ACLS Study Guide Questions & Answers
1.A 68-year-old woman presents with light-headedness, nausea, and chest
discomfort. Your assessment finds her awake and responsive but ill-appear-
ing, pale, and goodly disphorttie. Her radial is weak, thready, and fast. You
are unable to obtain a blood pressure. She has no obvious dependent
edema, and her neck veins are flat. Her lung sounds are equal, with
moderate rales present bilaterally. The cardiac monitor shows the rhythm
seen here.
After your initial assessment of this patient, which intervention should be
performed next?
Answer Synchronized cardioversion
2.Which type of atrioventricular (AV) block best describes this rhythm?
Answer Sec- ond degree type II
3.Your patient is in cardiac arrest and has been intubated. To assess
CPR quality, which should you do?
Answer Monitor the patient's PetCO2
4.Which facility is the most appropriate EMS destination for a patient with
sudden cardiac arrest who achieved return a spontaneous circulation in
the field?
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, Answer Coronary reperfusion-capable medical center
5.Which of the following signs is a likely indicator of cardiac arrest in
an unresponsive patient?
Answer Agonal gasps
6.Which type of atrioventricular (AV) block best describes this rhythm?
Answer Sec- ond degree atrioventricular (AV) block type I
7.To properly ventilate a patient with a perfusing rhythm, how often do
you squeeze the bag?
Answer Once every 5 to 6 seconds
8.In addition to clinical assessment, which is the most reliable method to
con- firm and monitor correct placement of an endotracheal (ET) tube?
Answer Continuous waveform capnography
9.You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal, with no signs of hemorrhage.
The patient does not have any contraindications to fibrinolytic therapy.
Which treatment approach is best for this patient?
Answer Start fibrinolytic therapy as soon as possible
10.Which best describes this rhythm?
Answer Third-degree atrioventricular block
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14
1.A 68-year-old woman presents with light-headedness, nausea, and chest
discomfort. Your assessment finds her awake and responsive but ill-appear-
ing, pale, and goodly disphorttie. Her radial is weak, thready, and fast. You
are unable to obtain a blood pressure. She has no obvious dependent
edema, and her neck veins are flat. Her lung sounds are equal, with
moderate rales present bilaterally. The cardiac monitor shows the rhythm
seen here.
After your initial assessment of this patient, which intervention should be
performed next?
Answer Synchronized cardioversion
2.Which type of atrioventricular (AV) block best describes this rhythm?
Answer Sec- ond degree type II
3.Your patient is in cardiac arrest and has been intubated. To assess
CPR quality, which should you do?
Answer Monitor the patient's PetCO2
4.Which facility is the most appropriate EMS destination for a patient with
sudden cardiac arrest who achieved return a spontaneous circulation in
the field?
1/
14
, Answer Coronary reperfusion-capable medical center
5.Which of the following signs is a likely indicator of cardiac arrest in
an unresponsive patient?
Answer Agonal gasps
6.Which type of atrioventricular (AV) block best describes this rhythm?
Answer Sec- ond degree atrioventricular (AV) block type I
7.To properly ventilate a patient with a perfusing rhythm, how often do
you squeeze the bag?
Answer Once every 5 to 6 seconds
8.In addition to clinical assessment, which is the most reliable method to
con- firm and monitor correct placement of an endotracheal (ET) tube?
Answer Continuous waveform capnography
9.You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal, with no signs of hemorrhage.
The patient does not have any contraindications to fibrinolytic therapy.
Which treatment approach is best for this patient?
Answer Start fibrinolytic therapy as soon as possible
10.Which best describes this rhythm?
Answer Third-degree atrioventricular block
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14
