ACLS-RED CROSS EXAM WITH CORRECT
QUESTIONS AND ANSWERS LATEST UPDATED
A patient in cardiac arrest experiences return of spontaneous circulation. As part of
post-cardiac arrest care, the patient is receiving mechanical ventilation. Which finding(s)
would indicate the need for change in the ventilator settings to optimize the patient's
ventilation and oxygenation? - 1. SaO2 92%
2. PaCO2 35 mmHg
3. ETCO2 50 mmHg
After cardiac arrest and successful resuscitation, the patient has a return of
spontaneous circulation. The patient is unable to follow verbal commands and has a
Glasgow Coma Scale score of 7. Targeted temperature management is initiated. Which
method(s) would be appropriate for the resuscitation team to use? - 1. Applying cooling
blankets to the patient's body 2. Giving an ice-cold IV fluid bolus
3. Using an endovascular catheter
Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. What
intervention would the team perform next? - Administer 1 shock.
A patient has experienced return of spontaneous circulation (ROSC) after cardiac
arrest. The healthcare team is conducting a secondary assessment to determine the
possible cause of the patient's cardiac arrest. Before the arrest, the patient exhibited
jugular venous distension, cyanosis, apnea and hyperresonance on percussion. The
patient was also difficult to ventilate during the response. The team would most likely
suspect which condition as the cause? - Tension pneumothorax
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.
, A patient with suspected acute coronary syndromes (ACS) is placed on a cardiac
monitor. The patient is complaining of dyspnea and is given supplemental oxygen. The
provider determines that the oxygen is effective based on which SaO2 level? - 95%
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? - 0.15
mV
A patient with STEMI is experiencing chest pain that is refractory to sublingual
nitroglycerin. Intravenous nitroglycerin is prescribed. When administering this
medication, it would be titrated to maintain which systolic blood pressure? - 90 mmHg
A patient experiencing STEMI comes to the emergency department of a large medical
center at 9:30 p.m. The patient states that the symptoms started about 8 p.m. After
confirming the diagnosis and initiating care, the healthcare team schedules the patient
for percutaneous coronary intervention (PCI). The facility is capable of administering
PCI. To achieve the best outcomes, therapy should be administered to this patient by
which time? - 11:00 p.m.
A patient presents to the emergency department with mild to moderate recurrent chest
pain, without any nausea or vomiting. A 12-lead ECG is obtained and shows
STsegment depression with transient T-wave elevation indicative of NSTE-ACS.
Cardiac enzyme levels are obtained and are not elevated. These findings suggest
which condition? - Unstable angina
A patient is being treated in the emergency department and is determined to have
NSTE-ACS. Invasive management is planned based on which finding? - Ventricular
tachycardia
A patient presents to the emergency department with suspected ACS.
Electrocardiogram and cardiac biomarkers show the patient has ST-segment elevation
myocardial infarction (STEMI). Physical examination reveals signs of left ventricular
dysfunction. Which finding(s) would support this? - 1. Pulmonary edema
2. Crackles
3. Hypotension
A patient with a diagnosis of ACS is experiencing cardiogenic shock. Which adjuvant
therapy would be contraindicated? - β-Blockers
The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a
patient brought to the emergency department. Which finding on a 12-lead ECG would
confirm this suspicion? - Wide-complex ventricular rhythm or tall, pointed T waves
QUESTIONS AND ANSWERS LATEST UPDATED
A patient in cardiac arrest experiences return of spontaneous circulation. As part of
post-cardiac arrest care, the patient is receiving mechanical ventilation. Which finding(s)
would indicate the need for change in the ventilator settings to optimize the patient's
ventilation and oxygenation? - 1. SaO2 92%
2. PaCO2 35 mmHg
3. ETCO2 50 mmHg
After cardiac arrest and successful resuscitation, the patient has a return of
spontaneous circulation. The patient is unable to follow verbal commands and has a
Glasgow Coma Scale score of 7. Targeted temperature management is initiated. Which
method(s) would be appropriate for the resuscitation team to use? - 1. Applying cooling
blankets to the patient's body 2. Giving an ice-cold IV fluid bolus
3. Using an endovascular catheter
Cardiac monitoring of a patient in cardiac arrest reveals ventricular fibrillation. What
intervention would the team perform next? - Administer 1 shock.
A patient has experienced return of spontaneous circulation (ROSC) after cardiac
arrest. The healthcare team is conducting a secondary assessment to determine the
possible cause of the patient's cardiac arrest. Before the arrest, the patient exhibited
jugular venous distension, cyanosis, apnea and hyperresonance on percussion. The
patient was also difficult to ventilate during the response. The team would most likely
suspect which condition as the cause? - Tension pneumothorax
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.
, A patient with suspected acute coronary syndromes (ACS) is placed on a cardiac
monitor. The patient is complaining of dyspnea and is given supplemental oxygen. The
provider determines that the oxygen is effective based on which SaO2 level? - 95%
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? - 0.15
mV
A patient with STEMI is experiencing chest pain that is refractory to sublingual
nitroglycerin. Intravenous nitroglycerin is prescribed. When administering this
medication, it would be titrated to maintain which systolic blood pressure? - 90 mmHg
A patient experiencing STEMI comes to the emergency department of a large medical
center at 9:30 p.m. The patient states that the symptoms started about 8 p.m. After
confirming the diagnosis and initiating care, the healthcare team schedules the patient
for percutaneous coronary intervention (PCI). The facility is capable of administering
PCI. To achieve the best outcomes, therapy should be administered to this patient by
which time? - 11:00 p.m.
A patient presents to the emergency department with mild to moderate recurrent chest
pain, without any nausea or vomiting. A 12-lead ECG is obtained and shows
STsegment depression with transient T-wave elevation indicative of NSTE-ACS.
Cardiac enzyme levels are obtained and are not elevated. These findings suggest
which condition? - Unstable angina
A patient is being treated in the emergency department and is determined to have
NSTE-ACS. Invasive management is planned based on which finding? - Ventricular
tachycardia
A patient presents to the emergency department with suspected ACS.
Electrocardiogram and cardiac biomarkers show the patient has ST-segment elevation
myocardial infarction (STEMI). Physical examination reveals signs of left ventricular
dysfunction. Which finding(s) would support this? - 1. Pulmonary edema
2. Crackles
3. Hypotension
A patient with a diagnosis of ACS is experiencing cardiogenic shock. Which adjuvant
therapy would be contraindicated? - β-Blockers
The resuscitation team suspects that hyperkalemia is the cause of cardiac arrest in a
patient brought to the emergency department. Which finding on a 12-lead ECG would
confirm this suspicion? - Wide-complex ventricular rhythm or tall, pointed T waves
