ACLS Exam Version B
1. What should be done to minimize interruptions in B. Continue CPR while the
chest compressions during CPR? defibrillator is charging.
A. Perform pulse checks only after defibrillation.
B. Continue CPR while the defibrillator is charging.
C. Administer IV medications only when breaths are
given.
D. Continue to use AED even after the arrival of a
manual defibrillator.
2. Which condition is an indication to stop or withhold B. Safety threat to
resuscitative efforts? providers
A. Unwitnessed arrest
B. Safety threat to providers
C. Patient age greater than 85 years
D. No return of spontaneous circulation after 10 min-
utes of CPR
3. After verifying the absence of a pulse, you initiate CPR A. IV or IO access
with adequate bag-mask ventilation. The patient's lead
II ECG appears below. What is your next action?
A. IV or IO access
B. Endotracheal tube placement
C. Consultation with cardiology for possible PCI
D. Application of a transcutaneous pacemaker
4. After verifying unresponsiveness and abnormal B. Check for a pulse
breathing, you activate the emergency response team.
What is your next action?
A. Retrieve an AED.
, ACLS Exam Version B
B. Check for a pulse.
C. Deliver 2 rescue breaths.
D. Administer a precordial thump
5. What is the recommendation on the use of cricoid A. Not recommended for
pressure to prevent aspiration during cardiac arrest? routine use
A. Not recommended for routine use
B. Recommended during every resuscitation attempt
C. Recommended when the patient is vomiting
D. Recommended only for supraglottic airway inser-
tion
6. What survival advantages does CPR provide to a pa- D. Produces a small
tient in ventricular fibrillation? amount of blood flow to
the heart
A. Increases the defibrillation threshold
B. Directly restores an organized rhythm
C. Opposes the harmful effects of epinephrine
D. Produces a small amount of blood flow to the heart
7. What is the recommended compression rate for per- D. At least 100 per minute
forming CPR?
A. 60 to 80 per minute
B. 80 to 100 per minute
C. About 100 per minute
D. At least 100 per minute
8. EMS personnel arrive to find a patient in cardiac ar- A. Defibrillation
rest. Bystanders are performing CPR. After attaching a
cardiac monitor, the responder observes the following
rhythm strip. What is the most important early inter-
, ACLS Exam Version B
vention?
A. Defibrillation
B. Endotracheal intubation
C. Epinephrine administration
D. Antiarrhythmic administration
9. A patient remains in ventricular fibrillation despite 1 B. administer a second
shock and 2 minutes of continuous CPR. The next in- shock.
tervention is to
A. administer amiodarone.
B. administer a second shock.
C. administer epinephrine.
D. insert an advanced airway.
10. What is the recommended next step after a defibrilla- D. Begin CPR, starting with
tion attempt? chest compressions.
A. Open the patient's airway.
B. Determine if a carotid pulse is present.
C. Check the ECG for evidence of a rhythm.
D. Begin CPR, starting with chest compressions.
11. Which of the following is the recommended first choice B. Antecubital vein
for establishing intravenous access during the at-
tempted resuscitation of a patient in cardiac arrest?
A. Subclavian vein
B. Antecubital vein
C. Intraosseous line
D. Internal jugular vein
1. What should be done to minimize interruptions in B. Continue CPR while the
chest compressions during CPR? defibrillator is charging.
A. Perform pulse checks only after defibrillation.
B. Continue CPR while the defibrillator is charging.
C. Administer IV medications only when breaths are
given.
D. Continue to use AED even after the arrival of a
manual defibrillator.
2. Which condition is an indication to stop or withhold B. Safety threat to
resuscitative efforts? providers
A. Unwitnessed arrest
B. Safety threat to providers
C. Patient age greater than 85 years
D. No return of spontaneous circulation after 10 min-
utes of CPR
3. After verifying the absence of a pulse, you initiate CPR A. IV or IO access
with adequate bag-mask ventilation. The patient's lead
II ECG appears below. What is your next action?
A. IV or IO access
B. Endotracheal tube placement
C. Consultation with cardiology for possible PCI
D. Application of a transcutaneous pacemaker
4. After verifying unresponsiveness and abnormal B. Check for a pulse
breathing, you activate the emergency response team.
What is your next action?
A. Retrieve an AED.
, ACLS Exam Version B
B. Check for a pulse.
C. Deliver 2 rescue breaths.
D. Administer a precordial thump
5. What is the recommendation on the use of cricoid A. Not recommended for
pressure to prevent aspiration during cardiac arrest? routine use
A. Not recommended for routine use
B. Recommended during every resuscitation attempt
C. Recommended when the patient is vomiting
D. Recommended only for supraglottic airway inser-
tion
6. What survival advantages does CPR provide to a pa- D. Produces a small
tient in ventricular fibrillation? amount of blood flow to
the heart
A. Increases the defibrillation threshold
B. Directly restores an organized rhythm
C. Opposes the harmful effects of epinephrine
D. Produces a small amount of blood flow to the heart
7. What is the recommended compression rate for per- D. At least 100 per minute
forming CPR?
A. 60 to 80 per minute
B. 80 to 100 per minute
C. About 100 per minute
D. At least 100 per minute
8. EMS personnel arrive to find a patient in cardiac ar- A. Defibrillation
rest. Bystanders are performing CPR. After attaching a
cardiac monitor, the responder observes the following
rhythm strip. What is the most important early inter-
, ACLS Exam Version B
vention?
A. Defibrillation
B. Endotracheal intubation
C. Epinephrine administration
D. Antiarrhythmic administration
9. A patient remains in ventricular fibrillation despite 1 B. administer a second
shock and 2 minutes of continuous CPR. The next in- shock.
tervention is to
A. administer amiodarone.
B. administer a second shock.
C. administer epinephrine.
D. insert an advanced airway.
10. What is the recommended next step after a defibrilla- D. Begin CPR, starting with
tion attempt? chest compressions.
A. Open the patient's airway.
B. Determine if a carotid pulse is present.
C. Check the ECG for evidence of a rhythm.
D. Begin CPR, starting with chest compressions.
11. Which of the following is the recommended first choice B. Antecubital vein
for establishing intravenous access during the at-
tempted resuscitation of a patient in cardiac arrest?
A. Subclavian vein
B. Antecubital vein
C. Intraosseous line
D. Internal jugular vein
