ACLS 2 QUESTIONS AND ANSWERS 100% ACCURATE.
Patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. Next
intervention is to - Administer a second shock
49 year old man has retrosternal chest pain radiating into the left arm. Patient is diaphoretic, with
associated shortness of breath. BP is 130/88 mmHg, HR is 110/min, RR is 22 breaths/min, and
pulse oximetry is 95%. Patient's 12 lead ECG shows ST segment elevation in the anterior leads.
First responders administered 160 mg aspirin, and there is a patent peripheral IV. Pain described
as a 8/10 and unrelieved after 3 doses of nitroglycerin. What is the next action? - Administer 2 to
4 mg of morphine by slow IV bolus
What is the appropriate rate of chest compressions for an adult in cardiac arrest? - At least
100/min
EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After
attaching a cardiac monitor, the responder observes the following rhythm strip. What is the most
important early intervention? - Defibrillation
You are evaluating a 58-year-old man with chest pain. BP is 92/50 mmHg, HR is 92/min,
nonlabored RR is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step
is most important now? - Obtaining a 12 lead ECG
What is the recommended initial intervention for managing hypotension in the immediate period
after return of spontaneous circulation (ROSC)? - Administration of IV or IO fluid bolus
You are receiving a radio report from an EMS team en route with a patient who may be having
an acute stroke. The hospital CT scanner is not working at this time. What should you do in this
situation? - Divert the patient to a hospital 15 minutes away with CT capabilities
A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the
medication is administered. What element of effective resuscitation team dynamics does this
represent? - Closed-loop communication
Which is an appropriate and important intervention to perform for a patient who achieves ROSC
during an out-of-hospital resuscitation? - Transport the patient to a facility capable of performing
PCI
Which treatment or medication is appropriate for the treatment of a patient in asystole? -
Epinephrine
An AED advises a shock for a pulseless patient lying in snow. What is the next action? -
Administer the shock immediately and continue as directed by the AED
Patient remains in ventricular fibrillation despite 1 shock and 2 minutes of continuous CPR. Next
intervention is to - Administer a second shock
49 year old man has retrosternal chest pain radiating into the left arm. Patient is diaphoretic, with
associated shortness of breath. BP is 130/88 mmHg, HR is 110/min, RR is 22 breaths/min, and
pulse oximetry is 95%. Patient's 12 lead ECG shows ST segment elevation in the anterior leads.
First responders administered 160 mg aspirin, and there is a patent peripheral IV. Pain described
as a 8/10 and unrelieved after 3 doses of nitroglycerin. What is the next action? - Administer 2 to
4 mg of morphine by slow IV bolus
What is the appropriate rate of chest compressions for an adult in cardiac arrest? - At least
100/min
EMS personnel arrive to find a patient in cardiac arrest. Bystanders are performing CPR. After
attaching a cardiac monitor, the responder observes the following rhythm strip. What is the most
important early intervention? - Defibrillation
You are evaluating a 58-year-old man with chest pain. BP is 92/50 mmHg, HR is 92/min,
nonlabored RR is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step
is most important now? - Obtaining a 12 lead ECG
What is the recommended initial intervention for managing hypotension in the immediate period
after return of spontaneous circulation (ROSC)? - Administration of IV or IO fluid bolus
You are receiving a radio report from an EMS team en route with a patient who may be having
an acute stroke. The hospital CT scanner is not working at this time. What should you do in this
situation? - Divert the patient to a hospital 15 minutes away with CT capabilities
A team leader orders 1 mg of epinephrine, and a team member verbally acknowledges when the
medication is administered. What element of effective resuscitation team dynamics does this
represent? - Closed-loop communication
Which is an appropriate and important intervention to perform for a patient who achieves ROSC
during an out-of-hospital resuscitation? - Transport the patient to a facility capable of performing
PCI
Which treatment or medication is appropriate for the treatment of a patient in asystole? -
Epinephrine
An AED advises a shock for a pulseless patient lying in snow. What is the next action? -
Administer the shock immediately and continue as directed by the AED
