Page 1 of 61
ACLS PRACTICE EXAM PREP STUDY GUIDE WITH
COMPLETE 250 QUESTIONS AND WELL
ELABORATED ANSWERS JUST RELEASED
QUESTION: During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient
has no pulse. What is the next action? - ANSWER✔✔Resume compressions
QUESTION: What is a common but sometimes fatal mistake in cardiac arrest management? -
ANSWER✔✔Prolonged interruptions in chest compressions.
QUESTION: Which action is a componant of high-quality chest comressions? -
ANSWER✔✔Allowing complete chest recoil
QUESTION: Which action increases the chance of successful conversion of ventricular
fibrillation? - ANSWER✔✔Providing quality compressions immediately before a defibrillation
attempt.
QUESTION: Which situation BEST describes pulseless electrical activity? - ANSWER✔✔Sinus
rythm without a pulse
, Page 2 of 61
QUESTION: What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? - ANSWER✔✔Provide continuous chest compressions without
pauses and 10 ventilations per minute.
QUESTION: Three minutes after witnessing a cardiac arrest, one member of your team inserts
an endotracheal tube while another performs continuous chest compressions. During
subsequent ventilation, you notice the presence of a waveform on the capnography screen and
a PETCO2 level of 8 mm Hg. What is the significance of this finding? - ANSWER✔✔Chest
compressions may not be effective.
QUESTION: The use of quantitative capnography in intubated patients - ANSWER✔✔allows for
monitoring of CPR quality.
QUESTION: For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who
originally presented in ventricular fibrillation. After the first shock, the ECG screen displayed
asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR.
What is your next treatment? - ANSWER✔✔Consider terminating resuscitive efforts after
consulting medical control.
QUESTION: Which is a safe and effective practice within the defibrillation sequence? -
ANSWER✔✔Be sure oxygen is not blowing over the patient's chest during the shock.
, Page 3 of 61
QUESTION: During your assessment, your patient suddenly loses consciousness. After calling
for help and determining that the patient is not breathing, you are unsure whether the patient
has a pulse. What is your next action? - ANSWER✔✔Begin chest compressions.
QUESTION: What is an advantage of using hands-free defibrillation pads instead of defibrillation
paddles? - ANSWER✔✔Hands-free pads allow for a more rapid defibrillation.
QUESTION: What action is recommended to help minimize interruptions in chest compressions
during CPR? - ANSWER✔✔Continue CPR while charging the defibrillator.
QUESTION: Which action is included in the BLS survey? - ANSWER✔✔Early defibrillation
QUESTION: Which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation? - ANSWER✔✔Amioderone 300mg
QUESTION: What is the appropriate interval for an interruption in chest compressions? -
ANSWER✔✔10 seconds or less
QUESTION: Which of the following is a sign of effective CPR? - ANSWER✔✔PETCO2 ≥10 mm Hg
, Page 4 of 61
QUESTION: What is the primary purpose of a medical emergency team (MET) or rapid response
team (RRT)? - ANSWER✔✔Identifying and treating early clinical deterioration.
QUESTION: Which action improves the quality of chest compressions delivered during a
resuscitation attempt? - ANSWER✔✔Switch providers about every 2 minutes or every 5
compression cycles.
QUESTION:You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action? - ANSWER✔✔Start
chest compressions of at least 100 per min.
QUESTION: You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50
mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the
pulse oximetry reading is 97%. What assessment step is most important now? -
ANSWER✔✔Obtaining a 12 lead ECG.
QUESTION: What is the preferred method of access for epi administration during cardiac arrest
in most pts? - ANSWER✔✔Peripheral IV
QUESTION: An AED does not promptly analyze a rythm. What is your next step? -
ANSWER✔✔Begin chest compressions.
ACLS PRACTICE EXAM PREP STUDY GUIDE WITH
COMPLETE 250 QUESTIONS AND WELL
ELABORATED ANSWERS JUST RELEASED
QUESTION: During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient
has no pulse. What is the next action? - ANSWER✔✔Resume compressions
QUESTION: What is a common but sometimes fatal mistake in cardiac arrest management? -
ANSWER✔✔Prolonged interruptions in chest compressions.
QUESTION: Which action is a componant of high-quality chest comressions? -
ANSWER✔✔Allowing complete chest recoil
QUESTION: Which action increases the chance of successful conversion of ventricular
fibrillation? - ANSWER✔✔Providing quality compressions immediately before a defibrillation
attempt.
QUESTION: Which situation BEST describes pulseless electrical activity? - ANSWER✔✔Sinus
rythm without a pulse
, Page 2 of 61
QUESTION: What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? - ANSWER✔✔Provide continuous chest compressions without
pauses and 10 ventilations per minute.
QUESTION: Three minutes after witnessing a cardiac arrest, one member of your team inserts
an endotracheal tube while another performs continuous chest compressions. During
subsequent ventilation, you notice the presence of a waveform on the capnography screen and
a PETCO2 level of 8 mm Hg. What is the significance of this finding? - ANSWER✔✔Chest
compressions may not be effective.
QUESTION: The use of quantitative capnography in intubated patients - ANSWER✔✔allows for
monitoring of CPR quality.
QUESTION: For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who
originally presented in ventricular fibrillation. After the first shock, the ECG screen displayed
asystole, which has persisted despite 2 doses of epinephrine, a fluid bolus, and high-quality CPR.
What is your next treatment? - ANSWER✔✔Consider terminating resuscitive efforts after
consulting medical control.
QUESTION: Which is a safe and effective practice within the defibrillation sequence? -
ANSWER✔✔Be sure oxygen is not blowing over the patient's chest during the shock.
, Page 3 of 61
QUESTION: During your assessment, your patient suddenly loses consciousness. After calling
for help and determining that the patient is not breathing, you are unsure whether the patient
has a pulse. What is your next action? - ANSWER✔✔Begin chest compressions.
QUESTION: What is an advantage of using hands-free defibrillation pads instead of defibrillation
paddles? - ANSWER✔✔Hands-free pads allow for a more rapid defibrillation.
QUESTION: What action is recommended to help minimize interruptions in chest compressions
during CPR? - ANSWER✔✔Continue CPR while charging the defibrillator.
QUESTION: Which action is included in the BLS survey? - ANSWER✔✔Early defibrillation
QUESTION: Which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation? - ANSWER✔✔Amioderone 300mg
QUESTION: What is the appropriate interval for an interruption in chest compressions? -
ANSWER✔✔10 seconds or less
QUESTION: Which of the following is a sign of effective CPR? - ANSWER✔✔PETCO2 ≥10 mm Hg
, Page 4 of 61
QUESTION: What is the primary purpose of a medical emergency team (MET) or rapid response
team (RRT)? - ANSWER✔✔Identifying and treating early clinical deterioration.
QUESTION: Which action improves the quality of chest compressions delivered during a
resuscitation attempt? - ANSWER✔✔Switch providers about every 2 minutes or every 5
compression cycles.
QUESTION:You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action? - ANSWER✔✔Start
chest compressions of at least 100 per min.
QUESTION: You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50
mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the
pulse oximetry reading is 97%. What assessment step is most important now? -
ANSWER✔✔Obtaining a 12 lead ECG.
QUESTION: What is the preferred method of access for epi administration during cardiac arrest
in most pts? - ANSWER✔✔Peripheral IV
QUESTION: An AED does not promptly analyze a rythm. What is your next step? -
ANSWER✔✔Begin chest compressions.
