AHA ACLS Test From Real Exam 2025

1. You find an unresponsive pt. who is not breathing. After activating the emergency response system, you determine there is no pulse. What is your next action? Start chest compressions of at least 100 per min. 2. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? Obtaining a 12 lead ECG. 3. When you see a suspected asystole or PEA what are the first actions that you need to take in order to ensure that is the rhythm you see? increase gain on monitor, check leads to make sure none have fallen off 4. You have completed 2 min of CPR. The ECG monitor displays a rhythm and the pt. has no pulse. You partner resumes chest compressions and an IV is in place. What management step is your next priority? Administer 1mg of epinepherine 5. An AED does not promptly analyze a rhythm. What is your next step? Begin chest compressions. 6. Which action increases the chance of successful conversion of ventricular fibrillation? Providing quality compressions immediately before a defibrillation attempt. 7. What are the 5 H's and 5 T's 5H's: Hypovolemia, Hypoxia, Hydrogen ion, HYpo/Hyperkalemia, Hypothermia 5 T's: Toxins, Tamponade, Tension pneumothorax, thrombosis (coronary or pulmonary) 8. What is the treatment for Hypothermia warm saline rapid infuser, bear hugger, increase temp on vent 9. What is the reversal drug for opiates and the dosage Narcan 0.4-2 mg 10. During a pause in CPR, you see a narrow complex rhythm on the monitor. The pt. has no pulse. What is the next action? Resume compressions 11. What is the BEST strategy for performing high-quality CPR on a patient with an advanced airway in place? Provide continuous chest compressions without pauses and 10 ventilations per minute. 12. Which action is a component of high-quality chest compressions? Allowing complete chest recoil 13. What is the reversal drug for benzodiazepiens Romazincon 0.2 mg, 0.3, then 0.5 till a max dose of 3 mg 14. Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal tube while another performs continuous chest compressions. During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this finding? Chest compressions may not be effective. 15. What is a good diagnostic tool to determine if a patient is in cardiac tamponade Echo machine to see if there's fluid 16. For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who originally presented in ventricular fibrillation. After the first shock, the ECG screen displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR. What is your next treatment? Consider terminating resuscitive efforts after consulting medical control. 17. Which situation BEST describes PEA? Sinus rhythm without a pulse 18. What are the symptoms of your patient having a tension pneumothorax tracheal deviation, JVD, difficulty bagging, Low 02 sat 19. During your assessment, your patient suddenly loses consciousness. After calling for help and determining that the patient is not breathing, you are unsure whether the patient has a pulse. What is your next action? Begin chest compressions. 20. What is an advantage of using hands-free defibrillation pads instead of defibrillation paddles? Hands-free pads allow for a more rapid defibrillation. 21. What action is recommended to help minimize interruptions in chest compressions during CPR? Continue CPR while charging the defibrillator. 22. The use of quantitative capnography in intubated patients is? allows for monitoring of CPR quality. 23. What is the treatment for Pulmonary embolus thorombolytic and take to cath lab ( typically not a good prognosis) 24. Bradycardia with a pulse Atropine 0.5 mg IV 1 3-5 minutes, reassess, atropine 0.5 mg, place pads on for pacing, Give 1 mg versed to sedate once you start shocking, If atropine is not working, and you want to continue with drugs, Dopamine infusion 2-10 mcg/kg per minute or epinephrine 2-10mcg/minute 25. Which drug and dose are recommended for the management of a patient in refractory ventricular fibrillation? Amioderone 300mg 26. What is the treatment for Cardiac Tamponade Pericardial centesis (5th intercostal space midclavicular line, needle in to drain line) 27. Which drug should be used during Unstable Bradycardia with a pulse in the presence of MI Dopamine, and transcutaneous pacing 28. What is the appropriate interval for an interruption in chest compressions? 10 seconds or less 29. What is the treatment for Tachycardia with a pulse Sedate and synchronized cardioversion. 30. What is the treatment for a tension pneumothorax? needle in 2nd intercostal space midclavicular line 31. Which action improves the quality of chest compressions delivered during a resuscitation attempt? Switch providers about every 2 minutes or every 5 compression cycles. 32. What is the treatment if patient is in V tach and has a pulse Amiodarone: 150 mg over 10 minutes. Maintenance infusion 1 mg/min for 6 hours. Can give a total of 7 boluses. 33. What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse of 80 beats/min? 1 breath every 5-6 seconds