ACLS Written Exam Test Questions with 100% Correct Answers
You find an unresponsive pt. who is not
breathing. After activating the emergency
response system, you determine there is no Which action is a componant of high-quality chest
pulse. What is your next action? - comressions? - ANSWER -Allowing
ANSWER -Start chest compressions of at complete chest recoil
least 100 per min.
Which action increases the chance of successful
You are evaluating a 58-year-old man with chest conversion of ventricular fibrillation? -
pain. The blood pressure is 92/50 mm Hg, the ANSWER -Providing quality compressions
heart rate is 92/min, the nonlabored respiratory immediately before a defibrillation attempt.
rate is 14 breaths/min, and the pulse oximetry
reading is 97%. What assessment step is most
important now? - ANSWER -Obtaining a 12 Which situation BEST describes pulseless
lead ECG. electrical activity? - ANSWER -Sinus rythm
without a pulse
What is the preferred method of access for epi
administration during cardiac arrest in most pts? What is the BEST strategy for performing high-
- ANSWER -Peripheral IV quality CPR on a patient with an advanced
airway in place? - ANSWER -Provide
continuous chest compressions without pauses
An AED does not promptly analyze a rythm. and 10 ventilations per minute.
What is your next step? - ANSWER -Begin
chest compressions.
Three minutes after witnessing a cardiac arrest,
one member of your team inserts an
You have completed 2 minutes of CPR. The endotracheal tube while another performs
ECG monitor displays the lead II rhythm below, continuous chest compressions. During
and the patient has no pulse. Another member of subsequent ventilation, you notice the presence
your team resumes chest compressions, and an of a waveform on the capnography screen and a
IV is in place. What management step is your PETCO2 level of 8 mm Hg. What is the
next priority? - ANSWER -Administer 1mg significance of this finding? - ANSWER -
of epinephrine Chest compressions may not be effective.
During a pause in CPR, you see this lead II ECG The use of quantitative capnography in intubated
rhythm on the monitor. The patient has no pulse. patients - ANSWER -allows for monitoring
What is the next action? - ANSWER - of CPR quality.
Resume compressions
For the past 25 minutes, an EMS crew has
What is a common but sometimes fatal mistake attempted resuscitation of a patient who originally
in cardiac arrest management? - presented in ventricular fibrillation. After the first
ANSWER -Prolonged interruptions in chest shock, the ECG screen displayed asystole, which
compressions. has persisted despite 2 doses of epinephrine, a
, ACLS Written Exam Test Questions with 100% Correct Answers
fluid bolus, and high-quality CPR. What is your
next treatment? - ANSWER -Consider
terminating resuscitive efforts after consulting Which of the following is a sign of effective CPR?
medical control. - ANSWER -PETCO2 ≥10 mm Hg
Which is a safe and effective practice within the What is the primary purpose of a medical
defibrillation sequence? - ANSWER -Be emergency team (MET) or rapid response team
sure oxygen is not blowing over the patient's (RRT)? - ANSWER -Identifying and treating
chest during the shock. early clinical deterioration.
During your assessment, your patient suddenly Which action improves the quality of chest
loses consciousness. After calling for help and compressions delivered during a resuscitation
determining that the patient is not breathing, you attempt? - ANSWER -Switch providers
are unsure whether the patient has a pulse. about every 2 minutes or every 5 compression
What is your next action? - ANSWER - cycles.
Begin chest compressions.
What is the appropriate ventilation strategy for an
What is an advantage of using hands-free adult in respiratory arrest with a pulse rate of
defibrillation pads instead of defibrillation 80/min? - ANSWER -1 breath every 5-6
paddles? - ANSWER -Hands-free pads seconds
allow for a more rapid defibrillation.
A patient presents to the emergency department
What action is recommended to help minimize with new onset of dizziness and fatigue. On
interruptions in chest compressions during CPR? examination, the patient's heart rate is 35/min,
- ANSWER -Continue CPR while charging the blood pressure is 70/50 mm Hg, the
the defibrillator. respiratory rate is 22 breaths/min, and the
oxygen saturation is 95%. What is the
appropriate first medication? - ANSWER -
Which action is included in the BLS survey? - Atropine 0.5mg
ANSWER -Early defibrillation
A patient with dizziness and shortness of breath
Which drug and dose are recommended for the with a sinus bradycardia of 40/min. The initial
management of a patient in refractory ventricular atropine dose was ineffective, and your
fibrillation? - ANSWER -Amioderone monitor/defibrillator is not equipped with a
300mg transcutaneous pacemaker. What is the
appropriate dose of dopamine for this patient? -
ANSWER -2 to 10 mcg/kg per minute
What is the appropriate interval for an
interruption in chest compressions? -
ANSWER -10 seconds or less A patient has sudden onset of dizziness. The
patient's heart rate is 180/min, blood pressure is
You find an unresponsive pt. who is not
breathing. After activating the emergency
response system, you determine there is no Which action is a componant of high-quality chest
pulse. What is your next action? - comressions? - ANSWER -Allowing
ANSWER -Start chest compressions of at complete chest recoil
least 100 per min.
