ACLS: FINAL TEST QUESTIONS AND ANSWERS
1. The patient has return of spontaneous circulation and is not able to follow commands. Which immediate
post-cardiac arrest care intervention do you choose for this patient? - Answer-A) Initiate targeted
temperature management.
2. Which would you have done first if the patient had not gone into ventricular fibrillation? - Answer-D)
Performed synchronized cardioversion.
3. Based on this patient's initial assessment, which adult ACLS algorithm should you follow? - Answer-B)
Tachycardia.
4. The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take? -
Answer-C) Apply oxygen.
5. After your initial assessment of this patient, which intervention should be performed next? - Answer-
A) Synchronized cardioversion.
6. If the patient became apneic and pulseless but the rhythm remained the same, which would take the
highest priority? - Answer-D) Perform defibrillation.
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct
placement of an endotracheal tube? - Answer-C) Continuous waveform capnography
, 8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan
was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic
therapy. Which treatment is the best for this patient? - Answer-B) Start fibrinolytic therapy as soon as
possible.
9. Which best describes this rhythm? - Answer-D) Third-degree atrioventricular block.
10. What is the recommended range from which a temperature should be selected and maintained
constantly to achieve targeted temperature management after cardiac arrest? - Answer-C) 32 to 36
Degrees Celsius
11. Which is the recommended first intravenous dose of amiodarone for a patient with refractory
ventricular fibrillation? - Answer-D) 300 mg
12. What is the primary of a medical emergency team or rapid response team? - Answer-B) Improving
patient outcomes by identifying and treating early clinical deterioration.
13. What is the recommended next step after a defibrillation attempt? - Answer-D) Resume CPR, starting
with chest compressions
14. EMS providers are treating a patient with suspected stroke. According to the Adult Suspected Stroke
Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival and
reduce the time to treatment? - Answer-A) Alert the hospital.
15. A responder is caring for a patient with a history of congestive heart failure. The patient is
experiencing shortness of breath, a blood pressure of 68/50 mmHg, and a heart rate of 190/min. The
patient's lead II ECG is displayed here. Which best characterizes this patient's rhythm? - Answer-D)
Unstable supraventricular tachycardia
1. The patient has return of spontaneous circulation and is not able to follow commands. Which immediate
post-cardiac arrest care intervention do you choose for this patient? - Answer-A) Initiate targeted
temperature management.
2. Which would you have done first if the patient had not gone into ventricular fibrillation? - Answer-D)
Performed synchronized cardioversion.
3. Based on this patient's initial assessment, which adult ACLS algorithm should you follow? - Answer-B)
Tachycardia.
4. The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take? -
Answer-C) Apply oxygen.
5. After your initial assessment of this patient, which intervention should be performed next? - Answer-
A) Synchronized cardioversion.
6. If the patient became apneic and pulseless but the rhythm remained the same, which would take the
highest priority? - Answer-D) Perform defibrillation.
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct
placement of an endotracheal tube? - Answer-C) Continuous waveform capnography
, 8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan
was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic
therapy. Which treatment is the best for this patient? - Answer-B) Start fibrinolytic therapy as soon as
possible.
9. Which best describes this rhythm? - Answer-D) Third-degree atrioventricular block.
10. What is the recommended range from which a temperature should be selected and maintained
constantly to achieve targeted temperature management after cardiac arrest? - Answer-C) 32 to 36
Degrees Celsius
11. Which is the recommended first intravenous dose of amiodarone for a patient with refractory
ventricular fibrillation? - Answer-D) 300 mg
12. What is the primary of a medical emergency team or rapid response team? - Answer-B) Improving
patient outcomes by identifying and treating early clinical deterioration.
13. What is the recommended next step after a defibrillation attempt? - Answer-D) Resume CPR, starting
with chest compressions
14. EMS providers are treating a patient with suspected stroke. According to the Adult Suspected Stroke
Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival and
reduce the time to treatment? - Answer-A) Alert the hospital.
15. A responder is caring for a patient with a history of congestive heart failure. The patient is
experiencing shortness of breath, a blood pressure of 68/50 mmHg, and a heart rate of 190/min. The
patient's lead II ECG is displayed here. Which best characterizes this patient's rhythm? - Answer-D)
Unstable supraventricular tachycardia
