Comprehensive AHA ACLS Written Exam 200 Questions
and Answers 2025||| Full study Guide with Correct
Answers(Latest Version!!!)GRADED A+
Which is a safe and effective practice within the defibrillation
sequence? - ANSWER- Be sure O2 is NOT blowing over the pt's
chest during shock.
During your assessment, your pt suddenly loses consciousness. After
calling for help and determining that the pt. is not breathing, you are
unsure whether the pt. has a pulse. What is your next action? -
ANSWER -Begin chest compressions.
What is an advantage of using hands-free d-fib pads instead of d-fib
paddles? - ANSWER -Hands-free allows for more rapid d-fib.
What action is recommended to help minimize interruptions in chest
compressions during CPR? - ANSWER -Continue CPR while
charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is
Charging
Which action is included in the BLS survey? - ANSWER -Early
defibrillation
Which drug and dose are recommended for the management of a pt.
in refractory V-FIB? - ANSWER -Amiodarone 300mg
What is the appropriate intervalfor an interruption in chest
compressions? - ANSWER -10 seconds or less
Which of the following is a sign of effective CPR? - ANSWER -
PETCO2 = or > 10mm Hg
What is the purpose of a medical emergency team (MET) or rapid
response team? - ANSWER -Improving patient outcomes by
identifying and treating early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid
Response Teams (RRTs)
pg. 1
,Which action improves the quality of chest compressions delivered
during resuscitave attemepts? - ANSWER -Shitch providers about
every 2 min or every 5 compression cycles.
What is the appropriate ventilation strategy for an adult in respiratory
arrest with a pulse of 80 beats/min? - ANSWER -1 breath every 5-6
seconds
A pt. presents to the ER with a new onset of dizziness and fatugue.
Onexamination, the pt's heart rate is 35 beats/min, BP is 70/50, resp.
rate is 22 per min, O2 sat is 95%. What is the appropriate 1st
medication? - ANSWER -Atropine 0.5mg
A pt. presents to the ER with dizziness and SOB with a sinus brady of
40/min. The initial atropine dose was ineffective and your monitor
does not provide TCP. What is the appropriate dose of Dopamine for
this pt? - ANSWER -2-10mcg/kg/min
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is
110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow complex
tach rythm. What is the next intervention? - ANSWER -Vagal
manuever.
A monitored pt. in the ICU developed a suddent onset of narrow
complex tach at a rate of 220/min. The pt's BP is 128/58, the PETCO2
is 38mm Hg, and the O2 sat is 98%. There is an EJ established for
vascular access. The pt. denies taking any vasodialators. A 12 lead
shows no ischemia or infarction. Vagal manuevers are ineffective.
What is the next intervention? - ANSWER -Adenosine 12mg IV
You receiving a radio report from an EMS team enroute with a pt.
who may be having a stroke. The hospital CT scanner is broken. What
should you do? - ANSWER -Divert the pt. to a hospital 15 min away
with CT capabilities.
Foundational Facts: Stroke Centers and Stroke Units
Choose an appropriate inidication to stop or withhold resuscitive
efforts. - ANSWER -Evidence of rigor mortis.
pg. 2
,A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She
has been taking antacids PO for the past 6 hours because she she had
heartburn. BP is 118/72, heart rate is 92/min, resp. rate is 14 non-
labored and O2 sat is 96%. What is the most appropriate next action?
- ANSWER -Obtain a 12 lead ECG.
A pt. in respiratory failure becomes apneic but contineues to have a
strong pulse. The heart rate is dropping paridly and now shows a sinus
brady rate at 30/min. What intervention has the highest priority? -
ANSWER -Simple airway manuevers and assisted ventilations.
What is the appropriate procedure for ET suctioning after the catheter
is selected? - ANSWER -Suction during withdrawl, but not for longer
than 10 seconds.
While treating a stable pt for dizziness, a BP of 68/30, cool and
clammy, you see a brady rythm on the ECG. How do you treat this? -
ANSWER -Atropine 0.5mg
A 68 y/o female pt. experienced a sudden onset of right arm
weakness. BP is 140/90, pulse is 78/min, resp rate is non-labored
14/min, 02 sat is 97%. Lead 2 in the ECG shows a sinus rythm. What
would be your next action? - ANSWER -Cinncinati Stroke Scale
You are transporting a pt. with a positive stroke assessment. BP is
138, pulse is 80/min, resp rate is 12/min, 02 sat is 95% room air.
