Final Exam ACLS
questions
latest top score.
A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag-valve-mask (BVM) resuscitator. The development of
which condition during the provision of care would lead the team to suspect
that improper BVM technique is being used?
Select the CORRECT ANSWER to this question.
Rib fracture
Esophageal
injury
Pneumothorax
Hypertension - CORRECT ANSWER. Pneumothorax
1 A member of the resuscitation team is preparing to administer
medications intravenously to a patient in cardiac arrest. The team member
follows each medication administration with a bolus of fluid. How much
would the team member give?
Select the CORRECT ANSWER to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
,30 to 40 mL - CORRECT ANSWER. When administering medications during a
cardiac arrest, all medications administrated through the IV or intraosseous
infusion route should be followed by a 10- to 20-mL fluid bolus.
The resuscitation team suspects that hyperkalemia is the cause of cardiac
arrest in a patient brought to the emergency department. Which finding on a
12-lead ECG would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked
T waves ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
Narrow-complex ventricular tachycardia - CORRECT ANSWER. Wide-complex
ventricular rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-
complex ventricular rhythm and tall, peaked T waves.
A patient with an ischemic stroke arrives at the emergency department at 2
a.m. The patient's symptoms started about 12:30 a.m. After completing the
necessary assessments, the healthcare team diagnoses an ischemic stroke,
and the patient is determined to be a candidate for fibrinolytic therapy. To
achieve the best outcomes, the team should initiate therapy for this patient
no later than by which time?
Select the CORRECT ANSWER to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m. - CORRECT ANSWER. 1
3:00 a.m.
A resuscitation team is debriefing following a recent event. A patient
experienced cardiac arrest, and advanced cardiac life support was initiated.
The patient required the placement of an advanced airway to maintain
airway patency. Which statement indicates that the team performed high-
quality CPR?
Select the CORRECT ANSWER to this question.
"We kept the rate of chest compressions to around 100 per minute but
adjusted their depth to 1.5 inches while giving 1 ventilation every 3
seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a
depth of at least 2 inches and gave 1 ventilation every 6 seconds."
"We initiated chest compressions at a rate of 100 to 110 per minute to a
depth of 2.4 inches and then gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute." - CORRECT ANSWER. 4
, "We 3delivered 31 3ventilation 3every 36 3seconds 3and 3chest 3compressions 3at 3a
3rate 3of 3100 3to 3120 3compressions 3per 3minute."
A 3patient 3with 3a 3suspected 3stroke 3arrives 3at 3the 3emergency 3department 3at
37:10 3p.m. 3The 3stroke 3team 3ensures 3that 3a 3comprehensive 3neurologic
3assessment 3using 3the 3National 3Institutes 3of 3Health 3Stroke 3Scale 3(NIHSS) 3is
3completed 3and 3that 3brain 3imaging 3is 3performed 3by 3which 3time?
7:20 3p.m.
7:30 3p.m.
7:40 3p.m.
7:50 3p.m. 3- 3 CORRECT 3ANSWER. 3 2
Within 320 3minutes 3of 3the 3patient's 3arrival, 3a 3comprehensive 3neurologic
3assessment 3should 3be 3completed 3and 3brain 3imaging 3should 3be 3performed.
3That 3would 3be 37:30 3p.m. 3for 3this 3patient.
The 3emergency 3department 3team 3is 3providing 3care 3to 3a 3patient 3who 3is
3experiencing 3ventricular 3tachycardia. 3The 3patient's 3serum 3electrolyte
3levels 3are 3a 3contributing 3cause 3of 3the 3patient's 3current 3condition. 3Which
3electrolyte 3imbalance(s) 3would 3most 3likely 3be 3involved?
Select 3all 3correct 3options 3that 3apply.
Hyperkalemia
3Hypochloremia
3Hypernatremia
3Hypomagnesemi
a
Hypocalcemia 3- 3 CORRECT 3ANSWER.
3 Hypomagnesemia 3Hypocalcemia
A 330-year-old 3patient 3has 3been 3brought 3to 3the 3emergency 3department 3in
3cardiac 3arrest. 3The 3cardiac 3monitor 3shows 3the 3following 3rhythm.
3Interpretation 3of 3this 3rhythm 3would 3suggest 3which 3of 3the 3following 3as 3a
3possible 3precipitating 3factor? 3- 3 CORRECT 3ANSWER . 3 The 3rhythm 3is 3ventricular
3fibrillation. 3Precipitating 3causes 3of 3ventricular 3fibrillation 3include
3electrocution, 3myocardial 3ischemia 3or 3infarction, 3shock, 3stimulant 3overdose
3and 3ventricular 3tachycardia.
electrocution
A 3patient 3enters 3the 3emergency 3department 3in 3respiratory 3compromise.
3The 3team 3is 3monitoring 3the 3patient 3using 3capnography 3and 3identifies 3that
3ETCO2 3levels 3are 3initially 333 3mmHg 3and 3later 340 3mmHg. 3From 3these
3readings, 3the 3team 3identifies 3that 3the 3patient 3is 3progressing 3in 3what 3stage
3of 3respiratory 3compromise?
Respiratory
3acidosis
3Respiratory
questions
latest top score.
