ACLS TEST C QUESTIONS AND ANSWERS
1.unstable supraventricular tachycardia
ANS A responder is caring for a patient with a history of congestive
heart failure. The patient is experiencing shortness of breath, a blood
pressure of 68/50 mmhg, and a heart rate of 190/min. The patients lead
to ECG is displayed here. Which best characterizes the patient's
rhythm?
2.EMS providers are treating a patient with suspected stroke. According to
the adult suspected stroke algorithm, which critical action performed by
the EMS team will expedite the patient's care on arrival and reduce the time
to treatment?
A. establish IV access
B. Review the patient's history
C. Provide pre hospital notification
D. Treat hypertension
ANS Provide pre hospital notification
3.For stemi patients, which best describes the recommended maximum
goal for the first medical contact to balloon inflation time for precutaneous
coronary intervention?
A. 150 minutes
B. 90 minutes
C. 180 minutes
D. 120 minutes
ANS 90 minutes
4.Which best describes the length of time it should take to perform a
pulse check during the BLS assessment?
A. 16 to 20 seconds
B. 1 to 4 seconds
,C. 11 to 15 seconds
D. 5 to 10 seconds
ANS 5 to 10 seconds
5.You instruct A-Team member to give one milligram atropine IV. Which
re- sponds it is an example of closed loop communication?
A. I'll draw up 1 milligram of atropine
B. I'll give it in a few minutes
C. Are you sure that's what you want to be given
D. OK
ANS I'll draw up 1 milligram of atropine
6.what should be the primary focus of the CPR coach on resuscitation team?
A. to ensure high quality CPR
B. to convey positive feedback
C. to document CPR outcomes
D. to resolve team arguments
ANS to ensure high quality CPR
7.What is the recommended oral dose of aspirin for a patient with a
suspected acute coronary syndrome?
A. 350 to 650 milligrams
B. 162 to 325 milligrams
C. 81 milligrams
D. 40 milligrams
ANS 162 to 325 milligrams
8.A patient in a stable narrow complex tachycardia with a peripheral IV in
place is refractory to the first dose of adenosine. Which dose would you
administer next?
A. 40 mg
B. 20 mg
C. 12 mg
, D. 3 mg
ANS 12 mg
9.In addition to clinical assessment, which is the most reliable method
to confirm and monitor correct placement of an endotracheal tube?
A. Continuous waveform capnography
B. Arterial blood gases
C. Hemoglobin levels
D. Chest radiography
ANS Continuous waveform capnography
10.How can you increase chest compression fraction during a code?
A. Initiate intravenous or intraosseous access during a 2 minute cycle
B. Charge the defibrillator 15 seconds before conducting a rhythm check
C. Interchange the ventilator and compressor during a rhythm check
D. Administer epinephrine during the two-minute cycle
ANS Charge the defibrillator 15 seconds before conducting a rhythm
check
11. Your rescue team arrives to a 59 year old man lying on the kitchen
floor.You determine that he is unresponsive. Which is the next step in your
assessment and management of this patient?
A. Check for a medical alert bracelet
B. Apply the AED
C. Check the patient's breathing and pulse
D. Open the patient's airway
ANS Check for the patient's breathing and pulse
12.Which of the following signs is a likely indicator of cardiac arrest in
an unresponsive patient?
A. Irregular, weak pulse rate
B. Agonal gasps
C. Slow, weak pulse rate
1.unstable supraventricular tachycardia
ANS A responder is caring for a patient with a history of congestive
heart failure. The patient is experiencing shortness of breath, a blood
pressure of 68/50 mmhg, and a heart rate of 190/min. The patients lead
to ECG is displayed here. Which best characterizes the patient's
rhythm?
2.EMS providers are treating a patient with suspected stroke. According to
the adult suspected stroke algorithm, which critical action performed by
the EMS team will expedite the patient's care on arrival and reduce the time
to treatment?
A. establish IV access
B. Review the patient's history
C. Provide pre hospital notification
D. Treat hypertension
ANS Provide pre hospital notification
3.For stemi patients, which best describes the recommended maximum
goal for the first medical contact to balloon inflation time for precutaneous
coronary intervention?
A. 150 minutes
B. 90 minutes
C. 180 minutes
D. 120 minutes
ANS 90 minutes
4.Which best describes the length of time it should take to perform a
pulse check during the BLS assessment?
A. 16 to 20 seconds
B. 1 to 4 seconds
,C. 11 to 15 seconds
D. 5 to 10 seconds
ANS 5 to 10 seconds
5.You instruct A-Team member to give one milligram atropine IV. Which
re- sponds it is an example of closed loop communication?
A. I'll draw up 1 milligram of atropine
B. I'll give it in a few minutes
C. Are you sure that's what you want to be given
D. OK
ANS I'll draw up 1 milligram of atropine
6.what should be the primary focus of the CPR coach on resuscitation team?
A. to ensure high quality CPR
B. to convey positive feedback
C. to document CPR outcomes
D. to resolve team arguments
ANS to ensure high quality CPR
7.What is the recommended oral dose of aspirin for a patient with a
suspected acute coronary syndrome?
A. 350 to 650 milligrams
B. 162 to 325 milligrams
C. 81 milligrams
D. 40 milligrams
ANS 162 to 325 milligrams
8.A patient in a stable narrow complex tachycardia with a peripheral IV in
place is refractory to the first dose of adenosine. Which dose would you
administer next?
A. 40 mg
B. 20 mg
C. 12 mg
, D. 3 mg
ANS 12 mg
9.In addition to clinical assessment, which is the most reliable method
to confirm and monitor correct placement of an endotracheal tube?
A. Continuous waveform capnography
B. Arterial blood gases
C. Hemoglobin levels
D. Chest radiography
ANS Continuous waveform capnography
10.How can you increase chest compression fraction during a code?
A. Initiate intravenous or intraosseous access during a 2 minute cycle
B. Charge the defibrillator 15 seconds before conducting a rhythm check
C. Interchange the ventilator and compressor during a rhythm check
D. Administer epinephrine during the two-minute cycle
ANS Charge the defibrillator 15 seconds before conducting a rhythm
check
11. Your rescue team arrives to a 59 year old man lying on the kitchen
floor.You determine that he is unresponsive. Which is the next step in your
assessment and management of this patient?
A. Check for a medical alert bracelet
B. Apply the AED
C. Check the patient's breathing and pulse
D. Open the patient's airway
ANS Check for the patient's breathing and pulse
12.Which of the following signs is a likely indicator of cardiac arrest in
an unresponsive patient?
A. Irregular, weak pulse rate
B. Agonal gasps
C. Slow, weak pulse rate
