AMERICAN RED CROSS-ACLS-FINAL
QUESTIONS WITH 100% ACCURATE
ANSWERS
Akpatientkiskinkcardiackarrest.kThekcardiackmonitorkshowskasystole.kInkadditionktokprovid
ingkcontinuouskhigh-
qualitykCPR,kwhatkiskthekotherkprioritykinterventionkforkthiskpatient?k-
kCORRECT kANSWER-Administeringkepinephrinekaskearlykaskpossible
Akpatientkhaskexperiencedkreturnkofkspontaneouskcirculationk(ROSC)kafterkcardiackarre
st.kThekhealthcarekteamkiskconductingkaksecondarykassessmentktokdeterminekthekpossi
blekcausekofkthekpatient'skcardiackarrest.kBeforekthekarrest,kthekpatientkexhibitedkjugular
kvenouskdistension,kcyanosis,kapneakandkhyperresonancekonkpercussion.kThekpatientk
waskalsokdifficultktokventilatekduringkthekresponse.kThekteamkwouldkmostklikelyksuspectk
whichkconditionkaskthekcause?k-kCORRECTkANSWER-TensionkPneumothorax
Akpatientkwithksuspectedkstrokekarriveskatkthekemergencykdepartment.kThekpatientkiskdi
agnosedkwithkacutekischemickstrokekandkiskakcandidatekforkfibrinolyticktherapy.kTokachi
evekthekbestkoutcomes,kthisktherapykshouldkbekinitiatedkwithinkwhatktimekframe?k-
kCORRECT kANSWER-Withink1khourkofkpatient'skarrival.
Akpatientkinkthektelemetrykunitkiskreceivingkcontinuouskcardiackmonitoring.kThekpatientkh
askakhistorykofkmyocardialkinfarction.kThekpatient'skECGkrhythmkstripkiskshownkinkthekfol
lowingkfigure.kThekproviderkinterpretskthiskstripkaskindicatingkwhichkarrhythmia?k-
kCORRECT kANSWER-Third-degreekAVkblock
Ak28-year-
oldkpregnantkpatientkwhokresideskinktransitionalkhousingkpresentsktokthekemergencykde
partmentkwithkcomplaintskofkfeelingkfeverishkandkverykfaint.kThekpatientktellskthekemerg
encyknursekthatkshekdoesknotkknowkwhenkshekbecamekpregnant.kUponkpalpation,kthekf
unduskisknotkatkorkabovekthekumbilicus.kThekpatient'skconditionkquicklykdeteriorateskand
kshekgoeskintokcardiackarrest.kIfkavailablekandkablektokbekusedkwithoutkimpedingkorkdela
yingkthekresuscitationkeffort,kwhatkdiagnosticktoolkcouldkbekusedktokguidekdecision-
makingkinkthekcarekofkthiskpatient?k-kCORRECTkANSWER-Point-of-carekultrasound
Cardiackmonitoringkindicateskthatkakpatientkhaskakventricularktachyarrhythmia.kThekpati
entkhaskakpulsekandkisknotkshowingkanyksignskofkhemodynamickcompromise.kAk12-
leadkECGkrevealskankirregularkrhythmkwithkQRSkcomplexeskgreaterkthank0.12ksecondki
, nkduration.kWhichkactionkwouldkbekappropriatekatkthisktime?k-kCORRECTkANSWER-
Considerkankantiarrhythmickmedication
Akresponsivekpatientkiskchoking.kWhatkmethodkshouldkthekproviderkusekfirstktokclearkthe
kobstructedkairway?k-kCORRECTkANSWER-Backkblows
Whatkiskthekprioritykinterventionkforkakpatientkwithkaknarrow-
complexktachycardiak(160kbpm)kandkakbloodkpressurekofk72/48kmmHg?k-
kCORRECT kANSWER-Performkimmediateksynchronizedkcardioversion
Akpatientkiskadmittedktokthekemergencykdepartmentkwithksignskandksymptomskofkstroke.
kThekstrokekteamkshouldkcompletekakcomprehensivekneurologickassessmentkandkobtai
nkbrainkimagingkresultskwithinkwhatktimekframe?k-kCORRECTkANSWER-
Withink20kminutes
Cardiackmonitoringkofkakpatientkinkcardiackarrestkrevealskventricularkfibrillation.kInkadditi
onktokhigh-qualitykCPR,kwhatkinterventionkshouldkbekakprioritykforkthekteam?k-
kCORRECT kANSWER-Defibrillation.
