ACLS EXAM QUESTIONS AND ANSWERS
1.What element of a system of care is represented by properly
functioning resuscitation equipment?
ANS Structure
2.What is the first link in the out-of-hospital cardiac arrest (OHCA) chain
of survival?
ANS Activation of emergency reponse
3.What are signs of clinical deterioration that would prompt the activation
of rapid response system?
ANS Symptomatic hypertension
Seizure
Unexplained agitation
4.What is the primary purpose of a rapid response team (RRT) or medical
emergency team (MET)?
ANS To improve patient outcomes by identifying and treating early
clinical deterioration
5.What happens when teams rapidly assess and intervene when patients
have abnormal vital signs?
ANS The number of in hospital cardiac arrest decreases
6.In addition to decreased IHCA, what are some other benefits of
implement- ing a rapid response system? Select all that apply.
ANS Decrease ICU length of stay. Decreased in total hospital length of
stay.
7.Which is the main advantage of effective teamwork?
ANS Division of tasks
,8.Which is the best example of a role of the team leader?
ANS Models excellent team behavior
9.Which is the best example of a role of a team member?
ANS Prepared to fulfill their role responsibilities
10.What is the primary purpose of the CPR coach on a resuscitation team?
ANS -
Increasing CPR quality
11.What are the 6 positions for high performance teams in resuscitation?
ANS -
Team leader
Airway
Timer/recorde
r
Compressor (rotate every 2 minutes)
Monitor/defibrillator/cpr coach
IV/IO/Medications
12.Which member of the high performance team has the responsibility
for assigning roles (positions)?
ANS Team leader
13.Which high performance team member is part of the resuscitation trian-
gle?
ANS Monitor/defibrillator/cpr coach
14.Which is an example of knowledge sharing by a team leader?
ANS Asking for suggestions about interventions
15.Which is an example of summarizing and reevaluating?
,ANS Increasing monitor- ing of the patients condition deteriorates
16.Which is a step of closed-loop communication?
ANS Confirming task completion before assigning another task
17.Which are examples of mutual respect? Select all that apply
ANS Acknowledg- ing correctly completed tasks in a positive way
Ensuring that only one person talks at a time
18.What are the components of high quality CPR? Select all that apply
ANS Com- pression depth of at least 2 inches (5cm)
Switching compressors every 2 minutes
Avoiding excessive ventilation
Complete chest recoil after each
compression Interruption limited to
under 10 seconds
19.How do you calculate the chest compression fraction (CCF)? What is
ideal percentage?
ANS Divide chest compression time by total code time. You want this at
least 60% but ideally greater than 80%
20.Which component of effective high-performance teams is represented
by the use of real-time feedback devices?
ANS Quality
21.How do you calculate Coronary Perfusion Pressure (CPP)?
ANS Aortic diastolic pressure "minus" Right Atrial Diastolic Pressure
22.How do interruptions in chest compressions negatively impact
survival after cardiac arrest?
, ANS Decrease coronary perfusion pressure
23.What is the only intervention that can restore an organized rhythm
in patients with ventricular fibrillation (VF)?
ANS Early and effective defibrillation
24.How quickly does the chance of survival decline for every minute of
defib- rillation delay in patients with ventricular fibrillation who do receive
bystander CPR?
ANS 7-10%
25.What is the advantage of a systematic approach to patient assessment?
ANS -
Reduces the chances of missing important signs and symptoms
26.What is the first step in the systematic approach to patient assessment?-
ANS Initial impression
27.What is the maximum amount of time you should simultaneously
perform pulse and breathing checks?
ANS 10 seconds
28.While performing the BLS Assessment, you initiate high- quality CPR
and assist ventilation with a bag mask device. The AED does not
recommend a shock.
Which action in the Primary assessment should you perform first?
ANS Determine is the patients airway is patent
29.The initial assessment reveals a conscious patient. The patients airway
is patent and an advanced airway is not indicated.
Which action in the primary assessment should you perform next?
ANS Administer oxygen as needed
30.Which action is part of secondary assessment of a conscious patient?
