ACLS AHA ACTUAL EXAM BANK WITH 100% RATED CORRECT
REAL EXAM QUESTIONS AND CORRECT ANSWERS| GRADED A+
|2025 LATEST VERSION | 100% VERIFIED
What are the components of high-quality CPR? - (answer)· Compression depth of at least 2
inches (5cm)
· Complete chest recoil after each compression
· Interruptions limited <10 seconds
· Switching compressions every 2 minutes
· Avoiding excessive ventilation
Upon reviewing a patient's 12 lead ECG, you note ST segment elevation of 2 mm in leads TWO
three and aVF.
HOW WOULD YOU CLASSIFY THE ECG FINDINGS? - (answer)ST segment elevation,
myocardial infarction
Within the first 10 minutes on the basis of patient showing symptoms suggestive of a MI what
will your first actions include - (answer)-Assess airway, breathing circulation
-Administer aspirin and establish IV access
- Obtain a 12 lead ECG
- If SPO2 is less than 90% start oxygen
- Activate the stemi Tim
- Consider nitroglycerin, morphine and a P2Y inhibitor
What is your goal for PCI when treating this patient? - (answer)First medical contact - to Dash
balloon inflation time of 90 minutes
Which clinical, finding represents a contraindication to the administration of nitroglycerin? -
(answer)Confirmed, right ventricular infection
,What is the maximum time from last known normal when endovascular therapy can be
performed? - (answer)24 hours
As part of the neurologic assessment you perform a physical and neurologic examination. What
are some of the general questions you need to ask? - (answer)When did symptoms start? Do you
take medications? What other symptoms do you have? Do you have any allergies?
Within 45 minutes the neuroimaging interpretation of the CT scan of the brain suggests an acute
ischemic infection. There are no signs of hemorrhage or mass lesions. Is this patient a potential
candidate for fibrinolytic therapy? - (answer)Yes
The patient's vital signs show HR 92/min, RR 14/min, BP 130/86 mm Hg, SpO2 97%, and atrial
fib on the monitor. What additional assessment and stabilization activities should be completed
within the first 10 minutes after the patient's arrival? (Stroke) - (answer)- Order an emergent CT
scan or MRI of the brain and review patient history
- Check glucose
- Establish IV access
- Activate the stroke team
- Complete neurologic screening
Coronary Perfusion Pressure (CPP) equals aortic ____ pressure minus _____ atrial diastolic
pressure - (answer)Diastolic
Right
What is the recommended first dose of amiodarone for the management of stable, wide complex
tachycardia? - (answer)150 mg IV
What is the recommended first IV/became the patient in cardiac arrest with VF/pVT that is
unresponsive to defibrillation? - (answer)1-1.5 mg/kg
,At the next pulse check compressors are switched,and rhythm continues to be refactory
ventricular fibrillation/ventricular tachycardia. A shock is delivered and cpr is resumed. What is
your next intervention? - (answer)Administer amiodarone, 300 MG IV
Once PEA is identified and there are no signs of ROSC, you continue CPR. What is your next
step for appropriate care for this patient? - (answer)Administer epinephrine, 1 mg Iv
What is the door to needle time goal for 85% or more of acute ischemic stroke patient treated
with IV thrombolytics? - (answer)60 minutes
A patient with ventricular assistive device 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? - (answer)Perform external chest
compressions
The patient's ventilation and blood pressure have responded to treatment. What other lab or
diagnostic tests would be appropriate to consider at this time for reversible causes? -
(answer)Temperature
Troponin test
12 lead ECG
What is the maximum time from last known normal when intra-arterial thrombolysis for select
patients can be used for treatment? - (answer)6 hours
? What is the minimum coronary perfusion pressure required to achieve ROSC? - (answer)15
mmHg
How quickly does a chance of survival decline for every minute of defibrillation delay in patients
with ventricular fibrillation, who did not receive bystander CPR? - (answer)7% to 10%
First medical contact to balloon inflation? - (answer)90min
, Door-to-drug time for thrombolytics - (answer)30 min
What is the goal for first medical contact to balloon inflation time for a patient receiving
percutaneous coronary intervention? - (answer)90 minutes
What is the longest acceptable emergency department door to needle time when fibrinolysis is it
intended reperfusion strategy? - (answer)30 min
What is the recommended time window after symptom onset for early fibrinolytic therapy or
direct catheter based reperfusion for patients with ST segment elevation MI and no
contraindications? - (answer)Within 12 hours
Within the first 10 minutes on the basis of patient showing symptoms suggestive of MI what will
your first actions include? - (answer)- Administer aspirin
- Obtain a 12 lead ECG
- If considering prehospital fibrinolysis, use the fibrinolytic checklist
- assess airway, breathing circulation
- Consider oxygen nitro and morphine if needed
- Provide prehospital notification to the receiving Hospital
Identify the systolic blood pressure threshold for withholding fibrinolytic therapy to otherwise
eligible patients with acute ischemic stroke. - (answer)185
What blood glucose level should trigger the administration of IV or subcutaneous insulin for a
patient with acute ischemic stroke - (answer)180mg/dL
Which is a contraindication to the use of an oral pharyngeal airway - (answer)Conscious patient
REAL EXAM QUESTIONS AND CORRECT ANSWERS| GRADED A+
|2025 LATEST VERSION | 100% VERIFIED
What are the components of high-quality CPR? - (answer)· Compression depth of at least 2
inches (5cm)
· Complete chest recoil after each compression
· Interruptions limited <10 seconds
· Switching compressions every 2 minutes
· Avoiding excessive ventilation
Upon reviewing a patient's 12 lead ECG, you note ST segment elevation of 2 mm in leads TWO
three and aVF.
