ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS) EXAM 2023 ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
Chain of Survival Elements - (answer) -prevention and preparedness (training, early recognition, rapid
response)
-activation of the emergency response system
-high quality CPR & early defibrillation
-advanced resuscitation interventions (medications, airway interventions, extracorporeal CPR)
-post cardiac arrest care (targeted temp management & critical interventions)
-recovery (physical, cognitive, emotional, and family needs)
STEMI Systems of Care - (answer) goal: minimize heart damage and maximize the patients recovery
steps:
-recognize and react to STEMI warning signs
-activate EMS
-obtain ECG; notify possible ST-segment elevation
-acknowledge aspirin allergy or signs of bleeding
-provide streamlined cardiac catheterization
Stroke Systems of Care - (answer) goal: minimize brain injury and maximize patient recovery
steps:
-recognize and react to stroke warning signs and symptoms
-activate EMS
-endovascular therapy (EVT) and IV alteplase
H's and T's - (answer) potential reversible causes of cardiac arrest and emergent cardiopulmonary
conditions
H's:
-hypovolemia
,ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS) EXAM 2023 ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
-hypoxia
-hydrogen ions (acidosis)
-hypo/hyperkalemia
-hypothermia
T's:
-tension pneumothorax
-tamponade (cardiac)
-toxins
-thrombosis (pulmonary)
-thrombosis (coronary)
H's - (answer) -hypovolemia
-hypoxia
-hydrogen ions (acidosis)
-hypo/hyperkalemia
-hypothermia
T's - (answer) -tension pneumothorax
-tamponade (cardiac)
-toxins
-thrombosis (pulmonary)
-thrombosis (coronary)
Initial Assessment - (answer) -scene safety
-visualization (conscious vs unconscious)
BLS Assessment - (answer) -check responsiveness
,ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS) EXAM 2023 ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
-should for help, get AED/defibrillator, activate emergency response system
-check breathing and pulse (tailor CPR response)
-defibrillate
High Quality CPR - (answer) -compress the chest at least 2 inches
-rate of 100-120 compressions per min
-allow chest to completely recoil
-switch compressors every 2 min or earlier if fatigued
-CCF > 80%
-1 breath every 6 seconds
*blood flow to brain & heart stops when chest compressions stop
Primary Assessment - (answer) A: airway (head tilt/chin lift, laryngeal tube, endotracheal tube)
B: breathing (supplemental oxygen, ventilation)
C: circulation (waveform, monitor rhythm and perfusion, IV access, appropriate drugs)
D: disability (neurologic function, responsiveness (alert, voice, pain), pupil dilation)
E: exposure (remove clothing, look for signs of trauma, bleeding, or medical bracelets)
Secondary Assessment - (answer) S: signs and symptoms
A: allergies
M: medications (last dose taken)
P: past medical history
L: last meal consumed
, ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS) EXAM 2023 ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
E: events (leading to current injury, hazards at scene, time of onset)
Signs of Clinical Deterioration - (answer) -airway compromise
-respiratory rate less than 6 /min or more than 30 /min
-heart rate less than 40 bpm or greater than 140 bpm
-systolic blood pressure (SBP) less than 90 mmHg
-symptomatic hypertension
-unexpected decrease in level of consciousness
-unexplained agitation
-seizure
-significant decrease in urine output
-subjective concern about the patient
Acute Coronary Syndrome (ACS) - (answer) sudden symptoms of insufficient blood supply to the heart
-identify patients with STEMI and triage for early reperfusion therapy (PCI: balloon dilation or stent
placement)
-drug therapy (oxygen, aspirin, nitroglycerine, opiates, fibrinolytic therapy, heparin)
-complications: VF/pVT, unstable bradycardia, ventricular wall rupture, papillary muscle rupture,
decompensated shock, unstable tachycardia
Symptoms Suggestive of Ischemia or Infarction - (answer) -uncomfortable pressure, fullness,
squeezing, or pain in chest lasting several minutes
-chest discomfort spreading to shoulders, neck, arms, jaw, back, or between shoulder blades
-light headedness, dizziness, fainting, syncope, sweating, nausea, or vomiting
-unexplained shortness of breath
