ALS Final Exam Questions with 100%
Correct Answers
The ECG rhythm strip of a patient who arrived in the emergency department
complaining of dizziness, syncope and shortness of breath reveals sinus bradycardia.
When reviewing the patient's medication history, the healthcare provider identifies which
agent(s) as a potential cause of the patient's current condition? Correct Answer Digoxin
Verapamil
Metoprolol
A patient experiencing an unstable bradyarrhythmia does not respond to atropine.
Which interventions could the healthcare provider use next? Correct Answer
Epinephrine/dopamine infusion
Transcutaneous pacing
A patient presents to the emergency department with mild to moderate recurrent chest
pain, without any nausea or vomiting. A 12-lead ECG is obtained and shows ST-
segment depression with transient T-wave elevation indicative of NSTE-ACS. Cardiac
serum markers are obtained and are not elevated. The patient's risk-stratification score
indicates low risk. These findings suggest which condition? Correct Answer Unstable
angina
The following capnogram is from a patient experiencing respiratory distress. At which
point in the waveform would the patient's ETCO2 level be measured? Correct Answer D
(end of the peaked plateau, right before it inverts downwards)
A patient comes to the emergency department complaining of palpitations and "some
shortness of breath." Cardiac monitoring is initiated and reveals the following ECG
rhythm strip. The provider interprets this strip as indicating which arrhythmia? Correct
Answer Atrial flutter
A healthcare provider initiates ventilations to ensure adequate breathing and
oxygenation. While ventilations are being performed, capnography is established to
evaluate the adequacy of the ventilations. The healthcare provider determines that
ventilations are adequate based on which end-tidal carbon dioxide (ETCO2) value?
Correct Answer 35-45 mmHg
A healthcare provider is establishing cardiac monitoring using a five-electrode system.
The healthcare provider demonstrates proper use of the system by placing the green
electrode in which location? Correct Answer Lower right abdomen
, A patient with suspected acute coronary syndromes (ACS) is placed on a cardiac
monitor. The patient is complaining of dyspnea and is given supplemental oxygen. The
provider determines that the supplemental oxygen dose is correct based on which
SaO2 level? Correct Answer 95%
A patient's capnogram reveals the following waveform. Which segment would the
healthcare provider interpret as reflecting the beginning of exhalation? Correct Answer
A-B (the flat line before a sharp rise towards the peaked plateau)
Assessment of a patient in the emergency department reveals that the patient is
experiencing respiratory compromise. From the assessment, the team identifies that the
patient is in the earliest stage of this condition. Which stage would this be? Correct
Answer Respiratory distress
After cardiac arrest and successful resuscitation, the patient has a return of
spontaneous circulation. The patient is unable to follow verbal commands. Targeted
temperature management is initiated. Which method(s) would be appropriate for the
resuscitation team to use? Correct Answer Giving ice-cold IV fluid bolus
Applying cooling blankets
Using an endovascular catheter
A patient with a suspected stroke arrives at the emergency department at 7:10 p.m. The
stroke team ensures that a comprehensive neurologic assessment using the National
Institutes of Health Stroke Scale (NIHSS) is completed and that brain imaging is
performed by which time? Correct Answer 7:30pm
A 30-year-old patient has been brought to the emergency department in cardiac arrest.
The cardiac monitor shows the following rhythm. Interpretation of this rhythm would
suggest which of the following as a possible precipitating factor?
(EKG strip shows ventricular fibrillation) Correct Answer Electrocution
A patient presents to the emergency department with suspected ACS.
Electrocardiogram and cardiac biomarkers show the patient has ST-segment elevation
myocardial infarction (STEMI). Physical examination reveals signs of left ventricular
dysfunction. Which finding(s) would support this? Correct Answer Crackles
Hypotension
Weak peripheral pulses
A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each medication
Correct Answers
The ECG rhythm strip of a patient who arrived in the emergency department
complaining of dizziness, syncope and shortness of breath reveals sinus bradycardia.
When reviewing the patient's medication history, the healthcare provider identifies which
agent(s) as a potential cause of the patient's current condition? Correct Answer Digoxin
Verapamil
Metoprolol
A patient experiencing an unstable bradyarrhythmia does not respond to atropine.
Which interventions could the healthcare provider use next? Correct Answer
Epinephrine/dopamine infusion
Transcutaneous pacing
A patient presents to the emergency department with mild to moderate recurrent chest
pain, without any nausea or vomiting. A 12-lead ECG is obtained and shows ST-
segment depression with transient T-wave elevation indicative of NSTE-ACS. Cardiac
serum markers are obtained and are not elevated. The patient's risk-stratification score
indicates low risk. These findings suggest which condition? Correct Answer Unstable
angina
The following capnogram is from a patient experiencing respiratory distress. At which
point in the waveform would the patient's ETCO2 level be measured? Correct Answer D
(end of the peaked plateau, right before it inverts downwards)
A patient comes to the emergency department complaining of palpitations and "some
shortness of breath." Cardiac monitoring is initiated and reveals the following ECG
rhythm strip. The provider interprets this strip as indicating which arrhythmia? Correct
Answer Atrial flutter
A healthcare provider initiates ventilations to ensure adequate breathing and
oxygenation. While ventilations are being performed, capnography is established to
evaluate the adequacy of the ventilations. The healthcare provider determines that
ventilations are adequate based on which end-tidal carbon dioxide (ETCO2) value?
Correct Answer 35-45 mmHg
A healthcare provider is establishing cardiac monitoring using a five-electrode system.
The healthcare provider demonstrates proper use of the system by placing the green
electrode in which location? Correct Answer Lower right abdomen
, A patient with suspected acute coronary syndromes (ACS) is placed on a cardiac
monitor. The patient is complaining of dyspnea and is given supplemental oxygen. The
provider determines that the supplemental oxygen dose is correct based on which
SaO2 level? Correct Answer 95%
A patient's capnogram reveals the following waveform. Which segment would the
healthcare provider interpret as reflecting the beginning of exhalation? Correct Answer
A-B (the flat line before a sharp rise towards the peaked plateau)
Assessment of a patient in the emergency department reveals that the patient is
experiencing respiratory compromise. From the assessment, the team identifies that the
patient is in the earliest stage of this condition. Which stage would this be? Correct
Answer Respiratory distress
After cardiac arrest and successful resuscitation, the patient has a return of
spontaneous circulation. The patient is unable to follow verbal commands. Targeted
temperature management is initiated. Which method(s) would be appropriate for the
resuscitation team to use? Correct Answer Giving ice-cold IV fluid bolus
Applying cooling blankets
Using an endovascular catheter
A patient with a suspected stroke arrives at the emergency department at 7:10 p.m. The
stroke team ensures that a comprehensive neurologic assessment using the National
Institutes of Health Stroke Scale (NIHSS) is completed and that brain imaging is
performed by which time? Correct Answer 7:30pm
A 30-year-old patient has been brought to the emergency department in cardiac arrest.
The cardiac monitor shows the following rhythm. Interpretation of this rhythm would
suggest which of the following as a possible precipitating factor?
(EKG strip shows ventricular fibrillation) Correct Answer Electrocution
A patient presents to the emergency department with suspected ACS.
Electrocardiogram and cardiac biomarkers show the patient has ST-segment elevation
myocardial infarction (STEMI). Physical examination reveals signs of left ventricular
dysfunction. Which finding(s) would support this? Correct Answer Crackles
Hypotension
Weak peripheral pulses
A member of the resuscitation team is preparing to administer medications
intravenously to a patient in cardiac arrest. The team member follows each medication
