Advanced Cardiovascular Life Support Final Exam and Correct Answers
1 A member of the resuscitation team is preparing to administer medications intravenously to a patient in
cardiac arrest. The team member follows each medication administration with a bolus of fluid. How much
would the team member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL - ansWhen administering medications during a cardiac arrest, all medications administrated
through the IV or intraosseous infusion route should be followed by a 10- to 20-mL fluid bolus.
A 20-year-old man with respiratory depression is brought to the emergency department by his parents. The
parents state that "[They] found him at home with various needles and syringes around him, but [they] have no
idea what he took." Opioid overdose is suspected, and an initial dose of naloxone is administered at 10 p.m.
The patient does not respond to this initial dose. The team would expect to administer a second dose after how
many minutes?
Select the correct answer to this question.
2 minutes
4 minutes
6 minutes
8 minutes - ans4 minutes
A 30-year-old patient has been brought to the emergency department in cardiac arrest. The cardiac monitor
shows the following rhythm. Interpretation of this rhythm would suggest which of the following as a possible
precipitating factor? - ansThe rhythm is ventricular fibrillation. Precipitating causes of ventricular fibrillation
include electrocution, myocardial ischemia or infarction, shock, stimulant overdose and ventricular tachycardia.
electrocution
,A 35-year-old female patient's ECG is consistent with STEMI. The ECG reveals a new ST-segment elevation at
the J point in leads V2 and V3 of at least which size?
Select the correct answer to this question.
0.10 mV
0.15 mV
0.2 mV
0.25 mV - ans0.15 mV
A 40-year-old patient in the waiting room of the primary care provider's office approaches a staff member and
says, "I'm having really severe, crushing chest pain that is moving to both my arms." The patient is diaphoretic
and dyspneic. Which action would be appropriate for the staff member to take?
Activate the emergency medical services system.
Take the patient to an exam room immediately.
Give the patient an aspirin.
Obtain a 12-lead ECG. - ansActivate the emergency medical services system.
A healthcare provider initiates ventilations to ensure adequate breathing and oxygenation. While ventilations
are being performed, capnography is established to evaluate the adequacy of the ventilations. The healthcare
provider determines that ventilations are adequate based on which end-tidal carbon dioxide (ETCO2) value?
elect the correct answer to this question.
10 to 15 mmHg
20 to 25 mmHg
25 to 30 mmHg
35 to 45 mmHg - ans35 to 45 mmHg
, A healthcare provider is establishing cardiac monitoring using a five-electrode system. The healthcare provider
demonstrates proper use of the system by placing the green electrode in which location?
Select the correct answer to this question.
At the fourth intercostal space, right sternal border
On the lower right abdomen
On the lower left abdomen
Under the left clavicle, at the midclavicular line - ansOn the lower right abdomen
A member of the resuscitation team is preparing to defibrillate a patient in cardiac arrest using a biphasic
defibrillator. The team member would set the energy dose according to the manufacturer's recommendations,
which is usually:
Select the correct answer to this question.
100 to 150 joules
120 to 200 joules
300 joules
360 joules - ans120 to 200 joules
When using a biphasic defibrillator, the energy dose should be set at 120 to 200 joules
A patient arrives at the emergency department complaining of shortness of breath. The patient has a long
history of chronic obstructive pulmonary disease. Assessment reveals respiratory failure. Which action would
be the initial priority?
Delivery of supplemental oxygen via nasal cannula
Initiation of capnography
Establishment of vascular access
Assisted ventilation with BVM resuscitator - ansAssisted ventilation with BVM resuscitator
1 A member of the resuscitation team is preparing to administer medications intravenously to a patient in
cardiac arrest. The team member follows each medication administration with a bolus of fluid. How much
would the team member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL - ansWhen administering medications during a cardiac arrest, all medications administrated
through the IV or intraosseous infusion route should be followed by a 10- to 20-mL fluid bolus.
A 20-year-old man with respiratory depression is brought to the emergency department by his parents. The
parents state that "[They] found him at home with various needles and syringes around him, but [they] have no
idea what he took." Opioid overdose is suspected, and an initial dose of naloxone is administered at 10 p.m.
The patient does not respond to this initial dose. The team would expect to administer a second dose after how
many minutes?
Select the correct answer to this question.
2 minutes
4 minutes
6 minutes
8 minutes - ans4 minutes
A 30-year-old patient has been brought to the emergency department in cardiac arrest. The cardiac monitor
shows the following rhythm. Interpretation of this rhythm would suggest which of the following as a possible
precipitating factor? - ansThe rhythm is ventricular fibrillation. Precipitating causes of ventricular fibrillation
include electrocution, myocardial ischemia or infarction, shock, stimulant overdose and ventricular tachycardia.
electrocution
,A 35-year-old female patient's ECG is consistent with STEMI. The ECG reveals a new ST-segment elevation at
the J point in leads V2 and V3 of at least which size?
Select the correct answer to this question.
0.10 mV
0.15 mV
0.2 mV
0.25 mV - ans0.15 mV
A 40-year-old patient in the waiting room of the primary care provider's office approaches a staff member and
says, "I'm having really severe, crushing chest pain that is moving to both my arms." The patient is diaphoretic
and dyspneic. Which action would be appropriate for the staff member to take?
Activate the emergency medical services system.
Take the patient to an exam room immediately.
Give the patient an aspirin.
Obtain a 12-lead ECG. - ansActivate the emergency medical services system.
A healthcare provider initiates ventilations to ensure adequate breathing and oxygenation. While ventilations
are being performed, capnography is established to evaluate the adequacy of the ventilations. The healthcare
provider determines that ventilations are adequate based on which end-tidal carbon dioxide (ETCO2) value?
elect the correct answer to this question.
10 to 15 mmHg
20 to 25 mmHg
25 to 30 mmHg
35 to 45 mmHg - ans35 to 45 mmHg
, A healthcare provider is establishing cardiac monitoring using a five-electrode system. The healthcare provider
demonstrates proper use of the system by placing the green electrode in which location?
Select the correct answer to this question.
At the fourth intercostal space, right sternal border
On the lower right abdomen
On the lower left abdomen
Under the left clavicle, at the midclavicular line - ansOn the lower right abdomen
A member of the resuscitation team is preparing to defibrillate a patient in cardiac arrest using a biphasic
defibrillator. The team member would set the energy dose according to the manufacturer's recommendations,
which is usually:
Select the correct answer to this question.
100 to 150 joules
120 to 200 joules
300 joules
360 joules - ans120 to 200 joules
When using a biphasic defibrillator, the energy dose should be set at 120 to 200 joules
A patient arrives at the emergency department complaining of shortness of breath. The patient has a long
history of chronic obstructive pulmonary disease. Assessment reveals respiratory failure. Which action would
be the initial priority?
Delivery of supplemental oxygen via nasal cannula
Initiation of capnography
Establishment of vascular access
Assisted ventilation with BVM resuscitator - ansAssisted ventilation with BVM resuscitator
