AHA ACLS WRITTEN TEST 2025 WITH
COMPLETE QUESTIONS AND CORRECT
ANSWERS RATED A+
Which action improves the quality of chest compressions
delivered during resuscitave attemepts? Correct Answer Shitch
providers about every 2 min or every 5 compression cycles.
What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse of 80 beats/min? Correct Answer 1
breath every 5-6 seconds
A pt. presents to the ER with a new onset of dizziness and
fatugue. Onexamination, the pt's heart rate is 35 beats/min, BP is
70/50, resp. rate is 22 per min, O2 sat is 95%. What is the
appropriate 1st medication? Correct Answer Atropine 0.5mg
A pt. presents to the ER with dizziness and SOB with a sinus
brady of 40/min. The initial atropine dose was ineffective and your
monitor does not provide TCP. What is the appropriate dose of
Dopamine for this pt? Correct Answer 2-10mcg/kg/min
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is
110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow
complex tach rythm. What is the next intervention? Correct
Answer Vagal manuever.
A monitored pt. in the ICU developed a suddent onset of narrow
complex tach at a rate of 220/min. The pt's BP is 128/58, the
PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any
vasodialators. A 12 lead shows no ischemia or infarction. Vagal
,manuevers are ineffective. What is the next intervention? Correct
Answer Adenosine 12mg IV
You receiving a radio report from an EMS team enroute with a pt.
who may be having a stroke. The hospital CT scanner is broken.
What should you do? Correct Answer Divert the pt. to a hospital
15 min away with CT capabilities.
Foundational Facts: Stroke Centers and Stroke Units
Choose an appropriate inidication to stop or withhold resuscitive
efforts. Correct Answer Evidence of rigor mortis.
A 49 y/ofmaile arrives in the ER with persistant epigastric pain.
She has been taking antacids PO for the past 6 hours because
she she had heartburn. BP is 118/72, heart rate is 92/min, resp.
rate is 14 non-labored and O2 sat is 96%. What is the most
appropriate next action? Correct Answer Obtain a 12 lead ECG.
A pt. in respiratory failure becomes apneic but contineues to have
a strong pulse. The heart rate is dropping paridly and now shows
a sinus brady rate at 30/min. What intervention has the highest
priority? Correct Answer Simple airway manuevers and assisted
ventilations.
What is the appropriate procedure for ET suctioning after the
catheter is selected? Correct Answer Suction during withdrawl,
but not for longer than 10 seconds.
While treating a stable pt for dizziness, a BP of 68/30, cool and
clammy, you see a brady rythm on the ECG. How do you treat
this? Correct Answer Atropine 0.5mg
A 68 y/o female pt. experienced a sudden onset of right arm
weakness. BP is 140/90, pulse is 78/min, resp rate is non-labored
,14/min, 02 sat is 97%. Lead 2 in the ECG shows a sinus rythm.
What would be your next action? Correct Answer Cinncinati
Stroke Scale
You are transporting a pt. with a positive stroke assessment. BP
is 138, pulse is 80/min, resp rate is 12/min, 02 sat is 95% room
air. Glucose levels are normal and the ECG shows a sinus rythm.
What is next. Correct Answer Head CT scan
What is the proper ventilation rate for a pt. in cardiac arrest who
has an advanced airway in place? Correct Answer 8-10 breaths
per minute
A 62 y/o male pt. in the ER says his heart is beating fast. No
chest pain or SOB. BP is 142/98, pulse rate is 200/min, reps rate
is 14/min, O2 sats are 95 at room air. What should be the next
evaluation? Correct Answer Obtain a 12 lead ECG.
You are evaluating a 48 y/o male with crushing sub-sternal pain.
He is cool, pale, diaphretic, and slow to respond to your
questions. BP is 58/32, pulse is 190/min, resp rate is 18, and you
are unable to obtain an 02 sat due to no radial pulse. The ECG
shows a wide complex tach rythm. What intervention should be
next? Correct Answer Syncronized cardioversion.
What is the initial priority for an unconscious pt. with any
tachycardia on the monitor? Correct Answer Determine if a pulse
is present.
Which rythm requires synchronized cardioversion? Correct
Answer Unstable SVT
What is the recommended dose for adenosine for pt's in
refractory, but stable narrow complex tachycardia? Correct
Answer 12mg
, What is the usual post-cardiac arrest target range for PETCO2
who achieves return of spontaneous circulation (ROSC)? Correct
Answer 35-40mm Hg
Which conditionis a contraindication to theraputic hypothermia
during the post-cardiac arrest period for pt's who achieve return of
spontaneous circulation (ROSC)? Correct Answer Responding to
verbal commands
What is the potential danger to using ties that pass
circumfrentially around the pt's neck when securing an advanced
airway? Correct Answer Obstruction of veneous return from the
brain
What is the most reliable method of confirming and montioring
correct placement of an ET tube? Correct Answer Continuous
waveform capnography
What is the recommended IV fluid (NS or LR) bolus dose for a pt.
who achieves ROSC but is hypotensive during the post-cardiac
arrest period? Correct Answer 1 to 2 Liters
What is the minimum systolic BP one should attempt to achieve
with fluid, Inotropic, or vasopressor administration in a
hypotensive post-cardiac arrest who achieves ROSC? Correct
Answer 90mm Hg
What is the 1st treatment priority for a pt. who achieves ROSC?
Correct Answer Optimizing ventilation and oxygenation.
Which is an appropriate and important intervention to perform for
a patient who achieves ROSC during an out-of-hospital
resuscitation? Correct Answer Transport the patient to a facility
capable of performing PCI.
