ACLS PRACTICAL APPLICATION
1. A 35-year-old woman presents with a chief complaint of palpitations. She has no chest
discomfort, shortness of breath, or light-headedness. Her blood pressure is 120/78 mm Hg.
Which intervention is indicated first?
A. adenosine 3 mg IV bolus
B. adenosine 12 mg IV slow push (over 1 to 2 minutes)
C. metoprolol 5 mg IV and repeat if necessary
D. vagal maneuvers
Answer: D. vagal maneuvers
2. Which action should you take immediately after providing an AED shock?
A. check the pulse rate
B. prepare to deliver a second shock
C. resume chest compressions
D. start rescue breathing
Answer: C. resume chest compressions
3. Which action is likely to cause air to enter the victim's stomach (gastricinflation) during
bag-mask ventilation?
A. giving breaths over 1 second
B. ventilation too quickly
C. providing a good seal between the face and the mask
D. providing just enough volume for the chest to rise
Answer: B. ventilation too quickly
4. What is the maximum interval for pausing chest compressions?
A. 10 seconds
B. 15 seconds
C. 20 seconds
D. 25 seconds
Answer: A. 10 seconds
, 5. How often should you switch chest compressors to avoid fatigue?
A. about every 2 minutes
B. about every 3 minutes
C. about every 4 minutes
D. about every 5 minutes
Answer: A. about every 2 minutes
6. Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling
dizzy. She is pale ad diaphoretic. Her blood pressure is 80/60 mm Hg.The cardiac monitor
documents the rhythm shown here (sinusbradycardia). she is receiving oxygen at 4 L/min by
nasal cannula, and an IV
has been established. What so you administer next?
A. atropine 0.5 mg IV
B. dopamine at 2 to 10 mcg/kg per minute
C. glucose 50% IV push
D. morphine sulfate 4 mg IV
Answer: A. atropine 0.5 mg IV
7. How does complete chest recoil contribute to effective CPR?
A. allows maximum blood return to the heart
B. reduces rescuer fatigue
C. reduces the risk of rib fractures
D. increases the rate of chest compressions
Answer: A. allows maximum blood return tothe heart
8. You are the code team leader and arrive to find a patient with CPR in progress. On the
next rhythm check, you see the rhythm shown here (looks like normal sinus rhythm).Team
members tell you that the patient was well butreported chest discomfort and then collapsed. She
has no pulse or respirations. Bag-mask ventilations are producing visible chest rise, and IO
access has been established. which intervention would be your next action?
A. atropine 1 mg
B. dopamine at 10 to 20 mcg/kg per minute
C. epinephrine 1 mg
D. intubation and administration of 100% oxygen
Answer: C. epinephrine 1 mg
9. What action minimizes the risk of air entering the victim's stomach duringbag-mask
ventilation?
1. A 35-year-old woman presents with a chief complaint of palpitations. She has no chest
discomfort, shortness of breath, or light-headedness. Her blood pressure is 120/78 mm Hg.
Which intervention is indicated first?
A. adenosine 3 mg IV bolus
B. adenosine 12 mg IV slow push (over 1 to 2 minutes)
C. metoprolol 5 mg IV and repeat if necessary
D. vagal maneuvers
Answer: D. vagal maneuvers
2. Which action should you take immediately after providing an AED shock?
A. check the pulse rate
B. prepare to deliver a second shock
C. resume chest compressions
D. start rescue breathing
Answer: C. resume chest compressions
3. Which action is likely to cause air to enter the victim's stomach (gastricinflation) during
bag-mask ventilation?
A. giving breaths over 1 second
B. ventilation too quickly
C. providing a good seal between the face and the mask
D. providing just enough volume for the chest to rise
Answer: B. ventilation too quickly
4. What is the maximum interval for pausing chest compressions?
A. 10 seconds
B. 15 seconds
C. 20 seconds
D. 25 seconds
Answer: A. 10 seconds
, 5. How often should you switch chest compressors to avoid fatigue?
A. about every 2 minutes
B. about every 3 minutes
C. about every 4 minutes
D. about every 5 minutes
Answer: A. about every 2 minutes
6. Your patient is a 56-year-old woman with a history of type 2 diabetes who reports feeling
dizzy. She is pale ad diaphoretic. Her blood pressure is 80/60 mm Hg.The cardiac monitor
documents the rhythm shown here (sinusbradycardia). she is receiving oxygen at 4 L/min by
nasal cannula, and an IV
has been established. What so you administer next?
A. atropine 0.5 mg IV
B. dopamine at 2 to 10 mcg/kg per minute
C. glucose 50% IV push
D. morphine sulfate 4 mg IV
Answer: A. atropine 0.5 mg IV
7. How does complete chest recoil contribute to effective CPR?
A. allows maximum blood return to the heart
B. reduces rescuer fatigue
C. reduces the risk of rib fractures
D. increases the rate of chest compressions
Answer: A. allows maximum blood return tothe heart
8. You are the code team leader and arrive to find a patient with CPR in progress. On the
next rhythm check, you see the rhythm shown here (looks like normal sinus rhythm).Team
members tell you that the patient was well butreported chest discomfort and then collapsed. She
has no pulse or respirations. Bag-mask ventilations are producing visible chest rise, and IO
access has been established. which intervention would be your next action?
A. atropine 1 mg
B. dopamine at 10 to 20 mcg/kg per minute
C. epinephrine 1 mg
D. intubation and administration of 100% oxygen
Answer: C. epinephrine 1 mg
9. What action minimizes the risk of air entering the victim's stomach duringbag-mask
ventilation?