HOW WOULD YOU CLASSIFY THE ECG FINDINGS? - (answer)ST segment elevation,
myocardial infarction
Within the first 10 minutes on the basis of patient showing symptoms suggestive of a MI what
will your first actions include - (answer)-Assess airway, breathing circulation
-Administer aspirin and establish IV access
- Obtain a 12 lead ECG
- If SPO2 is less than 90% start oxygen
- Activate the stemi Tim
- Consider nitroglycerin, morphine and a P2Y inhibitor
What is your goal for PCI when treating this patient? - (answer)First medical contact - to Dash
balloon inflation time of 90 minutes
Which clinical, finding represents a contraindication to the administration of nitroglycerin? -
(answer)Confirmed, right ventricular infection
,What is the maximum time from last known normal when endovascular therapy can be
performed? - (answer)24 hours
As part of the neurologic assessment you perform a physical and neurologic examination. What
are some of the general questions you need to ask? - (answer)When did symptoms start? Do you
take medications? What other symptoms do you have? Do you have any allergies?
Within 45 minutes the neuroimaging interpretation of the CT scan of the brain suggests an acute
ischemic infection. There are no signs of hemorrhage or mass lesions. Is this patient a potential
candidate for fibrinolytic therapy? - (answer)Yes
The patient's vital signs show HR 92/min, RR 14/min, BP 130/86 mm Hg, SpO2 97%, and atrial
fib on the monitor. What additional assessment and stabilization activities should be completed
within the first 10 minutes after the patient's arrival? (Stroke) - (answer)- Order an emergent CT
scan or MRI of the brain and review patient history
- Check glucose
- Establish IV access
- Activate the stroke team
- Complete neurologic screening
Coronary Perfusion Pressure (CPP) equals aortic ____ pressure minus _____ atrial diastolic
pressure - (answer)Diastolic
Right
What is the recommended first dose of amiodarone for the management of stable, wide complex
tachycardia? - (answer)150 mg IV
What is the recommended first IV/became the patient in cardiac arrest with VF/pVT that is
unresponsive to defibrillation? - (answer)1-1.5 mg/kg
,At the next pulse check compressors are switched,and rhythm continues to be refactory
ventricular fibrillation/ventricular tachycardia. A shock is delivered and cpr is resumed. What is
your next intervention? - (answer)Administer amiodarone, 300 MG IV
Once PEA is identified and there are no signs of ROSC, you continue CPR. What is your next
step for appropriate care for this patient? - (answer)Administer epinephrine, 1 mg Iv
What is the door to needle time goal for 85% or more of acute ischemic stroke patient treated
with IV thrombolytics? - (answer)60 minutes
A patient with ventricular assistive device 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? - (answer)Perform external chest
compressions
The patient's ventilation and blood pressure have responded to treatment. What other lab or
diagnostic tests would be appropriate to consider at this time for reversible causes? -
(answer)Temperature
Troponin test
12 lead ECG
What is the maximum time from last known normal when intra-arterial thrombolysis for select
patients can be used for treatment? - (answer)6 hours
? What is the minimum coronary perfusion pressure required to achieve ROSC? - (answer)15
mmHg
How quickly does a chance of survival decline for every minute of defibrillation delay in patients
with ventricular fibrillation, who did not receive bystander CPR? - (answer)7% to 10%
First medical contact to balloon inflation? - (answer)90min
, Door-to-drug time for thrombolytics - (answer)30 min
What is the goal for first medical contact to balloon inflation time for a patient receiving
percutaneous coronary intervention? - (answer)90 minutes
What is the longest acceptable emergency department door to needle time when fibrinolysis is it
intended reperfusion strategy? - (answer)30 min
What is the recommended time window after symptom onset for early fibrinolytic therapy or
direct catheter based reperfusion for patients with ST segment elevation MI and no
contraindications? - (answer)Within 12 hours
Within the first 10 minutes on the basis of patient showing symptoms suggestive of MI what will
your first actions include? - (answer)- Administer aspirin
- Obtain a 12 lead ECG
- If considering prehospital fibrinolysis, use the fibrinolytic checklist
- assess airway, breathing circulation
- Consider oxygen nitro and morphine if needed
- Provide prehospital notification to the receiving Hospital
Identify the systolic blood pressure threshold for withholding fibrinolytic therapy to otherwise
eligible patients with acute ischemic stroke. - (answer)185
What blood glucose level should trigger the administration of IV or subcutaneous insulin for a
patient with acute ischemic stroke - (answer)180mg/dL
Which is a contraindication to the use of an oral pharyngeal airway - (answer)Conscious patient
