ACLS Written Exam with solved
questions
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? -
answersStart chest compressions of at least 100 per min.
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? -
answersObtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in
most pts? - answersPeripheral IV
An AED does not promptly analyze a rythm. What is your next step? - answersBegin
chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm
below, and the patient has no pulse. Another member of your team resumes chest
compressions, and an IV is in place. What management step is your next priority? -
answersAdminister 1mg of epinephrine
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? - answersResume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? -
answersProlonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - answersAllowing
complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
answersProviding quality compressions immediately before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? - answersSinus rythm
without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? - answersProvide continuous chest compressions without
pauses and 10 ventilations per minute.
, 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? -
answersChest compressions may not be effective.
The use of quantitative capnography in intubated patients - answersallows for
monitoring of CPR quality.
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? - answersConsider terminating
resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? - answersBe
sure oxygen is not blowing over the patient's chest during the shock.
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? - answersBegin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation
paddles? - answersHands-free pads allow for a more rapid defibrillation.
What action is recommended to help minimize interruptions in chest compressions
during CPR? - answersContinue CPR while charging the defibrillator.
Which action is included in the BLS survey? - answersEarly defibrillation
Which drug and dose are recommended for the management of a patient in refractory
ventricular fibrillation? - answersAmioderone 300mg
What is the appropriate interval for an interruption in chest compressions? - answers10
seconds or less
Which of the following is a sign of effective CPR? - answersPETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid response
team (RRT)? - answersIdentifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a
resuscitation attempt? - answersSwitch providers about every 2 minutes or every 5
compression cycles.
questions
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? -
answersStart chest compressions of at least 100 per min.
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? -
answersObtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest in
most pts? - answersPeripheral IV
An AED does not promptly analyze a rythm. What is your next step? - answersBegin
chest compressions.
You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm
below, and the patient has no pulse. Another member of your team resumes chest
compressions, and an IV is in place. What management step is your next priority? -
answersAdminister 1mg of epinephrine
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? - answersResume compressions
What is a common but sometimes fatal mistake in cardiac arrest management? -
answersProlonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - answersAllowing
complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
answersProviding quality compressions immediately before a defibrillation attempt.
Which situation BEST describes pulseless electrical activity? - answersSinus rythm
without a pulse
What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? - answersProvide continuous chest compressions without
pauses and 10 ventilations per minute.
, 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? -
answersChest compressions may not be effective.
The use of quantitative capnography in intubated patients - answersallows for
monitoring of CPR quality.
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? - answersConsider terminating
resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? - answersBe
sure oxygen is not blowing over the patient's chest during the shock.
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? - answersBegin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of defibrillation
paddles? - answersHands-free pads allow for a more rapid defibrillation.
What action is recommended to help minimize interruptions in chest compressions
during CPR? - answersContinue CPR while charging the defibrillator.
Which action is included in the BLS survey? - answersEarly defibrillation
Which drug and dose are recommended for the management of a patient in refractory
ventricular fibrillation? - answersAmioderone 300mg
What is the appropriate interval for an interruption in chest compressions? - answers10
seconds or less
Which of the following is a sign of effective CPR? - answersPETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid response
team (RRT)? - answersIdentifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a
resuscitation attempt? - answersSwitch providers about every 2 minutes or every 5
compression cycles.
