ACLS: FINAL TEST QUESTIONS AND ANSWERS
1. Which type of atrioventricular block best describes this rhythm? -
CORRECT ANSWER C) Second-degree type II
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? -
CORRECT ANSWER A) Monitor the patient's PETCO2
3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who achieved return
of spontaneous circulation in the field? -
CORRECT ANSWER D) Coronary reperfusion-capable medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? -
CORRECT ANSWER C) Agonal gasps
5. Which type of atrioventricular block best describes this rhythm? -
CORRECT ANSWER B) Second-degree atrioventricular block type I
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? -
CORRECT ANSWER B) Once every 5 to 6 seconds.
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of
an endotracheal tube? -
CORRECT ANSWER C) Continuous waveform capnography
8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan was
normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy.
Which treatment is the best for this patient? -
CORRECT ANSWER B) Start fibrinolytic therapy as soon as possible.
9. Which best describes this rhythm? -
CORRECT ANSWER D) Third-degree atrioventricular block.
10. What is the recommended range from which a temperature should be selected and maintained constantly to
achieve targeted temperature management after cardiac arrest? -
CORRECT ANSWER C) 32 to 36 Degrees Celsius
, 11. Which is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular
fibrillation? -
CORRECT ANSWER D) 300 mg
12. What is the primary of a medical emergency team or rapid response team? -
CORRECT ANSWER B) Improving patient outcomes by identifying and treating early clinical deterioration.
13. What is the recommended next step after a defibrillation attempt? -
CORRECT ANSWER D) Resume CPR, starting with chest compressions
14. EMS providers are treating a patient with suspected stroke. According to the Adult Suspected Stroke
Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival and
reduce the time to treatment? -
CORRECT ANSWER A) Alert the hospital.
15. A responder is caring for a patient with a history of congestive heart failure. The patient is experiencing
shortness of breath, a blood pressure of 68/50 mmHg, and a heart rate of 190/min. The patient's lead II ECG is
displayed here. Which best characterizes this patient's rhythm? -
CORRECT ANSWER D) Unstable supraventricular tachycardia
16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is
unresponsive. Which is the next step in your assessment and management of this patient? -
CORRECT ANSWER B) Check the patient's breathing and pulse.
17. Which best describes the length of time it should take to perform a pulse check during the BLS assessment? -
CORRECT ANSWER B) 5 to 10 seconds
18. You instruct a team member to give 1 mg Atropine IV. Which is the best example of closed-loop
communication? -
CORRECT ANSWER C) I'll draw up 1 mg of Atropine.
19. What is an effect of excessive ventilation? -
CORRECT ANSWER A) Decreased cardiac output.
20. If a team member is about to make a mistake during a resuscitation attempt, which best describes the action
that the team leader or other team members should take? -
CORRECT ANSWER C) Address the team members immediately.
21. Which best describes this rhythm? -
1. Which type of atrioventricular block best describes this rhythm? -
CORRECT ANSWER C) Second-degree type II
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? -
CORRECT ANSWER A) Monitor the patient's PETCO2
3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who achieved return
of spontaneous circulation in the field? -
CORRECT ANSWER D) Coronary reperfusion-capable medical center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? -
CORRECT ANSWER C) Agonal gasps
5. Which type of atrioventricular block best describes this rhythm? -
CORRECT ANSWER B) Second-degree atrioventricular block type I
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? -
CORRECT ANSWER B) Once every 5 to 6 seconds.
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct placement of
an endotracheal tube? -
CORRECT ANSWER C) Continuous waveform capnography
8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan was
normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic therapy.
Which treatment is the best for this patient? -
CORRECT ANSWER B) Start fibrinolytic therapy as soon as possible.
9. Which best describes this rhythm? -
CORRECT ANSWER D) Third-degree atrioventricular block.
10. What is the recommended range from which a temperature should be selected and maintained constantly to
achieve targeted temperature management after cardiac arrest? -
CORRECT ANSWER C) 32 to 36 Degrees Celsius
, 11. Which is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular
fibrillation? -
CORRECT ANSWER D) 300 mg
12. What is the primary of a medical emergency team or rapid response team? -
CORRECT ANSWER B) Improving patient outcomes by identifying and treating early clinical deterioration.
13. What is the recommended next step after a defibrillation attempt? -
CORRECT ANSWER D) Resume CPR, starting with chest compressions
14. EMS providers are treating a patient with suspected stroke. According to the Adult Suspected Stroke
Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival and
reduce the time to treatment? -
CORRECT ANSWER A) Alert the hospital.
15. A responder is caring for a patient with a history of congestive heart failure. The patient is experiencing
shortness of breath, a blood pressure of 68/50 mmHg, and a heart rate of 190/min. The patient's lead II ECG is
displayed here. Which best characterizes this patient's rhythm? -
CORRECT ANSWER D) Unstable supraventricular tachycardia
16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he is
unresponsive. Which is the next step in your assessment and management of this patient? -
CORRECT ANSWER B) Check the patient's breathing and pulse.
17. Which best describes the length of time it should take to perform a pulse check during the BLS assessment? -
CORRECT ANSWER B) 5 to 10 seconds
18. You instruct a team member to give 1 mg Atropine IV. Which is the best example of closed-loop
communication? -
CORRECT ANSWER C) I'll draw up 1 mg of Atropine.
19. What is an effect of excessive ventilation? -
CORRECT ANSWER A) Decreased cardiac output.
20. If a team member is about to make a mistake during a resuscitation attempt, which best describes the action
that the team leader or other team members should take? -
CORRECT ANSWER C) Address the team members immediately.
21. Which best describes this rhythm? -
