ans✓✓✓ "If P and Q don't agree then you have a third
degree"
Describe what PEA is. Ans✓✓✓ Pulseless Electrical Activity
During a code of PeTCO2 reading of 8 could indicate what? Ans✓✓✓ 8 could
indicate ineffective CPR
Excessive (hyper) ventilation can lead to whatAfter ROSC, what is the risk of
extended over- oxygenation? Ans✓✓✓ Gastric distention and increased
intrathroacic pressure - leads to decreased venous return to the heart and thus
decreased cerebral perfusion - leads to decreased survival
For Unstable VT with a pulse? Ans✓✓✓ Unstable VT: Synchronized Cardioversion
@ 100J followed by amiodarone 150mg
Heart rhythm most associated with CVA? Why? Ans✓✓✓ Atrial Fibrillation.
Why: Because blood may not be properly pumped out of the heart, which may
cause it to pool and form a clot.
How do you confirm a patient is really in asystole? Ans✓✓✓ 1) Confirm asystole
in 2 leads.
2) CAB (compression, airway, breathing) and Epi
3) Search for and treat identifiable cause
-Do you pause compressions during ventilation with ETT? Ans✓✓✓ -NO PAUSE in
compressions!
-What is the ventilation rate on the pulseless patient after advanced airway
placement? Ans✓✓✓ 1 breath every 6-8 seconds (8-10 breaths per minute)
After ROSC, what is the target PETCO2 reading? Ans✓✓✓ 35-40mmHg
After you determine your patient is unresponsive and call for what is your next
assessment? Ans✓✓✓ Start CPR and call for an AED
Best way to minimize interruption in chest compressions (time off chest)?
Ans✓✓✓ -High quality CPR minimize interruption in compressions.
Max Time off chest= 10 seconds
Can an AED be used on a pt who is lying on snow? Ans✓✓✓ Yes
Correct treatments for unstable bradycardia? Ans✓✓✓ -Oxygen (1st then drugs)
-Atropine 0.5mg IVP every 3-5 min (max dose 3mg)
-Transcutaneous pacemaker
-Dopamine 2-20mcg/kg/min >Epi 2-10mcg/min>
-Isuprel 2-10mcg/min
-Transvenous or permanent pacemaker
, Describe the relationship between the p wave and the QRS in third-degree or
complete heart block. Ans✓✓✓ "If P and Q don't agree then you have a third
degree"
Describe what PEA is. Ans✓✓✓ Pulseless Electrical Activity
During a code of PeTCO2 reading of 8 could indicate what? Ans✓✓✓ 8 could
indicate ineffective CPR
Excessive (hyper) ventilation can lead to whatAfter ROSC, what is the risk of
extended over- oxygenation? Ans✓✓✓ Gastric distention and increased
intrathroacic pressure - leads to decreased venous return to the heart and thus
decreased cerebral perfusion - leads to decreased survival
For Unstable VT with a pulse? Ans✓✓✓ Unstable VT: Synchronized Cardioversion
@ 100J followed by amiodarone 150mg
Heart rhythm most associated with CVA? Why? Ans✓✓✓ Atrial Fibrillation.
Why: Because blood may not be properly pumped out of the heart, which may
cause it to pool and form a clot.
How do you confirm a patient is really in asystole? Ans✓✓✓ 1) Confirm asystole
in 2 leads.
2) CAB (compression, airway, breathing) and Epi
3) Search for and treat identifiable cause
