POST-ACLS MEGACODE EXAM TEST WITH VERIFIED ANSWERS
1. SCENARIO 1: You witness a mid- Move the man out of the way of
dle-aged, obese male pedestrian col- pedestrian traffic on the escalator
lapse on an escalator in an airport.
He is clutching his chest and slumps
over on the person behind him. The
bystander places him on the floor at
the end of the down-moving escalator
track. As a first responder certified in
ACLS, which of the following is your
first course of action?
2. 1: You have moved the man to a seating send someone to get AED
area near the bottom of the escalator.
The man is gasping for breath but does
not appear to be effectively breathing.
You yell at him "Are you alright?" but
he does not respond. What is your next
action?
3. 1: After sending for EMS and waiting for check for a pulse
an AED to arrive, you continue to attend
to the man. The man is unresponsive The rescuer must determine if this
and he is now only gasping. What is is respiratory failure alone or car-
your next action? diac arrest. Checking for a pulse
follows sending people for help.
4. 1: You find a definite pulse on his Give one breath every 5-6 s
carotid artery. It is fast, but clearly pre-
sent. What is your next action? The man has a pulse, so he needs
rescue breathing, not chest com-
pressions. One ventilation every
5-6 seconds is appropriate in an
adult without an advanced airway
in place.
5. 1: The AED device has not yet ar- check for a pulse
rived. You have been delivering breaths
for two minutes, spaced 5-6 seconds you must determine if the victim's
situation has deteriorated. Respi-
, POST-ACLS MEGACODE EXAM TEST WITH VERIFIED ANSWERS
apart. He is not breathing spontaneous- ratory arrest may lead to cardiac
ly. What is your next action? arrest. Pulse checks should be
done every two minutes in respira-
tory arrest.
6. 1: You pause rescue breathing to check begin CPR
for a pulse. You cannot feel a definite Since there is no pulse, the man
pulse after 10 seconds of trying. What is now in cardiac arrest. He needs
is your next action? CPR, including chest compres-
sions.
7. 1: You start high-quality CPR at a rate Rip the pads off the man's chest
of 100-120 compressions per minute. and apply new pads in the same
The AED arrives moments later. You locations
open the man's shirt to find a copi-
ous amount of thick hair covering his Chest hair can interfere with elec-
chest and he is damp with sweat. The trical contact through the AED
AED cannot get a good signal through pads. The adhesive on the pads
the pads because of the hair, even can act as a rapid depilatory (i.e. it
though you have pressed them down rips the chest hair out). New pads
very hard. What is your next action? can then be used on the bare skin.
8. 1: With hair removed and new pads resume CPR ASAP
placed, the AED gets a good signal
from the patient. It reports that there is Regardless of patient response,
a shockable rhythm.You clear everyone resume high-quality CPR immedi-
from the patient, announce the shock, ately and continue for two minutes.
and then deliver one shock. What is Even if a pulse returns, it may not
your next action? be adequate to pump blood for a
few minutes. A pulse check at this
point is irrelevant. An AED auto-
matically controls the level of en-
ergy delivered.
9. 1: After two minutes of CPR, what is check for a pulse
your next action?
It is important to determine if the
man has regained spontaneous
circulation. This can be done with
a pulse check.
1. SCENARIO 1: You witness a mid- Move the man out of the way of
dle-aged, obese male pedestrian col- pedestrian traffic on the escalator
lapse on an escalator in an airport.
He is clutching his chest and slumps
over on the person behind him. The
bystander places him on the floor at
the end of the down-moving escalator
track. As a first responder certified in
ACLS, which of the following is your
first course of action?
2. 1: You have moved the man to a seating send someone to get AED
area near the bottom of the escalator.
The man is gasping for breath but does
not appear to be effectively breathing.
You yell at him "Are you alright?" but
he does not respond. What is your next
action?
3. 1: After sending for EMS and waiting for check for a pulse
an AED to arrive, you continue to attend
to the man. The man is unresponsive The rescuer must determine if this
and he is now only gasping. What is is respiratory failure alone or car-
your next action? diac arrest. Checking for a pulse
follows sending people for help.
4. 1: You find a definite pulse on his Give one breath every 5-6 s
carotid artery. It is fast, but clearly pre-
sent. What is your next action? The man has a pulse, so he needs
rescue breathing, not chest com-
pressions. One ventilation every
5-6 seconds is appropriate in an
adult without an advanced airway
in place.
5. 1: The AED device has not yet ar- check for a pulse
rived. You have been delivering breaths
for two minutes, spaced 5-6 seconds you must determine if the victim's
situation has deteriorated. Respi-
, POST-ACLS MEGACODE EXAM TEST WITH VERIFIED ANSWERS
apart. He is not breathing spontaneous- ratory arrest may lead to cardiac
ly. What is your next action? arrest. Pulse checks should be
done every two minutes in respira-
tory arrest.
6. 1: You pause rescue breathing to check begin CPR
for a pulse. You cannot feel a definite Since there is no pulse, the man
pulse after 10 seconds of trying. What is now in cardiac arrest. He needs
is your next action? CPR, including chest compres-
sions.
7. 1: You start high-quality CPR at a rate Rip the pads off the man's chest
of 100-120 compressions per minute. and apply new pads in the same
The AED arrives moments later. You locations
open the man's shirt to find a copi-
ous amount of thick hair covering his Chest hair can interfere with elec-
chest and he is damp with sweat. The trical contact through the AED
AED cannot get a good signal through pads. The adhesive on the pads
the pads because of the hair, even can act as a rapid depilatory (i.e. it
though you have pressed them down rips the chest hair out). New pads
very hard. What is your next action? can then be used on the bare skin.
8. 1: With hair removed and new pads resume CPR ASAP
placed, the AED gets a good signal
from the patient. It reports that there is Regardless of patient response,
a shockable rhythm.You clear everyone resume high-quality CPR immedi-
from the patient, announce the shock, ately and continue for two minutes.
and then deliver one shock. What is Even if a pulse returns, it may not
your next action? be adequate to pump blood for a
few minutes. A pulse check at this
point is irrelevant. An AED auto-
matically controls the level of en-
ergy delivered.
9. 1: After two minutes of CPR, what is check for a pulse
your next action?
It is important to determine if the
man has regained spontaneous
circulation. This can be done with
a pulse check.
