Advanced Cardiac Life Support (ACLS)
Practice Questions 2024/2025
1. A patient with suspected ACS is placed on a cardiac monitor. The patient's blood
pressure is 90/60 mmHg. Which medication would be most appropriate for this
patient?
Answer: Intravenous fluids (to improve blood pressure).
2. During the assessment of a patient, a healthcare provider notes chest pain that
radiates to the left arm. What is the most appropriate initial intervention?
Answer: Administer aspirin (unless contraindicated).
3. A patient is being treated for acute pulmonary edema. Which position should the
healthcare provider place the patient in for optimal comfort and oxygenation?
Answer: Sitting upright with feet dangling.
4. In a patient with a suspected acute coronary syndrome, which laboratory test is
essential for confirming myocardial ischemia?
Answer: Cardiac troponin levels.
5. During CPR, chest compressions should be delivered at a depth of at least how
many inches?
Answer: At least 2 inches.
, 6. A patient presents with altered mental status and signs of hypoperfusion. The
provider suspects shock. What is the most appropriate first step in management?
Answer: Establish intravenous access and administer fluids.
7. What is the significance of a heart rate greater than 150 beats per minute in a
patient with tachycardia and dyspnea?
Answer: Potentially indicates a significant cardiovascular compromise.
8. During intubation, what is the most critical consideration to ensure proper
placement of the endotracheal tube?
Answer: Confirm the tube is in the trachea by auscultation and capnography.
9. If a patient in cardiac arrest develops a wide-complex tachycardia during
resuscitation efforts, what is the recommended treatment?
Answer: Immediate defibrillation (if pulseless).
10. A patient receiving mechanical ventilation has an elevated plateau pressure of 35
cm H2O. What does this indicate?
Answer: Potential increase in airway resistance or decreased lung compliance.
11. In a patient with suspected stroke, the healthcare team performs the FAST
assessment. The "T" in FAST stands for what?
Answer: Time to call for emergency medical services.
Practice Questions 2024/2025
1. A patient with suspected ACS is placed on a cardiac monitor. The patient's blood
pressure is 90/60 mmHg. Which medication would be most appropriate for this
patient?
Answer: Intravenous fluids (to improve blood pressure).
2. During the assessment of a patient, a healthcare provider notes chest pain that
radiates to the left arm. What is the most appropriate initial intervention?
Answer: Administer aspirin (unless contraindicated).
3. A patient is being treated for acute pulmonary edema. Which position should the
healthcare provider place the patient in for optimal comfort and oxygenation?
Answer: Sitting upright with feet dangling.
4. In a patient with a suspected acute coronary syndrome, which laboratory test is
essential for confirming myocardial ischemia?
Answer: Cardiac troponin levels.
5. During CPR, chest compressions should be delivered at a depth of at least how
many inches?
Answer: At least 2 inches.
, 6. A patient presents with altered mental status and signs of hypoperfusion. The
provider suspects shock. What is the most appropriate first step in management?
Answer: Establish intravenous access and administer fluids.
7. What is the significance of a heart rate greater than 150 beats per minute in a
patient with tachycardia and dyspnea?
Answer: Potentially indicates a significant cardiovascular compromise.
8. During intubation, what is the most critical consideration to ensure proper
placement of the endotracheal tube?
Answer: Confirm the tube is in the trachea by auscultation and capnography.
9. If a patient in cardiac arrest develops a wide-complex tachycardia during
resuscitation efforts, what is the recommended treatment?
Answer: Immediate defibrillation (if pulseless).
10. A patient receiving mechanical ventilation has an elevated plateau pressure of 35
cm H2O. What does this indicate?
Answer: Potential increase in airway resistance or decreased lung compliance.
11. In a patient with suspected stroke, the healthcare team performs the FAST
assessment. The "T" in FAST stands for what?
Answer: Time to call for emergency medical services.
