MGRADES
ALS: Final Exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
An ECG strip of a patient in the emergency department reveals the following rhythm. Which
feature would the healthcare provider interpret as indicating atrial fibrillation? - CORRECT
ANSWER - Absence of discrete P waves and presence of irregularly irregular QRS
complexes
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg,
what interventions should be considered? - CORRECT ANSWER - Initiate a dopamine
infusion
Administer atropine
Initiate transcutaneous pacing
A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest, the
patient's ECG showed peaked T waves. What might be causing the patient's cardiac arrest? -
CORRECT ANSWER - Hyperkalemia
A patient is admitted to the emergency department of a large medical center. The patient is
diagnosed with STEMI. The facility is capable of administering PCI. To achieve the best
outcomes, therapy should be administered to this patient within what time frame? - CORRECT
ANSWER - Within 90 minutes of the patient's first medical contact
A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator. Capnography
is established and a blood gas is obtained to evaluate the adequacy of the ventilations. Which
arterial carbon dioxide (PaCO2) value signifies adequate ventilations? - CORRECT
ANSWER - 35 to 45 mmHg
Which statements accurately reflect the recommendations for post-cardiac arrest patient care? -
CORRECT ANSWER - Arterial blood gases may be used to guide ventilation and
oxygenation in the post-cardiac arrest patient.
, MGRADES
Perfusion should be assessed and maintained to ensure the best outcome for the post-cardiac
arrest patient.
A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare
provider observes the event and hurries over to assess the situation. The healthcare provider
performs which assessment first? - CORRECT ANSWER - Rapid assessment
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? - CORRECT
ANSWER - Pneumothorax
A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest,
and advanced 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? - CORRECT ANSWER - "We provided chest compressions at a rate of 100
to 120 compressions per minute while giving 1 ventilation every 6 seconds without pausing
compressions."
Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterial oxygen saturation
(SaO2) level of 88%. The provider would interpret these findings as indicative of which
condition? - CORRECT ANSWER - Respiratory failure
A responsive patient is choking. What method should the provider use first to clear the
obstructed airway? - CORRECT ANSWER - Back blows
A patient arrives at the emergency department complaining of shortness of breath. The patient
has a long history of chronic obstructive pulmonary disease. Assessment reveals respiratory
failure. Which action would be the initial priority to address the respiratory failure? - CORRECT
ANSWER - Assisted ventilation with BVM resuscitator
A 20-year-old man with respiratory depression is brought to the emergency department by his
parents. Opioid overdose is suspected, and an initial dose of naloxone is administered at 10 p.m.
ALS: Final Exam UPDATED ACTUAL
Exam Questions and CORRECT Answers
An ECG strip of a patient in the emergency department reveals the following rhythm. Which
feature would the healthcare provider interpret as indicating atrial fibrillation? - CORRECT
ANSWER - Absence of discrete P waves and presence of irregularly irregular QRS
complexes
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg,
what interventions should be considered? - CORRECT ANSWER - Initiate a dopamine
infusion
Administer atropine
Initiate transcutaneous pacing
A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest, the
patient's ECG showed peaked T waves. What might be causing the patient's cardiac arrest? -
CORRECT ANSWER - Hyperkalemia
A patient is admitted to the emergency department of a large medical center. The patient is
diagnosed with STEMI. The facility is capable of administering PCI. To achieve the best
outcomes, therapy should be administered to this patient within what time frame? - CORRECT
ANSWER - Within 90 minutes of the patient's first medical contact
A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator. Capnography
is established and a blood gas is obtained to evaluate the adequacy of the ventilations. Which
arterial carbon dioxide (PaCO2) value signifies adequate ventilations? - CORRECT
ANSWER - 35 to 45 mmHg
Which statements accurately reflect the recommendations for post-cardiac arrest patient care? -
CORRECT ANSWER - Arterial blood gases may be used to guide ventilation and
oxygenation in the post-cardiac arrest patient.
, MGRADES
Perfusion should be assessed and maintained to ensure the best outcome for the post-cardiac
arrest patient.
A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare
provider observes the event and hurries over to assess the situation. The healthcare provider
performs which assessment first? - CORRECT ANSWER - Rapid assessment
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? - CORRECT
ANSWER - Pneumothorax
A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest,
and advanced 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? - CORRECT ANSWER - "We provided chest compressions at a rate of 100
to 120 compressions per minute while giving 1 ventilation every 6 seconds without pausing
compressions."
Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterial oxygen saturation
(SaO2) level of 88%. The provider would interpret these findings as indicative of which
condition? - CORRECT ANSWER - Respiratory failure
A responsive patient is choking. What method should the provider use first to clear the
obstructed airway? - CORRECT ANSWER - Back blows
A patient arrives at the emergency department complaining of shortness of breath. The patient
has a long history of chronic obstructive pulmonary disease. Assessment reveals respiratory
failure. Which action would be the initial priority to address the respiratory failure? - CORRECT
ANSWER - Assisted ventilation with BVM resuscitator
A 20-year-old man with respiratory depression is brought to the emergency department by his
parents. Opioid overdose is suspected, and an initial dose of naloxone is administered at 10 p.m.
