WRITTEN TEST AHA ACLS EXAM
Questions & Answers
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?
Answer Start chest compressions of at least 100 per min.
2.You are evaluating a 58 year old man with chest pain. The BP is 92/50 and
a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and
the pulse O2 is 97%. What assessment step is most important now?
Answer Obtaining a 12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
3.What is the preferred method of access for epi administration during
cardiac arrest in most pts?
Answer Peripheral IV
4.An AED does not promptly analyze a rythm. What is your next step?
Answer Begin chest compressions.
5.You have completed 2 min of CPR. The ECG monitor displays the lead
,below (PEA) and the pt. has no pulse. You partner resumes chest
compressions and an IV is in place. What management step is your next
priority?
Answer Administer 1mg of epinepherine
6.During a pause in CPR, you see a narrow complex rythm on the monitor.
The pt. has no pulse. What is the next action?
Answer Resume compressions
7.What is a common but sometimes fatal mistake in cardiac arrest
management?
Answer Prolonged interruptions in chest compressions.
8.Which action is a component of high-quality chest compressions?
Answer Allowing complete chest recoil
9.Which action increases the chance of successful conversion of
ventricular fibrillation?
Answer Providing quality compressions immediately before a
defibrillation attempt.
10.Which situation BEST describes PEA?
Answer Sinus rythm without a pulse
, 11.What is the best strategy for performing high-quality CPR on a pt. with
an advanced airway in place?
Answer Provide continuous chest compressions-without pauses and
10 ventilations per minute.
12.3 min after witnessing a cardiac arrest, one member of your team in-
serts an ET tube while another performs continuous chest compressions.
During subsequent bentilation, you notice the presence of a wave-fom on
the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the
significance of this finding?
Answer Chest compressions may not be effective.
13.The use of quantitative capnography in intubated pt's does what?
Answer Allows- for monitoring CPR quality
14.For the past 25 min, EMS crews have attempted resuscitation of a pt who
originally presented with V-FIB. After the 1st shock, the ECG screen
displayed asystole which has persisted despite 2 doses of epi, a fluid bolus,
and high quality CPR. What is your next treatment?
Answer Consider terminating resuscitive efforts after consulting medical
control.
15.Which is a safe and effective practice within the defibrillation sequence?-
Questions & Answers
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?
Answer Start chest compressions of at least 100 per min.
2.You are evaluating a 58 year old man with chest pain. The BP is 92/50 and
a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and
the pulse O2 is 97%. What assessment step is most important now?
Answer Obtaining a 12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
3.What is the preferred method of access for epi administration during
cardiac arrest in most pts?
Answer Peripheral IV
4.An AED does not promptly analyze a rythm. What is your next step?
Answer Begin chest compressions.
5.You have completed 2 min of CPR. The ECG monitor displays the lead
,below (PEA) and the pt. has no pulse. You partner resumes chest
compressions and an IV is in place. What management step is your next
priority?
Answer Administer 1mg of epinepherine
6.During a pause in CPR, you see a narrow complex rythm on the monitor.
The pt. has no pulse. What is the next action?
Answer Resume compressions
7.What is a common but sometimes fatal mistake in cardiac arrest
management?
Answer Prolonged interruptions in chest compressions.
8.Which action is a component of high-quality chest compressions?
Answer Allowing complete chest recoil
9.Which action increases the chance of successful conversion of
ventricular fibrillation?
Answer Providing quality compressions immediately before a
defibrillation attempt.
10.Which situation BEST describes PEA?
Answer Sinus rythm without a pulse
, 11.What is the best strategy for performing high-quality CPR on a pt. with
an advanced airway in place?
Answer Provide continuous chest compressions-without pauses and
10 ventilations per minute.
12.3 min after witnessing a cardiac arrest, one member of your team in-
serts an ET tube while another performs continuous chest compressions.
During subsequent bentilation, you notice the presence of a wave-fom on
the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the
significance of this finding?
Answer Chest compressions may not be effective.
13.The use of quantitative capnography in intubated pt's does what?
Answer Allows- for monitoring CPR quality
14.For the past 25 min, EMS crews have attempted resuscitation of a pt who
originally presented with V-FIB. After the 1st shock, the ECG screen
displayed asystole which has persisted despite 2 doses of epi, a fluid bolus,
and high quality CPR. What is your next treatment?
Answer Consider terminating resuscitive efforts after consulting medical
control.
15.Which is a safe and effective practice within the defibrillation sequence?-
