ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
You are providing bag-mask ventilation to a pt in respiratory arrest. How often should you provide
ventilations? - ANSWER About every 5-6 secs
Which intervention is most important in reducing this patient's in-hospital and 30 day mortality rate?
(a) Application of transcutaenous pacemaker
(b) Atropine administration
(c) Nitroglycerin administration
(d) Reperfusion therapy - ANSWER (d) Reperfusion therapy
How does complete chest recoil contribute to effective CPR?
(a) Allows maximum blood return to the heart
(b) Reduces rescuer fatigue
(c) Reduces the risk of rib fractures
(d) Increases the rate of chest compressions - ANSWER (a) Allows maximum blood return to
the
heart
VERIFIED ANSWERS 2023-2024/AGRADE
A patient was in refractory ventricular fibrillation. A third shock has just been administered. Your
team looks to you for instructions. What is your next action?
(a) Check the carotid pulse
(b) Give amiodarone 300 mg IV
(c) Give atropine 1 mg IV
(d) Resume high-quality chest compressions - ANSWER (d) Resume high-quality chest
compressions
,ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
A patient has been rususcitated from cardiac arrest. During post-ROSC treatment, pt becomes
unresponsive, with ventricular fibrillation. Which action is indicated next?
(a) Give an immediate unsynchronized high-energy shock (defibrillation dose)
(b) Give lidocaine 1 to 1.6 mg/kg IV
(c) Perform synchronized cardioversion
(d) Repeat amiodarone 300 mg IV - ANSWER (a) Give an immediate unsynchronized high-
energy shock (defibrillation dose)
What is the recommended compression rate for high-quality CPR? - ANSWER 100-120 compressions
per min
What action minimizes the risk of air entering the victim's stomach during bag-mask ventilation?
(a) Ventilating until you see the chest rise
(b) Ventilating as quickly as you can
(c) Squeezing the bag with both hands
(d) Delivering the largest breath you can - ANSWER (a) Ventilating until you see the chest
rise
Which action should you take immediately after providing an AED shock?
(a) Check pulse rate
VERIFIED ANSWERS 2023-2024/AGRADE
(b) prepare to deliver a second shock
(c) Resume chest compressions
(d) Start rescue breathing - ANSWER (c) Resume chest compressions
After initiation of CPR and 1 shock for ventricular fibrillation, pt is still in ventricular fibrillation at next
rhythm check. A second shock is given, and chest compressions are resumed immediately. An IV is in
place, and no drugs have been given. BBag-mask ventilations are producing visible chest rise. What is
your next intervention? (a) Administer 3 sequential (stacked) shocks at 360 J (monophasic
defibrillator)
,ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
(b) Give amiodarone 300 mg IV/IO
(c) Give epinephrine 1 mg IV/IO
(d) Intubate and administer 100% oxygen - ANSWER (c) Give epinephrine 1 mg IV/IO
What is the maximum interval for pausing chest compressions? - ANSWER 10 seconds
A 35 yr old woman presents w/ a chief complaint of palpitations. She has no chest discomfort,
shortness of breath, or light-headedness. Her BP is 120/78. On EKG, it shows she is in SVT. Which
intervention is indicated first?
(d) Vagal manuevers - ANSWER ( d) Vagal manuevers
Your patient is not responsive and is not breathing. You can
palpate a carotid pulse. Which action do yo
take next?
(a) Adenosine 3 mg IV bolus
(b) Adenosine 12 mg IV slow push (over 1 to 2 min) (c) Metoprolol 5 mg IV and repeat if
necessary
u
VERIFIED ANSWERS 2023-2024/AGRADE
(a) Apply an AED
(b) Obtain a 12 lead EKG
(c) Start an IV
(d) Start rescue breathing - ANSWER (d) Start rescue breathing
, ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
What is more important to start for a nonresponsive patient with no pulse, putting on an AED or
starting rescue breathing? - ANSWER Starting rescue breathing
You arrive on scene to find CPR in progress. Nursing staff report the pt was recovering from a
pulmonary embolism and suddenly collapsed. Two shocks have been delivered, and an IV has been
initiated. What do you administer now?
(a) Atropine 0.5 mg IV
(b) Epinephrine 1 mg IV
(c) Endotracheal intubation
(d) Transcutaneous pacing - ANSWER (b) Epinephrine 1 mg IV
A patient becomes unresponsive. You are uncertain if a faint pulse is present. An IV is in place. Which
action do you take next?
(a) Begin transcutaneous pacing
(b) Start high-quality CPR
(c) Administer atropine 1 mg
(d) Administer epinephrine 1 mg IV - ANSWER (b) Start high-quality CPR
If cases where ______ is the likely cause of cardiac arrest, VENTILATION becomes much more
important - ANSWER hypoxia
___________ correlates w/ ROSC - ANSWER High quality CPR
What are the consequences of interrupting CPR? - ANSWER coronary perfusion falls __________ can
help indicate coronary perfusion pressure - ANSWER Capnography
VERIFIED ANSWERS 2023-2024/AGRADE
Adequate CPR compression are at least - ANSWER 2 inches
MORE THAN 150 QUESTIONS WITH 100%
You are providing bag-mask ventilation to a pt in respiratory arrest. How often should you provide
ventilations? - ANSWER About every 5-6 secs
Which intervention is most important in reducing this patient's in-hospital and 30 day mortality rate?
