ACLS POST TEST - EXAMINATION COMPLETE
QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: If the patient became apneic and pulseless but the
rhythm remained the same, which would take the highest priority?
A. Administer amiodarone 300 mg
B. Administer atropine 0.5 mg
C. Insert an advanced airway
D. Perform defibrillation
Answer:
Correct Answer: Perform defibrillation
Question 2: Which type of atrioventricular block best describes this
rhythm?
A. First-degree
B. Second-degree type I
C. Second-degree type II
D. Third-degree
Answer:
Correct Answer: Second-degree type II
Question 3: After your initial assessment of this patient, which
intervention should be performed next?
A. Synchronized cardioversion
B. Administration of amiodarone 150 mg IM
C. Immediate defibrillation
D. Endotracheal intubation
Answer:
, Correct Answer: Synchronized cardioversion
Question 4: To assess CPR quality, which should you do?
A. Monitor the patient's PETCO2
B. Obtain a 12-lead ECG
C. Check the patient's pulse
D. Obtain a chest x-ray
Answer:
Correct Answer: Monitor the patient's PETCO2
Question 5: Which facility is the most appropriate EMS destination
for a patient with sudden cardiac arrest who achieved return of
spontaneous circulation in the field?
A. Comprehensive stroke care unit
B. Acute rehabilitation care unit
C. Acute long-term care unit
D. Coronary reperfusion-capable medical center
Answer:
Correct Answer: Coronary reperfusion-capable medical center
Question 6: Which of the following signs is a likely indicator of
cardiac arrest in an unresponsive patient?
A. Slow, weak pulse rate
B. Cyanosis
C. Agonal gasps
D. Irregular, weak pulse rate
Answer:
, Correct Answer: Agonal gasps Rationale: B. Second-degree atrioventricular
block type I
Question 7: To properly ventilate a patient with a perfusing rhythm,
how often do you squeeze the bag?
A. Once every 3 to 4 seconds
B. Once every 5 to 6 seconds
C. Once every 10 seconds
D. Once every 12 seconds
Answer:
Correct Answer: Apply oxygen Rationale: C. Continuous waveform
capnography
Question 8: In addition to clinical assessment, which is the most
reliable method to confirm and monitor correct placement of an
endotracheal tube?
A. Arterial blood gases
B. Chest radiography
C. Continuous waveform capnography
D. Hemoglobin levels
Answer:
Correct Answer: B. Acute rehabilitation care unit Rationale: B. Start fibrinolytic
therapy as soon as possible Start fibrinolytic therapy in appropriate patients
(those without contraindications) within 1 hour of hospital arrival and 3 hours
from symptom onset.
Question 9: Which treatment approach is best for this patient?
A. Hold fibrinolytic therapy for 24 hours
B. Start fibrinolytic therapy as soon as possible
C. Order an echocardiogram before fibrinolytic administration
QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: If the patient became apneic and pulseless but the
rhythm remained the same, which would take the highest priority?
A. Administer amiodarone 300 mg
B. Administer atropine 0.5 mg
C. Insert an advanced airway
D. Perform defibrillation
Answer:
Correct Answer: Perform defibrillation
Question 2: Which type of atrioventricular block best describes this
rhythm?
A. First-degree
B. Second-degree type I
C. Second-degree type II
D. Third-degree
Answer:
Correct Answer: Second-degree type II
Question 3: After your initial assessment of this patient, which
intervention should be performed next?
A. Synchronized cardioversion
B. Administration of amiodarone 150 mg IM
C. Immediate defibrillation
D. Endotracheal intubation
Answer:
, Correct Answer: Synchronized cardioversion
Question 4: To assess CPR quality, which should you do?
A. Monitor the patient's PETCO2
B. Obtain a 12-lead ECG
C. Check the patient's pulse
D. Obtain a chest x-ray
Answer:
Correct Answer: Monitor the patient's PETCO2
Question 5: Which facility is the most appropriate EMS destination
for a patient with sudden cardiac arrest who achieved return of
spontaneous circulation in the field?
A. Comprehensive stroke care unit
B. Acute rehabilitation care unit
C. Acute long-term care unit
D. Coronary reperfusion-capable medical center
Answer:
Correct Answer: Coronary reperfusion-capable medical center
Question 6: Which of the following signs is a likely indicator of
cardiac arrest in an unresponsive patient?
A. Slow, weak pulse rate
B. Cyanosis
C. Agonal gasps
D. Irregular, weak pulse rate
Answer:
, Correct Answer: Agonal gasps Rationale: B. Second-degree atrioventricular
block type I
Question 7: To properly ventilate a patient with a perfusing rhythm,
how often do you squeeze the bag?
A. Once every 3 to 4 seconds
B. Once every 5 to 6 seconds
C. Once every 10 seconds
D. Once every 12 seconds
Answer:
Correct Answer: Apply oxygen Rationale: C. Continuous waveform
capnography
Question 8: In addition to clinical assessment, which is the most
reliable method to confirm and monitor correct placement of an
endotracheal tube?
A. Arterial blood gases
B. Chest radiography
C. Continuous waveform capnography
D. Hemoglobin levels
Answer:
Correct Answer: B. Acute rehabilitation care unit Rationale: B. Start fibrinolytic
therapy as soon as possible Start fibrinolytic therapy in appropriate patients
(those without contraindications) within 1 hour of hospital arrival and 3 hours
from symptom onset.
Question 9: Which treatment approach is best for this patient?
A. Hold fibrinolytic therapy for 24 hours
B. Start fibrinolytic therapy as soon as possible
C. Order an echocardiogram before fibrinolytic administration
