ACLS Final Exam Questions & Answers
1.What is the priority intervention for a patient with a narrow-complex
tachy- cardia (160 BPM) and a blood pressure of 72/48 mmHg?
A. Perform immediate synchronized cardio version
B. Administer amiodarone, 150 mg IV over 10 minutes
C. Perform carotid massage
D. Administer adenosine, 6 mg via rapid IV push
Answer A. Perform immediate synchro- nized cardio version
Recommended for a aptient with signs of hemodynamic compromise
and a super- ventricualr tachycardia. A vagal maneuver, such as carotid
massage, is recommend- ed for a aptient with a narrow-complex
tachycardia if the rhythm is regular and there are no signs and syptoms
of hemodynaic compromise.
2.A patient enters the emergency department in respiratory compromise.
The team is monitoring the patient using capnography and identifies that
ETCO2 levels are initially 33 mmHg and alter 40 mmHg. From these
readings, the team identifies that the patient is progressing in what stage of
respiratory compromise?
A. Respiratory distress
B. Respiratory arrest
,C. Respiratory failure
D. Respiratory acidosis
Answer A. Respiratory Distress
3.The ECG rhythm strip of a patient who arrived in the emergency
department complaining of dizziness, syncope and shortness of breath
reveals sinus bradycardia. When reviewing the patients medical history, the
healthcare provider identifies which agent(s) as a potential cause of the
patient's current condition?
A. Metoprolol
B. Verapamil
C. Digoxin
D. Quinapril
E. Losartan
Answer A. Metoprolol
B. Verapail
C. Digoxin
4.Which statements accurately reflect the recommendations for post-
cardiac arrest neuroprognostication?
A. Status epilepticus can be used to accurately predict a poor
neurologic outcome
B. Decision making related to the continuation or withdrawal of life-
sustaining treatments should be delayed until 72 hours after ROSC and
following return of normothermia
, C. Post-cardiac arrest neuroprognostication should be multimodal
D. Brain imaging studies do not provide useful information for
predicting neurologic outcome in the post-cardiac arrest patient
Answer B & C
5.Which areas are evaluated using the National Institute of Health
Stroke Scale (NIHSS)?
A. Hearing
B. Visual function
C. Facial palsy
D. Level of consciousness
E. Language deficits
Answer B, C, D, E
6.What is the correct technique for performing left uterine displacement
(LUD) for a pregnant patient in cardiac arrest whose fungus is at or above
the umbilicus?
Answer Position yourself at the patients left side. Reach across the
patient, place both hands on the right side of the uterus and pull the
uterus to the left and up
7.Assessment of a patient reveals an ETCO2 level of 55 mmHg and an
arterial oxygen saturation (SaO2) level of 88%. The provider would interpret
these findings as indicative of which condition?
1.What is the priority intervention for a patient with a narrow-complex
tachy- cardia (160 BPM) and a blood pressure of 72/48 mmHg?
A. Perform immediate synchronized cardio version
B. Administer amiodarone, 150 mg IV over 10 minutes
C. Perform carotid massage
D. Administer adenosine, 6 mg via rapid IV push
Answer A. Perform immediate synchro- nized cardio version
Recommended for a aptient with signs of hemodynamic compromise
and a super- ventricualr tachycardia. A vagal maneuver, such as carotid
massage, is recommend- ed for a aptient with a narrow-complex
tachycardia if the rhythm is regular and there are no signs and syptoms
of hemodynaic compromise.
2.A patient enters the emergency department in respiratory compromise.
The team is monitoring the patient using capnography and identifies that
ETCO2 levels are initially 33 mmHg and alter 40 mmHg. From these
readings, the team identifies that the patient is progressing in what stage of
respiratory compromise?
A. Respiratory distress
B. Respiratory arrest
,C. Respiratory failure
D. Respiratory acidosis
Answer A. Respiratory Distress
3.The ECG rhythm strip of a patient who arrived in the emergency
department complaining of dizziness, syncope and shortness of breath
reveals sinus bradycardia. When reviewing the patients medical history, the
healthcare provider identifies which agent(s) as a potential cause of the
patient's current condition?
A. Metoprolol
B. Verapamil
C. Digoxin
D. Quinapril
E. Losartan
Answer A. Metoprolol
B. Verapail
C. Digoxin
4.Which statements accurately reflect the recommendations for post-
cardiac arrest neuroprognostication?
A. Status epilepticus can be used to accurately predict a poor
neurologic outcome
B. Decision making related to the continuation or withdrawal of life-
sustaining treatments should be delayed until 72 hours after ROSC and
following return of normothermia
, C. Post-cardiac arrest neuroprognostication should be multimodal
D. Brain imaging studies do not provide useful information for
predicting neurologic outcome in the post-cardiac arrest patient
Answer B & C
5.Which areas are evaluated using the National Institute of Health
Stroke Scale (NIHSS)?
A. Hearing
B. Visual function
C. Facial palsy
D. Level of consciousness
E. Language deficits
Answer B, C, D, E
6.What is the correct technique for performing left uterine displacement
(LUD) for a pregnant patient in cardiac arrest whose fungus is at or above
the umbilicus?
Answer Position yourself at the patients left side. Reach across the
patient, place both hands on the right side of the uterus and pull the
uterus to the left and up
7.Assessment of a patient reveals an ETCO2 level of 55 mmHg and an
arterial oxygen saturation (SaO2) level of 88%. The provider would interpret
these findings as indicative of which condition?
