ACLS: Primary and Secondary Assessment
Questions with Correct Answers
BLS assessment - Correct Answer 1. Check for responsiveness and breathing
2. Shout for help
3. Check for breathing and pulse
4. Defibrilation
Check for responsiveness and breathing - Correct Answer 1. Give oxygen to pt's with acute cardiac
symptoms
2. Simultaneously shake and shout (if trauma touch and talk)
3. If unrespsonive, pt not breathing or breathing agonally then shout for help
Shout for help - Correct Answer 1. Activate the emergency response system
2. Get and AED if one is available
3. Send someone to acticate the emergency response system and obtain an AED
Check for breathing and pulse - Correct Answer 1. Check for absent or abnormal breathing
2. If their is only gasping by lookingat or scanning the chest for movement for about 5-10 seconds
3. Ideally the pulse check is performed and simultaneously with the breathing check to minimize
delay in detection of cardiac arrest and initiation of CPR
4. Check for pulse 5-10 seconds
5. If no pulse within 10 seconds, start CPR, beginning with chest compressions
6. If there is a pulse start recuse breathing at 1 breath every 5-6 seconds. Check pulse about every 2
minutes.
7. If no pulse check for a shockable rhythm with an AED/defibrilator as soon as it arrives. Provide
shock as indicated
8. Follow each shock immediately with CPR, beginning with compressions
No pulse for 10 seonds - Correct Answer Start CPR beginning with chest compression
If there is a pulse - Correct Answer Start rescue breathing at 1 breath every 5-6 seconds. Check pulse
every 2 minutes
, No pulse - Correct Answer Check for a shockable rhythm with an AED/defibrillator soon as it arrives.
Provide shock as indicated
Defibrillation - Correct Answer 1. If no pulse, check for a shockable rhythm with an AED/defibrilator
as soon as it arrives
2. Provides shocks as indicated
3. Follow each shock immediately with CPR, beginning with compressions
Interruptions in chest compression - Correct Answer 1. Interruptions no longer than 10 seconds,
except in extreme circumstances, such as removing the patient from a dangerous environment
2. When compressions are stopped blood flow to brain and heart stops
How to prevent interruptions - Correct Answer Avoid:
1. Prolonged rhythm analysis
2. Frequent or inappropriate pulse checks
3. Taking to long to give breaths to the pt
4. Unnecessarily moving the pt
Quality compressions - Correct Answer 1. Compress the chest at lead 2 inches
2. Compress the chest at a rate of 110-120
3. Compress the chest hard and fast
4. Allow complete chest recoil after each compression
5. Minimize interruptions in compressions (10 seconds or less)
6. Avoid excessive ventilations
7. Switch compressor about every 2 minutes or earlier if fatigued, switch should take less than 5
seconds
Primary assessment - Correct Answer 1. Airway
2. Breathing
3. Circulation
4. Defibrillation
Questions with Correct Answers
BLS assessment - Correct Answer 1. Check for responsiveness and breathing
2. Shout for help
3. Check for breathing and pulse
4. Defibrilation
Check for responsiveness and breathing - Correct Answer 1. Give oxygen to pt's with acute cardiac
symptoms
2. Simultaneously shake and shout (if trauma touch and talk)
3. If unrespsonive, pt not breathing or breathing agonally then shout for help
Shout for help - Correct Answer 1. Activate the emergency response system
2. Get and AED if one is available
3. Send someone to acticate the emergency response system and obtain an AED
Check for breathing and pulse - Correct Answer 1. Check for absent or abnormal breathing
2. If their is only gasping by lookingat or scanning the chest for movement for about 5-10 seconds
3. Ideally the pulse check is performed and simultaneously with the breathing check to minimize
delay in detection of cardiac arrest and initiation of CPR
4. Check for pulse 5-10 seconds
5. If no pulse within 10 seconds, start CPR, beginning with chest compressions
6. If there is a pulse start recuse breathing at 1 breath every 5-6 seconds. Check pulse about every 2
minutes.
7. If no pulse check for a shockable rhythm with an AED/defibrilator as soon as it arrives. Provide
shock as indicated
8. Follow each shock immediately with CPR, beginning with compressions
No pulse for 10 seonds - Correct Answer Start CPR beginning with chest compression
If there is a pulse - Correct Answer Start rescue breathing at 1 breath every 5-6 seconds. Check pulse
every 2 minutes
, No pulse - Correct Answer Check for a shockable rhythm with an AED/defibrillator soon as it arrives.
Provide shock as indicated
Defibrillation - Correct Answer 1. If no pulse, check for a shockable rhythm with an AED/defibrilator
as soon as it arrives
2. Provides shocks as indicated
3. Follow each shock immediately with CPR, beginning with compressions
Interruptions in chest compression - Correct Answer 1. Interruptions no longer than 10 seconds,
except in extreme circumstances, such as removing the patient from a dangerous environment
2. When compressions are stopped blood flow to brain and heart stops
How to prevent interruptions - Correct Answer Avoid:
1. Prolonged rhythm analysis
2. Frequent or inappropriate pulse checks
3. Taking to long to give breaths to the pt
4. Unnecessarily moving the pt
Quality compressions - Correct Answer 1. Compress the chest at lead 2 inches
2. Compress the chest at a rate of 110-120
3. Compress the chest hard and fast
4. Allow complete chest recoil after each compression
5. Minimize interruptions in compressions (10 seconds or less)
6. Avoid excessive ventilations
7. Switch compressor about every 2 minutes or earlier if fatigued, switch should take less than 5
seconds
Primary assessment - Correct Answer 1. Airway
2. Breathing
3. Circulation
4. Defibrillation
