2025 ACLS
Study online at https://quizlet.com/_dz7fnb
1. What element of a system of care is represented by properly functioning
resuscitation equipment?: Structure
2. What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of
survival?: Activation of emergency reponse
3. What are signs of clinical deterioration that would prompt the activation of
rapid response system?: Symptomatic hypertension
Seizure
Unexplained agitation
4. What is the primary purpose of a rapid response team (RRT) or medical
emergency team (MET)?: To improve patient outcomes by identifying and treating
early clinical deterioration
5. What happens when teams rapidly assess and intervene when patients have
abnormal vital signs?: The number of in hospital cardiac arrest decreases
6. In addition to decreased IHCA, what are some other benefits of implement-
ing a rapid response system? Select all that apply.: Decrease ICU length of stay.
Decreased in total hospital length of stay.
7. Which is the main advantage of effective teamwork?: Division of tasks
8. Which is the best example of a role of the team leader?: Models excellent
team behavior
9. Which is the best example of a role of a team member?: Prepared to fulfill their
role responsibilities
10. What is the primary purpose of the CPR coach on a resuscitation team?: -
Increasing CPR quality
11. What are the 6 positions for high performance teams in resuscitation?: -
Team leader
Airway
Timer/recorder
Compressor (rotate every 2 minutes)
Monitor/defibrillator/cpr coach
IV/IO/Medications
12. Which member of the high performance team has the responsibility for
assigning roles (positions)?: Team leader
13. Which high performance team member is part of the resuscitation trian-
gle?: Monitor/defibrillator/cpr coach
14. Which is an example of knowledge sharing by a team leader?: Asking for
suggestions about interventions
15. Which is an example of summarizing and reevaluating?: Increasing monitor-
ing of the patients condition deteriorates
, 2025 ACLS
Study online at https://quizlet.com/_dz7fnb
16. Which is a step of closed-loop communication?: Confirming task completion
before assigning another task
17. Which are examples of mutual respect? Select all that apply:: Acknowledg-
ing correctly completed tasks in a positive way
Ensuring that only one person talks at a time
18. What are the components of high quality CPR? Select all that apply:: Com-
pression depth of at least 2 inches (5cm)
Switching compressors every 2 minutes
Avoiding excessive ventilation
Complete chest recoil after each compression
Interruption limited to under 10 seconds
19. How do you calculate the chest compression fraction (CCF)? What is ideal
percentage?: Divide chest compression time by total code time. You want this at
least 60% but ideally greater than 80%
20. Which component of effective high-performance teams is represented by
the use of real-time feedback devices?: Quality
21. How do you calculate Coronary Perfusion Pressure (CPP)?: Aortic diastolic
pressure "minus" Right Atrial Diastolic Pressure
22. How do interruptions in chest compressions negatively impact survival
after cardiac arrest?: Decrease coronary perfusion pressure
23. What is the only intervention that can restore an organized rhythm in
patients with ventricular fibrillation (VF)?: Early and effective defibrillation
24. How quickly does the chance of survival decline for every minute of defib-
rillation delay in patients with ventricular fibrillation who do receive bystander
CPR?: 7-10%
25. What is the advantage of a systematic approach to patient assessment?: -
Reduces the chances of missing important signs and symptoms
26. What is the first step in the systematic approach to patient assessment?-
: Initial impression
27. What is the maximum amount of time you should simultaneously perform
pulse and breathing checks?: 10 seconds
28. While performing the BLS Assessment, you initiate high- quality CPR and
assist ventilation with a bag mask device. The AED does not recommend a
shock.
Which action in the Primary assessment should you perform first?: Determine
is the patients airway is patent
29. The initial assessment reveals a conscious patient. The patients airway is
patent and an advanced airway is not indicated.
, 2025 ACLS
Study online at https://quizlet.com/_dz7fnb
Which action in the primary assessment should you perform next?: Administer
oxygen as needed
30. Which action is part of secondary assessment of a conscious patient?: -
Formulate a differential diagnosis
31. Which of the following are the "H's" causes of reversible cardiac arrest?
Select all that apply:: Hypothermia
Hypoxia
Hyperkalemia/hypokalemia
Hypovolemia
Acidosis
32. Which of the following are the "T" causes of reversible cardiac arrest?: -
Tension pneumothorax
Toxins
Cardiac tamponade
Pulmonary thrombosis
Coronary thrombosis
33. What is the most common symptom of myocardial ischemia and infarc-
tion?: Retrosternal chest pain
34. Which demographic group experiencing acute coronary syndromes is
more likely to present without chest pain?: Females
35. Oxygen should be delivered to a patient who has obvious signs of heart
failure if the oxygen saturation is less than?: 90%
36. Obtaining a what is the most important assessment tool for a patient
displaying signs and symptoms of acute coronary syndrome?: 12 lead ekg
37. What is the time goal for how quickly you should complete a fibrinolytic
checklist once the patient arrives in the emergency department?: 10 minutes
38. When should oxygen be administered?: If the patient is dyspneic or hypox-
emic, has obvious signs of heart failure, or has an arterial o2 saturation that is less
than 90% or unknown.
