ACLS 2025 RQI Study Review Questions
n n n n n n
and Answers n n
n
n
Which npulses nshould nbe nassessed nto nmonitor nsystemic nperfusion nin na nchild? n-
nCORRECT n
n
ANSWER-peripheral nand
ncentral
n
What nshould nthe nfirst nrescuer narriving non nthe nscene nof nan nunresponsive ninfant nor
nchild n
n
do? n(in norder) n- nCORRECT nANSWER-1. nverify nscene
nsafety
n
2. ncheck nfor
nresponsiveness
n
3. nshout nfor
nhelp
n
4. nactivate nthe nemergency nresponse
nsystem
n
Why nmay nexcessive nventilation nduring nCPR nbe nharmful? n- nCORRECT
nANSWER-- nit n
n
increases nintrathoracic
npressure
n
- nit nimpedes nvenous
nreturn
n
If nyou ncannot nachieve neffective nventilation n(ie, nthe nchest ndoes nnot nrise), ndo nthe
nfollowing: n- nCORRECT nANSWER-- nreposition/reopen nthe nairway n(sniffing nposition) n
- verify nmask nsize nand nensure na ntight nface-mask nseal n
- suction nthe nairway nif nneeded n
- check nthe nO2 nsource n
- check nthe nventilation nbag nand nmask n
- treat ngastric ninflation n(NG/OG) n
- consider n2-person nbag-mask nventilation nand ninserting nan nOPA n
n
Ventilation nrate n- nCORRECT nANSWER-1 nbreath nevery n2-3 nseconds ndelivered
nover n1 n
n
second n(20-30 nbreaths nper
nminute)
n
Early nsigns nof ntissue nhypoxia n- nCORRECT n ANSWER--
ntachypnea
, n
- nincreased nrespiratory neffort n (nasal n flaring,
nretractions)
n
-
ntachycardia
n
- npallor, nmottling,
ncyanosis
n
- nagitation, nanxiety,
nirritability
n
Late nsigns nof ntissue nhypoxia n- nCORRECT nANSWER-- nbradypnea, ninadequate
nrespiratory n
n
effort, napnea
n
- nincreased nrespiratory neffort n(head nbobbing, nseesaw nrespirations,
ngrunting)
n
-
nbradycardia
n
- npallor, nmottling,
ncyanosis
n
- ndecreased nlevel nof
nconsciousness
n
What nis nthe nrole nof nthe ndiaphragm nduring nnormal nbreathing nin ninfants? n-
nCORRECT n
n
ANSWER-pulls nthe nribs nslightly
ninward
n
S/S nmild nrespiratory ndistress n- nCORRECT nANSWER-- n mild
ntachypnea
n
- nmild nincrease nin nrespiratory neffort n(nasal nflaring,
nretractions)
n
- nabnormal nairway nsounds n(stridor, nwheezing,
ngrunting)
n
S/S nSevere nrespiratory ndistress n- nCORRECT nANSWER-- nmarked ntachypnea n
- marked nincrease nin nrespiratory neffort n
- paradoxical nthroacoabdominal nbreathing n(seesaw nbreathing) n
- accessory nmuscle nuse n(head nbobbing) n
- abnormal nairway nsounds n(grunting) n
- decreased nlevel nof nconsciousness n
n
S/S nImpending nrespiratory narrest n- nCORRECT nANSWER-- nbradypnea, napnea,
nrespiratory npauses n
- low noxygen nsaturation n(hypoxemia) ndespite nhigh-flow nsupplemental noxygen n
- inadequate nrespiratory neffort n(shallow nrespirations) n
- decreased nlevel nof nconsciousness n(unresponsive) n
n n n n n n
and Answers n n
n
n
Which npulses nshould nbe nassessed nto nmonitor nsystemic nperfusion nin na nchild? n-
nCORRECT n
n
ANSWER-peripheral nand
ncentral
n
What nshould nthe nfirst nrescuer narriving non nthe nscene nof nan nunresponsive ninfant nor
nchild n
n
do? n(in norder) n- nCORRECT nANSWER-1. nverify nscene
nsafety
n
2. ncheck nfor
nresponsiveness
n
3. nshout nfor
nhelp
n
4. nactivate nthe nemergency nresponse
nsystem
n
Why nmay nexcessive nventilation nduring nCPR nbe nharmful? n- nCORRECT
nANSWER-- nit n
n
increases nintrathoracic
npressure
n
- nit nimpedes nvenous
nreturn
n
If nyou ncannot nachieve neffective nventilation n(ie, nthe nchest ndoes nnot nrise), ndo nthe
nfollowing: n- nCORRECT nANSWER-- nreposition/reopen nthe nairway n(sniffing nposition) n
- verify nmask nsize nand nensure na ntight nface-mask nseal n
- suction nthe nairway nif nneeded n
- check nthe nO2 nsource n
- check nthe nventilation nbag nand nmask n
- treat ngastric ninflation n(NG/OG) n
- consider n2-person nbag-mask nventilation nand ninserting nan nOPA n
n
Ventilation nrate n- nCORRECT nANSWER-1 nbreath nevery n2-3 nseconds ndelivered
nover n1 n
n
second n(20-30 nbreaths nper
nminute)
n
Early nsigns nof ntissue nhypoxia n- nCORRECT n ANSWER--
ntachypnea
, n
- nincreased nrespiratory neffort n (nasal n flaring,
nretractions)
n
-
ntachycardia
n
- npallor, nmottling,
ncyanosis
n
- nagitation, nanxiety,
nirritability
n
Late nsigns nof ntissue nhypoxia n- nCORRECT nANSWER-- nbradypnea, ninadequate
nrespiratory n
n
effort, napnea
n
- nincreased nrespiratory neffort n(head nbobbing, nseesaw nrespirations,
ngrunting)
n
-
nbradycardia
n
- npallor, nmottling,
ncyanosis
n
- ndecreased nlevel nof
nconsciousness
n
What nis nthe nrole nof nthe ndiaphragm nduring nnormal nbreathing nin ninfants? n-
nCORRECT n
n
ANSWER-pulls nthe nribs nslightly
ninward
n
S/S nmild nrespiratory ndistress n- nCORRECT nANSWER-- n mild
ntachypnea
n
- nmild nincrease nin nrespiratory neffort n(nasal nflaring,
nretractions)
n
- nabnormal nairway nsounds n(stridor, nwheezing,
ngrunting)
n
S/S nSevere nrespiratory ndistress n- nCORRECT nANSWER-- nmarked ntachypnea n
- marked nincrease nin nrespiratory neffort n
- paradoxical nthroacoabdominal nbreathing n(seesaw nbreathing) n
- accessory nmuscle nuse n(head nbobbing) n
- abnormal nairway nsounds n(grunting) n
- decreased nlevel nof nconsciousness n
n
S/S nImpending nrespiratory narrest n- nCORRECT nANSWER-- nbradypnea, napnea,
nrespiratory npauses n
- low noxygen nsaturation n(hypoxemia) ndespite nhigh-flow nsupplemental noxygen n
- inadequate nrespiratory neffort n(shallow nrespirations) n
- decreased nlevel nof nconsciousness n(unresponsive) n
