AHA ACLS WRITTEN TEST
Questions & Answers
1.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?
ANS Start chest compressions of at least 100 per min.
2.You are evaluating a 58 year old man with chest pain. The BP is 92/50 and
a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and
the pulse O2 is 97%. What assessment step is most important now?
ANS Obtaining a 12 lead ECG.
3.What is the preferred method of access for epi administration during
cardiac arrest in most pts?
ANS Peripheral IV
4.An AED does not promptly analyze a rythm. What is your next step?
ANS Begin chest compressions.
5.You have completed 2 min of CPR. The ECG monitor displays the lead
below (PEA) and the pt. has no pulse. You partner resumes chest
compressions and an IV is in place. What management step is your next
priority?
ANS Administer 1mg of epinepherine
6.During a pause in CPR, you see a narrow complex rythm on the monitor.
The pt. has no pulse. What is the next action?
ANS Resume compressions
7.What is acommon but sometimes fatal mistake in cardiac arrest
1/
7
, manage- ment?
ANS Prolonged interruptions in chest compressions.
8.Which action is a componant of high-quality chest comressions?
ANS Allowing complete chest recoil
9.Which action increases the chance of successful conversion of
ventricular fibrillation?
ANS Providing quality compressions immediately before a defibrillation
attempt.
10.Which situation BEST describes PEA?
ANS Sinus rythm without a pulse
11.What is the best strategy for perfoming high-quality CPR on a pt.with
an advanced airway in place?
ANS Provide continuous chest compressionswithout pauses and 10
ventilations per minute.
12.3 min after witnessing a cardiac arrest, one memeber of your team in-
serts an ET tube while another performs continuous chest comressions.
During subsequent bentilation, you notice the presence of a wavefom on
the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the
significance of this finding?
ANS Chest compressions may not be effective.
13.The use of quantitative capnography in intubated pt's does what?
ANS Allows- for monitoring CPR quality
14.For the past 25 min, EMS crews have attempted resuscitation of a pt who
originally presented with V-FIB. After the 1st shock, the ECG screen
displayed asystole which has persisted despite 2 doses of epi, a fluid bolus,
and high
2/
7
Questions & Answers
1.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?
ANS Start chest compressions of at least 100 per min.
2.You are evaluating a 58 year old man with chest pain. The BP is 92/50 and
a heart rate of 92/min, non-labored respiratory rate is 14 breaths/min and
the pulse O2 is 97%. What assessment step is most important now?
ANS Obtaining a 12 lead ECG.
3.What is the preferred method of access for epi administration during
cardiac arrest in most pts?
ANS Peripheral IV
4.An AED does not promptly analyze a rythm. What is your next step?
ANS Begin chest compressions.
5.You have completed 2 min of CPR. The ECG monitor displays the lead
below (PEA) and the pt. has no pulse. You partner resumes chest
compressions and an IV is in place. What management step is your next
priority?
ANS Administer 1mg of epinepherine
6.During a pause in CPR, you see a narrow complex rythm on the monitor.
The pt. has no pulse. What is the next action?
ANS Resume compressions
7.What is acommon but sometimes fatal mistake in cardiac arrest
1/
7
, manage- ment?
ANS Prolonged interruptions in chest compressions.
8.Which action is a componant of high-quality chest comressions?
ANS Allowing complete chest recoil
9.Which action increases the chance of successful conversion of
ventricular fibrillation?
ANS Providing quality compressions immediately before a defibrillation
attempt.
10.Which situation BEST describes PEA?
ANS Sinus rythm without a pulse
11.What is the best strategy for perfoming high-quality CPR on a pt.with
an advanced airway in place?
ANS Provide continuous chest compressionswithout pauses and 10
ventilations per minute.
12.3 min after witnessing a cardiac arrest, one memeber of your team in-
serts an ET tube while another performs continuous chest comressions.
During subsequent bentilation, you notice the presence of a wavefom on
the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the
significance of this finding?
ANS Chest compressions may not be effective.
13.The use of quantitative capnography in intubated pt's does what?
ANS Allows- for monitoring CPR quality
14.For the past 25 min, EMS crews have attempted resuscitation of a pt who
originally presented with V-FIB. After the 1st shock, the ECG screen
displayed asystole which has persisted despite 2 doses of epi, a fluid bolus,
and high
2/
7
