ACLS EXAM LATEST VERSION
ACLS EXAM QUESTIONS AND CORRECT
ANSWERS NEW VERSION
A 42-year-old woman presents to the emergency department with complaints of fatigue,
shortness of breath, back pain and nausea. A 12-lead ECG is obtained and shows ST-segment
depression in leads II, III, and aVF and intermittent runs of nonsustained ventricular
tachycardia. Cardiac serum markers are elevated. These findings suggest which condition? -
ANSWER>>High-risk non-ST-segment elevation ACS (NSTE-ACS)
A patient is being treated in the emergency department and is determined to have NSTE-ACS.
Invasive management is planned based on which finding? - ANSWER>>Ventricular tachycardia
A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a
bag-valvemask (BVM) resuscitator. The development of which condition during the provision of
care would lead the team to suspect that improper BVM technique is being used? -
ANSWER>>Pneumothorax
A patient is admitted to the emergency department of a large medical center. The patient is
diagnosed with STEMI. The facility is capable of administering PCI. To achieve the best
outcomes, therapy should be administered to this patient within what time frame? -
ANSWER>>Within 90 minutes of the patient's first medical contact
A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing
continuous high-quality CPR, what is the other priority intervention for this patient? -
ANSWER>>Administering epinephrine as early as possible
A patient is in cardiac arrest. The underlying cause is thought to be opioid toxicity. Which
statement accurately describes the use of naloxone for this patient? - ANSWER>>Naloxone
should be administered as soon as possible but is not a priority over high-quality CPR and AED
use.
, Which statement accurately reflects the management of cardiac arrest in a pregnancy of 26
weeks' gestation? - ANSWER>>Resuscitative cesarean delivery (RCD) should be performed
within 5 minutes from the time of arrest.
Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient has a
pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG reveals an
irregular rhythm with QRS complexes greater than 0.12 second in duration. Which action would
be appropriate at this time? - ANSWER>>Consider an antiarrhythmic medication
A 20-year-old man with respiratory depression is brought to the emergency department by his
parents. 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? - ANSWER>>2 minutes
Assessment of a patient in the emergency department reveals that the patient is experiencing
respiratory compromise. From the assessment, the team identifies that the patient is in the
earliest stage of this condition. Which stage would this be? - ANSWER>>Respiratory distress
A patient is experiencing respiratory distress secondary to an exacerbation of chronic
obstructive pulmonary disease. The patient begins to exhibit signs and symptoms of worsening
respiratory function and experiences respiratory arrest. The team intervenes, delivering
ventilations via BVM resuscitator.
The team should provide ventilations at a rate of 1 ventilation: - ANSWER>>Every 6 seconds
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
EKG: VFIB - ANSWER>>Electrocution
A patient enters the emergency department in respiratory compromise. The team is monitoring
the patient using capnography and identifies that ETCO2 levels are initially 33 mmHg and later
40 mmHg. From these readings, the team identifies that the patient is progressing in what stage
of respiratory compromise? - ANSWER>>Respiratory distress
ACLS EXAM QUESTIONS AND CORRECT
ANSWERS NEW VERSION
A 42-year-old woman presents to the emergency department with complaints of fatigue,
shortness of breath, back pain and nausea. A 12-lead ECG is obtained and shows ST-segment
depression in leads II, III, and aVF and intermittent runs of nonsustained ventricular
tachycardia. Cardiac serum markers are elevated. These findings suggest which condition? -
ANSWER>>High-risk non-ST-segment elevation ACS (NSTE-ACS)
A patient is being treated in the emergency department and is determined to have NSTE-ACS.
Invasive management is planned based on which finding? - ANSWER>>Ventricular tachycardia
A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a
bag-valvemask (BVM) resuscitator. The development of which condition during the provision of
care would lead the team to suspect that improper BVM technique is being used? -
ANSWER>>Pneumothorax
A patient is admitted to the emergency department of a large medical center. The patient is
diagnosed with STEMI. The facility is capable of administering PCI. To achieve the best
outcomes, therapy should be administered to this patient within what time frame? -
ANSWER>>Within 90 minutes of the patient's first medical contact
A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing
continuous high-quality CPR, what is the other priority intervention for this patient? -
ANSWER>>Administering epinephrine as early as possible
A patient is in cardiac arrest. The underlying cause is thought to be opioid toxicity. Which
statement accurately describes the use of naloxone for this patient? - ANSWER>>Naloxone
should be administered as soon as possible but is not a priority over high-quality CPR and AED
use.
, Which statement accurately reflects the management of cardiac arrest in a pregnancy of 26
weeks' gestation? - ANSWER>>Resuscitative cesarean delivery (RCD) should be performed
within 5 minutes from the time of arrest.
Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient has a
pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG reveals an
irregular rhythm with QRS complexes greater than 0.12 second in duration. Which action would
be appropriate at this time? - ANSWER>>Consider an antiarrhythmic medication
A 20-year-old man with respiratory depression is brought to the emergency department by his
parents. 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? - ANSWER>>2 minutes
Assessment of a patient in the emergency department reveals that the patient is experiencing
respiratory compromise. From the assessment, the team identifies that the patient is in the
earliest stage of this condition. Which stage would this be? - ANSWER>>Respiratory distress
A patient is experiencing respiratory distress secondary to an exacerbation of chronic
obstructive pulmonary disease. The patient begins to exhibit signs and symptoms of worsening
respiratory function and experiences respiratory arrest. The team intervenes, delivering
ventilations via BVM resuscitator.
The team should provide ventilations at a rate of 1 ventilation: - ANSWER>>Every 6 seconds
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
EKG: VFIB - ANSWER>>Electrocution
A patient enters the emergency department in respiratory compromise. The team is monitoring
the patient using capnography and identifies that ETCO2 levels are initially 33 mmHg and later
40 mmHg. From these readings, the team identifies that the patient is progressing in what stage
of respiratory compromise? - ANSWER>>Respiratory distress
