ACLS Exam
1. How do you calculate Coronary Perfusion Pressure (CPP)?
Answer: Aortic diastolicpressure "minus" Right Atrial Diastolic Pressure
2. How do interruptions in chest compressions negatively impact survivalafter cardiac
arrest?
Answer: Decrease coronary perfusion pressure
3. What is the only intervention that can restore an organized rhythm inpatients with
ventricular fibrillation (VF)?
Answer: Early and effective defibrillation
4. How quickly does the chance of survival decline for every minute of defibrillation delay in
patients with ventricular fibrillation who do receive bystanderCPR?
Answer: 7-10%
5. What is the advantage of a systematic approach to patient assessment?
Answer: -Reduces the chances of missing important signs and symptoms
6. What is the first step in the systematic approach to patient assessment?-
Answer: Initial impression
7. What is the maximum amount of time you should simultaneously performpulse and
breathing checks?
Answer: 10 seconds
8. While performing the BLS Assessment, you initiate high- quality CPR andassist
ventilation with a bag mask device. The AED does not recommend a shock.
Which action in the Primary assessment should you perform first?
Answer: Determineis the patients airway is patent
9. The initial assessment reveals a conscious patient. The patients airway is patent and an
advanced airway is not indicated.
Which action in the primary assessment should you perform next?
,Answer: Administeroxygen as needed
10. Which action is part of secondary assessment of a conscious patient?
Answer: -Formulate a differential diagnosis
11. Which of the following are the "H's" causes of reversible cardiac arrest?Select all that
apply:
Answer: Hypothermia
Hypoxia Hyperkalemia/hypokalemia
Hypovolemia
Acidosis
12. Which of the following are the "T" causes of reversible cardiac arrest?
Answer: -
Tension pneumothorax
Toxins
Cardiac tamponade
Pulmonary thrombosis
Coronary thrombosis
13. What is the most common symptom of myocardial ischemia and infarction?
Answer: Retrosternal chest pain
14. Which demographic group experiencing acute coronary syndromes ismore likely to
present without chest pain?
Answer: Females
15. Oxygen should be delivered to a patient who has obvious signs of heartfailure if the
oxygen saturation is less than?
Answer: 90%
16. What element of a system of care is represented by properly functioningresuscitation
equipment?
Answer: Structure
17. What is the first link in the out-of-hospital cardiac arrest (OHCA) chain ofsurvival?
Answer: Activation of emergency response
18. What are signs of clinical deterioration that would prompt the activation ofrapid
response system?
Answer:
Symptomatic hypertension
Seizure
Unexplained agitation
, 19. What is the primary purpose of a rapid response team (RRT) or medical emergency team
(MET)?
Answer: To improve patient outcomes by identifying and treatingearly clinical deterioration
20. What happens when teams rapidly assess and intervene when patients haveabnormal vital
signs?
Answer: The number of in hospital cardiac arrest decreases
21. In addition to decreased IHCA, what are some other benefits of implementing a rapid
response system? Select all that apply.
Answer: Decrease ICU length of stay.Decreased in total hospital length of stay.
22. Which is the main advantage of effective teamwork?
Answer: Division of tasks
23. Which is the best example of a role of the team leader?
Answer: Models excellentteam behavior
24. Which is the best example of a role of a team member?
Answer: Prepared to fulfill theirrole responsibilities
25. What is the primary purpose of the CPR coach on a resuscitation team?
Answer: -Increasing CPR quality
26. What are the 6 positions for high performance teams in resuscitation?
Answer: -
Team leader Airway
Timer/recorder
Compressor (rotate every 2 minutes)
Monitor/defibrillator/cpr coach IV/IO/Medications
27. Which member of the high performance team has the responsibility forassigning roles
(positions)?
Answer: Team leader
28. Which high performance team member is part of the resuscitation triangle?
Answer: Monitor/defibrillator/cpr coach
29. Which is an example of knowledge sharing by a team leader?
Answer: Asking forsuggestions about interventions
30. Which is an example of summarizing and reevaluating?
Answer: Increasing monitoring of the patients condition deteriorates
1. How do you calculate Coronary Perfusion Pressure (CPP)?
Answer: Aortic diastolicpressure "minus" Right Atrial Diastolic Pressure
2. How do interruptions in chest compressions negatively impact survivalafter cardiac
arrest?