Which action increases the chance of successful
You are evaluating a 58-year-old man with chest conversion of ventricular fibrillation? -
pain. The blood pressure is 92/50 mm Hg, the ANSWER -Providing quality compressions
heart rate is 92/min, the nonlabored respiratory immediately before a defibrillation attempt.
rate is 14 breaths/min, and the pulse oximetry
reading is 97%. What assessment step is most
important now? - ANSWER -Obtaining a 12 Which situation BEST describes pulseless
lead ECG. electrical activity? - ANSWER -Sinus rythm
without a pulse
What is the preferred method of access for epi
administration during cardiac arrest in most pts? What is the BEST strategy for performing high-
- ANSWER -Peripheral IV quality CPR on a patient with an advanced
airway in place? - ANSWER -Provide
continuous chest compressions without pauses
An AED does not promptly analyze a rythm. and 10 ventilations per minute.
What is your next step? - ANSWER -Begin
chest compressions.
Three minutes after witnessing a cardiac arrest,
one member of your team inserts an
You have completed 2 minutes of CPR. The endotracheal tube while another performs
ECG monitor displays the lead II rhythm below, continuous chest compressions. During
and the patient has no pulse. Another member of subsequent ventilation, you notice the presence
your team resumes chest compressions, and an of a waveform on the capnography screen and a
IV is in place. What management step is your PETCO2 level of 8 mm Hg. What is the
next priority? - ANSWER -Administer 1mg significance of this finding? - ANSWER -
of epinephrine Chest compressions may not be effective.
During a pause in CPR, you see this lead II ECG The use of quantitative capnography in intubated
rhythm on the monitor. The patient has no pulse. patients - ANSWER -allows for monitoring
What is the next action? - ANSWER - of CPR quality.
Resume compressions
For the past 25 minutes, an EMS crew has
What is a common but sometimes fatal mistake attempted resuscitation of a patient who originally
in cardiac arrest management? - presented in ventricular fibrillation. After the first
ANSWER -Prolonged interruptions in chest shock, the ECG screen displayed asystole, which
compressions. has persisted despite 2 doses of epinephrine, a
, ACLS Written Exam Test Questions with 100% Correct Answers
fluid bolus, and high-quality CPR. What is your
next treatment? - ANSWER -Consider
terminating resuscitive efforts after consulting Which of the following is a sign of effective CPR?
medical control. - ANSWER -PETCO2 ≥10 mm Hg
Which is a safe and effective practice within the What is the primary purpose of a medical
defibrillation sequence? - ANSWER -Be emergency team (MET) or rapid response team
sure oxygen is not blowing over the patient's (RRT)? - ANSWER -Identifying and treating
chest during the shock. early clinical deterioration.
During your assessment, your patient suddenly Which action improves the quality of chest
loses consciousness. After calling for help and compressions delivered during a resuscitation
determining that the patient is not breathing, you attempt? - ANSWER -Switch providers
are unsure whether the patient has a pulse. about every 2 minutes or every 5 compression
What is your next action? - ANSWER - cycles.
Begin chest compressions.
What is the appropriate ventilation strategy for an
What is an advantage of using hands-free adult in respiratory arrest with a pulse rate of
defibrillation pads instead of defibrillation 80/min? - ANSWER -1 breath every 5-6
paddles? - ANSWER -Hands-free pads seconds
allow for a more rapid defibrillation.
A patient presents to the emergency department
What action is recommended to help minimize with new onset of dizziness and fatigue. On
interruptions in chest compressions during CPR? examination, the patient's heart rate is 35/min,
- ANSWER -Continue CPR while charging the blood pressure is 70/50 mm Hg, the
the defibrillator. respiratory rate is 22 breaths/min, and the
oxygen saturation is 95%. What is the
appropriate first medication? - ANSWER -
Which action is included in the BLS survey? - Atropine 0.5mg
ANSWER -Early defibrillation
A patient with dizziness and shortness of breath
Which drug and dose are recommended for the with a sinus bradycardia of 40/min. The initial
management of a patient in refractory ventricular atropine dose was ineffective, and your
fibrillation? - ANSWER -Amioderone monitor/defibrillator is not equipped with a
300mg transcutaneous pacemaker. What is the
appropriate dose of dopamine for this patient? -
ANSWER -2 to 10 mcg/kg per minute
What is the appropriate interval for an
interruption in chest compressions? -
ANSWER -10 seconds or less A patient has sudden onset of dizziness. The
patient's heart rate is 180/min, blood pressure is