A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag-valve-mask (BVM) resuscitator. The development of
which condition during the provision of care would lead the team to suspect
that improper BVM technique is being used?
Select the CORRECT ANSWER to this question.
Rib fracture
Esophageal
injury
Pneumothorax
Hypertension - CORRECT ANSWER. Pneumothorax
1 A member of the resuscitation team is preparing to administer
medications intravenously to a patient in cardiac arrest. The team member
follows each medication administration with a bolus of fluid. How much
would the team member give?
Select the CORRECT ANSWER to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
,30 to 40 mL - CORRECT ANSWER. When administering medications during a
cardiac arrest, all medications administrated through the IV or intraosseous
infusion route should be followed by a 10- to 20-mL fluid bolus.
The resuscitation team suspects that hyperkalemia is the cause of cardiac
arrest in a patient brought to the emergency department. Which finding on a
12-lead ECG would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked
T waves ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals
Narrow-complex ventricular tachycardia - CORRECT ANSWER. Wide-complex
ventricular rhythm and tall, peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-
complex ventricular rhythm and tall, peaked T waves.
A patient with an ischemic stroke arrives at the emergency department at 2
a.m. The patient's symptoms started about 12:30 a.m. After completing the
necessary assessments, the healthcare team diagnoses an ischemic stroke,
and the patient is determined to be a candidate for fibrinolytic therapy. To
achieve the best outcomes, the team should initiate therapy for this patient
no later than by which time?
Select the CORRECT ANSWER to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m. - CORRECT ANSWER. 1
3:00 a.m.
A resuscitation team is debriefing following a recent event. A patient
experienced cardiac arrest, and advanced cardiac life support was initiated.
The patient required the placement of an advanced airway to maintain
airway patency. Which statement indicates that the team performed high-
quality CPR?
Select the CORRECT ANSWER to this question.
"We kept the rate of chest compressions to around 100 per minute but
adjusted their depth to 1.5 inches while giving 1 ventilation every 3
seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a
depth of at least 2 inches and gave 1 ventilation every 6 seconds."
"We initiated chest compressions at a rate of 100 to 110 per minute to a
depth of 2.4 inches and then gave 1 ventilation every 10 seconds."
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute." - CORRECT ANSWER. 4
, "We 3delivered 31 3ventilation 3every 36 3seconds 3and 3chest 3compressions 3at 3a
3rate 3of 3100 3to 3120 3compressions 3per 3minute."
A 3patient 3with 3a 3suspected 3stroke 3arrives 3at 3the 3emergency 3department 3at
37:10 3p.m. 3The 3stroke 3team 3ensures 3that 3a 3comprehensive 3neurologic
3assessment 3using 3the 3National 3Institutes 3of 3Health 3Stroke 3Scale 3(NIHSS) 3is
3completed 3and 3that 3brain 3imaging 3is 3performed 3by 3which 3time?
7:20 3p.m.
7:30 3p.m.
7:40 3p.m.
7:50 3p.m. 3- 3 CORRECT 3ANSWER. 3 2
Within 320 3minutes 3of 3the 3patient's 3arrival, 3a 3comprehensive 3neurologic
3assessment 3should 3be 3completed 3and 3brain 3imaging 3should 3be 3performed.
3That 3would 3be 37:30 3p.m. 3for 3this 3patient.
The 3emergency 3department 3team 3is 3providing 3care 3to 3a 3patient 3who 3is
3experiencing 3ventricular 3tachycardia. 3The 3patient's 3serum 3electrolyte
3levels 3are 3a 3contributing 3cause 3of 3the 3patient's 3current 3condition. 3Which
3electrolyte 3imbalance(s) 3would 3most 3likely 3be 3involved?
Select 3all 3correct 3options 3that 3apply.
Hyperkalemia
3Hypochloremia
3Hypernatremia
3Hypomagnesemi
a
Hypocalcemia 3- 3 CORRECT 3ANSWER.
3 Hypomagnesemia 3Hypocalcemia
A 330-year-old 3patient 3has 3been 3brought 3to 3the 3emergency 3department 3in
3cardiac 3arrest. 3The 3cardiac 3monitor 3shows 3the 3following 3rhythm.
3Interpretation 3of 3this 3rhythm 3would 3suggest 3which 3of 3the 3following 3as 3a
3possible 3precipitating 3factor? 3- 3 CORRECT 3ANSWER . 3 The 3rhythm 3is 3ventricular
3fibrillation. 3Precipitating 3causes 3of 3ventricular 3fibrillation 3include
3electrocution, 3myocardial 3ischemia 3or 3infarction, 3shock, 3stimulant 3overdose
3and 3ventricular 3tachycardia.
electrocution
A 3patient 3enters 3the 3emergency 3department 3in 3respiratory 3compromise.
3The 3team 3is 3monitoring 3the 3patient 3using 3capnography 3and 3identifies 3that
3ETCO2 3levels 3are 3initially 333 3mmHg 3and 3later 340 3mmHg. 3From 3these
3readings, 3the 3team 3identifies 3that 3the 3patient 3is 3progressing 3in 3what 3stage
3of 3respiratory 3compromise?
Respiratory
3acidosis
3Respiratory
