ACLS POST EXAM VERSION1 ,2 & 3 AND EXAM
NEWEST 2025/2026 COMPLETE 500 TEST-BANK
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Version 1
What is the priority intervention for a patient with a narrow-complex tachycardia (160 BPM)
and a blood pressure of 72/48 mmHg?
A. Perform immediate synchronized cardio version
B. Administer amiodarone, 150 mg IV over 10 minutes
C. Perform carotid massage
D. Administer adenosine, 6 mg via rapid IV push –
Answer ✓✓A. Perform immediate synchronized cardio version
Recommended for a aptient with signs of hemodynamic compromise and a superventricualr
tachycardia. A vagal maneuver, such as carotid massage, is recommended for a aptient with a
TEST BANK 1
, ACLS POST EXAM VERSION 1,2 & 3
narrow-complex tachycardia if the rhythm is regular and there are no signs and syptoms of
hemodynaic compromise.
A patient enters the emergency department in respiratory compromise. The team is
monitoring the patient using capnography and identifies that ETCO2 levels are initially 33
mmHg and alter 40 mmHg. From these readings, the team identifies that the patient is
progressing in what stage of respiratory compromise?
A. Respiratory distress
B. Respiratory arrest
C. Respiratory failure
D. Respiratory acidosis - Answer ✓✓A. Respiratory Distress
A patient experiences cardiac arrest, and the resuscitation team initiates ventilations using a
bag-valve-mask (BVM) resuscitator. The development of which condition during the provision
of care would lead the team to suspect that improper BVM technique is being used?
Hypertension
Esophageal injury
Pneumothorax
Rib fracture - Answer ✓✓Pneumothorax
Complications can occur with the use of a BVM resuscitator due to improper technique.
Delivering excessive volume or ventilating too fast creates excessive pressure that can damage
the airways, lungs and other organs. Excessive volume can lead to tension pneumothorax.
A person suddenly collapses while sitting in the sunroom of a healthcare facility. A healthcare
provider observes the event and hurries over to assess the situation. The healthcare provider
performs which assessment first?
TEST BANK 2
, ACLS POST EXAM VERSION 1,2 & 3
Rapid assessment
Basic life support assessment
Secondary assessment
Primary assessment - Answer ✓✓Rapid assessment
A systematic approach to assessment is necessary. The healthcare provider should first
perform a rapid assessment. A rapid assessment is a visual survey to ensure safety, form an
initial impression about the patient's condition (including looking for life-threatening
bleeding), and determine the need for additional resources. This would be followed by a
primary assessment and then a secondary assessment.
A patient is receiving ventilation support via bag-valve-mask (BVM) resuscitator. Capnography
is established and a blood gas is obtained to evaluate the adequacy of the ventilations. Which
arterial carbon dioxide (PaCO2) value signifies adequate ventilations?
10 to 15 mmHg
20 to 25 mmHg
25 to 30 mmHg
35 to 45 mmHg - Answer ✓✓35 to 45 mmHg
Arterial carbon dioxide (PaCO2) values in the range of 35 to 45 mmHg confirm adequacy of
ventilation.
A resuscitation team is debriefing following a recent event. A patient experienced cardiac
arrest, and advanced life support was initiated. The patient required the placement of an
advanced airway to maintain airway patency. Which statement indicates that the team
performed high-quality CPR?
TEST BANK 3
, ACLS POST EXAM VERSION 1,2 & 3
"We initiated chest compressions at a rate of 100 to 110 per minute to a depth of 2.4 inches
and then gave 1 ventilation every 10 seconds."
"We provided chest compressions at a rate of 100 to 120 compressions per minute while
giving 1 ventilation every 6 seconds without pausing compressions."
"We provided chest compressions at a rate of 80 to 120 per minute to a depth of at least 2
inches and gave 1 ventilation every 6 seconds without pausing compressions."
"We kept the rate of chest compressions to around 100 per minute but adjusted their depth
to 1.5 inches while giving 1 ventilation every 3 seconds without pausing compression -
Answer ✓✓"We provided chest compressions at a rate of 100 to 120 compressions per minute
while giving 1 ventilation every 6 seconds without pausing compressions."
When an advanced airway has been placed in a patient who is in cardiac arrest, compressions
should be delivered continuously (100 to 120 per minute) with no pauses for ventilations.
Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterial oxygen saturation
(SaO2) level of 88%. The provider would interpret these findings as indicative of which
condition?
Respiratory failure
Respiratory arrest
Cardiac arrest
Respiratory distress - Answer ✓✓Respiratory failure
An SaO2 level of less than 90% (PaO2 of less than 50 mmHg) accompanied by ETCO2 values
greater than 50 mmHg is indicative of respiratory failure.
TEST BANK 4