1.What element of a system of care is represented by properly
functioning resuscitation equipment?
ANS Structure
2.What is the first link in the out-of-hospital cardiac arrest (OHCA) chain
of survival?
ANS Activation of emergency reponse
3.What are signs of clinical deterioration that would prompt the activation
of rapid response system?
ANS Symptomatic hypertension
Seizure
Unexplained agitation
4.What is the primary purpose of a rapid response team (RRT) or medical
emergency team (MET)?
ANS To improve patient outcomes by identifying and treating early
clinical deterioration
5.What happens when teams rapidly assess and intervene when patients
have abnormal vital signs?
ANS The number of in hospital cardiac arrest decreases
6.In addition to decreased IHCA, what are some other benefits of
implement- ing a rapid response system? Select all that apply.
ANS Decrease ICU length of stay. Decreased in total hospital length of
stay.
7.Which is the main advantage of effective teamwork?
ANS Division of tasks
,8.Which is the best example of a role of the team leader?
ANS Models excellent team behavior
9.Which is the best example of a role of a team member?
ANS Prepared to fulfill their role responsibilities
10.What is the primary purpose of the CPR coach on a resuscitation team?
ANS -
Increasing CPR quality
11.What are the 6 positions for high performance teams in resuscitation?
ANS -
Team leader
Airway
Timer/recorde
r
Compressor (rotate every 2 minutes)
Monitor/defibrillator/cpr coach
IV/IO/Medications
12.Which member of the high performance team has the responsibility
for assigning roles (positions)?
ANS Team leader
13.Which high performance team member is part of the resuscitation trian-
gle?
ANS Monitor/defibrillator/cpr coach
14.Which is an example of knowledge sharing by a team leader?
ANS Asking for suggestions about interventions
15.Which is an example of summarizing and reevaluating?
,ANS Increasing monitor- ing of the patients condition deteriorates
16.Which is a step of closed-loop communication?
ANS Confirming task completion before assigning another task
17.Which are examples of mutual respect? Select all that apply
ANS Acknowledg- ing correctly completed tasks in a positive way
Ensuring that only one person talks at a time
18.What are the components of high quality CPR? Select all that apply
ANS Com- pression depth of at least 2 inches (5cm)
Switching compressors every 2 minutes
Avoiding excessive ventilation
Complete chest recoil after each
compression Interruption limited to
under 10 seconds
19.How do you calculate the chest compression fraction (CCF)? What is
ideal percentage?
ANS Divide chest compression time by total code time. You want this at
least 60% but ideally greater than 80%
20.Which component of effective high-performance teams is represented
by the use of real-time feedback devices?
ANS Quality
21.How do you calculate Coronary Perfusion Pressure (CPP)?
ANS Aortic diastolic pressure "minus" Right Atrial Diastolic Pressure
22.How do interruptions in chest compressions negatively impact
survival after cardiac arrest?
, ANS Decrease coronary perfusion pressure
23.What is the only intervention that can restore an organized rhythm
in patients with ventricular fibrillation (VF)?
ANS Early and effective defibrillation
24.How quickly does the chance of survival decline for every minute of
defib- rillation delay in patients with ventricular fibrillation who do receive
bystander CPR?
ANS 7-10%
25.What is the advantage of a systematic approach to patient assessment?
ANS -
Reduces the chances of missing important signs and symptoms
26.What is the first step in the systematic approach to patient assessment?-
ANS Initial impression
27.What is the maximum amount of time you should simultaneously
perform pulse and breathing checks?
ANS 10 seconds
28.While performing the BLS Assessment, you initiate high- quality CPR
and assist ventilation with a bag mask device. The AED does not
recommend a shock.
Which action in the Primary assessment should you perform first?
ANS Determine is the patients airway is patent
29.The initial assessment reveals a conscious patient. The patients airway
is patent and an advanced airway is not indicated.
Which action in the primary assessment should you perform next?
ANS Administer oxygen as needed
30.Which action is part of secondary assessment of a conscious patient?
