AHA ACLS QUESTIONS AND ANSWERS
2025
You,find,an,unresponsive,pt.,who,is,not,breathing.,After,activating,the,emergency,response,syste
m,,you,determine,there,is,no,pulse.,What,is,your,next,action?,-
,ANSWER,Start,chest,compressions,of,at,least,100,per,min.
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,mos
t,important,now?,-,ANSWER,Obtaining,a,12,lead,ECG.
Identification,of,Chest,Discomfort,Suggestive,of,Ischemia
What,is,the,preferred,method,of,access,for,epi,administration,during,cardiac,arrest,in,most,pts?,
-,ANSWER,Peripheral,IV
An,AED,does,not,promptly,analyze,a,rythm.,What,is,your,next,step?,-
,ANSWER,Begin,chest,compressions.
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?,-,ANSWER,Administer,1mg,of,epinepherine
During,a,pause,in,CPR,,you,see,a,narrow,complex,rythm,on,the,monitor.,The,pt.,has,no,pulse.,W
hat,is,the,next,action?,-,ANSWER,Resume,compressions
What,is,acommon,but,sometimes,fatal,mistake,in,cardiac,arrest,management?,-
,ANSWER,Prolonged,interruptions,in,chest,compressions.
Which,action,is,a,componant,of,high-quality,chest,comressions?,-
,ANSWER,Allowing,complete,chest,recoil
, Which,action,increases,the,chance,of,successful,conversion,of,ventricular,fibrillation?,-
,ANSWER,Providing,quality,compressions,immediately,before,a,defibrillation,attempt.
Which,situation,BEST,describes,PEA?,-,ANSWER,Sinus,rythm,without,a,pulse
What,is,the,best,strategy,for,perfoming,high-
quality,CPR,on,a,pt.with,an,advanced,airway,in,place?,-
,ANSWER,Provide,continuous,chest,compressionswithout,pauses,and,10,ventilations,per,minute.
3,min,after,witnessing,a,cardiac,arrest,,one,memeber,of,your,team,inserts,an,ET,tube,while,anot
her,performs,continuous,chest,comressions.,During,subsequent,bentilation,,you,notice,the,pres
ence,of,a,wavefom,on,the,capnogrophy,screen,and,a,PETCO2,of,8,mm,Hg.,What,is,the,significanc
e,of,this,finding?,-,ANSWER,Chest,compressions,may,not,be,effective.
The,use,of,quantitative,capnography,in,intubated,pt's,does,what?,-
,ANSWER,Allowsfor,monitoring,CPR,quality
For,the,past,25,min,,EMS,crews,have,attempted,resuscitation,of,a,pt,who,originally,presented,wi
th,V-
FIB.,After,the,1st,shock,,the,ECG,screen,displayed,asystole,which,has,persisted,despite,2,doses,of
,epi,,a,fluid,bolus,,and,high,quality,CPR.,What,is,your,next,treatment?,-
,ANSWER,Consider,terminating,resuscitive,efforts,after,consulting,medical,control.
Which,is,a,safe,and,effective,practice,within,the,defibrillation,sequence?,-
,ANSWER,Be,sure,O2,is,NOT,blowing,over,the,pt's,chest,during,shock.
During,your,assessment,,your,pt,suddenly,loses,consciousness.,After,calling,for,help,and,determi
ning,that,the,pt.,is,not,breathing,,you,are,unsure,whether,the,pt.,has,a,pulse.,What,is,your,next,a
ction?,-,ANSWER,Begin,chest,compressions.
2025
You,find,an,unresponsive,pt.,who,is,not,breathing.,After,activating,the,emergency,response,syste
m,,you,determine,there,is,no,pulse.,What,is,your,next,action?,-
,ANSWER,Start,chest,compressions,of,at,least,100,per,min.
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,mos
t,important,now?,-,ANSWER,Obtaining,a,12,lead,ECG.
Identification,of,Chest,Discomfort,Suggestive,of,Ischemia
What,is,the,preferred,method,of,access,for,epi,administration,during,cardiac,arrest,in,most,pts?,
-,ANSWER,Peripheral,IV
An,AED,does,not,promptly,analyze,a,rythm.,What,is,your,next,step?,-
,ANSWER,Begin,chest,compressions.
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?,-,ANSWER,Administer,1mg,of,epinepherine
During,a,pause,in,CPR,,you,see,a,narrow,complex,rythm,on,the,monitor.,The,pt.,has,no,pulse.,W
hat,is,the,next,action?,-,ANSWER,Resume,compressions
What,is,acommon,but,sometimes,fatal,mistake,in,cardiac,arrest,management?,-
,ANSWER,Prolonged,interruptions,in,chest,compressions.
Which,action,is,a,componant,of,high-quality,chest,comressions?,-
,ANSWER,Allowing,complete,chest,recoil
, Which,action,increases,the,chance,of,successful,conversion,of,ventricular,fibrillation?,-
,ANSWER,Providing,quality,compressions,immediately,before,a,defibrillation,attempt.
Which,situation,BEST,describes,PEA?,-,ANSWER,Sinus,rythm,without,a,pulse
What,is,the,best,strategy,for,perfoming,high-
quality,CPR,on,a,pt.with,an,advanced,airway,in,place?,-
,ANSWER,Provide,continuous,chest,compressionswithout,pauses,and,10,ventilations,per,minute.
3,min,after,witnessing,a,cardiac,arrest,,one,memeber,of,your,team,inserts,an,ET,tube,while,anot
her,performs,continuous,chest,comressions.,During,subsequent,bentilation,,you,notice,the,pres
ence,of,a,wavefom,on,the,capnogrophy,screen,and,a,PETCO2,of,8,mm,Hg.,What,is,the,significanc
e,of,this,finding?,-,ANSWER,Chest,compressions,may,not,be,effective.
The,use,of,quantitative,capnography,in,intubated,pt's,does,what?,-
,ANSWER,Allowsfor,monitoring,CPR,quality
For,the,past,25,min,,EMS,crews,have,attempted,resuscitation,of,a,pt,who,originally,presented,wi
th,V-
FIB.,After,the,1st,shock,,the,ECG,screen,displayed,asystole,which,has,persisted,despite,2,doses,of
,epi,,a,fluid,bolus,,and,high,quality,CPR.,What,is,your,next,treatment?,-
,ANSWER,Consider,terminating,resuscitive,efforts,after,consulting,medical,control.
Which,is,a,safe,and,effective,practice,within,the,defibrillation,sequence?,-
,ANSWER,Be,sure,O2,is,NOT,blowing,over,the,pt's,chest,during,shock.
During,your,assessment,,your,pt,suddenly,loses,consciousness.,After,calling,for,help,and,determi
ning,that,the,pt.,is,not,breathing,,you,are,unsure,whether,the,pt.,has,a,pulse.,What,is,your,next,a
ction?,-,ANSWER,Begin,chest,compressions.
