Heartcode ACLS questions with
accurate answers
how quickly does the chance of survival decline for every minute of defibrillation delay in
patients with ventricular fibrillation ((VF) who do not receive bystander CPR?
a) 7% to 10%
b) 5% to 6%
c) 11% to 13%
d) 3% to 4% - answersa
coronary perfusion pressure (CPP) equals aortic_______ pressure minus ____ atrial
diastolic pressure
a) systolic, left
b) systolic, right
c) diastolic, left
d) diastolic, right - answersD
what is an advantage of a systemic approach to patient assessment?
a) reduces the need for secondary assessment
b) standardizes treatment across systems of care
c) reduces the chances of missing important signs and symptoms
d) permits assessment modification based on patient symptoms - answersC
what is the first step in the systematic approach to patient assessment?
a) primary assessment
b) secondary assessment
c) initial impression
d) BLS assessment - answersc
what is the maximum amount of time you should simultaneously perform the pulse and
breathing checks?
a) 15 seconds
b) 20 seconds
c) 10 seconds
d) 5 seconds - answersC
The BLS Assessment is a systematic approach to BLS for trained healthcare providers.
This approach stresses:
a) basic airway management
b) early cpr and defibrillation
c) defibrillation - answersb
while performing the BLS assessment, you initiate high-quality CPR and assist
ventilation with a bag-mask device
the AED does not recommend a shock
which action in the primary assessment should you perform first?
a) attach a quantitative waveform capnography device
,b) perform fluid resuscitation
c) determine if the patient's airway is patent
d) assess the patient's oxygenation status - answersC
the initial assessment reveals a conscious patient
the patient's airway is patent, and an advanced airway is not indicated
which action in the primary assessment should you perform next?
a) check for the presence of a pulse
b) remove clothing to perform a physical examination
c) administer oxygen as needed
d) check for neurologic function - answersC
during CPR, chest compression fraction (CCF) should be at least ___% and idealls
greater than ___% - answers60, 80
among others, which of the following factors has been associated with improved
survival in patients with cardiac arrest?
a) compression-only CPR
b) presence of 2 or more rescuers
c) immediate high -quality CPR
d) manual defibrillation - answersC
which action is part of the secondary assessment of a conscious patient?
a) formulate a differential diagnosis
b) attach a monitor/defibrillator
c) give IV/IO fluids if needed
d) determine the patient's level of consciousness - answersa
which of the following are the "H" causes of reversible cardiac arrest?
1. hypocalcemia
2. hypothermia
3. hypertensive crisis
4. hypovolemia
5. hyperkalemia/hypokalemia
6. hypercalcemia
7. Heyde's syndrome
8. HELLP syndrome
9. acidosis
10. hypoxia - answers2, 4, 5, 9, 10
which of the following are the "T" causes of reversible cardiac arrest?
1. coronary thrombosis
2. pulmonary thrombosis
3. toxins
4. thoracic outlet syndrome
5. simple pneumothorax
6. thyrotoxicosis
7. tachycardiomyopathy
8. tension pneumothorax
9. cardiac tamponade
10. deep vein thrombosis - answers1, 2, 3, 8, 9
,Symptoms of ACS - answerschest pain (tightness or pressure)
pressure fullness squeezing or pain in center o chest lasting several minutes
chest discomfort spreading to shoulder, neck one or both arms, or jaw. spread to back
or between shoulder blades
light-headed, dizzy, fainting, syncope, sweating, nausea, vomiting
unexplained SOB with or without chest discomfort
less common - epigastrium discomfort
what is the most common symptom of myocardial ischemia and infarction?
a) retrosternal chest pain
b) sweating
c) nausea
d) difficulty breathing - answersa
which demographic group experiencing acute coronary syndromes is more likely to
present without chest pain?
a) females
b) adolescents
c) patients taking beta-blockers
d) smokers - answersa
obtaining a ______ is the most important assessment tool for a patient displaying signs
and symptoms of acute coronary syndromes
a) blood glucose level
b) portable ultrasound
c) 12-lead ECG
d) computed tomography scan - answersC
What is the time goal for how quickly you should complete a fibrinolytic checklist once
the patient arrives in the emergency department?
a) 20 minutes
b) 15 minutes
c) 30 minutes
d) 10 minutes - answersD
in addition to decreased IHCA, what are some other benefits of implementing a rapid
response system?
