ACLS Exam Questions & Answers
1.1. Which type of atrioventricular block best describes this rhythm?
a. First-degree
b. Second-degree type I
c. Second-degree type II
d. Third-degree
Answer c. Second-degree type II
2.2. Your patient is in cardiac arrest and has been intubated. To assess
CPR quality, which should you do?
a. Monitor the patient's PETCO 2
b. Obtain a 12-lead ECG
c. Check the patient's pulse
d. Obtain a chest x-ray
Answer a. Monitor the patient's PETCO 2
3.3. Which facility is the most appropriate EMS destination for a patient with
sudden cardiac arrest who achieved return of spontaneous circulation in
the fleld?
a. Comprehensive stroke care unit
b. Acute rehabilitation care unit
c. Acute long-term care unit
d. Coronary reperfusion-capable medical center
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,Answer d. Coronary reperfusion-capa- ble medical center
4.4 Which of the following signs is a likely indicator of cardiac arrest in
an unresponsive patient?
a. Slow, weak pulse rate
b. Cyanosis
c. Agonal gasps
d. Irregular, weak pulse rate
Answer c. Agonal gasps
5.5. Which type of atrioventricular block best describes this rhythm?
a. Third-degree atrioventricular block
b. Second-degree atrioventricular block type I
c. First-degree atrioventricular block
d. Second-degree atrioventricular block type II
Answer b. Second-degree atrioventricu- lar block type I
6.To property ventilate a patient with a perfusing rhythm, how often do
you squeeze the bag?
A. Once every 3 to 4 seconds
B. Once every 5 to 6 seconds
C. Once every 10 seconds
D. Once every 12 seconds
Answer B. Once every 5 to 6 seconds
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, 7.In addition to clinical assessment, which is the most reliable method
to confirm and monitor correct placement of an endotracheal tube?
a. Arterial blood gases
b. Chest radiography
c. Continuous waveform capnography
d. Hemoglobin levels
Answer c. Continuous waveform capnography
8.8. You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal, with no signs of hemorrhage.
The patient does not have any contraindications to fibrinolytic therapy.
Which treatment approach is best for this patient?
a. Hold fibrinolytic therapy for 24 hours
b. Start fibrinolytic therapy as soon as possible
c. Order an echocardiogram before fibrinolytic administration
d. Wait for the results of the MRI
Answer b. Start fibrinolytic therapy as soon as possible
9.Which best describes this rhythm?
a. First-degree atrioventricular block
b. Second-degree atrioventricular block type I
c. Second-degree atrioventricular block type II
d. Third-degree atrioventricular block
Answer d. Third-degree atrioventricular block
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1.1. Which type of atrioventricular block best describes this rhythm?
a. First-degree
b. Second-degree type I
c. Second-degree type II
d. Third-degree
Answer c. Second-degree type II
2.2. Your patient is in cardiac arrest and has been intubated. To assess
CPR quality, which should you do?
a. Monitor the patient's PETCO 2
b. Obtain a 12-lead ECG
c. Check the patient's pulse
d. Obtain a chest x-ray
Answer a. Monitor the patient's PETCO 2
3.3. Which facility is the most appropriate EMS destination for a patient with
sudden cardiac arrest who achieved return of spontaneous circulation in
the fleld?
a. Comprehensive stroke care unit
b. Acute rehabilitation care unit
c. Acute long-term care unit
d. Coronary reperfusion-capable medical center
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17
,Answer d. Coronary reperfusion-capa- ble medical center
4.4 Which of the following signs is a likely indicator of cardiac arrest in
an unresponsive patient?
a. Slow, weak pulse rate
b. Cyanosis
c. Agonal gasps
d. Irregular, weak pulse rate
Answer c. Agonal gasps
5.5. Which type of atrioventricular block best describes this rhythm?
a. Third-degree atrioventricular block
b. Second-degree atrioventricular block type I
c. First-degree atrioventricular block
d. Second-degree atrioventricular block type II
Answer b. Second-degree atrioventricu- lar block type I
6.To property ventilate a patient with a perfusing rhythm, how often do
you squeeze the bag?
A. Once every 3 to 4 seconds
B. Once every 5 to 6 seconds
C. Once every 10 seconds
D. Once every 12 seconds
Answer B. Once every 5 to 6 seconds
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, 7.In addition to clinical assessment, which is the most reliable method
to confirm and monitor correct placement of an endotracheal tube?
a. Arterial blood gases
b. Chest radiography
c. Continuous waveform capnography
d. Hemoglobin levels
Answer c. Continuous waveform capnography
8.8. You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal, with no signs of hemorrhage.
The patient does not have any contraindications to fibrinolytic therapy.
Which treatment approach is best for this patient?
a. Hold fibrinolytic therapy for 24 hours
b. Start fibrinolytic therapy as soon as possible
c. Order an echocardiogram before fibrinolytic administration
d. Wait for the results of the MRI
Answer b. Start fibrinolytic therapy as soon as possible
9.Which best describes this rhythm?
a. First-degree atrioventricular block
b. Second-degree atrioventricular block type I
c. Second-degree atrioventricular block type II
d. Third-degree atrioventricular block
Answer d. Third-degree atrioventricular block
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