ACLS Adult Cardiac Arrest Exam
Questions and Answers
1. Establish unresponsiveness - Answer-In Cardiac arrest, the pulse cannot be felt, the
patient is unresponsive, and respirations are absent or agonal.
The arrest rhythms include: - Answer-Asystole
Pulseless Electrical Activity (PEA)
Ventricular Fibrillation
Pulseless Ventricular Tachycardia
The goal of intervention in cardiac arrest is - Answer-Return of spontaneous circulation
(ROSC).
2. Immediate intervention - Answer-Call code/Activate EMS
Immediately begin CPR
Establish an airway and administer Oxygen
Attach monitor/defibrillator, establish rhythm
High-Quality CPR is - Answer-Compression rate greater or equal to 100/min
Compress chest to depth of at least 2 inches
Allow complete chest recoil
Minimize interruptions
Avoid hyperventilation
Rotate compressor every 2 minutes to prevent fatigue
3. Shockable Rhythm? - Answer-PEA/Asystole - NO
Vfib or Vtach - YES
4. PEA/Asystole - Answer-If it is determined at any time that the patient is in asystole or
PEA, continue CPR, establish vascular access, administer Epinephrine 1 mg every 3-5
minutes.
Questions and Answers
1. Establish unresponsiveness - Answer-In Cardiac arrest, the pulse cannot be felt, the
patient is unresponsive, and respirations are absent or agonal.
The arrest rhythms include: - Answer-Asystole
Pulseless Electrical Activity (PEA)
Ventricular Fibrillation
Pulseless Ventricular Tachycardia
The goal of intervention in cardiac arrest is - Answer-Return of spontaneous circulation
(ROSC).
2. Immediate intervention - Answer-Call code/Activate EMS
Immediately begin CPR
Establish an airway and administer Oxygen
Attach monitor/defibrillator, establish rhythm
High-Quality CPR is - Answer-Compression rate greater or equal to 100/min
Compress chest to depth of at least 2 inches
Allow complete chest recoil
Minimize interruptions
Avoid hyperventilation
Rotate compressor every 2 minutes to prevent fatigue
3. Shockable Rhythm? - Answer-PEA/Asystole - NO
Vfib or Vtach - YES
4. PEA/Asystole - Answer-If it is determined at any time that the patient is in asystole or
PEA, continue CPR, establish vascular access, administer Epinephrine 1 mg every 3-5
minutes.