Glucose levels are normal and the ECG shows a sinus rythm. What is
next. - ANSWER -Head CT scan
What is the proper ventilation rate for a pt. in cardiac arrest who has
an advanced airway in place? - ANSWER -8-10 breaths per minute
A 62 y/o male pt. in the ER says his heart is beating fast. No chest
pain or SOB. BP is 142/98, pulse rate is 200/min, reps rate is 14/min,
O2 sats are 95 at room air. What should be the next evaluation? -
ANSWER -Obtain a 12 lead ECG.
You are evaluating a 48 y/o male with crushing sub-sternal pain. He is
cool, pale, diaphretic, and slow to respond to your questions. BP is
pg. 3
, 58/32, pulse is 190/min, resp rate is 18, and you are unable to obtain
an 02 sat due to no radial pulse. The ECG shows a wide complex tach
rythm. What intervention should be next? - ANSWER -Syncronized
cardioversion.
What is the initial priority for an unconscious pt. with any tachycardia
on the monitor? - ANSWER -Determine if a pulse is present.
Which rythm requires synchronized cardioversion? - ANSWER -
Unstable SVT
What is the recommended dose for adenosine for pt's in refractory, but
stable narrow complex tachycardia? - ANSWER -12mg
What is the usual post-cardiac arrest target range for PETCO2 who
achieves return of spontaneous circulation (ROSC)? - ANSWER -35-
40mm Hg
Which conditionis a contraindication to theraputic hypothermia
during the post-cardiac arrest period for pt's who achieve return of
spontaneous circulation (ROSC)? - ANSWER -Responding to verbal
commands
What is the potential danger to using ties that pass circumfrentially
around the pt's neck when securing an advanced airway? - ANSWER
-Obstruction of veneous return from the brain
What is the most reliable method of confirming and montioring
correct placement of an ET tube? - ANSWER -Continuous waveform
capnography
What is the recommended IV fluid (NS or LR) bolus dose for a pt.
who achieves ROSC but is hypotensive during the post-cardiac arrest
period? - ANSWER -1 to 2 Liters
What is the minimum systolic BP one should attempt to achieve with
fluid, Inotropic, or vasopressor administration in a hypotensive post-
cardiac arrest who achieves ROSC? - ANSWER -90mm Hg
What is the 1st treatment priority for a pt. who achieves ROSC? -
ANSWER -Optimizing ventilation and oxygenation.
pg. 4
and Answers 2025||| Full study Guide with Correct
Answers(Latest Version!!!)GRADED A+
Which is a safe and effective practice within the defibrillation
sequence? - ANSWER- Be sure O2 is NOT blowing over the pt's
chest during shock.
During your assessment, your pt suddenly loses consciousness. After
calling for help and determining that the pt. is not breathing, you are
unsure whether the pt. has a pulse. What is your next action? -
ANSWER -Begin chest compressions.
What is an advantage of using hands-free d-fib pads instead of d-fib
paddles? - ANSWER -Hands-free allows for more rapid d-fib.
What action is recommended to help minimize interruptions in chest
compressions during CPR? - ANSWER -Continue CPR while
charging the defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is
Charging
Which action is included in the BLS survey? - ANSWER -Early
defibrillation
Which drug and dose are recommended for the management of a pt.
in refractory V-FIB? - ANSWER -Amiodarone 300mg
What is the appropriate intervalfor an interruption in chest
compressions? - ANSWER -10 seconds or less
Which of the following is a sign of effective CPR? - ANSWER -
PETCO2 = or > 10mm Hg
What is the purpose of a medical emergency team (MET) or rapid
response team? - ANSWER -Improving patient outcomes by
identifying and treating early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid
Response Teams (RRTs)
pg. 1
,Which action improves the quality of chest compressions delivered
during resuscitave attemepts? - ANSWER -Shitch providers about
every 2 min or every 5 compression cycles.
What is the appropriate ventilation strategy for an adult in respiratory
arrest with a pulse of 80 beats/min? - ANSWER -1 breath every 5-6
seconds
A pt. presents to the ER with a new onset of dizziness and fatugue.
Onexamination, the pt's heart rate is 35 beats/min, BP is 70/50, resp.
rate is 22 per min, O2 sat is 95%. What is the appropriate 1st
medication? - ANSWER -Atropine 0.5mg
A pt. presents to the ER with dizziness and SOB with a sinus brady of
40/min. The initial atropine dose was ineffective and your monitor
does not provide TCP. What is the appropriate dose of Dopamine for
this pt? - ANSWER -2-10mcg/kg/min
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is
110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow complex
tach rythm. What is the next intervention? - ANSWER -Vagal
manuever.
