AHA ACLS POST TEST EXAM NEWEST 2024 ACTUAL
EXAM 160 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
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 rythm. 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? -
answerObtain 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? -
answerDetermine 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? - answer-90mm Hg
What is the 1st treatment priority for a pt. who achieves ROSC? - answer-Optimizing ventilation and
oxygenation.
You find an unresponsive pt. who is not breathing. After activating the emergency response system, 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,
nonlabored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most
important now? - answer-Obtaining a 12 lead ECG.
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. What 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 member of your team inserts an ET tube while another
performs continuous chest comressions. During subsequent ventilation, you notice the presence of a
wavefom on the capnogrophy screen and a PET CO2 of 8 mm Hg. What is the significance of this finding?
- answer-Chest compressions may not be effective.
The use of quantitative capnography in intubated pt's does what? - answer-Allows for monitoring CPR
quality
EXAM 160 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
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 rythm. 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? -
answerObtain 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? -
answerDetermine 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? - answer-90mm Hg
What is the 1st treatment priority for a pt. who achieves ROSC? - answer-Optimizing ventilation and
oxygenation.
You find an unresponsive pt. who is not breathing. After activating the emergency response system, 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,
nonlabored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What assessment step is most
important now? - answer-Obtaining a 12 lead ECG.
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. What 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 member of your team inserts an ET tube while another
performs continuous chest comressions. During subsequent ventilation, you notice the presence of a
wavefom on the capnogrophy screen and a PET CO2 of 8 mm Hg. What is the significance of this finding?
- answer-Chest compressions may not be effective.
The use of quantitative capnography in intubated pt's does what? - answer-Allows for monitoring CPR
quality
