ACLS Final Exam Questions & Answers
1.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
Answer Pneumothorax
2.1 A member of the resuscitation team is preparing to administer medica-
tions 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
Answer When administering medications during a cardiac arrest, all
,medica- tions administrated through the IV or intraosseous infusion
route should be followed by a 10- to 20-mL fluid bolus.
3.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
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.
4.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.
Answer 1
3:00 a.m.
5.A resuscitation team is debriefing following a recent event. A patient
expe- rienced cardiac arrest, and advanced cardiac life support was
initiated. The patient required the placement of an advanced airway to
maintain airway pa- tency. 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 adjus
ed 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."
Answer 4
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute."
1.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
Answer Pneumothorax
2.1 A member of the resuscitation team is preparing to administer medica-
tions 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
Answer When administering medications during a cardiac arrest, all
,medica- tions administrated through the IV or intraosseous infusion
route should be followed by a 10- to 20-mL fluid bolus.
3.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
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.
4.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.
Answer 1
3:00 a.m.
5.A resuscitation team is debriefing following a recent event. A patient
expe- rienced cardiac arrest, and advanced cardiac life support was
initiated. The patient required the placement of an advanced airway to
maintain airway pa- tency. 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 adjus
ed 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."
Answer 4
"We delivered 1 ventilation every 6 seconds and chest compressions at a
rate of 100 to 120 compressions per minute."
