AHA ACLS POST TEST EXAM NEWEST 2024-2025
ACTUAL EXAM 160 QUESTIONS AND CORRECT
DETAILED |ALREADY GRADED A+
A pt. presents to the ER with dizziness and SOB with a sinus brady of 40/min. The initial atropine
dose was ineffective and your monitor does not provide TCP. What is the appropriate dose of
Dopamine for this pt? - answer-2-10mcg/kg/min
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp. rate is 18, O2 sat is
98%. This is a reg narrow complex tach rythm. What is the next intervention? - answer-Vagal
manuever.
A monitored pt. in the ICU developed a suddent onset of narrow complex tach at a rate of
220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any vasodialators. A 12 lead shows no
ischemia or infarction. Vagal manuevers are ineffective. What is the next intervention? -
answer-Adenosine 12mg IV
You receiving a radio report from an EMS team enroute with a pt. who may be having a stroke.
The hospital CT scanner is broken. What should you do? - answer-Divert the pt. to a hospital
15 min away with CT capabilities.
Choose an appropriate inidication to stop or withhold resuscitive efforts. - answer-Evidence of
rigor mortis.
A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been taking antacids PO
for the past 6 hours because she she had heartburn. BP is 118/72, heart rate is 92/min, resp.
rate is 14 non-labored and O2 sat is 96%. What is the most appropriate next action? -
answerObtain a 12 lead ECG.
,A pt. in respiratory failure becomes apneic but contineues to have a strong pulse. The heart rate
is dropping paridly and now shows a sinus brady rate at 30/min. What intervention has the
highest priority? - answer-Simple airway manuevers and assisted ventilations.
What is the appropriate procedure for ET suctioning after the catheter is selected? -
answerSuction during withdrawl, but not for longer than 10 seconds.
While treating a stable pt for dizziness, a BP of 68/30, cool and clammy, you see a brady rythm
on the ECG. How do you treat this? - answer-Atropine 0.5mg
A 68 y/o female pt. experienced a sudden onset of right arm weakness. BP is 140/90, pulse is
78/min, resp rate is non-labored 14/min, 02 sat is 97%. Lead 2 in the ECG shows a sinus rythm.
What would be your next action? - answer-Cinncinati Stroke Scale
You are transporting a pt. with a positive stroke assessment. BP is 138, pulse is 80/min, resp rate
is 12/min, 02 sat is 95% room air. Glucose levels are normal and the ECG shows a sinus rhythm.
What is next. - answer-Head CT scan
What is the proper ventilation rate for a pt. in cardiac arrest who has an advanced airway in
place? - answer-8-10 breaths per minute
A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB. BP is 142/98,
pulse rate is 200/min, reps rate is 14/min, O2 sats are 95 at room air. What should be the next
evaluation? - answer-Obtain a 12 lead ECG.
You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale, diaphretic, and
slow to respond to your questions. BP is 58/32, pulse is 190/min, resp rate is 18, and you are
unable to obtain an 02 sat due to no radial pulse. The ECG shows a wide complex tach rythm.
What intervention should be next? - answer-Syncronized cardioversion.
, What is the initial priority for an unconscious pt. with any tachycardia on the monitor? -
answer-Determine if a pulse is present.
Which rythm requires synchronized cardioversion? - answer-Unstable SVT
What is the recommended dose for adenosine for pt's in refractory, but stable narrow complex
tachycardia? - answer-12mg
What is the usual post-cardiac arrest target range for PETCO2 who achieves return of
spontaneous circulation (ROSC)? - answer-35-40mm Hg
Which conditionis a contraindication to theraputic hypothermia during the post-cardiac arrest
period for pt's who achieve return of spontaneous circulation (ROSC)? - answer-Responding to
verbal commands
What is the potential danger to using ties that pass circumfrentially around the pt's neck when
securing an advanced airway? - answer-Obstruction of veneous return from the brain
What is the most reliable method of confirming and montioring correct placement of an ET
tube? - answer-Continuous waveform capnography
What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves ROSC but is
hypotensive during the post-cardiac arrest period? - answer-1 to 2 Liters
What is the minimum systolic BP one should attempt to achieve with fluid, Inotropic, or
vasopressor administration in a hypotensive post-cardiac arrest who achieves ROSC? -
answer90mm Hg
ACTUAL EXAM 160 QUESTIONS AND CORRECT
DETAILED |ALREADY GRADED A+
A pt. presents to the ER with dizziness and SOB with a sinus brady of 40/min. The initial atropine
dose was ineffective and your monitor does not provide TCP. What is the appropriate dose of
Dopamine for this pt? - answer-2-10mcg/kg/min
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp. rate is 18, O2 sat is
98%. This is a reg narrow complex tach rythm. What is the next intervention? - answer-Vagal
manuever.
