ACLS exam questions
Concept that helps to promote effective/efficient teamwork & reduces likelihood of errors is called
_____. - Problem solving
In 6-person high-performance resuscitation team, which tasks are responsibilities of team members?
(3) - Recoding key data, sharing pertinent observations, & performing chest compressions
Which assessments would be included in primary assessment? - Checking for life-threatening injuries
& checking airway patency
When performing high-quality CPR on adult w/o advanced airway in place, what is correct ratio of
compressions to ventilations? - 30:2
When providing high-quality CPR on adult, what is proper rate for chest compressions? - 100-120
bpm
Responsibilities of team leader? (3) - Sets clear expectations, leads debriefing, assigns roles
Team leader instructs team member to perform intervention. To practice good communication,
team member should do which of the following? (3) - Acknowledge completion of intervention, use
nonverbal communication methods to indicate follow through w. intervention, & acknowledge
initiation of intervention
Which blood tests are often indicated in evaluation of pts experiencing cardiovascular,
cerebrovascular or respiratory emergency? - CMP, Toxicology, CBC, Cardiac markers, ABGs, Blood
glucose
You need to set up cardiac monitoring w. 5-electrode system. Where should you place white
electrode? - Top right chest anatomically oriented
What is rapid assessment? - Quick assessment to ensure safety, form initial impression of pt, & if pt
appears to be unresponsive check for responsiveness/breathing/pulse
During primary assessment, what tool would you use to determine pts LOC? - AVPU Model
,When providing high-quality CPR on adult, what is proper depth for chest compressions? - 2-2.4"
Team member confirms message is received & understood. What communication technique is team
member using? - Closed-Loop Communication
What end-tidal carbon dioxide (ETCO2) value confirms adequate ventilation in intubated pt w.
respiratory arrest? - 35-45 mmHg
CPR:
Which statements apply to providing high-quality chest compressions? (3) - Minimize interruptions,
proper depth, proper rate
Closed-loop communication - Communication technique used to prevent misunderstandings;
receiver confirms message has been received & understood.
Critical thinking uses - Obtaining an initial impression, determining course of action, anticipating
roles & functions as part of team based on pts presentation/condition, consistently re-evaluating
situation for changes, interpreting changes & applying them to pts care & tx, & modifying actions
based on changes you observe.
Team Leader Responsibilities - Assigns & understands team roles - Sets clear expectations -
Prioritizes, directs & acts decisively - Encourages/allows team input & interaction - Focuses on big
picture - Monitors performance while providing support - Acts as role model - Coaches team - Re-
evaluates & summarizes progress - Leads debriefing
Team Member Responsibilities - Have necessary knowledge/skills to perform assigned role - Stay in
assigned role but assist others PRN, as long as they're able to maintain own responsibilities -
Communicate effectively w. team leader if they: Feel they're lacking any knowledge/skills to perform
assigned roles, identify something team leader may have overlooked, or recognize dangerous
situation/need for urgent action - Share info w. other team members - Focus on achieving goals - Ask
pertinent questions & share pertinent observations - Participate in debriefing sessions - Crew
Crew Resource Management - Concept helps to promote effective/efficient teamwork & reduce
likelihood of errors. Emphasizes using all available resources (people, equipment, procedures) to
reduce likelihood of human error & promote effective/efficient teamwork. Guides team members to
communicate directly & effectively w. team leader about dangerous or time-critical decisions. When
problem arises, team members must get attention of team leader, state concern, describe problem
, as they see it & suggest solution. Team leader provides direction, enabling team to work together to
resolve issue.
6-Person High-Performance Resuscitation Team - Includes 3 who fulfill CPR/defib roles & 3 who
perform leadership/supportive roles
Data Manager - Responsible for communicating & recording key data during resuscitation effort (i.e.
data r/t med admin & interruptions to chest compressions)
Airway manager & ventilator - Responsible for managing airway & providing ventilations. Trained RT,
if available, would fill role
Compressor - Responsible for chest compressions
AED/Defibrillator Operator - Responsible for managing AED or defibrillator & establishing any other
monitoring. Also, relieves team member performing compressions
Team Leader - Responsible for prioritizing & directing other team members' actions.
Medication Administrator - Responsible for establishing vascular access & administering
medications.
Assess, Recognize & Care - Describes ongoing process of gathering data about pt condition, using
data to identify problem & intervening to address problem. Acutely ill pt condition can change
rapidly (for better or worse), you must continuously assess pt, recognize whats happening & provide
care accordingly
Assess - Process of gathering data to help determine whats happening. To ensure most pressing
problems addressed first, take phased, systematic approach to assessment: perform rapid
assessment, primary assessment & when condition allows, secondary assessment.
In emergency situation, assessment ongoing.
Recognize - After you gather assessment data, use critical thinking, your past clinical experience and
your general knowledge to correctly interpret the meaning of the data and gain an understanding of
the patient's clinical situation and care needs. This understanding enables you to determine your
next steps.
