2025 ACLS EXAM WITH COMPLETE
SOLUTIONS
What element of a system of care is represented by properly functioning resuscitation
equipment? -ANSStructure
What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? -
ANSActivation of emergency reponse
What are signs of clinical deterioration that would prompt the activation of rapid
response system? -ANSSymptomatic hypertension
Seizure
Unexplained agitation
What is the primary purpose of a rapid response team (RRT) or medical emergency
team (MET)? -ANSTo improve patient outcomes by identifying and treating early clinical
deterioration
What happens when teams rapidly assess and intervene when patients have abnormal
vital signs? -ANSThe number of in hospital cardiac arrest decreases
In addition to decreased IHCA, what are some other benefits of implementing a rapid
response system? Select all that apply. -ANSDecrease ICU length of stay.
Decreased in total hospital length of stay.
Which is the main advantage of effective teamwork? -ANSDivision of tasks
Which is the best example of a role of the team leader? -ANSModels excellent team
behavior
Which is the best example of a role of a team member? -ANSPrepared to fulfill their role
responsibilities
What is the primary purpose of the CPR coach on a resuscitation team? -
ANSIncreasing CPR quality
What are the 6 positions for high performance teams in resuscitation? -ANSTeam
leader
Airway
Timer/recorder
Compressor (rotate every 2 minutes)
Monitor/defibrillator/cpr coach
IV/IO/Medications
,Which member of the high performance team has the responsibility for assigning roles
(positions)? -ANSTeam leader
Which high performance team member is part of the resuscitation triangle? -
ANSMonitor/defibrillator/cpr coach
Which is an example of knowledge sharing by a team leader? -ANSAsking for
suggestions about interventions
Which is an example of summarizing and reevaluating? -ANSIncreasing monitoring of
the patients condition deteriorates
Which is a step of closed-loop communication? -ANSConfirming task completion before
assigning another task
Which are examples of mutual respect? Select all that apply: -ANSAcknowledging
correctly completed tasks in a positive way
Ensuring that only one person talks at a time
What are the components of high quality CPR? Select all that apply: -ANSCompression
depth of at least 2 inches (5cm)
Switching compressors every 2 minutes
Avoiding excessive ventilation
Complete chest recoil after each compression
Interruption limited to under 10 seconds
How do you calculate the chest compression fraction (CCF)? What is ideal percentage?
-ANSDivide chest compression time by total code time. You want this at least 60% but
ideally greater than 80%
Which component of effective high-performance teams is represented by the use of
real-time feedback devices? -ANSQuality
How do you calculate Coronary Perfusion Pressure (CPP)? -ANSAortic diastolic
pressure "minus" Right Atrial Diastolic Pressure
How do interruptions in chest compressions negatively impact survival after cardiac
arrest? -ANSDecrease coronary perfusion pressure
What is the only intervention that can restore an organized rhythm in patients with
ventricular fibrillation (VF)? -ANSEarly and effective defibrillation
How quickly does the chance of survival decline for every minute of defibrillation delay
in patients with ventricular fibrillation who do receive bystander CPR? -ANS7-10%
, What is the advantage of a systematic approach to patient assessment? -ANSReduces
the chances of missing important signs and symptoms
What is the first step in the systematic approach to patient assessment? -ANSInitial
impression
What is the maximum amount of time you should simultaneously perform pulse and
breathing checks? -ANS10 seconds
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? -ANSDetermine is
the patients airway is patent
The initial assessment reveals a conscious patient. The patients airway is patent and an
advanced airway is not indicated.
Which action in the primary assessment should you perform next? -ANSAdminister
oxygen as needed
Which action is part of secondary assessment of a conscious patient? -ANSFormulate a
differential diagnosis
Which of the following are the "H's" causes of reversible cardiac arrest? Select all that
apply: -ANSHypothermia
Hypoxia
Hyperkalemia/hypokalemia
Hypovolemia
Acidosis
Which of the following are the "T" causes of reversible cardiac arrest? -ANSTension
pneumothorax
Toxins
Cardiac tamponade
Pulmonary thrombosis
Coronary thrombosis
What is the only intervention that can restore an organized rhythm in patients with
ventricular fibrillation (VF)? -ANSEarly and effective defibrillation
What is the most common symptom of myocardial ischemia and infarction? -
ANSRetrosternal chest pain
Which demographic group experiencing acute coronary syndromes is more likely to
present without chest pain? -ANSFemales
SOLUTIONS
What element of a system of care is represented by properly functioning resuscitation
equipment? -ANSStructure
What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival? -
ANSActivation of emergency reponse
What are signs of clinical deterioration that would prompt the activation of rapid
response system? -ANSSymptomatic hypertension
Seizure
Unexplained agitation
What is the primary purpose of a rapid response team (RRT) or medical emergency
team (MET)? -ANSTo improve patient outcomes by identifying and treating early clinical
deterioration
What happens when teams rapidly assess and intervene when patients have abnormal
vital signs? -ANSThe number of in hospital cardiac arrest decreases
In addition to decreased IHCA, what are some other benefits of implementing a rapid
response system? Select all that apply. -ANSDecrease ICU length of stay.
