ASSOCIATION) (ADVANCED
CARDIOVASCULAR LIFE SUPPORT) EXAM
2025 WITH ACTUAL CORRECT QUESTIONS
AND VERIFIED DETAILED ANSWERS
|FREQUENTLY TESTED QUESTIONS AND
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A responder is caring for a patient with a history of CHF. The patient is experiencing SOB, BP of
68/50 mm Hg, and a HR of 190/min. The patient's lead II ECG is displayed above. Which of the
following terms best describes this patient?
Unstable supraventricular tachycardia
The Approach to Unstable Tachycardia Symptoms and Signs
What is the recommended assisted ventilation rate for patients in respiratory arrest with a
perfusing rhythm?
10 to 12 breaths per minute
Ventilation Rates
After verifying unresponsiveness and abnormal breathing, you activate the emergency response
team. What is your next action?
Check for a pulse.
The BLS Survey
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,What is the immediate danger of excessive ventilation during the post-cardiac arrest period for
patients who achieve ROSC?
Decreased cerebral blood flow
Caution: Things to Avoid During Ventilation
What is the recommended energy dose for BIPHASIC synchronized cardioversion of atrial
fibrillation?
120 to 200 J
Energy Doses for Cardioversion
How long should it take to perform a pulse check during the BLS Survey?
5 to 10 seconds
Which is a contraindication to nitroglycerin administration in the management of acute
coronary syndromes?
Right ventricular infarction and dysfunction
Administer Oxygen and Drugs: Nitroglycerin (Glyceryl Trinitrate)
RV infarction may complicate an inferior wall MI. Patients with acute RV infarction are very
dependent on RV filling pressures to maintain CO and BP. If RV infarction cannot be confirmed
providers must use caution in administering nitrates to patients with inferior STEMI. If RV
infarction is confirmed by right-sided precordial leads or clinical findings by an experienced
provider, nitroglycerin and other vasodilators (morphine) or volume-depleting drugs (diuretics)
are contraindicated as well.
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, What is the recommended duration of therapeutic hypothermia after reaching the target
temperature?
12 to 24 hours
What is the recommended initial intervention for managing hypotension in the immediate
period after return of spontaneous circulation (ROSC)?
Administration of IV or IO fluid bolus
Treat Hypotension (SBP <90 mm Hg)
What is the recommendation of the use of cricoid pressure to prevent aspiration during cardiac
arrest?
Not recommended for routine use
What is the danger of routinely administering high concentrations of oxygen during the post-
cardiac arrest period for patients who achieve ROSC?
Potential oxygen toxicity
Optimize Ventilation and Oxygenation
What is the recommended target temperature range for achieving therapeutic hypothermia
after cardiac arrest?
32 to 34 degrees Celsius
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