ACLS WRITTEN ACTUAL EXAM
LATEST UPDATE {GRADED A+}.
Which action increases the chance of successful conversion of ventricular
fibrillation? - ANS✔✔-Providing quality compressions immediately before a
defibrillation attempt.
Which situation BEST describes pulseless electrical activity? - ANS✔✔-Sinus
rythm without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? - ANS✔✔-Provide continuous chest compressions
without pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiac arrest, one member of your team
inserts an endotracheal tube while another performs continuous chest
compressions. During subsequent ventilation, you notice the presence of a
waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is
the significance of this finding? - ANS✔✔-Chest compressions may not be
effective.
The use of quantitative capnography in intubated patients - ANS✔✔-allows for
monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient
who originally presented in ventricular fibrillation. After the first shock, the ECG
screen displayed asystole, which has persisted despite 2 doses of epinephrine, a
fluid bolus, and high-quality CPR. What is your next treatment? - ANS✔✔-
Consider terminating resuscitive efforts after consulting medical control.
,Which is a safe and effective practice within the defibrillation sequence? -
ANS✔✔-Be sure oxygen is not blowing over the patient's chest during the shock.
During your assessment, your patient suddenly loses consciousness. After calling
for help and determining that the patient is not breathing, you are unsure
whether the patient has a pulse. What is your next action? - ANS✔✔-Begin chest
compressions.
What is an advantage of using hands-free defibrillation pads instead of
defibrillation paddles? - ANS✔✔-Hands-free pads allow for a more rapid
defibrillation.
What action is recommended to help minimize interruptions in chest
compressions during CPR? - ANS✔✔-Continue CPR while charging the
defibrillator.
Which action is included in the BLS survey? - ANS✔✔-Early defibrillation
Which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation? - ANS✔✔-Amioderone 300mg
What is the appropriate interval for an interruption in chest compressions? -
ANS✔✔-10 seconds or less
Which of the following is a sign of effective CPR? - ANS✔✔-PETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)? - ANS✔✔-Identifying and treating early clinical
deterioration.
Which action improves the quality of chest compressions delivered during a
resuscitation attempt? - ANS✔✔-Switch providers about every 2 minutes or
every 5 compression cycles.
What is the appropriate ventilation strategy for an adult in respiratory arrest
with a pulse rate of 80/min? - ANS✔✔-1 breath every 5-6 seconds
, A patient presents to the emergency department with new onset of dizziness and
fatigue. On examination, the patient's heart rate is 35/min, the blood pressure is
70/50 mm Hg, the respiratory rate is 22 breaths/min, and the oxygen saturation
is 95%. What is the appropriate first medication? - ANS✔✔-Atropine 0.5mg
A patient with dizziness and shortness of breath with a sinus bradycardia of
40/min. The initial atropine dose was ineffective, and your monitor/defibrillator
is not equipped with a transcutaneous pacemaker. What is the appropriate dose
of dopamine for this patient? - ANS✔✔-2 to 10 mcg/kg per minute
A patient has sudden onset of dizziness. The patient's heart rate is 180/min,
blood pressure is 110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse
oximetry reading is 98% on room air. The lead II ECG is shown below: - ANS✔✔-
Vagal manuever.
A monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg,
the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is
vascular access at the left internal jugular vein, and the patient has not been
given any vasoactive drugs. A 12-lead ECG confirms a supraventricular
tachycardia with no evidence of ischemia or infarction. The heart rate has not
responded to vagal maneuvers. What is the next recommended intervention? -
ANS✔✔-Adenosine 6mg IV push
You are receiving a radio report from an EMS team en route with a patient who
may be having an acute stroke. The hospital CT scanner is not working at this
time. What should you do in this situation? - ANS✔✔-Divert the patient to a
hospital 15 minutes away with CT capabilities.
Choose an appropriate indication to stop or withhold resuscitative efforts. -
ANS✔✔-Evidence of rigor mortis.
A 49-year-old woman arrives in the emergency department with persistent
epigastric pain. She had been taking oral antacids for the past 6 hours because
she thought she had heartburn. The initial blood pressure is 118/72 mm Hg, the
heart rate is 92/min and regular, the nonlabored respiratory rate is 14
breaths/min, and the pulse oximetry reading is 96%. Which is the most
appropriate intervention to perform next? - ANS✔✔-Obtain a 12 lead ECG.
