ACLS quiz Questions With Complete Solutions
A 59 yo patient is reporting difficulty breathing.
Physical exam reveals nasal flaring, intercostal
interaction and use of accessory muscles. RR is 28
breaths per minute. O2 sat is 92% PTCO2 is 36
mmHg. How would you categorize this patent's
condition? Correct Answers Respiratory distress
A 75 yo patient is having difficulty breathing, with
increased respiratory effort. The patient has history
of emphysema. The patient is drowsy, auscultation
reveals bilateral wheezing, although the lung
sounds are difficult to appreciate. RR is 38/min. O2
sat = 85%, PETCO2= 49mmHg. How would you
categorize this patient's condition? Correct
Answers Respiratory failure
A patient with suspected opioid poisoning is not
breathing normally but has a pulse. What is your
next step? Correct Answers Provide rescue
breathing and give naloxone
A patient with ventricular assist device (VAD) is not
breathing, has signs of inadequate perfusion, and
is unconscious. You determine the VAD is
functioning. After endotracheal intubation, the
patient has a PETCO2 of 12 mmHg. What is your
next action? Correct Answers Perform external
chest compressions
,A patient without dyspnea has signs of acute
coronary syndrome. There are no obvious signs of
heart failure. You assess a noninvasively monitored
oxyhemoglobin saturation. What is the oxygen
saturation threshold below which supplemental
oxygen would be required? Correct Answers 90%
Among others, which factor has been associated
with improved survival in patients with cardiac
arrest? Correct Answers Immediate high- quality
CPR
An 18 yo patient is reporting difficulty breathing
and is displaying increased respiratory effort.
Auscultation reveals bilateral wheezing; the
respiratory rate is 28 breaths per minute. Oxygen
saturations is 91%. PETCO2 is 44 mmHg. How
would you categorize this patient's condition?
Correct Answers Respiratory distress
Coronary perfusion pressure (CPP) equals aortic ----
pressure minus right atrial diastolic pressure.
Correct Answers diastolic
Depending on training and individual
circumstances how can rescuers administer
naloxone? Correct Answers Intranasally,
intravenously, intramuscularly
,During CPR, chest compression fraction (CCF)
should be at least --- and ideally greater than 80%.
Correct Answers 60%
During the management of a patient in cardiac
arrest, you have initiated CPR, attached the
manual defibrillator, delivered the first shock, and
immediately resumed high quality CPR, beginning
with chest compressions. What is your next
intervention? Correct Answers Establish IV or IO
access
During the post-cardiac arrest care period, the 12-
lead EKG reveals ST-segment elevation myocardial
infraction. Which step has the highest priority?
Correct Answers Coronary angiography
During the post-cardiac arrest care phase, your
team has optimized the patient's oxygenation,
ventilation, and hemodynamic status. The patient's
12-lead EKG identifies St-segment elevation MI,
and the patient is being prepped for transport to
the cath lab to undergo coronary reperfusion
therapy. Why is it important to assess the patient's
ability to follow commands? Correct Answers To
determine the need for targeted temperature
management
EKG: during the EKG you note the presence of
more P waves than QRS complexes. You also note
, all PR intervals have a uniform length but random
QRS complexes are dropped. What type of
atrioventricular block is most likely present?
Correct Answers 2nd degree AV block- Type II
EKG: you note presence of more P waves than QRS
complexes. You also note the absence of a
relationship between P waves and QRS complexes.
What type of atrioventricular block is most likely
present? Correct Answers 3rd degree Av block
Evidence suggests that there is a higher likelihood
of good to excellent functional outcome when
alteplase is given to adults with an acute ischemic
stroke within what time frame? Correct Answers 3
hours
Generally speaking, electrical cardioversion is not
recommended as the initial therapy for patients
unless the heart rate is above Correct Answers
150/min
How do interruptions in chest compressions
negatively impact survival after cardiac arrest?
Correct Answers Decrease coronary perfusion
pressure
How long should the second rescuer squeeze the
bag mask device when providing 2-rescuer
ventilation? Correct Answers 1 second
A 59 yo patient is reporting difficulty breathing.
