ACLS Questions and Answers 100% Correct
3 mins after witnessing a cardiac arrest, 1 member inserts an ET tube while another performs chest
compress. During subsequent ventilation, you notice the presence of a waveform on the capnography
screen and a PETCO2 level of 8 mm Hg. What does this mean? correct answer Chest compressions may
not be effective.
49 y/o women ER w/ persistent epigastric pain, she had been taking oral antacids for past 6hrs for self
diagnosed heart burn. Incisal B/P 118/72, P 92 reg. non-labored R 14, Os 96%. What is the most
appropriate intervention to perform next? correct answer 12 lead ECG.
62 y.o male in ER states hear "beating fast" denies angina or SOB, b/p 142/98, P 200, R 14, O2% 95? what
intervention perform next? correct answer 12 lead ECG.
A 68 Y/0 woman experienced a sudden onset of right arm weakness. B/P 140/90 HR 78, R 14, O2% 97.
lead II ECG: normal sinus rhythm. What is the next appropriate action? correct answer Cincinnati
prehospital stroke scale.
Amiodarone\cardiac arrest? correct answer 300mg IV Bolus \second dose 150 mg.
An activated AED does not promptly analyze the rhythm. What is your next action? correct answer Begin
chest compressions.
An ICU patient developed sudden onset of narrow-complex tachycardia at a rate of 220/min. B/P 128/58,
PETCO2 38, O2 98%. IV in left IJ and patient has not been given any vasoactive drugs. A 12 lead ECG
confirms a supraventricular tachycardia w/ no evidence of ischemia or infarction. HR not responded to
vagal maneuvers. What is the next recommended intervention ? correct answer Adenosine 6 mg IV.
Brady with pulse Atropine? correct answer atropine 0.5 mg bolus repeat every 3-5 minutes \MAX 3 MG.
Brady with pulse Dopamine? correct answer 2-10 mcg/kg per minute.
Brady with pulse Epi? correct answer 2-10 mcg/min.
, Choose an appropriate indication to stop or withhold resuscitative efforts. correct answer Evidence of
rigor mortis.
D. Commandingly announce "clear" after you deliver the defibrillation shock. What is the primary
purpose of a medical emergency team (MET) or rapid response team (RRT)? correct answer Identifying
and treating early clinical deterioration.
Dopamine \post cardiac arrest? correct answer 5-10 mcg /kg.
During pause in CPR your monitor shows Normal sinus rhythm with no pulse. What is the next action
correct answer Resume chest compressions.
During the assessment patient loses consciousness after calling for help and determining that the patient
isn't breathing you are unsure if the patient has a pulse, what is next action? correct answer Begin chest
compressions.
EMS is transporting a patient with pos prehospital stroke assessment. upon arrival of the ER, the initial
B/P 138/78, P 80, R 12, O2% 95, lead II ECG: sinus rhythm, blood glucose in normal limits. What
intervention you perform next? correct answer Head CT scan.
Epinephrine \cardiac arrest? correct answer 1mg q 3-5.
Epinephrine IV \post cardiac arrest? correct answer 0.1-0.5 mcg/kg per minute.
For 25 minutes, an EMS crew has attempted resuscitation of a pt who presented in V Fib. 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 next? correct answer Consider terminating resuscitative efforts
after consulting medical control.
Norepinephrine \post cardiac correct answer 0.1-0.5 mcg/kg per minute.
3 mins after witnessing a cardiac arrest, 1 member inserts an ET tube while another performs chest
compress. During subsequent ventilation, you notice the presence of a waveform on the capnography
screen and a PETCO2 level of 8 mm Hg. What does this mean? correct answer Chest compressions may
not be effective.
49 y/o women ER w/ persistent epigastric pain, she had been taking oral antacids for past 6hrs for self
diagnosed heart burn. Incisal B/P 118/72, P 92 reg. non-labored R 14, Os 96%. What is the most
appropriate intervention to perform next? correct answer 12 lead ECG.
62 y.o male in ER states hear "beating fast" denies angina or SOB, b/p 142/98, P 200, R 14, O2% 95? what
intervention perform next? correct answer 12 lead ECG.
A 68 Y/0 woman experienced a sudden onset of right arm weakness. B/P 140/90 HR 78, R 14, O2% 97.
lead II ECG: normal sinus rhythm. What is the next appropriate action? correct answer Cincinnati
prehospital stroke scale.
Amiodarone\cardiac arrest? correct answer 300mg IV Bolus \second dose 150 mg.
An activated AED does not promptly analyze the rhythm. What is your next action? correct answer Begin
chest compressions.
An ICU patient developed sudden onset of narrow-complex tachycardia at a rate of 220/min. B/P 128/58,
PETCO2 38, O2 98%. IV in left IJ and patient has not been given any vasoactive drugs. A 12 lead ECG
confirms a supraventricular tachycardia w/ no evidence of ischemia or infarction. HR not responded to
vagal maneuvers. What is the next recommended intervention ? correct answer Adenosine 6 mg IV.
Brady with pulse Atropine? correct answer atropine 0.5 mg bolus repeat every 3-5 minutes \MAX 3 MG.
Brady with pulse Dopamine? correct answer 2-10 mcg/kg per minute.
Brady with pulse Epi? correct answer 2-10 mcg/min.
, Choose an appropriate indication to stop or withhold resuscitative efforts. correct answer Evidence of
rigor mortis.
D. Commandingly announce "clear" after you deliver the defibrillation shock. What is the primary
purpose of a medical emergency team (MET) or rapid response team (RRT)? correct answer Identifying
and treating early clinical deterioration.
Dopamine \post cardiac arrest? correct answer 5-10 mcg /kg.
During pause in CPR your monitor shows Normal sinus rhythm with no pulse. What is the next action
correct answer Resume chest compressions.
During the assessment patient loses consciousness after calling for help and determining that the patient
isn't breathing you are unsure if the patient has a pulse, what is next action? correct answer Begin chest
compressions.
EMS is transporting a patient with pos prehospital stroke assessment. upon arrival of the ER, the initial
B/P 138/78, P 80, R 12, O2% 95, lead II ECG: sinus rhythm, blood glucose in normal limits. What
intervention you perform next? correct answer Head CT scan.
Epinephrine \cardiac arrest? correct answer 1mg q 3-5.
Epinephrine IV \post cardiac arrest? correct answer 0.1-0.5 mcg/kg per minute.
For 25 minutes, an EMS crew has attempted resuscitation of a pt who presented in V Fib. 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 next? correct answer Consider terminating resuscitative efforts
after consulting medical control.
Norepinephrine \post cardiac correct answer 0.1-0.5 mcg/kg per minute.