1. decrease in total hospital length of stay
2. decreased ICU length of stay
3. increase ICU admissions
4. decreased emergency department admissions
5. increased hospital length of stay - answers1 and 2
a patient without dyspnea has signs of acute coronary syndromes
there are no obvious signs of heart failure.
you assess a noninvasively monitored oxyhemoglobin saturation
what is the oxygen saturation threshold below which supplemental oxygen would be
required?
a) 93%
b) 92%
c) 90%
, d) 91% - answersC
what is the main advantage of effective teamwork?
a) immediate CPR
b) division of tasks
c) early defibrillation
d) mastery of resuscitation skills - answersB
what blood component is acted upon by aspirin administration during the management
of a patient with acute coronary syndromes?
a) plasma
b) red blood cells
c) platelets
d) white blood cells - answersC
what is a contraindication to the administration of aspirin for the management of a
patient with acute coronary syndromes?
a) vomiting
b) recent gastrointestinal bleeding
c) nausea
d) shortness of breath - answersB
what is a physiologic effect of nitroglycerin?
a) bronchodilation
b) platelet aggregation inhibition
c) binds to opioid receptors
d) reduces preload - answersD
which clinical finding represents a contraindication to the administration of nitroglycerin?
a) anterior wall infarction
b) lateral wall infarction
c) posterior wall infarction
d) confirmed right ventricular infarction - answersd
which class of medications commonly given to patients with acute coronary syndromes
may be adversely affected by morphine administration?
a) beta blockers
b) phosphodiesterase inhibitors
c) calcium channel blockers
d) oral antiplatelet medications - answersd
what is a benefit of morphine when given for the management of acute coronary
syndromes?
a) vasoconstriction
b) central nervous system analgesia
c) increases systemic vascular resistance
d) increases left ventricular preload - answersb
you obtain a 12-lead ECG in a patient with retrosternal chest pain
which electrocardiographic finding is suggestive of high-risk-non-ST segment elevation
acute coronary syndromes?
a) ST segment elevation
b) new left bundle branch block
accurate answers
how quickly does the chance of survival decline for every minute of defibrillation delay in
patients with ventricular fibrillation ((VF) who do not receive bystander CPR?
a) 7% to 10%
b) 5% to 6%
c) 11% to 13%
d) 3% to 4% - answersa
coronary perfusion pressure (CPP) equals aortic_______ pressure minus ____ atrial
diastolic pressure
a) systolic, left
b) systolic, right
c) diastolic, left
d) diastolic, right - answersD
what is an advantage of a systemic approach to patient assessment?
a) reduces the need for secondary assessment
b) standardizes treatment across systems of care
c) reduces the chances of missing important signs and symptoms
d) permits assessment modification based on patient symptoms - answersC
what is the first step in the systematic approach to patient assessment?
a) primary assessment
b) secondary assessment
c) initial impression
d) BLS assessment - answersc
what is the maximum amount of time you should simultaneously perform the pulse and
breathing checks?
a) 15 seconds
b) 20 seconds
c) 10 seconds
d) 5 seconds - answersC
The BLS Assessment is a systematic approach to BLS for trained healthcare providers.
This approach stresses:
a) basic airway management
b) early cpr and defibrillation
c) defibrillation - answersb
while performing the BLS assessment, you initiate high-quality CPR and assist
ventilation with a bag-mask device
the AED does not recommend a shock
which action in the primary assessment should you perform first?
a) attach a quantitative waveform capnography device
,b) perform fluid resuscitation
c) determine if the patient's airway is patent
d) assess the patient's oxygenation status - answersC
the initial assessment reveals a conscious patient
the patient's airway is patent, and an advanced airway is not indicated
which action in the primary assessment should you perform next?
a) check for the presence of a pulse
b) remove clothing to perform a physical examination
c) administer oxygen as needed
d) check for neurologic function - answersC
during CPR, chest compression fraction (CCF) should be at least ___% and idealls
greater than ___% - answers60, 80
among others, which of the following factors has been associated with improved
survival in patients with cardiac arrest?
a) compression-only CPR
b) presence of 2 or more rescuers
c) immediate high -quality CPR
d) manual defibrillation - answersC
which action is part of the secondary assessment of a conscious patient?
a) formulate a differential diagnosis
b) attach a monitor/defibrillator
c) give IV/IO fluids if needed
d) determine the patient's level of consciousness - answersa
which of the following are the "H" causes of reversible cardiac arrest?
