HEARTCODE ACLS EXAMINATION 2025 QUESTIONS WITH
SOLUTIONS GUARANTEE A+
✔✔a 75 year old patient is having difficulty breathing, with increased respiratory effort
the patient has a history of emphysema
the patient is drowsy
auscultation reveals bilateral wheezing, although the lung sounds are difficult to
appreciate
the respiratory rate is 38 breaths per minute
oxygen saturation is 85%
PETCO2 is 49 mm Hg
a) respiratory arrest
b) normal respiratory status
c) respiratory distress
d) respiratory failure - ✔✔d
✔✔what is the term for the rise in arterial carbon dioxide levels typically associated with
respiratory failure
a) bradypnea
b) hyperventilation
c) hypoxemia
d) hypercapnia - ✔✔d
✔✔how much tidal volume must you provide with a bag-mask device to produce visible
chest rise for an adult patient in respiratory arrest?
a) 2 to 3 mL/kg
b) 4 to 5 mL/kg
c) 8 to 9 mL/kg
d) 6 to 7 mL/kg - ✔✔d
✔✔what device on a resuscitation bag-mask device may prevent sufficient tidal volume
in patient with poor lung compliance?
a) pressure-relief valve
b) HEPA or viral filter
c) manometer
d) PETCO2 cuvette - ✔✔a
✔✔patients with perfusing rhythms should receive ventilations once every ____
seconds
a) 3
b) 4
c) 6
d) 5
e) 2 - ✔✔c
,✔✔what is the most effective way to deliver bag-mask ventilation?
a) using a head tilt- chin lift maneuver
b) using a 2 person technique
c) using a jaw thrust maneuver
d) using a 1 person technique - ✔✔b
✔✔how long should the second rescuer squeeze the bag-mask device when providing
2 rescuer ventilation?
a) 2 seconds
b) 1 second
c) 4 seconds
d) 3 seconds - ✔✔b
✔✔when performing the jaw thrust maneuver on patients with suspected cervical spine
injury, where should you place your fingers?
a) behind the patients ears
b) just under the angle of the lower jaw
c) on top of the patient's jaw
d) under the patients chin - ✔✔b
✔✔when you use a bag-mask device, you should deliver approximately 500 to _____
mL tidal volume
a) 600
b) 700
c) 800 - ✔✔a
✔✔which is a contraindication to the use of an oropharyngeal airway?
a) pediatric patient
b) bag-mask ventilation
c) conscious patient
d) absent gag reflex - ✔✔c
✔✔in which of the following patients can nasopharangeal airways be used?
1. unconscious
2. conscious
3. patients with nasal trauma
4. semiconscious - ✔✔1, 2 and 4
✔✔select the first step in the use of an oropharyngeal airway
a) measure and select the proper size oropharyngeal airway
b) clear the mouth and pharynx
c) rotate the oropharyngeal airway into the proper position
d) ventilate the patient with a bag-mask device - ✔✔b
, ✔✔what is the potential complication of inserting an oropharyngeal airway that is too
small?
a) trauma to laryngeal structures
b) laryngeal obstruction
c) soft tissue trauma to the lips
d) pushing the base of the tongue back - ✔✔d
✔✔the length of a correctly sized nasopharyngeal airway is the same as the distance
from the tip of the patients nose to the____
a) earlobe
b) mandible
c) corner of the mouth
d) epiglottis - ✔✔a
✔✔what is a potential complication of using a nasopharyngeal airway that is too long?
a) blocking carotid blood flow
b) exiting through the oral cavity
c) nasopharyngeal obstruction
d) entering the esophagus - ✔✔d
✔✔what is the most serious potential complication of nasopharyngeal airway insertion
into a patient with facial trauma?
a) trismus
b) misplacement into the cranial cavity
c) laryngospasm
d) hypopharyngeal placement - ✔✔b
✔✔what is the maximum length of suction catheter that should be inserted into the
patient's oropharynx beyond the tongue?
a) the corner of the mouth to the laryngeal cartilage
b) the corner of the mouth to the epigastric region
c) the tip of the nose to the corner of the mouth
d) the tip of the nose to the earlobe - ✔✔d
✔✔when should you occlude the side opening of a suction catheter when performing
oropharyngeal suctioning?
a) while withdrawing the catheter
b) during insertion of the catheter
c) only when secretions are visualized
d) during both withdrawal and insertion - ✔✔a
✔✔what is the most reliable method of confirming and monitoring correct placement of
an endotracheal tube?
