Advanced Cardiovascular Life Support
Exam Version A (50 questions )
Please do not mark on this exam. Record the best answer on the separate
answer sheet.
1. You find an unresponsive patient who is not breathing. After
activating the emergency response system, you determine that
there is no pulse. What is your next action?
A. Open the airway with a head tilt–chin lift.
B. Administer epinephrine at a dose of 1 mg/kg.
JN
C. Deliver 2 rescue breaths each over 1 second.
D. Start chest compressions at a rate of at least 100/min.
U
2. You are evaluating a 58-year-old man with chest pain. The blood pressure
is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate
R
is 14 breaths/min, and the pulse oximetry reading is 97%. What
assessment step is most important now?
SE
A. PETCO2
B. Chest x-ray
C. Laboratory testing
D. Obtaining a 12-lead ECG
3. What is the preferred method of access for epinephrine administration
during cardiac arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Central intravenous
D. Peripheral intravenous
, 4.An activated AED does not promptly analyze the
rhythm. What is your next action?
A. Begin chest compressions.
B. Discontinue the resuscitation attempt.
C. Check all AED connections and reanalyze.
D. Rotate AED electrodes to an alternate position.
5. You have completed 2 minutes of CPR. The ECG monitor displays the lead
II rhythm below, and the patient has no pulse. Another member of your
team resumes chest compressions, and an IV is in place. What
management step is your next priority?
JN
U
A. Give 0.5 mg of atropine.
R
B. Insert an advanced airway.
C. Administer 1 mg of epinephrine.
SE
D. Administer a dopamine infusion.
6. During a pause in CPR, you see this lead II ECG rhythm on the monitor.
The patient has no pulse. What is the next action?
A. Establish vascular access.
B. Obtain the patient’s history.
C. Resume chest compressions.
D. Terminate the resuscitative effort.
Exam Version A (50 questions )
Please do not mark on this exam. Record the best answer on the separate
answer sheet.
1. You find an unresponsive patient who is not breathing. After
activating the emergency response system, you determine that
there is no pulse. What is your next action?
A. Open the airway with a head tilt–chin lift.
B. Administer epinephrine at a dose of 1 mg/kg.
JN
C. Deliver 2 rescue breaths each over 1 second.
D. Start chest compressions at a rate of at least 100/min.
U
2. You are evaluating a 58-year-old man with chest pain. The blood pressure
is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate
R
is 14 breaths/min, and the pulse oximetry reading is 97%. What
assessment step is most important now?
SE
A. PETCO2
B. Chest x-ray
C. Laboratory testing
D. Obtaining a 12-lead ECG
3. What is the preferred method of access for epinephrine administration
during cardiac arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Central intravenous
D. Peripheral intravenous
, 4.An activated AED does not promptly analyze the
rhythm. What is your next action?
A. Begin chest compressions.
B. Discontinue the resuscitation attempt.
C. Check all AED connections and reanalyze.
D. Rotate AED electrodes to an alternate position.
5. You have completed 2 minutes of CPR. The ECG monitor displays the lead
II rhythm below, and the patient has no pulse. Another member of your
team resumes chest compressions, and an IV is in place. What
management step is your next priority?
JN
U
A. Give 0.5 mg of atropine.
R
B. Insert an advanced airway.
C. Administer 1 mg of epinephrine.
SE
D. Administer a dopamine infusion.
6. During a pause in CPR, you see this lead II ECG rhythm on the monitor.
The patient has no pulse. What is the next action?
A. Establish vascular access.
B. Obtain the patient’s history.
C. Resume chest compressions.
D. Terminate the resuscitative effort.