A monitored pt. in the ICU developed a suddent onset of narrow
complex tach at a rate of 220/min. The pt's BP is 128/58, the PETCO2
is 38mm Hg, and the O2 sat is 98%. There is an EJ established for
vascular access. The pt. denies taking any vasodialators. A 12 lead
shows no ischemia or infarction. Vagal manuevers are ineffective.
What is the next intervention? - ANSWER -Adenosine 12mg IV
You receiving a radio report from an EMS team enroute with a pt.
who may be having a stroke. The hospital CT scanner is broken. What
should you do? - ANSWER -Divert the pt. to a hospital 15 min away
with CT capabilities.
Foundational Facts: Stroke Centers and Stroke Units
Choose an appropriate inidication to stop or withhold resuscitive
efforts. - ANSWER -Evidence of rigor mortis.
pg. 2
,A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She
has been taking antacids PO for the past 6 hours because she she had
heartburn. BP is 118/72, heart rate is 92/min, resp. rate is 14 non-
labored and O2 sat is 96%. What is the most appropriate next action?
- ANSWER -Obtain a 12 lead ECG.
A pt. in respiratory failure becomes apneic but contineues to have a
strong pulse. The heart rate is dropping paridly and now shows a sinus
brady rate at 30/min. What intervention has the highest priority? -
ANSWER -Simple airway manuevers and assisted ventilations.
What is the appropriate procedure for ET suctioning after the catheter
is selected? - ANSWER -Suction during withdrawl, but not for longer
than 10 seconds.
While treating a stable pt for dizziness, a BP of 68/30, cool and
clammy, you see a brady rythm on the ECG. How do you treat this? -
ANSWER -Atropine 0.5mg
A 68 y/o female pt. experienced a sudden onset of right arm
weakness. BP is 140/90, pulse is 78/min, resp rate is non-labored
14/min, 02 sat is 97%. Lead 2 in the ECG shows a sinus rythm. What
would be your next action? - ANSWER -Cinncinati Stroke Scale
You are transporting a pt. with a positive stroke assessment. BP is
138, pulse is 80/min, resp rate is 12/min, 02 sat is 95% room air.
Glucose levels are normal and the ECG shows a sinus rythm. What is
next. - ANSWER -Head CT scan
What is the proper ventilation rate for a pt. in cardiac arrest who has
an advanced airway in place? - ANSWER -8-10 breaths per minute
A 62 y/o male pt. in the ER says his heart is beating fast. No chest
pain or SOB. BP is 142/98, pulse rate is 200/min, reps rate is 14/min,
O2 sats are 95 at room air. What should be the next evaluation? -
ANSWER -Obtain a 12 lead ECG.
You are evaluating a 48 y/o male with crushing sub-sternal pain. He is
cool, pale, diaphretic, and slow to respond to your questions. BP is
pg. 3
, 58/32, pulse is 190/min, resp rate is 18, and you are unable to obtain
an 02 sat due to no radial pulse. The ECG shows a wide complex tach
rythm. What intervention should be next? - ANSWER -Syncronized
cardioversion.
What is the initial priority for an unconscious pt. with any tachycardia
on the monitor? - ANSWER -Determine if a pulse is present.
Which rythm requires synchronized cardioversion? - ANSWER -
Unstable SVT
What is the recommended dose for adenosine for pt's in refractory, but
stable narrow complex tachycardia? - ANSWER -12mg
What is the usual post-cardiac arrest target range for PETCO2 who
achieves return of spontaneous circulation (ROSC)? - ANSWER -35-
40mm Hg
Which conditionis a contraindication to theraputic hypothermia
during the post-cardiac arrest period for pt's who achieve return of
spontaneous circulation (ROSC)? - ANSWER -Responding to verbal
commands
What is the potential danger to using ties that pass circumfrentially
around the pt's neck when securing an advanced airway? - ANSWER
-Obstruction of veneous return from the brain
What is the most reliable method of confirming and montioring
correct placement of an ET tube? - ANSWER -Continuous waveform
capnography
What is the recommended IV fluid (NS or LR) bolus dose for a pt.
who achieves ROSC but is hypotensive during the post-cardiac arrest
period? - ANSWER -1 to 2 Liters
What is the minimum systolic BP one should attempt to achieve with
fluid, Inotropic, or vasopressor administration in a hypotensive post-
cardiac arrest who achieves ROSC? - ANSWER -90mm Hg
What is the 1st treatment priority for a pt. who achieves ROSC? -
ANSWER -Optimizing ventilation and oxygenation.
pg. 4
