Advanced cardiovascular life support (acls) (2025) comprehensive questions and verified
answers (detailed & elaborated) actual exam 2025 test!!
You find an unresponsive pt. who is not breathing. After activating the emergency response
system, you determine there is no pulse. What is your next action? - -Start chest
compressions of at least 100 per min.
--You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of
92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What
assessment step is most important now? - -Obtaining a 12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
--What is the preferred method of access for epi administration during cardiac arrest in
most pts? - -Peripheral IV
--An AED does not promptly analyze a rythm. What is your next step? - -Begin chest
compressions.
--You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the
pt. has no pulse. You partner resumes chest compressions and an IV is in place. What
management step is your next priority? - -Administer 1mg of epinepherine
--During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no
pulse. What is the next action? - -Resume compressions
--What is acommon but sometimes fatal mistake in cardiac arrest management? - -
Prolonged interruptions in chest compressions.
--Which action is a componant of high-quality chest comressions? - -Allowing complete
chest recoil
--Which action increases the chance of successful conversion of ventricular fibrillation? - -
Providing quality compressions immediately before a defibrillation attempt.
--Which situation BEST describes PEA? - -Sinus rythm without a pulse
--What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway
in place? - -Provide continuous chest compressionswithout pauses and 10 ventilations per
minute.
--3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube
while another performs continuous chest comressions. During subsequent bentilation, you
notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8 mm Hg.
What is the significance of this finding? - -Chest compressions may not be effective.
, --The use of quantitative capnography in intubated pt's does what? - -Allowsfor monitoring
CPR quality
--For the past 25 min, EMS crews have attempted resuscitation of a pt who originally
presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which has
persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next
treatment? - -Consider terminating resuscitive efforts after consulting medical control.
--Which is a safe and effective practice within the defibrillation sequence? - -Be sure O2 is
NOT blowing over the pt's chest during shock.
--During your assessment, your pt suddenly loses consciousness. After calling for help and
determining that the pt. is not breathing, you are unsure whether the pt. has a pulse. What
is your next action? - -Begin chest compressions.
--What is an advantage of using hands-free d-fib pads instead of d-fib paddles? - -Hands-free
allows for more rapid d-fib.
--What action is recommended to help minimize interruptions in chest compressions during
CPR? - -Continue CPR while charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is Charging
--Which action is included in the BLS survey? - -Early defibrillation
--Which drug and dose are recommended for the management of a pt. in refractory V-FIB? -
-Amiodarone 300mg
--What is the appropriate intervalfor an interruption in chest compressions? - -10 seconds or
less
--Which of the following is a sign of effective CPR? - -PETCO2 = or > 10mm Hg
--What is the purpose of a medical emergency team (MET) or rapid response team? - -
Improving patient outcomes by identifying and treating early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid Response Teams (RRTs)
--Which action improves the quality of chest compressions delivered during resuscitave
attemepts? - -Shitch providers about every 2 min or every 5 compression cycles.
--What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse
of 80 beats/min? - -1 breath every 5-6 seconds
--A pt. presents to the ER with a new onset of dizziness and fatugue. Onexamination, the
pt's heart rate is 35 beats/min, BP is 70/50, resp. rate is 22 per min, O2 sat is 95%. What is
the appropriate 1st medication? - -Atropine 0.5mg
answers (detailed & elaborated) actual exam 2025 test!!
You find an unresponsive pt. who is not breathing. After activating the emergency response
system, you determine there is no pulse. What is your next action? - -Start chest
compressions of at least 100 per min.
--You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of
92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What
assessment step is most important now? - -Obtaining a 12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
--What is the preferred method of access for epi administration during cardiac arrest in
most pts? - -Peripheral IV
--An AED does not promptly analyze a rythm. What is your next step? - -Begin chest
compressions.
--You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the
pt. has no pulse. You partner resumes chest compressions and an IV is in place. What
management step is your next priority? - -Administer 1mg of epinepherine
--During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no
pulse. What is the next action? - -Resume compressions
--What is acommon but sometimes fatal mistake in cardiac arrest management? - -
Prolonged interruptions in chest compressions.
--Which action is a componant of high-quality chest comressions? - -Allowing complete
chest recoil
--Which action increases the chance of successful conversion of ventricular fibrillation? - -
Providing quality compressions immediately before a defibrillation attempt.
--Which situation BEST describes PEA? - -Sinus rythm without a pulse
--What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway
in place? - -Provide continuous chest compressionswithout pauses and 10 ventilations per
minute.
--3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube
while another performs continuous chest comressions. During subsequent bentilation, you
notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8 mm Hg.
What is the significance of this finding? - -Chest compressions may not be effective.
, --The use of quantitative capnography in intubated pt's does what? - -Allowsfor monitoring
CPR quality
--For the past 25 min, EMS crews have attempted resuscitation of a pt who originally
presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which has
persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next
treatment? - -Consider terminating resuscitive efforts after consulting medical control.
--Which is a safe and effective practice within the defibrillation sequence? - -Be sure O2 is
NOT blowing over the pt's chest during shock.
--During your assessment, your pt suddenly loses consciousness. After calling for help and
determining that the pt. is not breathing, you are unsure whether the pt. has a pulse. What
is your next action? - -Begin chest compressions.
--What is an advantage of using hands-free d-fib pads instead of d-fib paddles? - -Hands-free
allows for more rapid d-fib.
--What action is recommended to help minimize interruptions in chest compressions during
CPR? - -Continue CPR while charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is Charging
--Which action is included in the BLS survey? - -Early defibrillation
--Which drug and dose are recommended for the management of a pt. in refractory V-FIB? -
-Amiodarone 300mg
--What is the appropriate intervalfor an interruption in chest compressions? - -10 seconds or
less
--Which of the following is a sign of effective CPR? - -PETCO2 = or > 10mm Hg
--What is the purpose of a medical emergency team (MET) or rapid response team? - -
Improving patient outcomes by identifying and treating early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid Response Teams (RRTs)
--Which action improves the quality of chest compressions delivered during resuscitave
attemepts? - -Shitch providers about every 2 min or every 5 compression cycles.
--What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse
of 80 beats/min? - -1 breath every 5-6 seconds
--A pt. presents to the ER with a new onset of dizziness and fatugue. Onexamination, the
pt's heart rate is 35 beats/min, BP is 70/50, resp. rate is 22 per min, O2 sat is 95%. What is
the appropriate 1st medication? - -Atropine 0.5mg
