Advanced Cardiovascular Life SupportExam Version B (50 questions

Advanced Cardiovascular Life SupportExam
Version B (50 questions)

Please do not mark on this exam. Record
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the best answer on the separate answer
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L sheet.



1. What should be done to minimize interruptions in chest compressions during CPR?
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A. Perform pulse checks only after defibrillation. L L L L L




B. Continue CPR while the defibrillator is charging. L L L L L L




C. Administer IV medications only when breaths are given. L L L L L L L




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 L




B. Safety threat to providers L L L




C. Patient age greater than 85 years L L L L L




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 L L L




B. Endotracheal tube placement L L




C. Consultation with cardiology for possible PCI L L L L L




D. Application of a transcutaneous pacemaker L L L L




4. After verifying unresponsiveness and abnormal breathing, you
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activatethe emergency response team. What is your next action?
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A. Retrieve an AED. L L




B. Check for a pulse. L L L




C. Deliver 2 rescue breaths. L L L




D. Administer a precordial thump. L L L

, 5. What is the recommendation on the use of cricoid pressure to prevent
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aspiration during cardiac arrest?
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A. Not recommended for routine use
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B. Recommended during every resuscitation attempt L L L L




C. Recommended when the patient is vomiting L L L L L




D. Recommended only for supraglottic airway insertion L L L L L




6. What survival advantages does CPR provide to a patient in ventricular fibrillation?
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A. Increases the defibrillation threshold L L L




B. Directly restores an organized rhythm L L L L




C. Opposes the harmful effects of epinephrine L L L L L




D. Produces a small amount of blood flow to the heart L L L L L L L L L




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 L L L




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 rhythm
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strip. What is the most important early intervention?
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A. Defibrillation
B. Endotracheal intubation L




C. Epinephrine administration L




D. Antiarrhythmic administration L




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. L




B. administer a second shock. L L L




C. administer epinephrine. L




D. insert an advanced airway. L L L

, 10. What is the recommended next step after a defibrillation attempt?
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A. Open the patient’s airway.
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B. Determine if a carotid pulse is present. L L L L L L




C. Check the ECG for evidence of a rhythm.
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D. Begin CPR, starting with chest compressions.
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11. Which of the following is the recommended first choice for establishing
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intravenous access during the attempted resuscitation of a patient in cardiac
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arrest?
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A. Subclavian vein L




B. Antecubital vein L




C. Intraosseous line L




D. Internal jugular vein L L




12. What is the recommended first intravenous dose of amiodarone for a patient
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with refractory ventricular fibrillation?
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A. 1 mgL




B. 1 mg/kg
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C. 1 mEq/kg
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D. 300 mg L




13. IV/IO drug administration during CPR should be
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A. given rapidly during compressions.
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B. administered slowly during the pause for a pulse check. L L L L L L L L




C. given by infusion. L L




D. given before any defibrillation attempts.
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14. How often should the team leader switch chest compressors during a
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Lresuscitation attempt? L




A. Every minute L




B. Every 2 minutes L L




C. Every 3 minutes L L




D. Every 4 minutes L L




15. Which finding is a sign of ineffective CPR?
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A. PETCO2 <10 mm Hg L L L




B. Patient temperature >32°C (89.6°F) L L L




C. Diastolic intra-arterial pressure ≥20 mm Hg L L L L L




D. Measured patient urine output of 1 mL/kg per hour L L L L L L L L