Akpatientkwithksuspectedkacutekcoronaryksyndromesk(ACS)khaskakpulsekoximetrykreadi
ngkofk86%kandkiskgivenksupplementalkoxygen.kThekproviderkdetermineskthatktheksupple
mentalkoxygenkdosekiskcorrectkbasedkonkwhichkSaO2klevel?k-kCORRECTkANSWER-
93%
Afterkcardiackarrestkandksuccessfulkresuscitation,kthekpatientkhaskakreturnkofkspontaneo
uskcirculation.kThekpatientkiskunablektokfollowkverbalkcommands.kTargetedktemperaturek
managementkiskinitiated.kWhichkmethod(s)kwouldkbekappropriatekforkthekresuscitationkt
eamktokuse?k-kCORRECTkANSWER--Applyingkcoolingkblanketsktokthekpatient'skbody
-Usingkankendovascularkcatheter
-Givingkankice-coldkIVkfluidkbolus
Akpatientkcomesktokthekemergencykdepartmentkcomplainingkofkpalpitationskandk"somek
shortnesskofkbreath."kCardiackmonitoringkiskinitiatedkandkrevealskthekfollowingkECGkrhyt
hmkstrip.kThekproviderkinterpretskthiskstripkaskindicatingkwhichkarrhythmia?k-
kCORRECT kANSWER-Atrialkflutter
Ak35-year-
oldkfemalekpatient'skECGkiskconsistentkwithkSTEMI.kThekECGkrevealskaknewkST-
segmentkelevationkatkthekJkpointkinkleadskV2kandkV3kofkatkleastkwhichksize?k-
kCORRECT kANSWER-0.15kmV
Thekfollowingkcapnogramkiskfromkakpatientkexperiencingkrespiratorykdistress.kAtkwhichk
pointkinkthekwaveformkwouldkthekpatient'skETCO2klevelkbekmeasured?k-
kCORRECT kANSWER-D
QUESTIONS WITH 100% ACCURATE
ANSWERS
Akpatientkiskinkcardiackarrest.kThekcardiackmonitorkshowskasystole.kInkadditionktokprovid
ingkcontinuouskhigh-
qualitykCPR,kwhatkiskthekotherkprioritykinterventionkforkthiskpatient?k-
kCORRECT kANSWER-Administeringkepinephrinekaskearlykaskpossible
Akpatientkhaskexperiencedkreturnkofkspontaneouskcirculationk(ROSC)kafterkcardiackarre
st.kThekhealthcarekteamkiskconductingkaksecondarykassessmentktokdeterminekthekpossi
blekcausekofkthekpatient'skcardiackarrest.kBeforekthekarrest,kthekpatientkexhibitedkjugular
kvenouskdistension,kcyanosis,kapneakandkhyperresonancekonkpercussion.kThekpatientk
waskalsokdifficultktokventilatekduringkthekresponse.kThekteamkwouldkmostklikelyksuspectk
whichkconditionkaskthekcause?k-kCORRECTkANSWER-TensionkPneumothorax
Akpatientkwithksuspectedkstrokekarriveskatkthekemergencykdepartment.kThekpatientkiskdi
agnosedkwithkacutekischemickstrokekandkiskakcandidatekforkfibrinolyticktherapy.kTokachi
evekthekbestkoutcomes,kthisktherapykshouldkbekinitiatedkwithinkwhatktimekframe?k-
kCORRECT kANSWER-Withink1khourkofkpatient'skarrival.
