ACLS 2025 RQI Study Review Questions and Answers

ACLS 2025 RQI Study Review Questions
x x x x x




and Answers x x




Which xpulses xshould xbe xassessed xto xmonitor xsystemic xperfusion xin xa xchild? x-
xCORRECT xANSWER-peripheral xand xcentral




What xshould xthe xfirst xrescuer xarriving xon xthe xscene xof xan xunresponsive xinfant xor
xchild xdo? x(in xorder) x- xCORRECT xANSWER-1. xverify xscene xsafety

2. check xfor xresponsiveness
3. shout xfor xhelp
4. activate xthe xemergency xresponse xsystem

Why xmay xexcessive xventilation xduring xCPR xbe xharmful? x- xCORRECT xANSWER-- xit
xincreases xintrathoracic xpressure


- it ximpedes xvenous xreturn

If xyou xcannot xachieve xeffective xventilation x(ie, xthe xchest xdoes xnot xrise), xdo xthe
xfollowing: x- xCORRECT xANSWER-- xreposition/reopen xthe xairway x(sniffing xposition)

- verify xmask xsize xand xensure xa xtight xface-mask xseal
- suction xthe xairway xif xneeded
- check xthe xO2 xsource
- check xthe xventilation xbag xand xmask
- treat xgastric xinflation x(NG/OG)
- consider x2-person xbag-mask xventilation xand xinserting xan xOPA

Ventilation xrate x- xCORRECT xANSWER-1 xbreath xevery x2-3 xseconds xdelivered xover x1
xsecond x(20-30 xbreaths xper xminute)




Early xsigns xof xtissue xhypoxia x- xCORRECT xANSWER-- xtachypnea
- increased xrespiratory xeffort x(nasal xflaring, xretractions)
- tachycardia
- pallor, xmottling, xcyanosis
- agitation, xanxiety, xirritability

Late xsigns xof xtissue xhypoxia x- xCORRECT xANSWER-- xbradypnea, xinadequate
xrespiratory xeffort, xapnea

- increased xrespiratory xeffort x(head xbobbing, xseesaw xrespirations, xgrunting)
- bradycardia
- pallor, xmottling, xcyanosis
- decreased xlevel xof xconsciousness

What xis xthe xrole xof xthe xdiaphragm xduring xnormal xbreathing xin xinfants? x-
xCORRECT xANSWER-pulls xthe xribs xslightly xinward

, S/S xmild xrespiratory xdistress x- xCORRECT xANSWER-- xmild xtachypnea
- mild xincrease xin xrespiratory xeffort x(nasal xflaring, xretractions)
- abnormal xairway xsounds x(stridor, xwheezing, xgrunting)

S/S xSevere xrespiratory xdistress x- xCORRECT xANSWER-- xmarked xtachypnea
- marked xincrease xin xrespiratory xeffort
- paradoxical xthroacoabdominal xbreathing x(seesaw xbreathing)
- accessory xmuscle xuse x(head xbobbing)
- abnormal xairway xsounds x(grunting)
- decreased xlevel xof xconsciousness

S/S xImpending xrespiratory xarrest x- xCORRECT xANSWER-- xbradypnea, xapnea,
xrespiratory xpauses

- low xoxygen xsaturation x(hypoxemia) xdespite xhigh-flow xsupplemental xoxygen
- inadequate xrespiratory xeffort x(shallow xrespirations)
- decreased xlevel xof xconsciousness x(unresponsive)
- bradycardia

What xsteps xshould xbe xtaken xas xpart xof xinitial xmanagement xof xa xchild xin xrespiratory
xdistress? x- xCORRECT xANSWER-- xmonitor x O2 xsat xby xpulse xox

- monitor xHR, xrhythm, xand, xBP
- support xan xopen xairway

Stridor x- xCORRECT xANSWER-high-pitched xbreathing xduring xinspirations

Crackles x- xCORRECT xANSWER-breath xsounds xheart xduring xexpirations

How xshould x1-rescuer xinfant xcompressions xbe xdelivered? x- xCORRECT xANSWER--
xtwo xfingers xor xtwo xthumbs


- xrate xof x100-120
- single xrescuer x(30:2)
- two xrescuer x(15:2)

How xshould x1-rescurer xchild xcompressions xbe xdelivered? x- xCORRECT xANSWER-
either xone xor xtwo xhands
- compress xat xleast x1/3 xthe xchest xdiameter x(approximately x2 xinches)

Guidelines xfor xrescue xbreathing xfor xinfants xand xchildren x- xCORRECT xANSWER--
xgive x1 xbreath xevery x2-3 xseconds x(about x20-30/min)

- given xeach xbreath xin x1 xsecond
- visible xchest xrise
- check xpulse xevery x2 xminutes
- use xoxygen xas xsoon xas xit xis xavailable