ACLS EXAM A 2020 | TEST - BANK – EXAM QUESTIONS AND ANSWERS ALREADY GRADED
A+| 100% VERIFIED SOLUTIONS………...
Core Domains
High-Quality BLS and CPR Foundations
Cardiac Arrest Algorithm: Shockable and Nonshockable Rhythms
Airway Management and Ventilation
ACLS Pharmacology and Medication Administration
Tachyarrhythmia and Bradycardia Management
Post–Cardiac Arrest Care
Acute Coronary Syndromes and Suspected Stroke
Team Dynamics and Resuscitation Systems of Care
Introduction
This comprehensive test bank prepares candidates for the ACLS Exam A (2020) written assessment
and megacode evaluation, reflecting the American Heart Association 2020 Guidelines for CPR and
Emergency Cardiovascular Care. It assesses high-quality CPR, defibrillation strategy, airway and
vascular access decisions, ACLS pharmacology, tachyarrhythmia and bradycardia algorithms, post–
,cardiac arrest care, and time-critical management of acute coronary syndromes and suspected
stroke. The question bank uses multiple-choice and scenario-based formats mirroring real code-
team decision-making. Emphasis is placed on guideline-current practice, rapid clinical reasoning,
and safe, effective team-based resuscitation.
SECTION ONE: QUESTIONS 1–45
Question 1
Which of these tests should be performed for a patient with suspected stroke as soon as possible
but no more than 20 minutes after hospital arrival?
A. Coagulation studies
B. Noncontrast CT scan of the head
C. Carotid ultrasound
D. Lumbar puncture
🟢 B. Noncontrast CT scan of the head
🔴 RATIONALE: A critical decision point in acute stroke assessment is the performance and
interpretation of a noncontrast CT scan to differentiate ischemic from hemorrhagic stroke. The
CT should be completed within 20 minutes of ED arrival and read within 45 minutes.
Question 2
,Which is an acceptable method of selecting an appropriately sized oropharyngeal airway (OPA)?
A. Measure from the thyroid cartilage to the bottom of the earlobe
B. Measure from the corner of the mouth to the angle of the mandible
C. Measure from the tip of the nose to the sternal notch
D. Measure from the chin to the sternum
🟢 B. Measure from the corner of the mouth to the angle of the mandible
🔴 RATIONALE: To select an appropriately sized OPA, place the device against the side of the
face. When the flange is at the corner of the mouth, the tip should reach the angle of the
mandible.
Question 3
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure
of 80/60 mm Hg. What is the initial dose of atropine?
A. 0.5 mg
B. 1 mg
C. 2 mg
D. 3 mg
🟢 B. 1 mg
, 🔴 RATIONALE: The 2020 ACLS Adult Bradycardia Algorithm increased the initial atropine dose
to 1 mg IV (from the previous 0.5 mg). It may be repeated every 3–5 minutes, with a maximum
total dose of 3 mg.
Question 4
Which best describes this rhythm: a regular, wide-complex tachycardia at a rate of 180 bpm with
a uniform QRS morphology?
A. Ventricular fibrillation
B. Monomorphic ventricular tachycardia
C. Polymorphic ventricular tachycardia
D. Supraventricular tachycardia with aberrancy
🟢 B. Monomorphic ventricular tachycardia
🔴 RATIONALE: Monomorphic VT presents as a regular, wide-QRS tachycardia with a uniform
QRS morphology across all complexes, distinguishing it from polymorphic VT, which shows beat-
to-beat variability in QRS shape and axis.
Question 5
A+| 100% VERIFIED SOLUTIONS………...
Core Domains
High-Quality BLS and CPR Foundations
Cardiac Arrest Algorithm: Shockable and Nonshockable Rhythms
Airway Management and Ventilation
ACLS Pharmacology and Medication Administration
Tachyarrhythmia and Bradycardia Management
Post–Cardiac Arrest Care
Acute Coronary Syndromes and Suspected Stroke
Team Dynamics and Resuscitation Systems of Care
Introduction
This comprehensive test bank prepares candidates for the ACLS Exam A (2020) written assessment
and megacode evaluation, reflecting the American Heart Association 2020 Guidelines for CPR and
Emergency Cardiovascular Care. It assesses high-quality CPR, defibrillation strategy, airway and
vascular access decisions, ACLS pharmacology, tachyarrhythmia and bradycardia algorithms, post–
,cardiac arrest care, and time-critical management of acute coronary syndromes and suspected
stroke. The question bank uses multiple-choice and scenario-based formats mirroring real code-
team decision-making. Emphasis is placed on guideline-current practice, rapid clinical reasoning,
and safe, effective team-based resuscitation.
SECTION ONE: QUESTIONS 1–45
Question 1
Which of these tests should be performed for a patient with suspected stroke as soon as possible
but no more than 20 minutes after hospital arrival?
A. Coagulation studies
B. Noncontrast CT scan of the head
C. Carotid ultrasound
D. Lumbar puncture
🟢 B. Noncontrast CT scan of the head
🔴 RATIONALE: A critical decision point in acute stroke assessment is the performance and
interpretation of a noncontrast CT scan to differentiate ischemic from hemorrhagic stroke. The
CT should be completed within 20 minutes of ED arrival and read within 45 minutes.
Question 2
,Which is an acceptable method of selecting an appropriately sized oropharyngeal airway (OPA)?
A. Measure from the thyroid cartilage to the bottom of the earlobe
B. Measure from the corner of the mouth to the angle of the mandible
C. Measure from the tip of the nose to the sternal notch
D. Measure from the chin to the sternum
🟢 B. Measure from the corner of the mouth to the angle of the mandible
🔴 RATIONALE: To select an appropriately sized OPA, place the device against the side of the
face. When the flange is at the corner of the mouth, the tip should reach the angle of the
mandible.
Question 3
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure
of 80/60 mm Hg. What is the initial dose of atropine?
A. 0.5 mg
B. 1 mg
C. 2 mg
D. 3 mg
🟢 B. 1 mg
, 🔴 RATIONALE: The 2020 ACLS Adult Bradycardia Algorithm increased the initial atropine dose
to 1 mg IV (from the previous 0.5 mg). It may be repeated every 3–5 minutes, with a maximum
total dose of 3 mg.
Question 4
Which best describes this rhythm: a regular, wide-complex tachycardia at a rate of 180 bpm with
a uniform QRS morphology?
A. Ventricular fibrillation
B. Monomorphic ventricular tachycardia
C. Polymorphic ventricular tachycardia
D. Supraventricular tachycardia with aberrancy
🟢 B. Monomorphic ventricular tachycardia
🔴 RATIONALE: Monomorphic VT presents as a regular, wide-QRS tachycardia with a uniform
QRS morphology across all complexes, distinguishing it from polymorphic VT, which shows beat-
to-beat variability in QRS shape and axis.
Question 5
