ACLS Exam Version B r r r
Advanced Cardiovascular Life Support
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Exam Version B (50 questions)
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Please do not mark on this exam. Record the best answer on the separate answer sheet.
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1. What should be done to minimize interruptions in chest compressions during CPR?
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A. Perform pulse checks only after defibrillation. r r r r r
B. Continue CPR while the defibrillator is charging. r r r r r r
C. Administer IV medications only when breaths are given. r r r r r r r
D. Continue to use AED even after the arrival of a manual defibrillator.
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2. Which condition is an indication to stop or withhold resuscitative efforts?
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A. Unwitnessed arrest r
B. Safety threat to providers r r r
C. Patient age greater than 85 years r r r r r
D. No return of spontaneous circulation after 10 minutes of CPR
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3. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
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ventilation. The patient’s lead II ECG appears below. What is your next action?
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A. IV or IO access
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B. Endotracheal tube placement r r
C. Consultation with cardiology for possible PCI r r r r r
D. Application of a transcutaneous pacemaker r r r r
4. After verifying unresponsiveness and abnormal breathing, you
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activate the emergency response team. What is your next action?
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A. Retrieve an AED. r r
B. Check for a pulse. r r r
C. Deliver 2 rescue breaths. r r r
D. Administer a precordial thump. r r r
, 5. What is the recommendation on the use of cricoid pressure to prevent aspiration
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during cardiac arrest?
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A. Not recommended for routine use
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B. Recommended during every resuscitation attempt r r r r
C. Recommended when the patient is vomiting r r r r r
D. Recommended only for supraglottic airway insertion r r r r r
6. What survival advantages does CPR provide to a patient in ventricular fibrillation?
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A. Increases the defibrillation threshold r r r
B. Directly restores an organized rhythm r r r r
C. Opposes the harmful effects of epinephrine r r r r r
D. Produces a small amount of blood flow to the heart r r r r r r r r r
7. What is the recommended compression rate for performing CPR?
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A. 60 to 80 per minute
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B. 80 to 100 per minute
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C. About 100 per minute r r r
D. At least 100 per minute
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8. EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing
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CPR. After attaching a cardiac monitor, the responder observes the following
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rhythm strip. What is the most important early intervention?
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A. Defibrillation
B. Endotracheal intubation r
C. Epinephrine administration r
D. Antiarrhythmic administration r
9. A patient remains in ventricular fibrillation despite 1 shock and 2 minutes
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of continuous CPR. The next intervention is to
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A. administer amiodarone. r
B. administer a second shock. r r r
C. administer epinephrine. r
D. insert an advanced airway. r r r
Advanced Cardiovascular Life Support
r r r
Exam Version B (50 questions)
r r r r r
Please do not mark on this exam. Record the best answer on the separate answer sheet.
r r r r r r r r r r r r r r r
1. What should be done to minimize interruptions in chest compressions during CPR?
r r r r r r r r r r r
A. Perform pulse checks only after defibrillation. r r r r r
B. Continue CPR while the defibrillator is charging. r r r r r r
C. Administer IV medications only when breaths are given. r r r r r r r
D. Continue to use AED even after the arrival of a manual defibrillator.
r r r r r r r r r r r
2. Which condition is an indication to stop or withhold resuscitative efforts?
r r r r r r r r r r
A. Unwitnessed arrest r
B. Safety threat to providers r r r
C. Patient age greater than 85 years r r r r r
D. No return of spontaneous circulation after 10 minutes of CPR
r r r r r r r r r
3. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask
r r r r r r r r r r r r
ventilation. The patient’s lead II ECG appears below. What is your next action?
r r r r r r r r r r r r r
A. IV or IO access
r r r
B. Endotracheal tube placement r r
C. Consultation with cardiology for possible PCI r r r r r
D. Application of a transcutaneous pacemaker r r r r
4. After verifying unresponsiveness and abnormal breathing, you
r r r r r r
activate the emergency response team. What is your next action?
r r r r r r r r r r
A. Retrieve an AED. r r
B. Check for a pulse. r r r
C. Deliver 2 rescue breaths. r r r
D. Administer a precordial thump. r r r
, 5. What is the recommendation on the use of cricoid pressure to prevent aspiration
r r r r r r r r r r r r
during cardiac arrest?
r r r
A. Not recommended for routine use
r r r r
B. Recommended during every resuscitation attempt r r r r
C. Recommended when the patient is vomiting r r r r r
D. Recommended only for supraglottic airway insertion r r r r r
6. What survival advantages does CPR provide to a patient in ventricular fibrillation?
r r r r r r r r r r r
A. Increases the defibrillation threshold r r r
B. Directly restores an organized rhythm r r r r
C. Opposes the harmful effects of epinephrine r r r r r
D. Produces a small amount of blood flow to the heart r r r r r r r r r
7. What is the recommended compression rate for performing CPR?
r r r r r r r r
A. 60 to 80 per minute
r r r r
B. 80 to 100 per minute
r r r r
C. About 100 per minute r r r
D. At least 100 per minute
r r r r
8. EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing
r r r r r r r r r r r r
CPR. After attaching a cardiac monitor, the responder observes the following
r r r r r r r r r r r
rhythm strip. What is the most important early intervention?
r r r r r r r r r
A. Defibrillation
B. Endotracheal intubation r
C. Epinephrine administration r
D. Antiarrhythmic administration r
9. A patient remains in ventricular fibrillation despite 1 shock and 2 minutes
r r r r r r r r r r r
of continuous CPR. The next intervention is to
r r r r r r r r
A. administer amiodarone. r
B. administer a second shock. r r r
C. administer epinephrine. r
D. insert an advanced airway. r r r