ACLS EXAM WITH QUESTIONS AND
CORRECT ANSWERS GRADED A+
, What is a common but sometimes fatal mistake in cardiac arrest management? - correct ans:Prolonged
interruption in chest compressions.
You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart
rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is
97%. What assessment step is most important now? - correct ans:Obtaining a 12-lead ECG.
An activated AED does not promptly analyze the rhythm. What is your next action? - correct ans:Begin
chest compressions.
3 mins after witnessing a cardiac arrest, 1 member inserts an ET tube while another performs chest
compress. During subsequent ventilation, you notice the presence of a waveform on the capnography
screen and a PETCO2 level of 8 mm Hg. What does this mean? - correct ans:Chest compressions may not
be effective.
For 25 minutes, an EMS crew has attempted resuscitation of a pt who presented in V Fib. After the first
shock, the ECG screen displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid
bolus, and high-quality CPR. What is next? - correct ans:Consider terminating resuscitative efforts after
consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? - correct ans:Be sure oxygen is
not blowing over the patient's chest during the shock.
D. Commandingly announce "clear" after you deliver the defibrillation shock. What is the primary
purpose of a medical emergency team (MET) or rapid response team (RRT)? - correct ans:Identifying and
treating early clinical deterioration.
What is the first treatment priority for a patient who achieves ROSC? - correct ans:Optimizing ventilation
and oxygenating.
What is the minimum systolic blood pressure one should attempt to achieve with fluid, inotropic, or
vasopressor administration in a hypotensive post-cardiac arrest patient who achieves ROSC? - correct
ans:90mm Hg.
CORRECT ANSWERS GRADED A+
, What is a common but sometimes fatal mistake in cardiac arrest management? - correct ans:Prolonged
interruption in chest compressions.
You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart
rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is
97%. What assessment step is most important now? - correct ans:Obtaining a 12-lead ECG.
An activated AED does not promptly analyze the rhythm. What is your next action? - correct ans:Begin
chest compressions.
3 mins after witnessing a cardiac arrest, 1 member inserts an ET tube while another performs chest
compress. During subsequent ventilation, you notice the presence of a waveform on the capnography
screen and a PETCO2 level of 8 mm Hg. What does this mean? - correct ans:Chest compressions may not
be effective.
For 25 minutes, an EMS crew has attempted resuscitation of a pt who presented in V Fib. After the first
shock, the ECG screen displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid
bolus, and high-quality CPR. What is next? - correct ans:Consider terminating resuscitative efforts after
consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? - correct ans:Be sure oxygen is
not blowing over the patient's chest during the shock.
D. Commandingly announce "clear" after you deliver the defibrillation shock. What is the primary
purpose of a medical emergency team (MET) or rapid response team (RRT)? - correct ans:Identifying and
treating early clinical deterioration.
What is the first treatment priority for a patient who achieves ROSC? - correct ans:Optimizing ventilation
and oxygenating.
What is the minimum systolic blood pressure one should attempt to achieve with fluid, inotropic, or
vasopressor administration in a hypotensive post-cardiac arrest patient who achieves ROSC? - correct
ans:90mm Hg.