Answer: Decrease coronary perfusion pressure
3. What is the only intervention that can restore an organized rhythm inpatients with
ventricular fibrillation (VF)?
Answer: Early and effective defibrillation
4. How quickly does the chance of survival decline for every minute of defibrillation delay in
patients with ventricular fibrillation who do receive bystanderCPR?
Answer: 7-10%
5. What is the advantage of a systematic approach to patient assessment?
Answer: -Reduces the chances of missing important signs and symptoms
6. What is the first step in the systematic approach to patient assessment?-
Answer: Initial impression
7. What is the maximum amount of time you should simultaneously performpulse and
breathing checks?
Answer: 10 seconds
8. While performing the BLS Assessment, you initiate high- quality CPR andassist
ventilation with a bag mask device. The AED does not recommend a shock.
Which action in the Primary assessment should you perform first?
Answer: Determineis the patients airway is patent
9. The initial assessment reveals a conscious patient. The patients airway is patent and an
advanced airway is not indicated.
Which action in the primary assessment should you perform next?
,Answer: Administeroxygen as needed
10. Which action is part of secondary assessment of a conscious patient?
Answer: -Formulate a differential diagnosis
11. Which of the following are the "H's" causes of reversible cardiac arrest?Select all that
apply:
Answer: Hypothermia
Hypoxia Hyperkalemia/hypokalemia
Hypovolemia
Acidosis
12. Which of the following are the "T" causes of reversible cardiac arrest?
Answer: -
Tension pneumothorax
Toxins
Cardiac tamponade
Pulmonary thrombosis
Coronary thrombosis
13. What is the most common symptom of myocardial ischemia and infarction?
Answer: Retrosternal chest pain
14. Which demographic group experiencing acute coronary syndromes ismore likely to
present without chest pain?
Answer: Females
15. Oxygen should be delivered to a patient who has obvious signs of heartfailure if the
oxygen saturation is less than?
Answer: 90%
16. What element of a system of care is represented by properly functioningresuscitation
equipment?
Answer: Structure
17. What is the first link in the out-of-hospital cardiac arrest (OHCA) chain ofsurvival?
Answer: Activation of emergency response
18. What are signs of clinical deterioration that would prompt the activation ofrapid
response system?
Answer:
Symptomatic hypertension
Seizure
Unexplained agitation
, 19. What is the primary purpose of a rapid response team (RRT) or medical emergency team
(MET)?
Answer: To improve patient outcomes by identifying and treatingearly clinical deterioration
20. What happens when teams rapidly assess and intervene when patients haveabnormal vital
signs?
Answer: The number of in hospital cardiac arrest decreases
21. In addition to decreased IHCA, what are some other benefits of implementing a rapid
response system? Select all that apply.
Answer: Decrease ICU length of stay.Decreased in total hospital length of stay.
22. Which is the main advantage of effective teamwork?
Answer: Division of tasks
23. Which is the best example of a role of the team leader?
Answer: Models excellentteam behavior
24. Which is the best example of a role of a team member?
Answer: Prepared to fulfill theirrole responsibilities
25. What is the primary purpose of the CPR coach on a resuscitation team?
Answer: -Increasing CPR quality
26. What are the 6 positions for high performance teams in resuscitation?
Answer: -
Team leader Airway
Timer/recorder
Compressor (rotate every 2 minutes)
Monitor/defibrillator/cpr coach IV/IO/Medications
27. Which member of the high performance team has the responsibility forassigning roles
(positions)?
Answer: Team leader
28. Which high performance team member is part of the resuscitation triangle?
Answer: Monitor/defibrillator/cpr coach
29. Which is an example of knowledge sharing by a team leader?
Answer: Asking forsuggestions about interventions
30. Which is an example of summarizing and reevaluating?
Answer: Increasing monitoring of the patients condition deteriorates
