ACLS FINAL EXAM NEWEST 2025 WITH ACTUAL QUESTION
AND CORRECT ANSWERS(DETAILED ANSWERS)100%
GUARANTEED PASS!
Dosing of epinephrine in the setting of VF/pVT and asystole/PEA - CORRECT
ANSWER-1 mg every 3-5 minutes
Dosing of amiodarone (first and second dose) in the setting of cardiac arrest -
CORRECT ANSWER-300mg first dose
150mg second dose after 3-5 min
Dosing of lidocaine (first and second dose) in the setting of cardiac arrest -
CORRECT ANSWER-1-1.5mg/kg first dose
0.5-0.75 mg/kg second dose, repeat in 5-10 min
What is the maximum dose of lidocaine? - CORRECT ANSWER-3 doses or
3mg/kg
ROSC is typically signified by a PETCO2 of what? - CORRECT ANSWER-40 mm Hg
or more
,The "Hs" of reversible causes of cardiac arrest - CORRECT ANSWER-1.
Hypovolemia
2. Hypoxia
3. Hydrogen ions (acidosis)
4. Hypo/hyperkalemia
5. Hypothermia
The "Ts" of reversible causes of cardiac arrest - CORRECT ANSWER-1. Tension
pneumothorax
2. Tamponade, cardiac
3. Toxins
4. Thrombosis, pulmonary
5. Thrombosis, coronary
In the setting of cardiac arrest, once an advanced airway is in place, 1 breath
should be given every ______ seconds. Should chest compressions be interrupted
once an advanced airway is in place? - CORRECT ANSWER-6-8 seconds (8-10
breaths/min) with continuous chest compressions
If PETCO2 falls below ______, attempts should be made to improve chest
compressions - CORRECT ANSWER-10
,If intra-arterial pressure monitoring is being utilized during a resuscitation
attempt, if the diastolic pressure falls below ___mm Hg, attempts should be made
to improve chest compressions - CORRECT ANSWER-20
depth of adequate chest compressions - CORRECT ANSWER-2 inches
rate of adequate chest compressions - CORRECT ANSWER-100-120/min
If no advanced airway is in place, what is the ratio of chest compressions to
ventilations? - CORRECT ANSWER-30:2
Shock energy that should be used on a biphasic machine for defibrillation -
CORRECT ANSWER-120-200 J, if recommended setting not known, use
maximum available
Shock energy that should be used on a monophasic machine for defibrillation -
CORRECT ANSWER-360J
In the setting of cardiac arrest, when should vasopressors be administered? -
CORRECT ANSWER-after the patient has failed CPR and defibrillation (shock-
refractory arrhythmias)
The only vasopressor recommended in the cardiac arrest algorithm - CORRECT
ANSWER-epinephrine
, Why is vasopressin no longer recommended in the cardiac arrest algorithm as a
vasopressor? - CORRECT ANSWER-no additional benefit and may increase
delays in medication administration
Are higher doses of epinephrine recommended in certain situations of cardiac
arrest? If so, what situations are higher doses of epinephrine recommended? -
CORRECT ANSWER-no; no benefit to support use, possible harm
When is endotracheal medication administration recommended? - CORRECT
ANSWER-not recommended unless unable to give meds IV or IO
Which medications can be administered via endotracheal tube? - CORRECT
ANSWER-lidocaine, epinephrine, atropine, naloxone
What is different about the dosing of medications if endotracheal medication
administration is performed? - CORRECT ANSWER-Typically ETT dose 2-2.5
higher than IV due to lower absorption and dilution in 5-10mL of fluid is
recommended
When can antiarrhythmics be considered in the setting of cardiac arrest? -
CORRECT ANSWER-use may be considered in patients with VF/VT who have
failed high-quality CPR, shocks, and vasopressors
AND CORRECT ANSWERS(DETAILED ANSWERS)100%
GUARANTEED PASS!
Dosing of epinephrine in the setting of VF/pVT and asystole/PEA - CORRECT
ANSWER-1 mg every 3-5 minutes
Dosing of amiodarone (first and second dose) in the setting of cardiac arrest -
CORRECT ANSWER-300mg first dose
150mg second dose after 3-5 min
Dosing of lidocaine (first and second dose) in the setting of cardiac arrest -
CORRECT ANSWER-1-1.5mg/kg first dose
0.5-0.75 mg/kg second dose, repeat in 5-10 min
What is the maximum dose of lidocaine? - CORRECT ANSWER-3 doses or
3mg/kg
ROSC is typically signified by a PETCO2 of what? - CORRECT ANSWER-40 mm Hg
or more
,The "Hs" of reversible causes of cardiac arrest - CORRECT ANSWER-1.
Hypovolemia
2. Hypoxia
3. Hydrogen ions (acidosis)
4. Hypo/hyperkalemia
5. Hypothermia
The "Ts" of reversible causes of cardiac arrest - CORRECT ANSWER-1. Tension
pneumothorax
2. Tamponade, cardiac
3. Toxins
4. Thrombosis, pulmonary
5. Thrombosis, coronary
In the setting of cardiac arrest, once an advanced airway is in place, 1 breath
should be given every ______ seconds. Should chest compressions be interrupted
once an advanced airway is in place? - CORRECT ANSWER-6-8 seconds (8-10
breaths/min) with continuous chest compressions
If PETCO2 falls below ______, attempts should be made to improve chest
compressions - CORRECT ANSWER-10
,If intra-arterial pressure monitoring is being utilized during a resuscitation
attempt, if the diastolic pressure falls below ___mm Hg, attempts should be made
to improve chest compressions - CORRECT ANSWER-20
depth of adequate chest compressions - CORRECT ANSWER-2 inches
rate of adequate chest compressions - CORRECT ANSWER-100-120/min
If no advanced airway is in place, what is the ratio of chest compressions to
ventilations? - CORRECT ANSWER-30:2
Shock energy that should be used on a biphasic machine for defibrillation -
CORRECT ANSWER-120-200 J, if recommended setting not known, use
maximum available
Shock energy that should be used on a monophasic machine for defibrillation -
CORRECT ANSWER-360J
In the setting of cardiac arrest, when should vasopressors be administered? -
CORRECT ANSWER-after the patient has failed CPR and defibrillation (shock-
refractory arrhythmias)
The only vasopressor recommended in the cardiac arrest algorithm - CORRECT
ANSWER-epinephrine
, Why is vasopressin no longer recommended in the cardiac arrest algorithm as a
vasopressor? - CORRECT ANSWER-no additional benefit and may increase
delays in medication administration
Are higher doses of epinephrine recommended in certain situations of cardiac
arrest? If so, what situations are higher doses of epinephrine recommended? -
CORRECT ANSWER-no; no benefit to support use, possible harm
When is endotracheal medication administration recommended? - CORRECT
ANSWER-not recommended unless unable to give meds IV or IO
Which medications can be administered via endotracheal tube? - CORRECT
ANSWER-lidocaine, epinephrine, atropine, naloxone
What is different about the dosing of medications if endotracheal medication
administration is performed? - CORRECT ANSWER-Typically ETT dose 2-2.5
higher than IV due to lower absorption and dilution in 5-10mL of fluid is
recommended
When can antiarrhythmics be considered in the setting of cardiac arrest? -
CORRECT ANSWER-use may be considered in patients with VF/VT who have
failed high-quality CPR, shocks, and vasopressors