Decreased in total hospital length of stay.
Which is the main advantage of effective teamwork? -ANSDivision of tasks
Which is the best example of a role of the team leader? -ANSModels excellent team
behavior
Which is the best example of a role of a team member? -ANSPrepared to fulfill their role
responsibilities
What is the primary purpose of the CPR coach on a resuscitation team? -
ANSIncreasing CPR quality
What are the 6 positions for high performance teams in resuscitation? -ANSTeam
leader
Airway
Timer/recorder
Compressor (rotate every 2 minutes)
Monitor/defibrillator/cpr coach
IV/IO/Medications
,Which member of the high performance team has the responsibility for assigning roles
(positions)? -ANSTeam leader
Which high performance team member is part of the resuscitation triangle? -
ANSMonitor/defibrillator/cpr coach
Which is an example of knowledge sharing by a team leader? -ANSAsking for
suggestions about interventions
Which is an example of summarizing and reevaluating? -ANSIncreasing monitoring of
the patients condition deteriorates
Which is a step of closed-loop communication? -ANSConfirming task completion before
assigning another task
Which are examples of mutual respect? Select all that apply: -ANSAcknowledging
correctly completed tasks in a positive way
Ensuring that only one person talks at a time
What are the components of high quality CPR? Select all that apply: -ANSCompression
depth of at least 2 inches (5cm)
Switching compressors every 2 minutes
Avoiding excessive ventilation
Complete chest recoil after each compression
Interruption limited to under 10 seconds
How do you calculate the chest compression fraction (CCF)? What is ideal percentage?
-ANSDivide chest compression time by total code time. You want this at least 60% but
ideally greater than 80%
Which component of effective high-performance teams is represented by the use of
real-time feedback devices? -ANSQuality
How do you calculate Coronary Perfusion Pressure (CPP)? -ANSAortic diastolic
pressure "minus" Right Atrial Diastolic Pressure
How do interruptions in chest compressions negatively impact survival after cardiac
arrest? -ANSDecrease coronary perfusion pressure
What is the only intervention that can restore an organized rhythm in patients with
ventricular fibrillation (VF)? -ANSEarly and effective defibrillation
How quickly does the chance of survival decline for every minute of defibrillation delay
in patients with ventricular fibrillation who do receive bystander CPR? -ANS7-10%
, What is the advantage of a systematic approach to patient assessment? -ANSReduces
the chances of missing important signs and symptoms
What is the first step in the systematic approach to patient assessment? -ANSInitial
impression
What is the maximum amount of time you should simultaneously perform pulse and
breathing checks? -ANS10 seconds
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? -ANSDetermine is
the patients airway is patent
The initial assessment reveals a conscious patient. The patients airway is patent and an
advanced airway is not indicated.
Which action in the primary assessment should you perform next? -ANSAdminister
oxygen as needed
Which action is part of secondary assessment of a conscious patient? -ANSFormulate a
differential diagnosis
Which of the following are the "H's" causes of reversible cardiac arrest? Select all that
apply: -ANSHypothermia
Hypoxia
Hyperkalemia/hypokalemia
Hypovolemia
Acidosis
Which of the following are the "T" causes of reversible cardiac arrest? -ANSTension
pneumothorax
Toxins
Cardiac tamponade
Pulmonary thrombosis
Coronary thrombosis
What is the only intervention that can restore an organized rhythm in patients with
ventricular fibrillation (VF)? -ANSEarly and effective defibrillation
What is the most common symptom of myocardial ischemia and infarction? -
ANSRetrosternal chest pain
Which demographic group experiencing acute coronary syndromes is more likely to
present without chest pain? -ANSFemales