1. hypocalcemia
2. hypothermia
3. hypertensive crisis
4. hypovolemia
5. hyperkalemia/hypokalemia
6. hypercalcemia
7. Heyde's syndrome
8. HELLP syndrome
9. acidosis
10. hypoxia - answers2, 4, 5, 9, 10
which of the following are the "T" causes of reversible cardiac arrest?
1. coronary thrombosis
2. pulmonary thrombosis
3. toxins
4. thoracic outlet syndrome
5. simple pneumothorax
6. thyrotoxicosis
7. tachycardiomyopathy
8. tension pneumothorax
9. cardiac tamponade
10. deep vein thrombosis - answers1, 2, 3, 8, 9
,Symptoms of ACS - answerschest pain (tightness or pressure)
pressure fullness squeezing or pain in center o chest lasting several minutes
chest discomfort spreading to shoulder, neck one or both arms, or jaw. spread to back
or between shoulder blades
light-headed, dizzy, fainting, syncope, sweating, nausea, vomiting
unexplained SOB with or without chest discomfort
less common - epigastrium discomfort
what is the most common symptom of myocardial ischemia and infarction?
a) retrosternal chest pain
b) sweating
c) nausea
d) difficulty breathing - answersa
which demographic group experiencing acute coronary syndromes is more likely to
present without chest pain?
a) females
b) adolescents
c) patients taking beta-blockers
d) smokers - answersa
obtaining a ______ is the most important assessment tool for a patient displaying signs
and symptoms of acute coronary syndromes
a) blood glucose level
b) portable ultrasound
c) 12-lead ECG
d) computed tomography scan - answersC
What is the time goal for how quickly you should complete a fibrinolytic checklist once
the patient arrives in the emergency department?
a) 20 minutes
b) 15 minutes
c) 30 minutes
d) 10 minutes - answersD
in addition to decreased IHCA, what are some other benefits of implementing a rapid
response system?
1. decrease in total hospital length of stay
2. decreased ICU length of stay
3. increase ICU admissions
4. decreased emergency department admissions
5. increased hospital length of stay - answers1 and 2
a patient without dyspnea has signs of acute coronary syndromes
there are no obvious signs of heart failure.
you assess a noninvasively monitored oxyhemoglobin saturation
what is the oxygen saturation threshold below which supplemental oxygen would be
required?
a) 93%
b) 92%
c) 90%
, d) 91% - answersC
what is the main advantage of effective teamwork?
a) immediate CPR
b) division of tasks
c) early defibrillation
d) mastery of resuscitation skills - answersB
what blood component is acted upon by aspirin administration during the management
of a patient with acute coronary syndromes?
a) plasma
b) red blood cells
c) platelets
d) white blood cells - answersC
what is a contraindication to the administration of aspirin for the management of a
patient with acute coronary syndromes?
a) vomiting
b) recent gastrointestinal bleeding
c) nausea
d) shortness of breath - answersB
what is a physiologic effect of nitroglycerin?
a) bronchodilation
b) platelet aggregation inhibition
c) binds to opioid receptors
d) reduces preload - answersD
which clinical finding represents a contraindication to the administration of nitroglycerin?
a) anterior wall infarction
b) lateral wall infarction
c) posterior wall infarction
d) confirmed right ventricular infarction - answersd
which class of medications commonly given to patients with acute coronary syndromes
may be adversely affected by morphine administration?
a) beta blockers
b) phosphodiesterase inhibitors
c) calcium channel blockers
d) oral antiplatelet medications - answersd
what is a benefit of morphine when given for the management of acute coronary
syndromes?
a) vasoconstriction
b) central nervous system analgesia
c) increases systemic vascular resistance
d) increases left ventricular preload - answersb
you obtain a 12-lead ECG in a patient with retrosternal chest pain
which electrocardiographic finding is suggestive of high-risk-non-ST segment elevation
acute coronary syndromes?
a) ST segment elevation
b) new left bundle branch block
