2024 ACLS FINAL EXAM WITH 4 DIFFERENT VERSIONS EACH VERSION CONTAINS 50 COMPLETE REAL QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION

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ACLS FINAL EXAM, ACTUAL || LATEST FULLY COV
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ERED 2024- p



2025 UPDATE 250+ QUESTIONS AND 100% CORREC
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T ANSWERS ALREADY GRADED A+|| COMPLETE V
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ERSION WITH VERIFIED SOLUTIONS|| ASSURED PA p p p p p



SS!!
If your patient is not experiencing decompensating symptomatic tachycardia (hypotensi
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on, AMS, etc.) and the QRS is NOT wide (0.12 seconds or more), what is/are the next ste
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p(s). - ANSWER> -IV access and 12 lead EKG
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-Vagal maneuvers p




-Adenosine if regular p p



-BB or CCB p p




-Consider expert consultation p p




If your patient is not experiencing decompensating symptomatic tachycardia (hypote
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nsion, AMS, etc.) and the QRS is wide (0.12 seconds or more), what is/are the next st
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ep(s). - ANSWER> -IV access and 12 lead EKG
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-Consider adenosine only if regular and monomorphic
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-consider antiarrhythmic infusion
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-consider expert consultation p p




Antiarrhythmic infusion options in the tachycardia algorithm - ANSWER>
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procainamide, amiodarone, sotalol p p




Dosing of procainamide in the tachycardia algorithm - ANSWER> 20-
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50mg/min until arrythmia suppressed, hypotension ensues, QRS duration increases
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>50%, or maximum dose of 17mg/kg is given
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Maximum dose of procainamide in the tachycardia algorithm - ANSWER>
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17mg/kg


rate of maintenance infusion of procainamide in the tachycardia algorithm -
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pANSWER> 1-4mg/min p




If your patient has these underlying conditions, procainamide should be avoided in th
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e setting of tachycardia - ANSWER> prolonged QT or CHF
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Dosing of amiodarone in the tachycardia algorithm -
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ANSWER> first dose 150mg over 10 minutes, repeat PRN
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After an amiodarone infusion has been given in the setting of tachycardia, it should b
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e followed with a maintenance infusion of 1 mg/min for the first
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ANSWER> 6
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Dosing of sotalol in the tachycardia algorithm -
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ANSWER> 100mg (1.5mg/kg) over 5 mintues
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If you patient has this underlying condition, sotalol should be avoided in the setting of
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ptachycardia - ANSWER> prolonged QT p p p p




A patient admitted to the ED with signs & symptoms of stroke. The stroke team shou
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ld complete a comprehensive neurologic assessment and obtain brain imaging results
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pwithin what time frame? - ANSWER> With in 20 mins
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A person suddenly collapses while sitting in the sunroom of a healthcare facility. A h
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ealthcare provider observes the event and hurries over to assess the situation. The he
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althcare provider performs which assessment first? - ANSWER> Rapid assessment
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A patient is receiving ventilation support via BVM resuscitator. Capnography is establis
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hed & a blood gas is obtained to evaluate the adequacy of the ventilations. Which PaO2 v
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alue signifies adequate ventilations? - ANSWER> 35 - 45 mmHg
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A patient experiences cardiac arrest & the resuscitation team initiates ventilations usi
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ng a BVM resuscitator. The development of which condition during the provision ca
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re would lead the team to suspect that improper BVM technique is being used? -
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pANSWER> Pneumothorax p




A resuscitation team is debriefing following a recent event. A patient experienced ca
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rdiac arrest & ALS was initiated. The patient required the placement of an advanced
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airway to maintain airway latency. Which statement indicates that the team performe
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d high quality CPR? - ANSWER> We provided chest compressions at a rate of 100-
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120 compressions/minute while giving 1 ventilation Q 6secs. without pausing compr
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essions.


Assessment of a patient reveals an ETCO2 level of 55mmHg & an SaO2 level of 88
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%. The provider would interpret these findings as indicative of which condition?
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- ANSWER> Respiratory failure
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A responsive patient is choking. What method should the provider use first to clear th
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e obstructed airway? - ANSWER> Back blows
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A patient arrives at the ED complaining of SOB. The patient has a long history of CO
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PD. Assessment reveals respiratory failure. Which action would be the initial priorit
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y to address the respiratory failure? -
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ANSWER> Assisted ventilation with BVM resuscitator
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A 20YO man with respiratory depression is brought to the ED by his parents. Opioid
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OD is suspected & an initial dose of naloxone is administered at 10pm. The
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patient doesn't not respond to this initial dose. The team would expect to administer
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a second dose after how many minutes? - ANSWER> 2 minutes
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Assessment of a patient in the ED reveals that the patient is experiencing respiratory
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compromise. From the assessment, the team identifies that the patient is in the earlies
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t stage of this condition. Which stage would this be? -
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pANSWER> Respiratory distress p p




The following capnogram is from a patient experiencing respiratory distress. At whic
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h point in the waveform would the patient's ETCO2 level be measured? -
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ANSWER> D
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Heart rates are typically
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ANSWER> 150 or higher
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Energy given for synchronized cardioversion if a narrow regular tachy rhythm is present
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(e.g. atrial flutter. or SVT) - ANSWER> 50-100J
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Energy given for synchronized cardioversion if a narrow irregular tachy rhythm is pr
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esent (e.g atrial fibrillation) - ANSWER> 120-200 J biphasic
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(200J if monophasic)p p




Energy given for synchronized cardioversion if a wide regular tachy rhythm is presen
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t (e.g. VT with a pulse) - ANSWER> 100J
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Energy given if a wide irregular tachy rhythm is present (e.g. VF or pVT) -
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ANSWER> defibrillation dose (not syncronized) 120-
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200J depending on manufacturer; 360J if monophasic
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