ACS General Treatment - (answer) -oxygen: use if patient is dyspneic, has s/s of HF, or O2 sat < 90%
CORRECT DETAILED ANSWERS
Chain of Survival Elements - (answer) -prevention and preparedness (training, early recognition, rapid
response)
-activation of the emergency response system
-high quality CPR & early defibrillation
-advanced resuscitation interventions (medications, airway interventions, extracorporeal CPR)
-post cardiac arrest care (targeted temp management & critical interventions)
-recovery (physical, cognitive, emotional, and family needs)
STEMI Systems of Care - (answer) goal: minimize heart damage and maximize the patients recovery
steps:
-recognize and react to STEMI warning signs
-activate EMS
-obtain ECG; notify possible ST-segment elevation
-acknowledge aspirin allergy or signs of bleeding
-provide streamlined cardiac catheterization
Stroke Systems of Care - (answer) goal: minimize brain injury and maximize patient recovery
steps:
-recognize and react to stroke warning signs and symptoms
-activate EMS
-endovascular therapy (EVT) and IV alteplase
H's and T's - (answer) potential reversible causes of cardiac arrest and emergent cardiopulmonary
conditions
H's:
-hypovolemia
,ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS) EXAM 2023 ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
-hypoxia
-hydrogen ions (acidosis)
-hypo/hyperkalemia
-hypothermia
T's:
-tension pneumothorax
-tamponade (cardiac)
-toxins
-thrombosis (pulmonary)
-thrombosis (coronary)
H's - (answer) -hypovolemia
-hypoxia
-hydrogen ions (acidosis)
-hypo/hyperkalemia
-hypothermia
T's - (answer) -tension pneumothorax
-tamponade (cardiac)
-toxins
-thrombosis (pulmonary)
-thrombosis (coronary)
Initial Assessment - (answer) -scene safety
-visualization (conscious vs unconscious)
BLS Assessment - (answer) -check responsiveness
,ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS) EXAM 2023 ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
-should for help, get AED/defibrillator, activate emergency response system
-check breathing and pulse (tailor CPR response)
-defibrillate
High Quality CPR - (answer) -compress the chest at least 2 inches
-rate of 100-120 compressions per min
-allow chest to completely recoil
-switch compressors every 2 min or earlier if fatigued
-CCF > 80%
-1 breath every 6 seconds
*blood flow to brain & heart stops when chest compressions stop
Primary Assessment - (answer) A: airway (head tilt/chin lift, laryngeal tube, endotracheal tube)
B: breathing (supplemental oxygen, ventilation)
C: circulation (waveform, monitor rhythm and perfusion, IV access, appropriate drugs)
D: disability (neurologic function, responsiveness (alert, voice, pain), pupil dilation)
E: exposure (remove clothing, look for signs of trauma, bleeding, or medical bracelets)
Secondary Assessment - (answer) S: signs and symptoms
A: allergies
M: medications (last dose taken)
P: past medical history
L: last meal consumed
, ADVANCED CARDIOVASCULAR LIFE SUPPORT (ACLS) EXAM 2023 ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS
E: events (leading to current injury, hazards at scene, time of onset)
Signs of Clinical Deterioration - (answer) -airway compromise
-respiratory rate less than 6 /min or more than 30 /min
-heart rate less than 40 bpm or greater than 140 bpm
-systolic blood pressure (SBP) less than 90 mmHg
-symptomatic hypertension
-unexpected decrease in level of consciousness
-unexplained agitation
-seizure
-significant decrease in urine output
-subjective concern about the patient
Acute Coronary Syndrome (ACS) - (answer) sudden symptoms of insufficient blood supply to the heart
-identify patients with STEMI and triage for early reperfusion therapy (PCI: balloon dilation or stent
placement)
-drug therapy (oxygen, aspirin, nitroglycerine, opiates, fibrinolytic therapy, heparin)
-complications: VF/pVT, unstable bradycardia, ventricular wall rupture, papillary muscle rupture,
decompensated shock, unstable tachycardia
Symptoms Suggestive of Ischemia or Infarction - (answer) -uncomfortable pressure, fullness,
squeezing, or pain in chest lasting several minutes
-chest discomfort spreading to shoulders, neck, arms, jaw, back, or between shoulder blades
-light headedness, dizziness, fainting, syncope, sweating, nausea, or vomiting
-unexplained shortness of breath
ACS General Treatment - (answer) -oxygen: use if patient is dyspneic, has s/s of HF, or O2 sat < 90%
