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Exam (elaborations)

ACLS Final Exam : Actual Questions and Correct Detailed Answers

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A study guide for the ACLS Final Exam, featuring actual exam questions and detailed, verified answers on advanced cardiovascular life support, including high-quality CPR, respiratory compromise, cardiac arrest rhythms, and post-arrest care.

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1




ACLS FINAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ |


A person suddenly collapses while sitting in the sunroom of a healthcare facility. A
healthcare provider observes the event and hurries over to assess the situation. The
healthcare provider performs which assessment first?
D
O


Rapid assessment
N
O


Basic life support assessment
T


Secondary assessment
C


Primary assessment
O


Rapid assessment
PY


A systematic approach to assessment is necessary. The healthcare provider
should first perform a rapid assessment. A rapid assessment is a visual survey
to ensure safety, form an initial impression about the patient's condition
(including looking for life-threatening bleeding), and determine the need for
additional resources. This would be followed by a primary assessment and
then a secondary assessment.

,2




A resuscitation team is debriefing following a recent event. A patient experienced
cardiac arrest, and advanced life support was initiated. The patient required the
placement of an advanced airway to maintain airway patency. Which statement
indicates that the team performed high-quality CPR?


"We initiated chest compressions at a rate of 100 to 110 per minute to a depth of
2.4 inches and then gave 1 ventilation every 10 seconds."
"We provided chest compressions at a rate of 100 to 120 compressions per minute
while giving 1 ventilation every 6 seconds without pausing compressions."
"We provided chest compressions at a rate of 80 to 120 per minute to a depth of at
least 2 inches and gave 1 ventilation every 6 seconds without pausing
D


compressions."
O


"We kept the rate of chest compressions to around 100 per minute but adjusted
N


their depth to 1.5 inches while giving 1 ventilation every 3 seconds without
O


pausing compression
T


"We provided chest compressions at a rate of 100 to 120 compressions per minute
C


while giving 1 ventilation every 6 seconds without pausing compressions."
O


When an advanced airway has been placed in a patient who is in cardiac arrest,
PY


compressions should be delivered continuously (100 to 120 per minute) with no
pauses for ventilations.




Assessment of a patient reveals an ETCO2 level of 55 mmhg and an arterial
oxygen saturation (sao2) level of 88%. The provider would interpret these findings
as indicative of which condition?


Respiratory failure

,3




Respiratory arrest
Cardiac arrest
Respiratory distress
Respiratory failure


An sao2 level of less than 90% (pao2 of less than 50 mmhg) accompanied by
ETCO2 values greater than 50 mmhg is indicative of respiratory failure.
D
O
N


A responsive patient is choking. What method should the provider use first to clear
O


the obstructed airway?
T
C


Back blows
O


Abdominal thrusts
PY


Magill forceps extraction
Chest compressions
Back blows


To clear an obstructed airway in a responsive adult, first provide up to 5 back
blows to clear the obstruction.


What is the correct technique for performing left uterine displacement (LUD) for a
pregnant patient in cardiac arrest whose fundus is at or above the umbilicus?

, 4




Position yourself at the patient's feet. Place both hands underneath the uterus and
push the uterus to the left and up.
Position yourself on the patient's left side. Reach across the patient, place both
hands on the right side of the uterus and pull the uterus to the left and up.
Position yourself at the patient's head. Reach down and over the patient, place both
hands to each side of the uterus, and pull the uterus to the left and up.
Position yourself at the patient's feet. Reach up and over the patient, place both
hands on the fundus and pull the uterus to the left and down.
Position yourself on the patient's left side. Reach across the patient, place both
D


hands on the right side of the uterus and pull the uterus to the left and up.
O
N


To provide left uterine displacement from the patient's left side, reach across
O


the patient, place both hands on the right side of the uterus and pull the uterus
T


to the left and up. Alternatively, to provide left uterine displacement from the
patient's right side, place both hands on the right side of the uterus and push
C


the uterus to the left and up.
O
PY




A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator.
Capnography is established and a blood gas is obtained to evaluate the adequacy of
the ventilations. Which arterial carbon dioxide (paco2) value signifies adequate
ventilations?


10 to 15 mmhg

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