ACLS HEALTHCARE PROVIDER
1. You find the patient's neurologic function is rapidly improving. Is thispatient still a
candidate for fibrinolytic therapy?
o Yes
o No
o Not enough information
Answer: o No
2. Because this patient is no longer a candidate for fibrinolytic therapy, whatare your next
steps for him?
o Consider giving adenosine
o Administer O2
o Support airway, breathing, and circulation (ABCs_
o Begin the stroke pathway
o Admit the patient to an intensive care unit
o Order an emergent x-ray
o Order an emergent CT scan
Answer:
o Support airway, breathing, and circulation (ABCs_
o Begin the stroke pathway
o Admit the patient to an intensive care unit
3. As Team Leader, you conduct the primary assessment, including rhythmanalysis, while
high-quality BLS continues. What type of rhythm is being displayed on the monitor?
o Ventricular tachycardia
o Asystole
o Supraventricular tachycardia
o Ventricular fibrillation
Answer: o Ventricular fibrillation
4. Based on the patient's condition, what is your next action?
o Pause CPR to establish IV/IO access
o Continue CPR while you establish IV/IO access
o Shock immediately
o Continue CPR while delivering shock
Answer: o Shock immediately
5. After a shock is delivered, CPR resumes immediately. What actions alsoneeds to be
performed at this time?
o Establish IV/IO access
, o Administer amiodarone or lidocaine
o Consider an advanced airway
o Perform a second rhythm check
Answer: o Establish IV/IO access
6. After 2 minutes, the team pauses CPR for a rhythm check. What rhythm isnow being
demonstrated by the patient?
o Ventricular tachycardia
o Pulseless electric activity
o Ventricular fibrillation
o Asystole
Answer: o Ventricular tachycardia
7. The patient is showing persistent pulseless ventricular tachycardia. Whatactions need to
be completed next by the team? Place in the correct order
o Shock immediately
o Resume CPR
o Administer epinephrine 1mg IV
o Consider an advanced airway
Answer:
o Shock immediately
o Resume CPR
o Administer epinephrine 1mg IV
o Consider an advanced airway
8. 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?
o Administer amiodarone 300mg IV
o Administer procainamide 15 to 18 mg/kg IV loading dose
o Administer epinephrine 1mg IV
Answer: o Administer amiodarone 300mg IV
9. 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?
o Normal sinus rhythm
o Pulseless electrical activity
o Sinus bradycardia
o Junctional rhythm
Answer: o Pulseless electrical activity
10. 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?
1. You find the patient's neurologic function is rapidly improving. Is thispatient still a
candidate for fibrinolytic therapy?
o Yes
o No
o Not enough information
Answer: o No
2. Because this patient is no longer a candidate for fibrinolytic therapy, whatare your next
steps for him?
o Consider giving adenosine
o Administer O2
o Support airway, breathing, and circulation (ABCs_
o Begin the stroke pathway
o Admit the patient to an intensive care unit
o Order an emergent x-ray
o Order an emergent CT scan
Answer:
o Support airway, breathing, and circulation (ABCs_
o Begin the stroke pathway
o Admit the patient to an intensive care unit
3. As Team Leader, you conduct the primary assessment, including rhythmanalysis, while
high-quality BLS continues. What type of rhythm is being displayed on the monitor?
o Ventricular tachycardia
o Asystole
o Supraventricular tachycardia
o Ventricular fibrillation
Answer: o Ventricular fibrillation
4. Based on the patient's condition, what is your next action?
o Pause CPR to establish IV/IO access
o Continue CPR while you establish IV/IO access
o Shock immediately
o Continue CPR while delivering shock
Answer: o Shock immediately
5. After a shock is delivered, CPR resumes immediately. What actions alsoneeds to be
performed at this time?
o Establish IV/IO access
, o Administer amiodarone or lidocaine
o Consider an advanced airway
o Perform a second rhythm check
Answer: o Establish IV/IO access
6. After 2 minutes, the team pauses CPR for a rhythm check. What rhythm isnow being
demonstrated by the patient?
o Ventricular tachycardia
o Pulseless electric activity
o Ventricular fibrillation
o Asystole
Answer: o Ventricular tachycardia
7. The patient is showing persistent pulseless ventricular tachycardia. Whatactions need to
be completed next by the team? Place in the correct order
o Shock immediately
o Resume CPR
o Administer epinephrine 1mg IV
o Consider an advanced airway
Answer:
o Shock immediately
o Resume CPR
o Administer epinephrine 1mg IV
o Consider an advanced airway
8. 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?
o Administer amiodarone 300mg IV
o Administer procainamide 15 to 18 mg/kg IV loading dose
o Administer epinephrine 1mg IV
Answer: o Administer amiodarone 300mg IV
9. 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?
o Normal sinus rhythm
o Pulseless electrical activity
o Sinus bradycardia
o Junctional rhythm
Answer: o Pulseless electrical activity
10. 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?
