ACLS Healthcare Provider
1. After a shock is delivered, CPR resumes immediately. What actions alsoneeds to be
performed at this time?
• Establish IV/IO access
• Administer amiodarone or lidocaine
• Consider an advanced airway
• Perform a second rhythm check
Answer: o Establish IV/IO access
2. After 2 minutes, the team pauses CPR for a rhythm check. What rhythm isnow being
demonstrated by the patient?
• Ventricular tachycardia
• Pulseless electric activity
• Ventricular fibrillation
• Asystole
Answer: o Ventricular tachycardia
3. The patient is showing persistent pulseless ventricular tachycardia. Whatactions need to
be completed next by the team? Place in the correct order
• Shock immediately
• Resume CPR
• Administer epinephrine 1mg IV
• Consider an advanced airway
Answer:
o Shock immediately
o Resume CPR
o Administer epinephrine 1mg IV
o Consider an advanced airway
4. At the next pulse check, compressors are switched, and rhythm continuesto be refractory
ventricular fibrillation/ventricular tachycardia. A shock is delivered and CPR is resumed.
What is your next intervention?
• Administer amiodarone 300mg IV
• Administer procainamide 15 to 18 mg/kg IV loading dose
• Administer epinephrine 1mg IV
Answer: o Administer amiodarone 300mg IV
5. After 2 more minutes of CPR, you conduct a rhythm check and a pulse check, confirming
, absence of a pulse. Based on the organized rhythm below,describe the patient's condition?
• Normal sinus rhythm
• Pulseless electrical activity
• Sinus bradycardia
• Junctional rhythm
Answer: o Pulseless electrical activity
6. Once PEA is identified and there are no signs of ROSC, you continue CPR.What is your
next step for appropriate care for this patient?
• Administer epinephrine 1mg IV
• Administer amiodarone 150mg IV
• Administer amiodarone 300mg IV
• Administer epinephrine 1.5mg IV
Answer: o Administer epinephrine 1mg IV
7. After 2 minutes of CPR, you conduct another rhythm check and determine that the patient
has the following rhythm and is showing signs of ROSC. How do you continue treating this
patient?
• Administer another dose of 1mg of epinephrine
• Move to the Adult Post-Cardiac Arrest Care Algorithm
• Resume CPR and repeat the steps of the PEA pathway
• Pause CPR and consider an advanced airway
Answer: o Move to the Adult Post-CardiacArrest Care Algorithm
8. She has a palpable pulse, HR of 65/min, SpO2 of 94%, ETCO2 of 38 mm Hg,and BP 82/55
mm Hg. What are your highest priorities? Select all that apply.
• Maintaining a target PaCO2 between 45 and 55 mm Hg
• Maintaining SpO2 92% to 98%
• Hyperventilation
• Ventilating the patient with 10 breaths per minute
• Maintaining a target PaCO2 between 35 and 45 mm Hg
Answer:
o Maintaining SpO292% to 98%
o Ventilating the patient with 10 breaths per minute
o Maintaining a target PaCO2 between 35 and 45 mm Hg
9. In addition to managing the airway and respiratory parameters, which stepis also
prioritized during the initial stabilization phase?
• Initiating targeted temperature management
• Administering alteplase
• Performing percutaneous coronary intervention
• Treating hypotension
1. After a shock is delivered, CPR resumes immediately. What actions alsoneeds to be
performed at this time?
• Establish IV/IO access
• Administer amiodarone or lidocaine
• Consider an advanced airway
• Perform a second rhythm check
Answer: o Establish IV/IO access
2. After 2 minutes, the team pauses CPR for a rhythm check. What rhythm isnow being
demonstrated by the patient?
• Ventricular tachycardia
• Pulseless electric activity
• Ventricular fibrillation
• Asystole
Answer: o Ventricular tachycardia
3. The patient is showing persistent pulseless ventricular tachycardia. Whatactions need to
be completed next by the team? Place in the correct order
• Shock immediately
• Resume CPR
• Administer epinephrine 1mg IV
• Consider an advanced airway
Answer:
o Shock immediately
o Resume CPR
o Administer epinephrine 1mg IV
o Consider an advanced airway
4. At the next pulse check, compressors are switched, and rhythm continuesto be refractory
ventricular fibrillation/ventricular tachycardia. A shock is delivered and CPR is resumed.
What is your next intervention?
• Administer amiodarone 300mg IV
• Administer procainamide 15 to 18 mg/kg IV loading dose
• Administer epinephrine 1mg IV
Answer: o Administer amiodarone 300mg IV
5. After 2 more minutes of CPR, you conduct a rhythm check and a pulse check, confirming
, absence of a pulse. Based on the organized rhythm below,describe the patient's condition?
• Normal sinus rhythm
• Pulseless electrical activity
• Sinus bradycardia
• Junctional rhythm
Answer: o Pulseless electrical activity
6. Once PEA is identified and there are no signs of ROSC, you continue CPR.What is your
next step for appropriate care for this patient?
• Administer epinephrine 1mg IV
• Administer amiodarone 150mg IV
• Administer amiodarone 300mg IV
• Administer epinephrine 1.5mg IV
Answer: o Administer epinephrine 1mg IV
7. After 2 minutes of CPR, you conduct another rhythm check and determine that the patient
has the following rhythm and is showing signs of ROSC. How do you continue treating this
patient?
• Administer another dose of 1mg of epinephrine
• Move to the Adult Post-Cardiac Arrest Care Algorithm
• Resume CPR and repeat the steps of the PEA pathway
• Pause CPR and consider an advanced airway
Answer: o Move to the Adult Post-CardiacArrest Care Algorithm
8. She has a palpable pulse, HR of 65/min, SpO2 of 94%, ETCO2 of 38 mm Hg,and BP 82/55
mm Hg. What are your highest priorities? Select all that apply.
• Maintaining a target PaCO2 between 45 and 55 mm Hg
• Maintaining SpO2 92% to 98%
• Hyperventilation
• Ventilating the patient with 10 breaths per minute
• Maintaining a target PaCO2 between 35 and 45 mm Hg
Answer:
o Maintaining SpO292% to 98%
o Ventilating the patient with 10 breaths per minute
o Maintaining a target PaCO2 between 35 and 45 mm Hg
9. In addition to managing the airway and respiratory parameters, which stepis also
prioritized during the initial stabilization phase?
• Initiating targeted temperature management
• Administering alteplase
• Performing percutaneous coronary intervention
• Treating hypotension