a) watching for chest rise
SOLUTIONS GUARANTEE A+
✔✔a 75 year old patient is having difficulty breathing, with increased respiratory effort
the patient has a history of emphysema
the patient is drowsy
auscultation reveals bilateral wheezing, although the lung sounds are difficult to
appreciate
the respiratory rate is 38 breaths per minute
oxygen saturation is 85%
PETCO2 is 49 mm Hg
a) respiratory arrest
b) normal respiratory status
c) respiratory distress
d) respiratory failure - ✔✔d
✔✔what is the term for the rise in arterial carbon dioxide levels typically associated with
respiratory failure
a) bradypnea
b) hyperventilation
c) hypoxemia
d) hypercapnia - ✔✔d
✔✔how much tidal volume must you provide with a bag-mask device to produce visible
chest rise for an adult patient in respiratory arrest?
a) 2 to 3 mL/kg
b) 4 to 5 mL/kg
c) 8 to 9 mL/kg
d) 6 to 7 mL/kg - ✔✔d
✔✔what device on a resuscitation bag-mask device may prevent sufficient tidal volume
in patient with poor lung compliance?
a) pressure-relief valve
b) HEPA or viral filter
c) manometer
d) PETCO2 cuvette - ✔✔a
✔✔patients with perfusing rhythms should receive ventilations once every ____
seconds
a) 3
b) 4
c) 6
d) 5
e) 2 - ✔✔c
,✔✔what is the most effective way to deliver bag-mask ventilation?
a) using a head tilt- chin lift maneuver
b) using a 2 person technique
c) using a jaw thrust maneuver
d) using a 1 person technique - ✔✔b
✔✔how long should the second rescuer squeeze the bag-mask device when providing
2 rescuer ventilation?
a) 2 seconds
b) 1 second
c) 4 seconds
d) 3 seconds - ✔✔b
✔✔when performing the jaw thrust maneuver on patients with suspected cervical spine
injury, where should you place your fingers?
a) behind the patients ears
b) just under the angle of the lower jaw
c) on top of the patient's jaw
d) under the patients chin - ✔✔b
✔✔when you use a bag-mask device, you should deliver approximately 500 to _____
mL tidal volume
a) 600
b) 700
c) 800 - ✔✔a
✔✔which is a contraindication to the use of an oropharyngeal airway?
a) pediatric patient
b) bag-mask ventilation
c) conscious patient
d) absent gag reflex - ✔✔c
✔✔in which of the following patients can nasopharangeal airways be used?
1. unconscious
2. conscious
3. patients with nasal trauma
4. semiconscious - ✔✔1, 2 and 4
✔✔select the first step in the use of an oropharyngeal airway
a) measure and select the proper size oropharyngeal airway
b) clear the mouth and pharynx
c) rotate the oropharyngeal airway into the proper position
d) ventilate the patient with a bag-mask device - ✔✔b
, ✔✔what is the potential complication of inserting an oropharyngeal airway that is too
small?
a) trauma to laryngeal structures
b) laryngeal obstruction
c) soft tissue trauma to the lips
d) pushing the base of the tongue back - ✔✔d
✔✔the length of a correctly sized nasopharyngeal airway is the same as the distance
from the tip of the patients nose to the____
a) earlobe
b) mandible
c) corner of the mouth
d) epiglottis - ✔✔a
✔✔what is a potential complication of using a nasopharyngeal airway that is too long?
a) blocking carotid blood flow
b) exiting through the oral cavity
c) nasopharyngeal obstruction
d) entering the esophagus - ✔✔d
✔✔what is the most serious potential complication of nasopharyngeal airway insertion
into a patient with facial trauma?
a) trismus
b) misplacement into the cranial cavity
c) laryngospasm
d) hypopharyngeal placement - ✔✔b
✔✔what is the maximum length of suction catheter that should be inserted into the
patient's oropharynx beyond the tongue?
a) the corner of the mouth to the laryngeal cartilage
b) the corner of the mouth to the epigastric region
c) the tip of the nose to the corner of the mouth
d) the tip of the nose to the earlobe - ✔✔d
✔✔when should you occlude the side opening of a suction catheter when performing
oropharyngeal suctioning?
a) while withdrawing the catheter
b) during insertion of the catheter
c) only when secretions are visualized
d) during both withdrawal and insertion - ✔✔a
✔✔what is the most reliable method of confirming and monitoring correct placement of
an endotracheal tube?
a) watching for chest rise
