ACLS Practice Questions With Verified Answers

Rate of chest compressions for adults - ANSWER100-120 compressions per minute Ratio of compressions to breaths in adults - ANSWER30:2 Rate of bag valve mask ventilation for adults in respiratory arrest - ANSWEROnce every 5-6 seconds or 10-12 times per minute Treatments for hypotension following cardiac arrest - ANSWERIV dopamine infusion, IV epinephrine infusion IV Ringer's lactate, IV normal saline *The leader in team resuscitation must be able to perform all the skills if needed.* - ANSWER Recommended ED door-to-balloon inflation time for a STEMI patient - ANSWERNo longer than 90 minutes Ways to estimate effectiveness of CPR - ANSWERArterial diastolic blood pressure, quantitative waveform capnography, central venous oxygen saturation Best drug used for narrow complex supraventricular tachycardia - ANSWERAdenosine Drug used for pulseless electrical activity - ANSWEREpinephrine Sequence of basic life support - ANSWERCompressions, airway, breathing (CAB) Initial dose of adenosine for treatment of supraventricular tachycardia - ANSWER6 mg IV Heart rate at which tachycardia usually becomes symptomatic - ANSWER150 bpm Longest duration for pulse check - ANSWER10 seconds Recommended initial dosage of atropine for symptomatic bradycardia - ANSWER0.5 mg IV Recommended dose of oxygen during CPR - ANSWER100% Goal for initiation of fibrinolytic therapy in stroke patients - ANSWERWithin 1 hour of ED arrival Common reversible causes of cardiac arrest ("H's and T's") - ANSWERHypotension, hypoxia, hypothermia, hydrogen ions (acidosis), hypo-/hyperkalemia Tension pneumothorax, tamponade, thrombosis (coronary), thrombosis (pulmonary), toxins Best option for treatment of STEMI diagnosed in ambulance via 12-lead ECG - ANSWERTransport to PCI-capable hospital Components of Cincinnati Prehospital Stroke Scale (CPSS) - ANSWERFacial droop, arm drift, speech abnormality Asystole should be treated with all of the following EXCEPT: CPR Ventilations Defibrillation Epinephrine - ANSWERAsystole should be treated with all of the following EXCEPT: CPR Ventilations *Defibrillation* Epinephrine Appropriate response to an AED that is having problems analyzing rhythm - ANSWERContinue chest compressions Which of the following is treated with synchronized shocks? Unstable atrial fibrillation Sinus tachycardia VT without a pulse VF - ANSWERWhich of the following is treated with synchronized shocks? *Unstable atrial fibrillation* Sinus tachycardia VT without a pulse VF Dose for procainamide - ANSWER20-50 mg/min Drug that should be given to all acute coronary syndrome (ACS) patients - ANSWERAspirin Concentration of maintenance amiodarone drip - ANSWER900 mg amiodarone in 500 mL D5W (1.8 mg/mL) EMS dispatchers who recognize ACS symptoms should instruct patients to: - ANSWERTake aspirin Longest acceptable delay in chest compressions - ANSWER10 seconds