ACLS Study Guide Questions & Answers
1.A 68-year-old woman presents with light-headedness, nausea, and chest
discomfort. Your assessment finds her awake and responsive but ill-appear-
ing, pale, and goodly disphorttie. Her radial is weak, thready, and fast. You
are unable to obtain a blood pressure. She has no obvious dependent
edema, and her neck veins are flat. Her lung sounds are equal, with
moderate rales present bilaterally. The cardiac monitor shows the rhythm
seen here.
After your initial assessment of this patient, which intervention should be
performed next?
ANS Synchronized cardioversion
2.Which type of atrioventricular (AV) block best describes this rhythm?
ANS Second degree type II
3.Your patient is in cardiac arrest and has been intubated. To assess
CPR quality, which should you do?
ANS Monitor the patient's PetCO2
4.Which facility is the most appropriate EMS destination for a patient with
sudden cardiac arrest who achieved return a spontaneous circulation in
the field?
ANS Coronary reperfusion-capable medical center
5.Which of the following signs is a likely indicator of cardiac arrest in
an unresponsive patient?
ANS Agonal gasps
6.Which type of atrioventricular (AV) block best describes this rhythm?
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, ANS Second degree atrioventricular (AV) block type I
7.To properly ventilate a patient with a perfusing rhythm, how often do
you squeeze the bag?
ANS Once every 5 to 6 seconds
8.In addition to clinical assessment, which is the most reliable method to
con- firm and monitor correct placement of an endotracheal (ET) tube?
ANS Continuous waveform capnography
9.You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal, with no signs of hemorrhage.
The patient does not have any contraindications to fibrinolytic therapy.
Which treatment approach is best for this patient?
ANS Start fibrinolytic therapy as soon as possible
10.Which best describes this rhythm?
ANS Third-degree atrioventricular block
11.What is the recommended range from which a temperature should be
selected and maintained constantly to achieve targeted management
after cardiac arrest?
ANS 32 degrees celsius to 36 degrees Celsius
12.Which is the recommended first intravenous (IV) dose of amiodarone for
a patient with refractory ventricular fibrillation?
ANS 300mg
13.Which is the primary purpose of a medical emergency team or rapid re-
sponse team?
ANS Improving patient outcomes by identifying and treating early
clinical deterioration
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11
1.A 68-year-old woman presents with light-headedness, nausea, and chest
discomfort. Your assessment finds her awake and responsive but ill-appear-
ing, pale, and goodly disphorttie. Her radial is weak, thready, and fast. You
are unable to obtain a blood pressure. She has no obvious dependent
edema, and her neck veins are flat. Her lung sounds are equal, with
moderate rales present bilaterally. The cardiac monitor shows the rhythm
seen here.
After your initial assessment of this patient, which intervention should be
performed next?
ANS Synchronized cardioversion
2.Which type of atrioventricular (AV) block best describes this rhythm?
ANS Second degree type II
3.Your patient is in cardiac arrest and has been intubated. To assess
CPR quality, which should you do?
ANS Monitor the patient's PetCO2
4.Which facility is the most appropriate EMS destination for a patient with
sudden cardiac arrest who achieved return a spontaneous circulation in
the field?
ANS Coronary reperfusion-capable medical center
5.Which of the following signs is a likely indicator of cardiac arrest in
an unresponsive patient?
ANS Agonal gasps
6.Which type of atrioventricular (AV) block best describes this rhythm?
1/
11
, ANS Second degree atrioventricular (AV) block type I
7.To properly ventilate a patient with a perfusing rhythm, how often do
you squeeze the bag?
ANS Once every 5 to 6 seconds
8.In addition to clinical assessment, which is the most reliable method to
con- firm and monitor correct placement of an endotracheal (ET) tube?
ANS Continuous waveform capnography
9.You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal, with no signs of hemorrhage.
The patient does not have any contraindications to fibrinolytic therapy.
Which treatment approach is best for this patient?
ANS Start fibrinolytic therapy as soon as possible
10.Which best describes this rhythm?
ANS Third-degree atrioventricular block
11.What is the recommended range from which a temperature should be
selected and maintained constantly to achieve targeted management
after cardiac arrest?
ANS 32 degrees celsius to 36 degrees Celsius
12.Which is the recommended first intravenous (IV) dose of amiodarone for
a patient with refractory ventricular fibrillation?
ANS 300mg
13.Which is the primary purpose of a medical emergency team or rapid re-
sponse team?
ANS Improving patient outcomes by identifying and treating early
clinical deterioration
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11
