ACLS (Practical Application) Questions With Answers 2022/2023

How does complete chest recoil contribute to effective CPR? - Answer - Allows max blood return to the heart A pt has been resuscitated from cardiac arrest. During post-ROSC tx, the pt becomes unresponsive, with the rhythm shown here. Which action is indicated next? - Answer - Give an immediate unsynchronized high-energy shock (defibrillation dose) What action minimizes the risk of air entering the victim's stomach during bag-mask ventilation? - Answer - Ventilating until you see the chest rise A pt was in refractory vfib. A third shock has just been administered. Your team looks to you for instructions. What is your next step? - Answer - resume high-quality chest compressions After initiation of CPR and 1 shock for vfib, this rhythm is present on the next rhythm check. A second shock is given, and chest compressions are resumed immediately. An IV is in place, and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next intervention? - Answer - Give epinephrine 1 mg IV/IO A 35-year-old woman presents with a CC of palpitations. She has no chest discomfort, SOB, or light-headedness. Her BP is 120/78 mmHg. Which intervention in indicated first? - Answer - Vagal maneuvers A pt becomes unresponsive. You are uncertain if a faint pulse is present. They rhythm shown here is seen on the cardiac monitor. An IV is in place. Which action do you take next? - Answer - Start high-quality CPR A pt's 12-lead ECG is transmitted by the paramedics and shows a STEMI. When the pt arrives in the ER, the rhythm shown here is sen on the cardiac monitor. The pt has resolution of moderate (5/10) CP after 3 doses of sublingual nitroglycerin. BP is 104/70 mmHg. Which intervention is most important in reducing this pts in-hospital and 30-day mortality rate? - Answer - Reperfusion therapy What is the maximum interval for pausing chest compressions? - Answer - 10 seconds What is the recommended compression rate for high-quality CPR? - Answer - 100 to 120 compressions per minute Which action is likely to cause air to enter the victim's stomach (gastric inflation) during bag-mask ventilation? - Answer - Ventilating too quickly