ACLS EXAM WITH ALL CORRECT &
VERIFIED ANSWERS (UPDATED TO PASS)
Which of these tests should be performed for a patient with suspected stroke as soon as possible but
no more than 20 minutes after hospital arrival?
A. 12-lead ECG
B. Cardiac enzymes
C. Coagulation studies
D. Noncontrast CT scan of the head Correct answer-D
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?
A. Measure from the corner of the mouth to the angle of the mandible
B. Measure from the thyroid cartilage to the bottom of the earlobe
C. Estimate by using the formula weight (KG)/8 + 2
D. Estimate by using the size of the patient's finger Correct answer-A
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?
A. Hold fibrinolytic therapy for 24 hours
B. Start fibrinolytic therapy as soon as possible
C. Order an echocardiogram before fibrinolytic administration
D. Wait for the results of the MRI Correct answer-B
Which is the recommended next step after a defibrillation attempt?
A. Check the ECG for evidence of a rhythm
B. Open the patient's airway
C. Determine if a carotid pulse is present
D. Resume CPR, starting with chest compressions Correct answer-D
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient?
A. Slow, weak pulse rate
B. Cyanosis
C. Agonal gasps
D. Irregular, weak pulse rate Correct answer-C
You are evaluating a 58-year-old man with chest discomfort. His blood pressure is 92/50 mm Hg, his
heart rate is 92/min, his nonlabored respiratory rate is 14 breaths/min, and his pulse oximetry
reading is 97%. Which assessment step is the most important now?
A. Evaluating the PETCO2 reading
B. Requesting a chest x-ray
C. Obtaining a 12-lead ECG
D. Requesting laboratory testing Correct answer-C
, During post-cardiac arrest care, which is the recommended duration of targeted temperature
management after reaching the correct temperature range?
A. 0 to 8 hours
B. At least 24 hours
C. At least 36 hours
D. At least 48 hours Correct answer-B
Your rescue team arrives to find 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 the patient?
A. Apply the AED
B. Check the patient's breathing and pulse
C. Open the patient's airway
D. Check for a medical alert bracelet Correct answer-B
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is
reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse
is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen
saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular
tachycardia, which then quickly changed to ventricular fibrillation.
Based on this patient's initial presentation, which condition do you suspect led to the cardiac arrest?
A. Acute coronary syndrome
B. Acute heart failure
C. Acute ischemic stroke
D. Supraventricular tachycardia with ischemic chest pain Correct answer-A
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is
reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse
is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen
saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular
tachycardia, which then quickly changed to ventricular fibrillation.
In addition to defibrillation, which intervention should be performed immediately?
A. Advance airway insertion
B. Vasoactive medication administration
C. Chest compressions
D. Vascular access Correct answer-C
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is
reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse
is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen
saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular
tachycardia, which then quickly changed to ventricular fibrillation.
Despite 2 defibrillation attempts, the patient remains in ventricular fibrillation. Which drug and dose
should you administer first to this patient?
VERIFIED ANSWERS (UPDATED TO PASS)
Which of these tests should be performed for a patient with suspected stroke as soon as possible but
no more than 20 minutes after hospital arrival?
A. 12-lead ECG
B. Cardiac enzymes
C. Coagulation studies
D. Noncontrast CT scan of the head Correct answer-D
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?
A. Measure from the corner of the mouth to the angle of the mandible
B. Measure from the thyroid cartilage to the bottom of the earlobe
C. Estimate by using the formula weight (KG)/8 + 2
D. Estimate by using the size of the patient's finger Correct answer-A
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?
A. Hold fibrinolytic therapy for 24 hours
B. Start fibrinolytic therapy as soon as possible
C. Order an echocardiogram before fibrinolytic administration
D. Wait for the results of the MRI Correct answer-B
Which is the recommended next step after a defibrillation attempt?
A. Check the ECG for evidence of a rhythm
B. Open the patient's airway
C. Determine if a carotid pulse is present
D. Resume CPR, starting with chest compressions Correct answer-D
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient?
A. Slow, weak pulse rate
B. Cyanosis
C. Agonal gasps
D. Irregular, weak pulse rate Correct answer-C
You are evaluating a 58-year-old man with chest discomfort. His blood pressure is 92/50 mm Hg, his
heart rate is 92/min, his nonlabored respiratory rate is 14 breaths/min, and his pulse oximetry
reading is 97%. Which assessment step is the most important now?
A. Evaluating the PETCO2 reading
B. Requesting a chest x-ray
C. Obtaining a 12-lead ECG
D. Requesting laboratory testing Correct answer-C
, During post-cardiac arrest care, which is the recommended duration of targeted temperature
management after reaching the correct temperature range?
A. 0 to 8 hours
B. At least 24 hours
C. At least 36 hours
D. At least 48 hours Correct answer-B
Your rescue team arrives to find 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 the patient?
A. Apply the AED
B. Check the patient's breathing and pulse
C. Open the patient's airway
D. Check for a medical alert bracelet Correct answer-B
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is
reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse
is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen
saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular
tachycardia, which then quickly changed to ventricular fibrillation.
Based on this patient's initial presentation, which condition do you suspect led to the cardiac arrest?
A. Acute coronary syndrome
B. Acute heart failure
C. Acute ischemic stroke
D. Supraventricular tachycardia with ischemic chest pain Correct answer-A
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is
reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse
is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen
saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular
tachycardia, which then quickly changed to ventricular fibrillation.
In addition to defibrillation, which intervention should be performed immediately?
A. Advance airway insertion
B. Vasoactive medication administration
C. Chest compressions
D. Vascular access Correct answer-C
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is
reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse
is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen
saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular
tachycardia, which then quickly changed to ventricular fibrillation.
Despite 2 defibrillation attempts, the patient remains in ventricular fibrillation. Which drug and dose
should you administer first to this patient?