Concept that helps to promote effective/efficient teamwork & reduces likelihood of errors is called
_____. - Problem solving
In 6-person high-performance resuscitation team, which tasks are responsibilities of team members?
(3) - Recoding key data, sharing pertinent observations, & performing chest compressions
Which assessments would be included in primary assessment? - Checking for life-threatening injuries
& checking airway patency
When performing high-quality CPR on adult w/o advanced airway in place, what is correct ratio of
compressions to ventilations? - 30:2
When providing high-quality CPR on adult, what is proper rate for chest compressions? - 100-120
bpm
Responsibilities of team leader? (3) - Sets clear expectations, leads debriefing, assigns roles
Team leader instructs team member to perform intervention. To practice good communication,
team member should do which of the following? (3) - Acknowledge completion of intervention, use
nonverbal communication methods to indicate follow through w. intervention, & acknowledge
initiation of intervention
Which blood tests are often indicated in evaluation of pts experiencing cardiovascular,
cerebrovascular or respiratory emergency? - CMP, Toxicology, CBC, Cardiac markers, ABGs, Blood
glucose
You need to set up cardiac monitoring w. 5-electrode system. Where should you place white
electrode? - Top right chest anatomically oriented
What is rapid assessment? - Quick assessment to ensure safety, form initial impression of pt, & if pt
appears to be unresponsive check for responsiveness/breathing/pulse
During primary assessment, what tool would you use to determine pts LOC? - AVPU Model
,When providing high-quality CPR on adult, what is proper depth for chest compressions? - 2-2.4"
Team member confirms message is received & understood. What communication technique is team
member using? - Closed-Loop Communication
What end-tidal carbon dioxide (ETCO2) value confirms adequate ventilation in intubated pt w.
respiratory arrest? - 35-45 mmHg
CPR:
Which statements apply to providing high-quality chest compressions? (3) - Minimize interruptions,
proper depth, proper rate
Closed-loop communication - Communication technique used to prevent misunderstandings;
receiver confirms message has been received & understood.
Critical thinking uses - Obtaining an initial impression, determining course of action, anticipating
roles & functions as part of team based on pts presentation/condition, consistently re-evaluating
situation for changes, interpreting changes & applying them to pts care & tx, & modifying actions
based on changes you observe.
Team Leader Responsibilities - Assigns & understands team roles - Sets clear expectations -
Prioritizes, directs & acts decisively - Encourages/allows team input & interaction - Focuses on big
picture - Monitors performance while providing support - Acts as role model - Coaches team - Re-
evaluates & summarizes progress - Leads debriefing
Team Member Responsibilities - Have necessary knowledge/skills to perform assigned role - Stay in
assigned role but assist others PRN, as long as they're able to maintain own responsibilities -
Communicate effectively w. team leader if they: Feel they're lacking any knowledge/skills to perform
assigned roles, identify something team leader may have overlooked, or recognize dangerous
situation/need for urgent action - Share info w. other team members - Focus on achieving goals - Ask
pertinent questions & share pertinent observations - Participate in debriefing sessions - Crew
Crew Resource Management - Concept helps to promote effective/efficient teamwork & reduce
likelihood of errors. Emphasizes using all available resources (people, equipment, procedures) to
reduce likelihood of human error & promote effective/efficient teamwork. Guides team members to
communicate directly & effectively w. team leader about dangerous or time-critical decisions. When
problem arises, team members must get attention of team leader, state concern, describe problem
, as they see it & suggest solution. Team leader provides direction, enabling team to work together to
resolve issue.
6-Person High-Performance Resuscitation Team - Includes 3 who fulfill CPR/defib roles & 3 who
perform leadership/supportive roles
Data Manager - Responsible for communicating & recording key data during resuscitation effort (i.e.
data r/t med admin & interruptions to chest compressions)
Airway manager & ventilator - Responsible for managing airway & providing ventilations. Trained RT,
if available, would fill role
Compressor - Responsible for chest compressions
AED/Defibrillator Operator - Responsible for managing AED or defibrillator & establishing any other
monitoring. Also, relieves team member performing compressions
Team Leader - Responsible for prioritizing & directing other team members' actions.
Medication Administrator - Responsible for establishing vascular access & administering
medications.
Assess, Recognize & Care - Describes ongoing process of gathering data about pt condition, using
data to identify problem & intervening to address problem. Acutely ill pt condition can change
rapidly (for better or worse), you must continuously assess pt, recognize whats happening & provide
care accordingly
Assess - Process of gathering data to help determine whats happening. To ensure most pressing
problems addressed first, take phased, systematic approach to assessment: perform rapid
assessment, primary assessment & when condition allows, secondary assessment.
In emergency situation, assessment ongoing.
Recognize - After you gather assessment data, use critical thinking, your past clinical experience and
your general knowledge to correctly interpret the meaning of the data and gain an understanding of
the patient's clinical situation and care needs. This understanding enables you to determine your
next steps.
