AHA ACLS Written Test
1. Start chest compressions of at least 100 per min.: You find an unresponsive pt. who
is not breathing. After activating the emergency response system, you determine there is
no pulse. What is your next action?
2. Obtaining a 12 lead ECG.: You are evaluating a 58 year old man with chest pain. The
BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and
the pulse O2 is 97%. What assessment step is most important now?
3. Peripheral IV: What is the preferred method of access for epi administration during
cardiac arrest in most pts?
4. Begin chest compressions.: An AED does not promptly analyze a rythm. What is your
next step?
5. Administer 1mg of epinepherine: You have completed 2 min of CPR. The ECG
monitor displays the lead below (PEA) and the pt. has no pulse.You partner resumes chest
compressions and an IV is in place. What management step is your next priority?
6. Resume compressions: During a pause in CPR, you see a narrow complex rythm on
the monitor. The pt. has no pulse. What is the next action?
7. Prolonged interruptions in chest compressions.: What is acommon but some- times
fatal mistake in cardiac arrest management?
8. Allowing complete chest recoil: Which action is a componant of high-quality chest
comressions?
9. Providing quality compressions immediately before a defibrillation at- tempt.:
Which action increases the chance of successful conversion of ventricular fibrillation?
10. Sinus rythm without a pulse: Which situation BEST describes PEA?
11. Provide continuous chest compressionswithout pauses and 10 ventila- tions per
minute.: What is the best strategy for perfoming high-quality CPR on a pt.with an
advanced airway in place?
12. Chest compressions may not be effective.: 3 min after witnessing a cardiac arrest,
one memeber of your team inserts an ET tube while another performs con- tinuous chest
comressions. During subsequent bentilation, you notice the presence of a wavefom on the
capnogrophy screen and a PETCO2 of 8 mm Hg. What is the significance of this finding?
13. Allowsfor monitoring CPR quality: The use of quantitative capnography in
intubated pt's does what?
14. Consider terminating resuscitive efforts after consulting medical control.-
: For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally
presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which
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1. Start chest compressions of at least 100 per min.: You find an unresponsive pt. who
is not breathing. After activating the emergency response system, you determine there is
no pulse. What is your next action?
2. Obtaining a 12 lead ECG.: You are evaluating a 58 year old man with chest pain. The
BP is 92/50 and a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and
the pulse O2 is 97%. What assessment step is most important now?
3. Peripheral IV: What is the preferred method of access for epi administration during
cardiac arrest in most pts?
4. Begin chest compressions.: An AED does not promptly analyze a rythm. What is your
next step?
5. Administer 1mg of epinepherine: You have completed 2 min of CPR. The ECG
monitor displays the lead below (PEA) and the pt. has no pulse.You partner resumes chest
compressions and an IV is in place. What management step is your next priority?
6. Resume compressions: During a pause in CPR, you see a narrow complex rythm on
the monitor. The pt. has no pulse. What is the next action?
7. Prolonged interruptions in chest compressions.: What is acommon but some- times
fatal mistake in cardiac arrest management?
8. Allowing complete chest recoil: Which action is a componant of high-quality chest
comressions?
9. Providing quality compressions immediately before a defibrillation at- tempt.:
Which action increases the chance of successful conversion of ventricular fibrillation?
10. Sinus rythm without a pulse: Which situation BEST describes PEA?
11. Provide continuous chest compressionswithout pauses and 10 ventila- tions per
minute.: What is the best strategy for perfoming high-quality CPR on a pt.with an
advanced airway in place?
12. Chest compressions may not be effective.: 3 min after witnessing a cardiac arrest,
one memeber of your team inserts an ET tube while another performs con- tinuous chest
comressions. During subsequent bentilation, you notice the presence of a wavefom on the
capnogrophy screen and a PETCO2 of 8 mm Hg. What is the significance of this finding?
13. Allowsfor monitoring CPR quality: The use of quantitative capnography in
intubated pt's does what?
14. Consider terminating resuscitive efforts after consulting medical control.-
: For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally
presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which
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