ACLS AHA Exam ( Updated 2024 ) Complete Questions &
Answers (Solved) 100% Correct
A patient has a rapid *irregular wide-complex tachycardia*;
The ventricular rate is 138/min.;
It is asymptomatic, with a BP of 110/70 mmHG;
He has a h/o angina;
What action is recommended next? - answer -a) Giving Adenosine: 6 mg IV bolus;
b) Giving Lidocaine: 1.5 mg IV bolus;
c) Performing synchronized cardioversion;
d) *Seeking expert consultation ✅*;
What tests should be performed for a patient with a suspected stroke within 2 hours of arrival? - answer
-non contrast CT scan of the head
SVT types - answer -1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White syndrome;
The patient is in *cardiac arrest*.
High-quality chest compressions are being given.
,The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer? - answer -*Epinephrine 1 mg IV/IO*
*Transcutaneous Pacing* - answer -Aka external pacing: is a temporary means of pacing a patient's
heart during a medical emergency.
It is accomplished by *gradually delivering pulses* of electric current (*50-100 mA*) through the
patient's chest until capture is reached (usually at a selected rate of 70), which stimulates the *heart to
contract* at a regular pace.
Which intervention is most appropriate for the treatment of a patient in *asystole*? - answer -
*Epinephrine*
A patient with sinus *bradycardia* and a heart rate of 42/min is diaphoretic and with a blood pressure
of 80/60 mm Hg.
What is the *initial dose of atropine*? - answer -*0.5 mg* of *Atropine*
A patient has sinus *bradycardia* with a heart rate of 36/min. *Atropine* has been administered to a
total dose of 3 mg. A *transcutaneous pacing* has failed to capture. The patient is confused, and her BP
is *88/56 mmHg*. Which therapy is now indicated? - answer -*Epinephrine infusion: 2-10 mcg/min*.
A monitored patient in the ICU developed a sudden onset of *regular narrow-complex tachycardia* at a
rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%.
There is a vascular (IV) access in the left arm, and the patient has not been given any basic active drugs.
A 12-lead ECG confirms *SVT* with no evidence of ischemia or infraction.
The HR has not responded to vagal maneuvers.
What is your next action? - answer -Administer *adenosine 6 mg* IV push
A patient with possible STEMI has ongoing chest discomfort. What is a *contraindication to nitrate*
administration? - answer -Use of a *phosphodiesterase inhibitors* (eg. Viagra) within the previous 24
hours
, You find an unresponsive pt. who is not breathing. After activating the emergency response system,
you determine there is no pulse. What is your next action?
Start chest compressions of at least 100 per min.
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-
labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most
important now?
Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts?
Peripheral IV
An AED does not promptly analyze a rythm. What is your next step?
Begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the pt. has no
pulse. You partner resumes chest compressions and an IV is in place. What management step is your
next priority?
Administer 1mg of epinepherine
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse. What is
the next action?
Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management?
Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions?
Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation?
Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes PEA?
Sinus rythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in place?
Provide continuous chest compressionswithout pauses and 10 ventilations per minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube while another
performs continuous chest comressions. During subsequent bentilation, you notice the presence of a
wavefom on the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the significance of this
finding?
Answers (Solved) 100% Correct
A patient has a rapid *irregular wide-complex tachycardia*;
The ventricular rate is 138/min.;
It is asymptomatic, with a BP of 110/70 mmHG;
He has a h/o angina;
What action is recommended next? - answer -a) Giving Adenosine: 6 mg IV bolus;
b) Giving Lidocaine: 1.5 mg IV bolus;
c) Performing synchronized cardioversion;
d) *Seeking expert consultation ✅*;
What tests should be performed for a patient with a suspected stroke within 2 hours of arrival? - answer
-non contrast CT scan of the head
SVT types - answer -1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White syndrome;
The patient is in *cardiac arrest*.
High-quality chest compressions are being given.
,The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer? - answer -*Epinephrine 1 mg IV/IO*
*Transcutaneous Pacing* - answer -Aka external pacing: is a temporary means of pacing a patient's
heart during a medical emergency.
It is accomplished by *gradually delivering pulses* of electric current (*50-100 mA*) through the
patient's chest until capture is reached (usually at a selected rate of 70), which stimulates the *heart to
contract* at a regular pace.
Which intervention is most appropriate for the treatment of a patient in *asystole*? - answer -
*Epinephrine*
A patient with sinus *bradycardia* and a heart rate of 42/min is diaphoretic and with a blood pressure
of 80/60 mm Hg.
What is the *initial dose of atropine*? - answer -*0.5 mg* of *Atropine*
A patient has sinus *bradycardia* with a heart rate of 36/min. *Atropine* has been administered to a
total dose of 3 mg. A *transcutaneous pacing* has failed to capture. The patient is confused, and her BP
is *88/56 mmHg*. Which therapy is now indicated? - answer -*Epinephrine infusion: 2-10 mcg/min*.
A monitored patient in the ICU developed a sudden onset of *regular narrow-complex tachycardia* at a
rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%.
There is a vascular (IV) access in the left arm, and the patient has not been given any basic active drugs.
A 12-lead ECG confirms *SVT* with no evidence of ischemia or infraction.
The HR has not responded to vagal maneuvers.
What is your next action? - answer -Administer *adenosine 6 mg* IV push
A patient with possible STEMI has ongoing chest discomfort. What is a *contraindication to nitrate*
administration? - answer -Use of a *phosphodiesterase inhibitors* (eg. Viagra) within the previous 24
hours
, You find an unresponsive pt. who is not breathing. After activating the emergency response system,
you determine there is no pulse. What is your next action?
Start chest compressions of at least 100 per min.
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate of 92/min, non-
labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most
important now?
Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in most pts?
Peripheral IV
An AED does not promptly analyze a rythm. What is your next step?
Begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and the pt. has no
pulse. You partner resumes chest compressions and an IV is in place. What management step is your
next priority?
Administer 1mg of epinepherine
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no pulse. What is
the next action?
Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management?
Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions?
Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation?
Providing quality compressions immediately before a defibrillation attempt.
Which situation BEST describes PEA?
Sinus rythm without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in place?
Provide continuous chest compressionswithout pauses and 10 ventilations per minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube while another
performs continuous chest comressions. During subsequent bentilation, you notice the presence of a
wavefom on the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the significance of this
finding?
