ACLS 2025 RQI Study Review Questions
and Answers
Which bpulses bshould bbe bassessed bto bmonitor bsystemic bperfusion bin ba bchild? b-
bCORRECT bANSWER-peripheral band bcentral
What bshould bthe bfirst brescuer barriving bon bthe bscene bof ban bunresponsive binfant bor bchild
bdo? b(in border) b- bCORRECT bANSWER-1. bverify bscene bsafety
2. check bfor bresponsiveness
3. shout bfor bhelp
4. activate bthe bemergency bresponse bsystem
Why bmay bexcessive bventilation bduring bCPR bbe bharmful? b- bCORRECT bANSWER-- bit
bincreases bintrathoracic bpressure
- it bimpedes bvenous breturn
If byou bcannot bachieve beffective bventilation b(ie, bthe bchest bdoes bnot brise), bdo bthe
bfollowing: b- bCORRECT bANSWER-- breposition/reopen bthe bairway b(sniffing bposition)
- verify bmask bsize band bensure ba btight bface-mask bseal
- suction bthe bairway bif bneeded
- check bthe bO2 bsource
- check bthe bventilation bbag band bmask
- treat bgastric binflation b(NG/OG)
- consider b2-person bbag-mask bventilation band binserting ban bOPA
Ventilation brate b- bCORRECT bANSWER-1 bbreath bevery b2-3 bseconds bdelivered bover b1
bsecond b(20-30 bbreaths bper bminute)
Early bsigns bof btissue bhypoxia b- bCORRECT bANSWER-- btachypnea
- increased brespiratory beffort b(nasal bflaring, bretractions)
- tachycardia
- pallor, bmottling, bcyanosis
- agitation, banxiety, birritability
Late bsigns bof btissue bhypoxia b- bCORRECT bANSWER-- bbradypnea, binadequate
brespiratory beffort, bapnea
- increased brespiratory beffort b(head bbobbing, bseesaw brespirations, bgrunting)
- bradycardia
- pallor, bmottling, bcyanosis
- decreased blevel bof bconsciousness
What bis bthe brole bof bthe bdiaphragm bduring bnormal bbreathing bin binfants? b-
bCORRECT bANSWER-pulls bthe bribs bslightly binward
, S/S bmild brespiratory bdistress b- bCORRECT bANSWER-- bmild btachypnea
- mild bincrease bin brespiratory beffort b(nasal bflaring, bretractions)
- abnormal bairway bsounds b(stridor, bwheezing, bgrunting)
S/S bSevere brespiratory bdistress b- bCORRECT bANSWER-- bmarked btachypnea
- marked bincrease bin brespiratory beffort
- paradoxical bthroacoabdominal bbreathing b(seesaw bbreathing)
- accessory bmuscle buse b(head bbobbing)
- abnormal bairway bsounds b(grunting)
- decreased blevel bof bconsciousness
S/S bImpending brespiratory barrest b- bCORRECT bANSWER-- bbradypnea, bapnea,
brespiratory bpauses
- low boxygen bsaturation b(hypoxemia) bdespite bhigh-flow bsupplemental boxygen
- inadequate brespiratory beffort b(shallow brespirations)
- decreased blevel bof bconsciousness b(unresponsive)
- bradycardia
What bsteps bshould bbe btaken bas bpart bof binitial bmanagement bof ba bchild bin brespiratory
bdistress? b- bCORRECT bANSWER-- bmonitor bO2 bsat bby bpulse box
- monitor bHR, brhythm, band, bBP
- support ban bopen bairway
Stridor b- bCORRECT bANSWER-high-pitched bbreathing bduring binspirations
Crackles b- bCORRECT bANSWER-breath bsounds bheart bduring bexpirations
How bshould b1-rescuer binfant bcompressions bbe bdelivered? b- bCORRECT bANSWER--
btwo bfingers bor btwo bthumbs
- brate bof b100-120
- single brescuer b(30:2)
- two brescuer b(15:2)
How bshould b1-rescurer bchild bcompressions bbe bdelivered? b- bCORRECT bANSWER-
either bone bor btwo bhands
- compress bat bleast b1/3 bthe bchest bdiameter b(approximately b2 binches)
Guidelines bfor brescue bbreathing bfor binfants band bchildren b- bCORRECT bANSWER-- bgive
b1 bbreath bevery b2-3 bseconds b(about b20-30/min)
- given beach bbreath bin b1 bsecond
- visible bchest brise
- check bpulse bevery b2 bminutes
- use boxygen bas bsoon bas bit bis bavailable
