Saddleback NURS 173 ACLS WRITTEN EXAM 2026-
2027 (ACTUAL EXAM) | ALL QUESTIONS AND
CORRECT ANSWERS | VERIFIED ANSWERS |
ALREADY GRADED A+ | NEWEST EXAM (JUST
RELEASED) LATEST UPDATE 2026 EDITION
A patient has sudden onset of dizziness. The patient's heart rate is
180/min, blood pressure is 110/70 mm Hg, respiratory rate is 18
breaths/min, and pulse oximetry reading is 98% on room air. The
lead II ECG is shown below:
Vagal manuever.
A monitored patient in the ICU developed a sudden onset of
narrow-complex tachycardia at a rate of 220/min. The patient's
blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the
pulse oximetry reading is 98%. There is vascular access at the left
internal jugular vein, and the patient has not been given any
vasoactive drugs. A 12-lead ECG confirms a supraventricular
tachycardia with no evidence of ischemia or infarction. The heart
rate has not responded to vagal maneuvers. What is the next
recommended intervention?
Adenosine 6mg IV push
,Choose an appropriate indication to stop or withhold resuscitative
efforts.
Evidence of rigor mortis.
A 49-year-old woman arrives in the emergency department with
persistent epigastric pain. She had been taking oral antacids for the
past 6 hours because she thought she had heartburn. The initial
blood pressure is 118/72 mm Hg, the heart rate is 92/min and
regular, the nonlabored respiratory rate is 14 breaths/min, and the
pulse oximetry reading is 96%. Which is the most appropriate
intervention to perform next?
Obtain a 12 lead ECG.
A patient in respiratory failure becomes apneic but continues to
have a strong pulse. The heart rate is dropping rapidly and now
shows a sinus bradycardia at a rate of 30/min. What intervention has
the highest priority?
Simple airway manuevers and assisted ventilations.
What is the appropriate procedure for endotracheal tube suctioning
after the appropriate catheter is selected?
Suction during withdrawal but for no longer than 10 seconds.
,While treating a patient with dizziness, a blood pressure of 68/30
mm Hg, and cool, clammy skin, you see this lead II ECG
rhythm:What is the first intervention ?
Atropine 0.5mg
A 68-year-old woman experienced a sudden onset of right arm
weakness. EMS personnel measure a blood pressure of 140/90 mm
Hg, a heart rate of 78/min, a nonlabored respiratory rate of 14
breaths/min, and a pulse oximetry reading of 97%. The lead II ECG
displays sinus rhythm. What is the most appropriate action for the
EMS team to perform next?
Cincinnati Prehospital Stroke Scale assessment
EMS is transporting a patient with a positive prehospital stroke
assessment. Upon arrival in the emergency department, the initial
blood pressure is 138/78 mm Hg, the pulse rate is 80/min, the
respiratory rate is 12 breaths/min, and the pulse oximetry reading is
95% on room air. The lead II ECG displays sinus rhythm. The blood
glucose level is within normal limits. What intervention should you
perform next?
Head CT scan
What is the proper ventilation rate for a patient in cardiac arrest who
has an advanced airway in place?
8-10 breaths per minute
, A 62-year-old man in the emergency department says that his heart
is beating fast. He says he has no chest pain or shortness of breath.
The blood pressure is 142/98 mm Hg, the pulse is 200/min, the
respiratory rate is 14 breaths/min, and pulse oximetry is 95% on
room air. What intervention should you perform next?
Obtain a 12 lead ECG.
You are evaluating a 48-year-old man with crushing substernal
chest pain. The patient is pale, diaphoretic, cool to the touch, and
slow to respond to your questions. The blood pressure is 58/32 mm
Hg, the heart rate is 190/min, the respiratory rate is 18 breaths/min,
and the pulse oximeter is unable to obtain a reading because there
is no radial pulse. The lead II ECG displays a regular wide-complex
tachycardia. What intervention should you perform next?
Synchronized cardioversion
What is the initial priority for an unconscious patient with any
tachycardia on the monitor?
Determine whether pulses are present.
You are receiving a radio report from an EMS team en route
with a patient who may be having an acute stroke. The hospital
CT scanner is not working at this time. What should you do in
this situation?
