ACLS EXAM PREP B QUESTIONS WITH
COMPLETE ANSWERS
What should be done to minimize interruptions in chest compressions during CPR? -
Answer-Continue CPR while the defibrillator is charging.
which condition is an indication to stop or withhold resuscitative efforts? - Answer-Safety
threat to providers.
After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
ventilation. The patient's lead II ECG appears below. What is your next action? (strip
missing displays PEA) - Answer-IV or IO access
After verifying unresponsiveness and abnormal breathing, you activate the emergency
response team. What is your next action? - Answer-Check for pulse
What is the recommendation on the use of cricoid pressure to prevent aspiration during
cardiac arrest? - Answer-Not recommended for routine use
What survival advantages does CPR provide to a patient in ventricular fibrillation? -
Answer-Produces a small amount of blood flow to the heart.
What is the recommended compression rate for performing CPR? - Answer-At least 100
per minute
EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing
CPR. After attaching a cardiac monitor, the responder observes the following rhythm
strip. What is the most important early intervention? (strip missing displays Ventricular
fibrillation) - Answer-Defibrillation
A patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous
CPR. - Answer-Administer a 2nd shock
What is the recommended next step after a defibrillation attempt? - Answer-Begin CPR,
starting with chest compressions.
Which of the following is the recommended first choice for establishing intravenous
access during the attempted resuscitation of a patient in cardiac arrest? - Answer-
Antecubital
What is the recommended first intravenous dose of aAmiodarone for a patient with
refractory ventricular fibrillation? - Answer-300mg
, IV/IO drug administration during CPR should be - Answer-given rapidly during
compressions
How often should the team leader switch chest compressors during a resuscitation
attempt? - Answer-Every 2 minutes
Which finding is a sign of ineffective CPR? - Answer-PETCO2 <10 mm Hg
A team leader orders 1mg of epinephrine, and a team member verbally acknowledges
when the medication is administered. What element of effective resuscitation team
dynamics does this represent? - Answer-Closed-loop communication
How long should it take to perform a pulse check during the BLS survey? - Answer-5-10
seconds
Your team arrives to find a 59-year-old man lying on the kitchen floor. You determine
that he is unresponsive and notice that he is taking agonal breaths. What is the next
step in your assessment and management of this patient? - Answer-Check the patient's
pulse
Which treatment or medication is appropriate for the treatment of a patient in asystole? -
Answer-Epinephrine
An AED advises a shock for a pulseless patient lying in snow. What is the next action? -
Answer-Administer the shock immediately and continue as directed by the AED.
What is the minimum depth of chest compressions for an adult in cardiac arrest? -
Answer-2 inches
A patient with pulseless ventricular tachycardia is defibrillated. What is the next action? -
Answer-Start chest compressions at a rate of at least 100/min.
You have completed your first 2-minute period of CPR. You see an organized,
nonshockable rhythm on the ECG monitor. What is the next action? - Answer-Have a
team member attempt to palpate a carotid pulse.
Emergency medical responders are unable to obtain a peripheral IV for a patient in
cardiac arrest. What is the next most preferred route for drug administration? - Answer-
Intraosseous (IO)
What is the appropriate rate of chest compressions for an adult in cardiac arrest? -
Answer-At least 100/min
You are receiving a radio report from an EMS team en route with a patient who may be
having an acute stroke. The hospital CT scanner is not working at this time. What
COMPLETE ANSWERS
What should be done to minimize interruptions in chest compressions during CPR? -
Answer-Continue CPR while the defibrillator is charging.
which condition is an indication to stop or withhold resuscitative efforts? - Answer-Safety
threat to providers.
After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
ventilation. The patient's lead II ECG appears below. What is your next action? (strip
missing displays PEA) - Answer-IV or IO access
After verifying unresponsiveness and abnormal breathing, you activate the emergency
response team. What is your next action? - Answer-Check for pulse
What is the recommendation on the use of cricoid pressure to prevent aspiration during
cardiac arrest? - Answer-Not recommended for routine use
What survival advantages does CPR provide to a patient in ventricular fibrillation? -
Answer-Produces a small amount of blood flow to the heart.
What is the recommended compression rate for performing CPR? - Answer-At least 100
per minute
EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing
CPR. After attaching a cardiac monitor, the responder observes the following rhythm
strip. What is the most important early intervention? (strip missing displays Ventricular
fibrillation) - Answer-Defibrillation
A patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous
CPR. - Answer-Administer a 2nd shock
What is the recommended next step after a defibrillation attempt? - Answer-Begin CPR,
starting with chest compressions.
Which of the following is the recommended first choice for establishing intravenous
access during the attempted resuscitation of a patient in cardiac arrest? - Answer-
Antecubital
What is the recommended first intravenous dose of aAmiodarone for a patient with
refractory ventricular fibrillation? - Answer-300mg
, IV/IO drug administration during CPR should be - Answer-given rapidly during
compressions
How often should the team leader switch chest compressors during a resuscitation
attempt? - Answer-Every 2 minutes
Which finding is a sign of ineffective CPR? - Answer-PETCO2 <10 mm Hg
A team leader orders 1mg of epinephrine, and a team member verbally acknowledges
when the medication is administered. What element of effective resuscitation team
dynamics does this represent? - Answer-Closed-loop communication
How long should it take to perform a pulse check during the BLS survey? - Answer-5-10
seconds
Your team arrives to find a 59-year-old man lying on the kitchen floor. You determine
that he is unresponsive and notice that he is taking agonal breaths. What is the next
step in your assessment and management of this patient? - Answer-Check the patient's
pulse
Which treatment or medication is appropriate for the treatment of a patient in asystole? -
Answer-Epinephrine
An AED advises a shock for a pulseless patient lying in snow. What is the next action? -
Answer-Administer the shock immediately and continue as directed by the AED.
What is the minimum depth of chest compressions for an adult in cardiac arrest? -
Answer-2 inches
A patient with pulseless ventricular tachycardia is defibrillated. What is the next action? -
Answer-Start chest compressions at a rate of at least 100/min.
You have completed your first 2-minute period of CPR. You see an organized,
nonshockable rhythm on the ECG monitor. What is the next action? - Answer-Have a
team member attempt to palpate a carotid pulse.
Emergency medical responders are unable to obtain a peripheral IV for a patient in
cardiac arrest. What is the next most preferred route for drug administration? - Answer-
Intraosseous (IO)
What is the appropriate rate of chest compressions for an adult in cardiac arrest? -
Answer-At least 100/min
You are receiving a radio report from an EMS team en route with a patient who may be
having an acute stroke. The hospital CT scanner is not working at this time. What