and Answers
Which bpulses bshould bbe bassessed bto bmonitor bsystemic bperfusion bin ba bchild? b-
bCORRECT bANSWER-peripheral band bcentral
What bshould bthe bfirst brescuer barriving bon bthe bscene bof ban bunresponsive binfant bor bchild
bdo? b(in border) b- bCORRECT bANSWER-1. bverify bscene bsafety
2. check bfor bresponsiveness
3. shout bfor bhelp
4. activate bthe bemergency bresponse bsystem
Why bmay bexcessive bventilation bduring bCPR bbe bharmful? b- bCORRECT bANSWER-- bit
bincreases bintrathoracic bpressure
- it bimpedes bvenous breturn
If byou bcannot bachieve beffective bventilation b(ie, bthe bchest bdoes bnot brise), bdo bthe
bfollowing: b- bCORRECT bANSWER-- breposition/reopen bthe bairway b(sniffing bposition)
- verify bmask bsize band bensure ba btight bface-mask bseal
- suction bthe bairway bif bneeded
- check bthe bO2 bsource
- check bthe bventilation bbag band bmask
- treat bgastric binflation b(NG/OG)
- consider b2-person bbag-mask bventilation band binserting ban bOPA
Ventilation brate b- bCORRECT bANSWER-1 bbreath bevery b2-3 bseconds bdelivered bover b1
bsecond b(20-30 bbreaths bper bminute)
Early bsigns bof btissue bhypoxia b- bCORRECT bANSWER-- btachypnea
- increased brespiratory beffort b(nasal bflaring, bretractions)
- tachycardia
- pallor, bmottling, bcyanosis
- agitation, banxiety, birritability
Late bsigns bof btissue bhypoxia b- bCORRECT bANSWER-- bbradypnea, binadequate
brespiratory beffort, bapnea
- increased brespiratory beffort b(head bbobbing, bseesaw brespirations, bgrunting)
- bradycardia
- pallor, bmottling, bcyanosis
- decreased blevel bof bconsciousness
What bis bthe brole bof bthe bdiaphragm bduring bnormal bbreathing bin binfants? b-
bCORRECT bANSWER-pulls bthe bribs bslightly binward
, S/S bmild brespiratory bdistress b- bCORRECT bANSWER-- bmild btachypnea
- mild bincrease bin brespiratory beffort b(nasal bflaring, bretractions)
- abnormal bairway bsounds b(stridor, bwheezing, bgrunting)
S/S bSevere brespiratory bdistress b- bCORRECT bANSWER-- bmarked btachypnea
- marked bincrease bin brespiratory beffort
- paradoxical bthroacoabdominal bbreathing b(seesaw bbreathing)
- accessory bmuscle buse b(head bbobbing)
- abnormal bairway bsounds b(grunting)
- decreased blevel bof bconsciousness
S/S bImpending brespiratory barrest b- bCORRECT bANSWER-- bbradypnea, bapnea,
brespiratory bpauses
- low boxygen bsaturation b(hypoxemia) bdespite bhigh-flow bsupplemental boxygen
- inadequate brespiratory beffort b(shallow brespirations)
- decreased blevel bof bconsciousness b(unresponsive)
- bradycardia
What bsteps bshould bbe btaken bas bpart bof binitial bmanagement bof ba bchild bin brespiratory
bdistress? b- bCORRECT bANSWER-- bmonitor bO2 bsat bby bpulse box
- monitor bHR, brhythm, band, bBP
- support ban bopen bairway
Stridor b- bCORRECT bANSWER-high-pitched bbreathing bduring binspirations
Crackles b- bCORRECT bANSWER-breath bsounds bheart bduring bexpirations
How bshould b1-rescuer binfant bcompressions bbe bdelivered? b- bCORRECT bANSWER--
btwo bfingers bor btwo bthumbs
- brate bof b100-120
- single brescuer b(30:2)
- two brescuer b(15:2)
How bshould b1-rescurer bchild bcompressions bbe bdelivered? b- bCORRECT bANSWER-
either bone bor btwo bhands
- compress bat bleast b1/3 bthe bchest bdiameter b(approximately b2 binches)
Guidelines bfor brescue bbreathing bfor binfants band bchildren b- bCORRECT bANSWER-- bgive
b1 bbreath bevery b2-3 bseconds b(about b20-30/min)
- given beach bbreath bin b1 bsecond
- visible bchest brise
- check bpulse bevery b2 bminutes
- use boxygen bas bsoon bas bit bis bavailable