Physical exam reveals nasal flaring, intercostal
interaction and use of accessory muscles. RR is 28
breaths per minute. O2 sat is 92% PTCO2 is 36
mmHg. How would you categorize this patent's
condition? Correct Answers Respiratory distress
A 75 yo patient is having difficulty breathing, with
increased respiratory effort. The patient has history
of emphysema. The patient is drowsy, auscultation
reveals bilateral wheezing, although the lung
sounds are difficult to appreciate. RR is 38/min. O2
sat = 85%, PETCO2= 49mmHg. How would you
categorize this patient's condition? Correct
Answers Respiratory failure
A patient with suspected opioid poisoning is not
breathing normally but has a pulse. What is your
next step? Correct Answers Provide rescue
breathing and give naloxone
A patient with ventricular assist device (VAD) is not
breathing, has signs of inadequate perfusion, and
is unconscious. You determine the VAD is
functioning. After endotracheal intubation, the
patient has a PETCO2 of 12 mmHg. What is your
next action? Correct Answers Perform external
chest compressions
,A patient without dyspnea has signs of acute
coronary syndrome. There are no obvious signs of
heart failure. You assess a noninvasively monitored
oxyhemoglobin saturation. What is the oxygen
saturation threshold below which supplemental
oxygen would be required? Correct Answers 90%
Among others, which factor has been associated
with improved survival in patients with cardiac
arrest? Correct Answers Immediate high- quality
CPR
An 18 yo patient is reporting difficulty breathing
and is displaying increased respiratory effort.
Auscultation reveals bilateral wheezing; the
respiratory rate is 28 breaths per minute. Oxygen
saturations is 91%. PETCO2 is 44 mmHg. How
would you categorize this patient's condition?
Correct Answers Respiratory distress
Coronary perfusion pressure (CPP) equals aortic ----
pressure minus right atrial diastolic pressure.
Correct Answers diastolic
Depending on training and individual
circumstances how can rescuers administer
naloxone? Correct Answers Intranasally,
intravenously, intramuscularly
,During CPR, chest compression fraction (CCF)
should be at least --- and ideally greater than 80%.
Correct Answers 60%
During the management of a patient in cardiac
arrest, you have initiated CPR, attached the
manual defibrillator, delivered the first shock, and
immediately resumed high quality CPR, beginning
with chest compressions. What is your next
intervention? Correct Answers Establish IV or IO
access
During the post-cardiac arrest care period, the 12-
lead EKG reveals ST-segment elevation myocardial
infraction. Which step has the highest priority?
Correct Answers Coronary angiography
During the post-cardiac arrest care phase, your
team has optimized the patient's oxygenation,
ventilation, and hemodynamic status. The patient's
12-lead EKG identifies St-segment elevation MI,
and the patient is being prepped for transport to
the cath lab to undergo coronary reperfusion
therapy. Why is it important to assess the patient's
ability to follow commands? Correct Answers To
determine the need for targeted temperature
management
EKG: during the EKG you note the presence of
more P waves than QRS complexes. You also note
, all PR intervals have a uniform length but random
QRS complexes are dropped. What type of
atrioventricular block is most likely present?
Correct Answers 2nd degree AV block- Type II
EKG: you note presence of more P waves than QRS
complexes. You also note the absence of a
relationship between P waves and QRS complexes.
What type of atrioventricular block is most likely
present? Correct Answers 3rd degree Av block
Evidence suggests that there is a higher likelihood
of good to excellent functional outcome when
alteplase is given to adults with an acute ischemic
stroke within what time frame? Correct Answers 3
hours
Generally speaking, electrical cardioversion is not
recommended as the initial therapy for patients
unless the heart rate is above Correct Answers
150/min
How do interruptions in chest compressions
negatively impact survival after cardiac arrest?
Correct Answers Decrease coronary perfusion
pressure
How long should the second rescuer squeeze the
bag mask device when providing 2-rescuer
ventilation? Correct Answers 1 second