(a) Application of transcutaenous pacemaker
(b) Atropine administration
(c) Nitroglycerin administration
(d) Reperfusion therapy - ANSWER (d) Reperfusion therapy
How does complete chest recoil contribute to effective CPR?
(a) Allows maximum blood return to the heart
(b) Reduces rescuer fatigue
(c) Reduces the risk of rib fractures
(d) Increases the rate of chest compressions - ANSWER (a) Allows maximum blood return to
the
heart
VERIFIED ANSWERS 2023-2024/AGRADE
A patient was in refractory ventricular fibrillation. A third shock has just been administered. Your
team looks to you for instructions. What is your next action?
(a) Check the carotid pulse
(b) Give amiodarone 300 mg IV
(c) Give atropine 1 mg IV
(d) Resume high-quality chest compressions - ANSWER (d) Resume high-quality chest
compressions
,ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
A patient has been rususcitated from cardiac arrest. During post-ROSC treatment, pt becomes
unresponsive, with ventricular fibrillation. Which action is indicated next?
(a) Give an immediate unsynchronized high-energy shock (defibrillation dose)
(b) Give lidocaine 1 to 1.6 mg/kg IV
(c) Perform synchronized cardioversion
(d) Repeat amiodarone 300 mg IV - ANSWER (a) Give an immediate unsynchronized high-
energy shock (defibrillation dose)
What is the recommended compression rate for high-quality CPR? - ANSWER 100-120 compressions
per min
What action minimizes the risk of air entering the victim's stomach during bag-mask ventilation?
(a) Ventilating until you see the chest rise
(b) Ventilating as quickly as you can
(c) Squeezing the bag with both hands
(d) Delivering the largest breath you can - ANSWER (a) Ventilating until you see the chest
rise
Which action should you take immediately after providing an AED shock?
(a) Check pulse rate
VERIFIED ANSWERS 2023-2024/AGRADE
(b) prepare to deliver a second shock
(c) Resume chest compressions
(d) Start rescue breathing - ANSWER (c) Resume chest compressions
After initiation of CPR and 1 shock for ventricular fibrillation, pt is still in ventricular fibrillation at next
rhythm check. A second shock is given, and chest compressions are resumed immediately. An IV is in
place, and no drugs have been given. BBag-mask ventilations are producing visible chest rise. What is
your next intervention? (a) Administer 3 sequential (stacked) shocks at 360 J (monophasic
defibrillator)
,ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
(b) Give amiodarone 300 mg IV/IO
(c) Give epinephrine 1 mg IV/IO
(d) Intubate and administer 100% oxygen - ANSWER (c) Give epinephrine 1 mg IV/IO
What is the maximum interval for pausing chest compressions? - ANSWER 10 seconds
A 35 yr old woman presents w/ a chief complaint of palpitations. She has no chest discomfort,
shortness of breath, or light-headedness. Her BP is 120/78. On EKG, it shows she is in SVT. Which
intervention is indicated first?
(d) Vagal manuevers - ANSWER ( d) Vagal manuevers
Your patient is not responsive and is not breathing. You can
palpate a carotid pulse. Which action do yo
take next?
(a) Adenosine 3 mg IV bolus
(b) Adenosine 12 mg IV slow push (over 1 to 2 min) (c) Metoprolol 5 mg IV and repeat if
necessary
u
VERIFIED ANSWERS 2023-2024/AGRADE
(a) Apply an AED
(b) Obtain a 12 lead EKG
(c) Start an IV
(d) Start rescue breathing - ANSWER (d) Start rescue breathing
, ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
What is more important to start for a nonresponsive patient with no pulse, putting on an AED or
starting rescue breathing? - ANSWER Starting rescue breathing
You arrive on scene to find CPR in progress. Nursing staff report the pt was recovering from a
pulmonary embolism and suddenly collapsed. Two shocks have been delivered, and an IV has been
initiated. What do you administer now?
(a) Atropine 0.5 mg IV
(b) Epinephrine 1 mg IV
(c) Endotracheal intubation
(d) Transcutaneous pacing - ANSWER (b) Epinephrine 1 mg IV
A patient becomes unresponsive. You are uncertain if a faint pulse is present. An IV is in place. Which
action do you take next?
(a) Begin transcutaneous pacing
(b) Start high-quality CPR
(c) Administer atropine 1 mg
(d) Administer epinephrine 1 mg IV - ANSWER (b) Start high-quality CPR
If cases where ______ is the likely cause of cardiac arrest, VENTILATION becomes much more
important - ANSWER hypoxia
___________ correlates w/ ROSC - ANSWER High quality CPR
What are the consequences of interrupting CPR? - ANSWER coronary perfusion falls __________ can
help indicate coronary perfusion pressure - ANSWER Capnography
VERIFIED ANSWERS 2023-2024/AGRADE
Adequate CPR compression are at least - ANSWER 2 inches
