ALS/ACLS - Red Cross Final Exam
1. 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?
A) 2 minutes
B) 4 minutes
C) 6 minutes
D) 10 minutes
Answer: B) 4 minutes
2. A 30-year-old patient has been brought to the emergency department
in full cardiac arrest. The cardiac monitor shows a specific rhythm.
Interpretation of this rhythm would suggest which of the following as a
possible precipitating factor?
A) Myocardial infarction
B) Electrocution
C) Pulmonary embolism
D) Drug overdose
Answer: B) Electrocution
3. 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?
A) 0.05 mV
B) 0.10 mV
C) 0.15 mV
D) 0.20 mV
Answer: C) 0.15 mV
,4. 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?
A) Have the patient wait to be called
B) Give the patient aspirin and water
C) Activate the emergency medical services system
D) Walk the patient to an exam room
Answer: C) Activate the emergency medical services system
5. 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?
A) 20 to 30 mmHg
B) 35 to 45 mmHg
C) 50 to 60 mmHg
D) 65 to 75 mmHg
Answer: B) 35 to 45 mmHg
6. 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?
A) On the upper right chest
B) On the upper left chest
C) On the lower left abdomen
D) On the lower right abdomen
Answer: D) On the lower right abdomen
, 7. 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?
A) 5 to 10 mL
B) 10 to 20 mL
C) 20 to 30 mL
D) 30 to 40 mL
Answer: B) 10 to 20 mL
8. 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:
A) 50 to 100 joules
B) 120 to 200 joules
C) 250 to 300 joules
D) 360 joules
Answer: B) 120 to 200 joules
9. 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?
A) Obtain arterial blood gas
B) Administer bronchodilators
C) Assisted ventilation with BVM resuscitator
D) Prepare for intubation
Answer: C) Assisted ventilation with BVM resuscitator
10. A patient comes to the emergency department complaining of
palpitations and "some shortness of breath." Cardiac monitoring is
1. 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?
A) 2 minutes
B) 4 minutes
C) 6 minutes
D) 10 minutes
Answer: B) 4 minutes
2. A 30-year-old patient has been brought to the emergency department
in full cardiac arrest. The cardiac monitor shows a specific rhythm.
Interpretation of this rhythm would suggest which of the following as a
possible precipitating factor?
A) Myocardial infarction
B) Electrocution
C) Pulmonary embolism
D) Drug overdose
Answer: B) Electrocution
3. 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?
A) 0.05 mV
B) 0.10 mV
C) 0.15 mV
D) 0.20 mV
Answer: C) 0.15 mV
,4. 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?
A) Have the patient wait to be called
B) Give the patient aspirin and water
C) Activate the emergency medical services system
D) Walk the patient to an exam room
Answer: C) Activate the emergency medical services system
5. 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?
A) 20 to 30 mmHg
B) 35 to 45 mmHg
C) 50 to 60 mmHg
D) 65 to 75 mmHg
Answer: B) 35 to 45 mmHg
6. 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?
A) On the upper right chest
B) On the upper left chest
C) On the lower left abdomen
D) On the lower right abdomen
Answer: D) On the lower right abdomen
, 7. 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?
A) 5 to 10 mL
B) 10 to 20 mL
C) 20 to 30 mL
D) 30 to 40 mL
Answer: B) 10 to 20 mL
8. 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:
A) 50 to 100 joules
B) 120 to 200 joules
C) 250 to 300 joules
D) 360 joules
Answer: B) 120 to 200 joules
9. 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?
A) Obtain arterial blood gas
B) Administer bronchodilators
C) Assisted ventilation with BVM resuscitator
D) Prepare for intubation
Answer: C) Assisted ventilation with BVM resuscitator
10. A patient comes to the emergency department complaining of
palpitations and "some shortness of breath." Cardiac monitoring is