39. Which is a contraindication to the administration of aspirin for the man-
agement of a patient with acute coronary syndromes?: Recent GI bleeding
40. What are the contraindications of nitroglycerin?: -If patient has a confirmed
inferior wall stemi or right ventricular infarction
-avoid nitro if patient has hypotension, bradycardia, or tachycardia
-if patient recently has taken sildenafil, vardenafil, or tadalafil in the past 24-48 hrs
41. What is a physiological effect of nitroglycerin?: Reduces preload
Study online at https://quizlet.com/_dz7fnb
1. What element of a system of care is represented by properly functioning
resuscitation equipment?: Structure
2. What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of
survival?: Activation of emergency reponse
3. What are signs of clinical deterioration that would prompt the activation of
rapid response system?: Symptomatic hypertension
Seizure
Unexplained agitation
4. What is the primary purpose of a rapid response team (RRT) or medical
emergency team (MET)?: To improve patient outcomes by identifying and treating
early clinical deterioration
5. What happens when teams rapidly assess and intervene when patients have
abnormal vital signs?: The number of in hospital cardiac arrest decreases
6. In addition to decreased IHCA, what are some other benefits of implement-
ing a rapid response system? Select all that apply.: Decrease ICU length of stay.
Decreased in total hospital length of stay.
7. Which is the main advantage of effective teamwork?: Division of tasks
8. Which is the best example of a role of the team leader?: Models excellent
team behavior
9. Which is the best example of a role of a team member?: Prepared to fulfill their
role responsibilities
10. What is the primary purpose of the CPR coach on a resuscitation team?: -
Increasing CPR quality
11. What are the 6 positions for high performance teams in resuscitation?: -
Team leader
Airway
Timer/recorder
Compressor (rotate every 2 minutes)
Monitor/defibrillator/cpr coach
IV/IO/Medications
12. Which member of the high performance team has the responsibility for
assigning roles (positions)?: Team leader
13. Which high performance team member is part of the resuscitation trian-
gle?: Monitor/defibrillator/cpr coach
14. Which is an example of knowledge sharing by a team leader?: Asking for
suggestions about interventions
15. Which is an example of summarizing and reevaluating?: Increasing monitor-
ing of the patients condition deteriorates
, 2025 ACLS
Study online at https://quizlet.com/_dz7fnb
16. Which is a step of closed-loop communication?: Confirming task completion
before assigning another task
17. Which are examples of mutual respect? Select all that apply:: Acknowledg-
ing correctly completed tasks in a positive way
Ensuring that only one person talks at a time
18. What are the components of high quality CPR? Select all that apply:: Com-
pression depth of at least 2 inches (5cm)
Switching compressors every 2 minutes
Avoiding excessive ventilation
Complete chest recoil after each compression
Interruption limited to under 10 seconds
19. How do you calculate the chest compression fraction (CCF)? What is ideal
percentage?: Divide chest compression time by total code time. You want this at
least 60% but ideally greater than 80%
20. Which component of effective high-performance teams is represented by
the use of real-time feedback devices?: Quality
21. How do you calculate Coronary Perfusion Pressure (CPP)?: Aortic diastolic
pressure "minus" Right Atrial Diastolic Pressure
22. How do interruptions in chest compressions negatively impact survival
after cardiac arrest?: Decrease coronary perfusion pressure
23. What is the only intervention that can restore an organized rhythm in
patients with ventricular fibrillation (VF)?: Early and effective defibrillation
24. How quickly does the chance of survival decline for every minute of defib-
rillation delay in patients with ventricular fibrillation who do receive bystander
CPR?: 7-10%
25. What is the advantage of a systematic approach to patient assessment?: -
Reduces the chances of missing important signs and symptoms
26. What is the first step in the systematic approach to patient assessment?-
: Initial impression
27. What is the maximum amount of time you should simultaneously perform
pulse and breathing checks?: 10 seconds
28. While performing the BLS Assessment, you initiate high- quality CPR and
assist ventilation with a bag mask device. The AED does not recommend a
shock.
Which action in the Primary assessment should you perform first?: Determine
is the patients airway is patent
29. The initial assessment reveals a conscious patient. The patients airway is
patent and an advanced airway is not indicated.
, 2025 ACLS
Study online at https://quizlet.com/_dz7fnb
Which action in the primary assessment should you perform next?: Administer
oxygen as needed
30. Which action is part of secondary assessment of a conscious patient?: -
Formulate a differential diagnosis
31. Which of the following are the "H's" causes of reversible cardiac arrest?
Select all that apply:: Hypothermia
Hypoxia
Hyperkalemia/hypokalemia
Hypovolemia
Acidosis
32. Which of the following are the "T" causes of reversible cardiac arrest?: -
Tension pneumothorax
Toxins
Cardiac tamponade
Pulmonary thrombosis
Coronary thrombosis
33. What is the most common symptom of myocardial ischemia and infarc-
tion?: Retrosternal chest pain
34. Which demographic group experiencing acute coronary syndromes is
more likely to present without chest pain?: Females
35. Oxygen should be delivered to a patient who has obvious signs of heart
failure if the oxygen saturation is less than?: 90%
36. Obtaining a what is the most important assessment tool for a patient
displaying signs and symptoms of acute coronary syndrome?: 12 lead ekg
37. What is the time goal for how quickly you should complete a fibrinolytic
checklist once the patient arrives in the emergency department?: 10 minutes
38. When should oxygen be administered?: If the patient is dyspneic or hypox-
emic, has obvious signs of heart failure, or has an arterial o2 saturation that is less
than 90% or unknown.
39. Which is a contraindication to the administration of aspirin for the man-
agement of a patient with acute coronary syndromes?: Recent GI bleeding
40. What are the contraindications of nitroglycerin?: -If patient has a confirmed
inferior wall stemi or right ventricular infarction
-avoid nitro if patient has hypotension, bradycardia, or tachycardia
-if patient recently has taken sildenafil, vardenafil, or tadalafil in the past 24-48 hrs
41. What is a physiological effect of nitroglycerin?: Reduces preload