LATEST UPDATE {GRADED A+}.
Which action increases the chance of successful conversion of ventricular
fibrillation? - ANS✔✔-Providing quality compressions immediately before a
defibrillation attempt.
Which situation BEST describes pulseless electrical activity? - ANS✔✔-Sinus
rythm without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? - ANS✔✔-Provide continuous chest compressions
without pauses and 10 ventilations per minute.
Three minutes after witnessing a cardiac arrest, one member of your team
inserts an endotracheal tube while another performs continuous chest
compressions. During subsequent ventilation, you notice the presence of a
waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is
the significance of this finding? - ANS✔✔-Chest compressions may not be
effective.
The use of quantitative capnography in intubated patients - ANS✔✔-allows for
monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient
who originally presented in ventricular fibrillation. After the first shock, the ECG
screen displayed asystole, which has persisted despite 2 doses of epinephrine, a
fluid bolus, and high-quality CPR. What is your next treatment? - ANS✔✔-
Consider terminating resuscitive efforts after consulting medical control.
,Which is a safe and effective practice within the defibrillation sequence? -
ANS✔✔-Be sure oxygen is not blowing over the patient's chest during the shock.
During your assessment, your patient suddenly loses consciousness. After calling
for help and determining that the patient is not breathing, you are unsure
whether the patient has a pulse. What is your next action? - ANS✔✔-Begin chest
compressions.
What is an advantage of using hands-free defibrillation pads instead of
defibrillation paddles? - ANS✔✔-Hands-free pads allow for a more rapid
defibrillation.
What action is recommended to help minimize interruptions in chest
compressions during CPR? - ANS✔✔-Continue CPR while charging the
defibrillator.
Which action is included in the BLS survey? - ANS✔✔-Early defibrillation
Which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation? - ANS✔✔-Amioderone 300mg
What is the appropriate interval for an interruption in chest compressions? -
ANS✔✔-10 seconds or less
Which of the following is a sign of effective CPR? - ANS✔✔-PETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)? - ANS✔✔-Identifying and treating early clinical
deterioration.
Which action improves the quality of chest compressions delivered during a
resuscitation attempt? - ANS✔✔-Switch providers about every 2 minutes or
every 5 compression cycles.
What is the appropriate ventilation strategy for an adult in respiratory arrest
with a pulse rate of 80/min? - ANS✔✔-1 breath every 5-6 seconds
, A patient presents to the emergency department with new onset of dizziness and
fatigue. On examination, the patient's heart rate is 35/min, the blood pressure is
70/50 mm Hg, the respiratory rate is 22 breaths/min, and the oxygen saturation
is 95%. What is the appropriate first medication? - ANS✔✔-Atropine 0.5mg
A patient with dizziness and shortness of breath with a sinus bradycardia of
40/min. The initial atropine dose was ineffective, and your monitor/defibrillator
is not equipped with a transcutaneous pacemaker. What is the appropriate dose
of dopamine for this patient? - ANS✔✔-2 to 10 mcg/kg per minute
A patient has sudden onset of dizziness. The patient's heart rate is 180/min,
blood pressure is 110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse
oximetry reading is 98% on room air. The lead II ECG is shown below: - ANS✔✔-
Vagal manuever.
A monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg,
the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is
vascular access at the left internal jugular vein, and the patient has not been
given any vasoactive drugs. A 12-lead ECG confirms a supraventricular
tachycardia with no evidence of ischemia or infarction. The heart rate has not
responded to vagal maneuvers. What is the next recommended intervention? -
ANS✔✔-Adenosine 6mg IV push
You are receiving a radio report from an EMS team en route with a patient who
may be having an acute stroke. The hospital CT scanner is not working at this
time. What should you do in this situation? - ANS✔✔-Divert the patient to a
hospital 15 minutes away with CT capabilities.
Choose an appropriate indication to stop or withhold resuscitative efforts. -
ANS✔✔-Evidence of rigor mortis.
A 49-year-old woman arrives in the emergency department with persistent
epigastric pain. She had been taking oral antacids for the past 6 hours because
she thought she had heartburn. The initial blood pressure is 118/72 mm Hg, the
heart rate is 92/min and regular, the nonlabored respiratory rate is 14
breaths/min, and the pulse oximetry reading is 96%. Which is the most
appropriate intervention to perform next? - ANS✔✔-Obtain a 12 lead ECG.