A monitored pt. in the ICU developed a suddent onset of narrow complex tach at a rate of
220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any vasodialators. A 12 lead shows no
ischemia or infarction. Vagal manuevers are ineffective. What is the next intervention? -
answer-Adenosine 12mg IV
You receiving a radio report from an EMS team enroute with a pt. who may be having a stroke.
The hospital CT scanner is broken. What should you do? - answer-Divert the pt. to a hospital
15 min away with CT capabilities.
Choose an appropriate inidication to stop or withhold resuscitive efforts. - answer-Evidence of
rigor mortis.
A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been taking antacids PO
for the past 6 hours because she she had heartburn. BP is 118/72, heart rate is 92/min, resp.
rate is 14 non-labored and O2 sat is 96%. What is the most appropriate next action? -
answerObtain a 12 lead ECG.
,A pt. in respiratory failure becomes apneic but contineues to have a strong pulse. The heart rate
is dropping paridly and now shows a sinus brady rate at 30/min. What intervention has the
highest priority? - answer-Simple airway manuevers and assisted ventilations.
What is the appropriate procedure for ET suctioning after the catheter is selected? -
answerSuction during withdrawl, but not for longer than 10 seconds.
While treating a stable pt for dizziness, a BP of 68/30, cool and clammy, you see a brady rythm
on the ECG. How do you treat this? - answer-Atropine 0.5mg
A 68 y/o female pt. experienced a sudden onset of right arm weakness. BP is 140/90, pulse is
78/min, resp rate is non-labored 14/min, 02 sat is 97%. Lead 2 in the ECG shows a sinus rythm.
What would be your next action? - answer-Cinncinati Stroke Scale
You are transporting a pt. with a positive stroke assessment. BP is 138, pulse is 80/min, resp rate
is 12/min, 02 sat is 95% room air. Glucose levels are normal and the ECG shows a sinus rhythm.
What is next. - answer-Head CT scan
What is the proper ventilation rate for a pt. in cardiac arrest who has an advanced airway in
place? - answer-8-10 breaths per minute
A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB. BP is 142/98,
pulse rate is 200/min, reps rate is 14/min, O2 sats are 95 at room air. What should be the next
evaluation? - answer-Obtain a 12 lead ECG.
You are evaluating a 48 y/o male with crushing sub-sternal pain. He is cool, pale, diaphretic, and
slow to respond to your questions. BP is 58/32, pulse is 190/min, resp rate is 18, and you are
unable to obtain an 02 sat due to no radial pulse. The ECG shows a wide complex tach rythm.
What intervention should be next? - answer-Syncronized cardioversion.
, What is the initial priority for an unconscious pt. with any tachycardia on the monitor? -
answer-Determine if a pulse is present.
Which rythm requires synchronized cardioversion? - answer-Unstable SVT
What is the recommended dose for adenosine for pt's in refractory, but stable narrow complex
tachycardia? - answer-12mg
What is the usual post-cardiac arrest target range for PETCO2 who achieves return of
spontaneous circulation (ROSC)? - answer-35-40mm Hg
Which conditionis a contraindication to theraputic hypothermia during the post-cardiac arrest
period for pt's who achieve return of spontaneous circulation (ROSC)? - answer-Responding to
verbal commands
What is the potential danger to using ties that pass circumfrentially around the pt's neck when
securing an advanced airway? - answer-Obstruction of veneous return from the brain
What is the most reliable method of confirming and montioring correct placement of an ET
tube? - answer-Continuous waveform capnography
What is the recommended IV fluid (NS or LR) bolus dose for a pt. who achieves ROSC but is
hypotensive during the post-cardiac arrest period? - answer-1 to 2 Liters
What is the minimum systolic BP one should attempt to achieve with fluid, Inotropic, or
vasopressor administration in a hypotensive post-cardiac arrest who achieves ROSC? -
answer90mm Hg