COMPLETE QUESTIONS AND CORRECT
ANSWERS RATED A+
Which action improves the quality of chest compressions
delivered during resuscitave attemepts? Correct Answer Shitch
providers about every 2 min or every 5 compression cycles.
What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse of 80 beats/min? Correct Answer 1
breath every 5-6 seconds
A pt. presents to the ER with a new onset of dizziness and
fatugue. Onexamination, the pt's heart rate is 35 beats/min, BP is
70/50, resp. rate is 22 per min, O2 sat is 95%. What is the
appropriate 1st medication? Correct Answer Atropine 0.5mg
A pt. presents to the ER with dizziness and SOB with a sinus
brady of 40/min. The initial atropine dose was ineffective and your
monitor does not provide TCP. What is the appropriate dose of
Dopamine for this pt? Correct Answer 2-10mcg/kg/min
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is
110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow
complex tach rythm. What is the next intervention? Correct
Answer Vagal manuever.
A monitored pt. in the ICU developed a suddent onset of narrow
complex tach at a rate of 220/min. The pt's BP is 128/58, the
PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any
vasodialators. A 12 lead shows no ischemia or infarction. Vagal
,manuevers are ineffective. What is the next intervention? Correct
Answer Adenosine 12mg IV
You receiving a radio report from an EMS team enroute with a pt.
who may be having a stroke. The hospital CT scanner is broken.
What should you do? Correct Answer Divert the pt. to a hospital
15 min away with CT capabilities.
Foundational Facts: Stroke Centers and Stroke Units
Choose an appropriate inidication to stop or withhold resuscitive
efforts. Correct Answer Evidence of rigor mortis.
A 49 y/ofmaile arrives in the ER with persistant epigastric pain.
She has been taking antacids PO for the past 6 hours because
she she had heartburn. BP is 118/72, heart rate is 92/min, resp.
rate is 14 non-labored and O2 sat is 96%. What is the most
appropriate next action? Correct Answer Obtain a 12 lead ECG.
A pt. in respiratory failure becomes apneic but contineues to have
a strong pulse. The heart rate is dropping paridly and now shows
a sinus brady rate at 30/min. What intervention has the highest
priority? Correct Answer Simple airway manuevers and assisted
ventilations.
What is the appropriate procedure for ET suctioning after the
catheter is selected? Correct Answer Suction during withdrawl,
but not for longer than 10 seconds.
While treating a stable pt for dizziness, a BP of 68/30, cool and
clammy, you see a brady rythm on the ECG. How do you treat
this? Correct Answer Atropine 0.5mg
A 68 y/o female pt. experienced a sudden onset of right arm
weakness. BP is 140/90, pulse is 78/min, resp rate is non-labored
,14/min, 02 sat is 97%. Lead 2 in the ECG shows a sinus rythm.
What would be your next action? Correct Answer Cinncinati
Stroke Scale
You are transporting a pt. with a positive stroke assessment. BP
is 138, pulse is 80/min, resp rate is 12/min, 02 sat is 95% room
air. Glucose levels are normal and the ECG shows a sinus rythm.
What is next. Correct Answer Head CT scan
What is the proper ventilation rate for a pt. in cardiac arrest who
has an advanced airway in place? Correct Answer 8-10 breaths
per minute
A 62 y/o male pt. in the ER says his heart is beating fast. No
chest pain or SOB. BP is 142/98, pulse rate is 200/min, reps rate
is 14/min, O2 sats are 95 at room air. What should be the next
evaluation? Correct Answer Obtain a 12 lead ECG.
You are evaluating a 48 y/o male with crushing sub-sternal pain.
He is cool, pale, diaphretic, and slow to respond to your
questions. BP is 58/32, pulse is 190/min, resp rate is 18, and you
are unable to obtain an 02 sat due to no radial pulse. The ECG
shows a wide complex tach rythm. What intervention should be
next? Correct Answer Syncronized cardioversion.
What is the initial priority for an unconscious pt. with any
tachycardia on the monitor? Correct Answer Determine if a pulse
is present.
Which rythm requires synchronized cardioversion? Correct
Answer Unstable SVT
What is the recommended dose for adenosine for pt's in
refractory, but stable narrow complex tachycardia? Correct
Answer 12mg
, What is the usual post-cardiac arrest target range for PETCO2
who achieves return of spontaneous circulation (ROSC)? Correct
Answer 35-40mm Hg
Which conditionis a contraindication to theraputic hypothermia
during the post-cardiac arrest period for pt's who achieve return of
spontaneous circulation (ROSC)? Correct Answer Responding to
verbal commands
What is the potential danger to using ties that pass
circumfrentially around the pt's neck when securing an advanced
airway? Correct Answer Obstruction of veneous return from the
brain
What is the most reliable method of confirming and montioring
correct placement of an ET tube? Correct Answer Continuous
waveform capnography
What is the recommended IV fluid (NS or LR) bolus dose for a pt.
who achieves ROSC but is hypotensive during the post-cardiac
arrest period? Correct Answer 1 to 2 Liters
What is the minimum systolic BP one should attempt to achieve
with fluid, Inotropic, or vasopressor administration in a
hypotensive post-cardiac arrest who achieves ROSC? Correct
Answer 90mm Hg
What is the 1st treatment priority for a pt. who achieves ROSC?
Correct Answer Optimizing ventilation and oxygenation.
Which is an appropriate and important intervention to perform for
a patient who achieves ROSC during an out-of-hospital
resuscitation? Correct Answer Transport the patient to a facility
capable of performing PCI.
