AHA ACLS FINAL WRITTEN EXAM 2025
VERIFIED QUESTIONS AND ANSWERS
SOLVED
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-
labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most
important now?
Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts?
Peripheral IV
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the pt. has no
pulse. You partner resumes chest compressions and an IV is in place. What management step is your next
priority?
Administer 1mg of epinepherine
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse. What is
the next action?
Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? Prolonged interruptions in
chest compressions.
You find an unresponsive pt. who is not breathing. After activating the emergency response system, you
determine there is no pulse. What is your next action?
Start chest compressions of at least 100 per min.
,An AED does not promptly analyze a rythm. What is your next step? Begin chest compressions.
Which action is a componant of high-quality chest comressions? Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation?
Providing quality compressions immediately before a defibrillation attempt.
,Which situation BEST describes PEA? Sinus rythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in place?
Provide continuous chest compressionswithout pauses and 10 ventilations per minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube while another
performs continuous chest comressions. During subsequent bentilation, you notice the presence of a
wavefom on the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the significance of this
finding?
Chest compressions may not be effective.
The use of quantitative capnography in intubated pt's does what? Allowsfor monitoring CPR quality
, For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally presented with V-FIB.
After the 1st shock, the ECG screen displayed asystole which has persisted despite 2 doses of epi, a fluid
bolus, and high quality CPR. What is your next treatment?
Consider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? Be sure O2 is NOT blowing
over the pt's chest during shock.
During your assessment, your pt suddenly loses consciousness. After calling for help and determining that
the pt. is not breathing, you are unsure whether the pt. has a pulse. What is your next action?
Begin chest compressions.
What is an advantage of using hands-free d-fib pads instead of d-fib paddles? Hands-free allows for more
rapid d-fib.
VERIFIED QUESTIONS AND ANSWERS
SOLVED
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-
labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most
important now?
Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts?
Peripheral IV
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the pt. has no
pulse. You partner resumes chest compressions and an IV is in place. What management step is your next
priority?
Administer 1mg of epinepherine
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse. What is
the next action?
Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? Prolonged interruptions in
chest compressions.
You find an unresponsive pt. who is not breathing. After activating the emergency response system, you
determine there is no pulse. What is your next action?
Start chest compressions of at least 100 per min.
,An AED does not promptly analyze a rythm. What is your next step? Begin chest compressions.
Which action is a componant of high-quality chest comressions? Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation?
Providing quality compressions immediately before a defibrillation attempt.
,Which situation BEST describes PEA? Sinus rythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in place?
Provide continuous chest compressionswithout pauses and 10 ventilations per minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube while another
performs continuous chest comressions. During subsequent bentilation, you notice the presence of a
wavefom on the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the significance of this
finding?
Chest compressions may not be effective.
The use of quantitative capnography in intubated pt's does what? Allowsfor monitoring CPR quality
, For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally presented with V-FIB.
After the 1st shock, the ECG screen displayed asystole which has persisted despite 2 doses of epi, a fluid
bolus, and high quality CPR. What is your next treatment?
Consider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? Be sure O2 is NOT blowing
over the pt's chest during shock.
During your assessment, your pt suddenly loses consciousness. After calling for help and determining that
the pt. is not breathing, you are unsure whether the pt. has a pulse. What is your next action?
Begin chest compressions.
What is an advantage of using hands-free d-fib pads instead of d-fib paddles? Hands-free allows for more
rapid d-fib.
