ACLS EXAM A QUESTIONS AND ANSWERS
LATEST TOP SCORE.
1. Which of these tests should be performed for a pt with suspected stroke as
early as possible but no more than 20 min after hospital arrival?: Noncontrast
CT scan of head
2. Which best describes this rhythm?: Monomorphic Vent Tach
3. Which is an acceptable method of selecting an appropriately sized oropha-
ryngeal airway?: Measure from the corner of the mouth to the angle of mandible
4. You are caring for a pt with a suspected stroke whose symptoms started 2
hours ago. The CT scan was normal, with no signs of hemorrhage. The pt does
not have any contraindications to fibrinolytic therapy. Which treatment is best
for this pt?: Give fibrinolytic therapy as soon as possible and consider endovascular
therapy
5. Which is the recommended next step after a defibrillation attempt?: Resume
CPR, starting with chest compressions
6. Which of the following signs is a likely indicator of cardiac arrest in an
unresponsive pt?: Agonal gasps
7. You are evaluating a 58YO man with chest discomfort. His BP is 92/50
mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is 97%.
Which assessment step is most important now?: Obtaining a 12-lead ECG
8. During post-cardiac arrest care, which is the recommended duration of
targeted temperature management after reaching the correct temperature
range?: At least 24 hours
9. Your rescue team arrives to find a 59YO man lying on the kitchen floor. You
determine that he is unresponsive. What is the next step in your assessment
and management of this pt?: Check the pt's breathing and pulse
10. (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in
severe distress and is reporting "crushing" chest discomfort. Pale, diaphoret-
ic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach
changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect
led to the cardiac arrest?: Acute Coronary Syndrome
11. (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in
severe distress and is reporting "crushing" chest discomfort. Pale, diaphoret-
1/6
, ic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach
changed to VFib.
In addition to defibrillation, which intervention should be performed immedi-
ately?: Chest compressions
2/6
LATEST TOP SCORE.
1. Which of these tests should be performed for a pt with suspected stroke as
early as possible but no more than 20 min after hospital arrival?: Noncontrast
CT scan of head
2. Which best describes this rhythm?: Monomorphic Vent Tach
3. Which is an acceptable method of selecting an appropriately sized oropha-
ryngeal airway?: Measure from the corner of the mouth to the angle of mandible
4. You are caring for a pt with a suspected stroke whose symptoms started 2
hours ago. The CT scan was normal, with no signs of hemorrhage. The pt does
not have any contraindications to fibrinolytic therapy. Which treatment is best
for this pt?: Give fibrinolytic therapy as soon as possible and consider endovascular
therapy
5. Which is the recommended next step after a defibrillation attempt?: Resume
CPR, starting with chest compressions
6. Which of the following signs is a likely indicator of cardiac arrest in an
unresponsive pt?: Agonal gasps
7. You are evaluating a 58YO man with chest discomfort. His BP is 92/50
mmHG, his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is 97%.
Which assessment step is most important now?: Obtaining a 12-lead ECG
8. During post-cardiac arrest care, which is the recommended duration of
targeted temperature management after reaching the correct temperature
range?: At least 24 hours
9. Your rescue team arrives to find a 59YO man lying on the kitchen floor. You
determine that he is unresponsive. What is the next step in your assessment
and management of this pt?: Check the pt's breathing and pulse
10. (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in
severe distress and is reporting "crushing" chest discomfort. Pale, diaphoret-
ic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach
changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect
led to the cardiac arrest?: Acute Coronary Syndrome
11. (SET) A 45YO man had coronary stents placed 2 days ago. Today he is in
severe distress and is reporting "crushing" chest discomfort. Pale, diaphoret-
1/6
, ic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach
changed to VFib.
In addition to defibrillation, which intervention should be performed immedi-
ately?: Chest compressions
2/6