Divert the patient to a hospital 15 minutes away with CT
capabilities.
2027 (ACTUAL EXAM) | ALL QUESTIONS AND
CORRECT ANSWERS | VERIFIED ANSWERS |
ALREADY GRADED A+ | NEWEST EXAM (JUST
RELEASED) LATEST UPDATE 2026 EDITION
A patient has sudden onset of dizziness. The patient's heart rate is
180/min, blood pressure is 110/70 mm Hg, respiratory rate is 18
breaths/min, and pulse oximetry reading is 98% on room air. The
lead II ECG is shown below:
Vagal manuever.
A monitored patient in the ICU developed a sudden onset of
narrow-complex tachycardia at a rate of 220/min. The patient's
blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the
pulse oximetry reading is 98%. There is vascular access at the left
internal jugular vein, and the patient has not been given any
vasoactive drugs. A 12-lead ECG confirms a supraventricular
tachycardia with no evidence of ischemia or infarction. The heart
rate has not responded to vagal maneuvers. What is the next
recommended intervention?
Adenosine 6mg IV push
,Choose an appropriate indication to stop or withhold resuscitative
efforts.
Evidence of rigor mortis.
A 49-year-old woman arrives in the emergency department with
persistent epigastric pain. She had been taking oral antacids for the
past 6 hours because she thought she had heartburn. The initial
blood pressure is 118/72 mm Hg, the heart rate is 92/min and
regular, the nonlabored respiratory rate is 14 breaths/min, and the
pulse oximetry reading is 96%. Which is the most appropriate
intervention to perform next?
Obtain a 12 lead ECG.
A patient in respiratory failure becomes apneic but continues to
have a strong pulse. The heart rate is dropping rapidly and now
shows a sinus bradycardia at a rate of 30/min. What intervention has
the highest priority?
Simple airway manuevers and assisted ventilations.
What is the appropriate procedure for endotracheal tube suctioning
after the appropriate catheter is selected?
Suction during withdrawal but for no longer than 10 seconds.
,While treating a patient with dizziness, a blood pressure of 68/30
mm Hg, and cool, clammy skin, you see this lead II ECG
rhythm:What is the first intervention ?
Atropine 0.5mg
A 68-year-old woman experienced a sudden onset of right arm
weakness. EMS personnel measure a blood pressure of 140/90 mm
Hg, a heart rate of 78/min, a nonlabored respiratory rate of 14
breaths/min, and a pulse oximetry reading of 97%. The lead II ECG
displays sinus rhythm. What is the most appropriate action for the
EMS team to perform next?
Cincinnati Prehospital Stroke Scale assessment
EMS is transporting a patient with a positive prehospital stroke
assessment. Upon arrival in the emergency department, the initial
blood pressure is 138/78 mm Hg, the pulse rate is 80/min, the
respiratory rate is 12 breaths/min, and the pulse oximetry reading is
95% on room air. The lead II ECG displays sinus rhythm. The blood
glucose level is within normal limits. What intervention should you
perform next?
Head CT scan
What is the proper ventilation rate for a patient in cardiac arrest who
has an advanced airway in place?
8-10 breaths per minute
, A 62-year-old man in the emergency department says that his heart
is beating fast. He says he has no chest pain or shortness of breath.
The blood pressure is 142/98 mm Hg, the pulse is 200/min, the
respiratory rate is 14 breaths/min, and pulse oximetry is 95% on
room air. What intervention should you perform next?
Obtain a 12 lead ECG.
You are evaluating a 48-year-old man with crushing substernal
chest pain. The patient is pale, diaphoretic, cool to the touch, and
slow to respond to your questions. The blood pressure is 58/32 mm
Hg, the heart rate is 190/min, the respiratory rate is 18 breaths/min,
and the pulse oximeter is unable to obtain a reading because there
is no radial pulse. The lead II ECG displays a regular wide-complex
tachycardia. What intervention should you perform next?
Synchronized cardioversion
What is the initial priority for an unconscious patient with any
tachycardia on the monitor?
Determine whether pulses are present.
You are receiving a radio report from an EMS team en route
with a patient who may be having an acute stroke. The hospital
CT scanner is not working at this time. What should you do in
this situation?
Divert the patient to a hospital 15 minutes away with CT
capabilities.