Akpatientkinkthektelemetrykunitkiskreceivingkcontinuouskcardiackmonitoring.kThekpatientkh
askakhistorykofkmyocardialkinfarction.kThekpatient'skECGkrhythmkstripkiskshownkinkthekfol
lowingkfigure.kThekproviderkinterpretskthiskstripkaskindicatingkwhichkarrhythmia?k-
kCORRECT kANSWER-Third-degreekAVkblock
Ak28-year-
oldkpregnantkpatientkwhokresideskinktransitionalkhousingkpresentsktokthekemergencykde
partmentkwithkcomplaintskofkfeelingkfeverishkandkverykfaint.kThekpatientktellskthekemerg
encyknursekthatkshekdoesknotkknowkwhenkshekbecamekpregnant.kUponkpalpation,kthekf
unduskisknotkatkorkabovekthekumbilicus.kThekpatient'skconditionkquicklykdeteriorateskand
kshekgoeskintokcardiackarrest.kIfkavailablekandkablektokbekusedkwithoutkimpedingkorkdela
yingkthekresuscitationkeffort,kwhatkdiagnosticktoolkcouldkbekusedktokguidekdecision-
makingkinkthekcarekofkthiskpatient?k-kCORRECTkANSWER-Point-of-carekultrasound
Cardiackmonitoringkindicateskthatkakpatientkhaskakventricularktachyarrhythmia.kThekpati
entkhaskakpulsekandkisknotkshowingkanyksignskofkhemodynamickcompromise.kAk12-
leadkECGkrevealskankirregularkrhythmkwithkQRSkcomplexeskgreaterkthank0.12ksecondki
, nkduration.kWhichkactionkwouldkbekappropriatekatkthisktime?k-kCORRECTkANSWER-
Considerkankantiarrhythmickmedication
Akresponsivekpatientkiskchoking.kWhatkmethodkshouldkthekproviderkusekfirstktokclearkthe
kobstructedkairway?k-kCORRECTkANSWER-Backkblows
Whatkiskthekprioritykinterventionkforkakpatientkwithkaknarrow-
complexktachycardiak(160kbpm)kandkakbloodkpressurekofk72/48kmmHg?k-
kCORRECT kANSWER-Performkimmediateksynchronizedkcardioversion
Akpatientkiskadmittedktokthekemergencykdepartmentkwithksignskandksymptomskofkstroke.
kThekstrokekteamkshouldkcompletekakcomprehensivekneurologickassessmentkandkobtai
nkbrainkimagingkresultskwithinkwhatktimekframe?k-kCORRECTkANSWER-
Withink20kminutes
Cardiackmonitoringkofkakpatientkinkcardiackarrestkrevealskventricularkfibrillation.kInkadditi
onktokhigh-qualitykCPR,kwhatkinterventionkshouldkbekakprioritykforkthekteam?k-
kCORRECT kANSWER-Defibrillation.
Akpatientkwithksuspectedkacutekcoronaryksyndromesk(ACS)khaskakpulsekoximetrykreadi
ngkofk86%kandkiskgivenksupplementalkoxygen.kThekproviderkdetermineskthatktheksupple
mentalkoxygenkdosekiskcorrectkbasedkonkwhichkSaO2klevel?k-kCORRECTkANSWER-
93%
Afterkcardiackarrestkandksuccessfulkresuscitation,kthekpatientkhaskakreturnkofkspontaneo
uskcirculation.kThekpatientkiskunablektokfollowkverbalkcommands.kTargetedktemperaturek
managementkiskinitiated.kWhichkmethod(s)kwouldkbekappropriatekforkthekresuscitationkt
eamktokuse?k-kCORRECTkANSWER--Applyingkcoolingkblanketsktokthekpatient'skbody
-Usingkankendovascularkcatheter
-Givingkankice-coldkIVkfluidkbolus
Akpatientkcomesktokthekemergencykdepartmentkcomplainingkofkpalpitationskandk"somek
shortnesskofkbreath."kCardiackmonitoringkiskinitiatedkandkrevealskthekfollowingkECGkrhyt
hmkstrip.kThekproviderkinterpretskthiskstripkaskindicatingkwhichkarrhythmia?k-
kCORRECT kANSWER-Atrialkflutter
Ak35-year-
oldkfemalekpatient'skECGkiskconsistentkwithkSTEMI.kThekECGkrevealskaknewkST-
segmentkelevationkatkthekJkpointkinkleadskV2kandkV3kofkatkleastkwhichksize?k-
kCORRECT kANSWER-0.15kmV
Thekfollowingkcapnogramkiskfromkakpatientkexperiencingkrespiratorykdistress.kAtkwhichk
pointkinkthekwaveformkwouldkthekpatient'skETCO2klevelkbekmeasured?k-
kCORRECT kANSWER-D
