ACLS Pre-Course Exam Q&A
An individual is intubated and CPR is in progress. What is a good indicator that proper CPR is
being performed? - =PETCO2 reading of 15-18mmHg
CPR is in progress and the team leader requests that Epi 1 mg be administered to a patient who is
in PEA. The individual who is accessing the medication states: "I am going to administer 1mg of
Epinephrine IVP now." This is an example of: - =Closed loop communication
A 49 year old male calls 911 for substernal chest pain that radiates to this left jaw and arm.
Which of the following drug & dosage combinations might you expect to see administered in
this patient? - =Oral aspirin 160-325 mg
An elderly woman collapses in church. The paramedics arrive to discover fine VF on the
monitor. What is the next course of action? - =Initiate CPR while setting up the defibrillator
The patient in the previous question had Epinephrine and Amiodarone administered 2 minutes
apart. What drug should be administered next? - =Epinephrine
When performing CPR, interruptions to compressions (intubation, defibrillation, rhythm
analysis) should not take longer than: - =10 seconds
What is the correct formula for targeted temperature management (TTM) for those individuals
who meet the criteria following ROSC in cardiac arrest? - =32-36'C for at least 24 hours
EMS responds to a known hypertensive patient having slurred speech, facial droop and difficulty
raising up her left arm. Which of the following actions is advised? - =Advise the hospital that
you will be transporting a suspected stroke patient
The correct way to estimate sizing for an Oral Pharyngeal Airway (OPA) is: - =Measure device
from the angle of the mandible to the corner of the mouth
, An individual in stable SVT fails to respond to Adenosine 6mg IVP. What should the next step
be assuming the patient is still stable? - =Adenosine 12mg IV
If the above individual's blood pressure suddenly drops to 70 palpable and they become
diaphoretic and confused, what action should be taken? - =Synchronized cardioversion
A coworker is not holding the bag valve mask device correctly and is therefore not getting a
good seal around the mouth area during CPR. You quickly reposition their hands so that the
device becomes effective as CPR continues. This is an example of: - =Constructive intervention
A 67 year old woman presents to the emergency room with chest pressure, diaphoresis and
nausea. A 12 lead EKG shows evidence of an acute inferior wall MI. Which of the following is
the suggested maximum time frame for percutaneous coronary intervention (PCI) once the
patient has arrived to the emergency dept? - =90 minutes
A patient complaining of dizziness has a heart rate of 44 and a blood pressure of 84/50. The
monitor shows a 2nd degree type 2 heart block. Atropine was attempted and was unsuccessful.
What is your next action? - =Apply a transcutaneous pacemaker
In order to ensure optimal CPR is being performed, which of the following statements is false? -
=Check for a pulse after each defibrillation
You respond to an elderly man who collapsed in a bank lobby. He is unresponsive with agonal
gasps noted. Which of the following actions takes priority at this time? - =Check for a pulse and,
if absent, start CPR
During a code the team leader assigns various roles (medication administration, airway, recorder)
to the healthcare professionals who are participating in the event. This is known as: - =Clear
delegation of roles and responsibilities
You enter the room of a patient who was admitted in the morning with pneumonia. He is cool to
the touch, responds to noxious stimuli, has a respiratory rate of 32. His blood pressure is 84/62.
What should you do before further deterioration occurs? - =Call for the rapid response or
medical emergency team
An individual is intubated and CPR is in progress. What is a good indicator that proper CPR is
being performed? - =PETCO2 reading of 15-18mmHg
CPR is in progress and the team leader requests that Epi 1 mg be administered to a patient who is
in PEA. The individual who is accessing the medication states: "I am going to administer 1mg of
Epinephrine IVP now." This is an example of: - =Closed loop communication
A 49 year old male calls 911 for substernal chest pain that radiates to this left jaw and arm.
Which of the following drug & dosage combinations might you expect to see administered in
this patient? - =Oral aspirin 160-325 mg
An elderly woman collapses in church. The paramedics arrive to discover fine VF on the
monitor. What is the next course of action? - =Initiate CPR while setting up the defibrillator
The patient in the previous question had Epinephrine and Amiodarone administered 2 minutes
apart. What drug should be administered next? - =Epinephrine
When performing CPR, interruptions to compressions (intubation, defibrillation, rhythm
analysis) should not take longer than: - =10 seconds
What is the correct formula for targeted temperature management (TTM) for those individuals
who meet the criteria following ROSC in cardiac arrest? - =32-36'C for at least 24 hours
EMS responds to a known hypertensive patient having slurred speech, facial droop and difficulty
raising up her left arm. Which of the following actions is advised? - =Advise the hospital that
you will be transporting a suspected stroke patient
The correct way to estimate sizing for an Oral Pharyngeal Airway (OPA) is: - =Measure device
from the angle of the mandible to the corner of the mouth
, An individual in stable SVT fails to respond to Adenosine 6mg IVP. What should the next step
be assuming the patient is still stable? - =Adenosine 12mg IV
If the above individual's blood pressure suddenly drops to 70 palpable and they become
diaphoretic and confused, what action should be taken? - =Synchronized cardioversion
A coworker is not holding the bag valve mask device correctly and is therefore not getting a
good seal around the mouth area during CPR. You quickly reposition their hands so that the
device becomes effective as CPR continues. This is an example of: - =Constructive intervention
A 67 year old woman presents to the emergency room with chest pressure, diaphoresis and
nausea. A 12 lead EKG shows evidence of an acute inferior wall MI. Which of the following is
the suggested maximum time frame for percutaneous coronary intervention (PCI) once the
patient has arrived to the emergency dept? - =90 minutes
A patient complaining of dizziness has a heart rate of 44 and a blood pressure of 84/50. The
monitor shows a 2nd degree type 2 heart block. Atropine was attempted and was unsuccessful.
What is your next action? - =Apply a transcutaneous pacemaker
In order to ensure optimal CPR is being performed, which of the following statements is false? -
=Check for a pulse after each defibrillation
You respond to an elderly man who collapsed in a bank lobby. He is unresponsive with agonal
gasps noted. Which of the following actions takes priority at this time? - =Check for a pulse and,
if absent, start CPR
During a code the team leader assigns various roles (medication administration, airway, recorder)
to the healthcare professionals who are participating in the event. This is known as: - =Clear
delegation of roles and responsibilities
You enter the room of a patient who was admitted in the morning with pneumonia. He is cool to
the touch, responds to noxious stimuli, has a respiratory rate of 32. His blood pressure is 84/62.
What should you do before further deterioration occurs? - =Call for the rapid response or
medical emergency team
