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ACLS Post Test LATEST 2024-2025 QUESTIONS & ANSWERS VERSION 1 & 2
A 52-year-old man is complaining of palpitations that came on suddenly after walking up a short flight
of stairs. His symptoms have been present for about 20 minutes. He denies chest pain and is not short
of breath. His skin is warm and dry; breath sounds are clear. His blood pressure (BP) is 144/88
millimeters of mercury (mm Hg), his heart rate is 186 beats per minute (beats/min), and his
ventilatory rate is 18 breaths/min. The cardiac monitor reveals the rhythm here. Vascular access has
been established. What medication is most appropriate in this situation?
Procainamide or amiodarone
Your general impression of a 78-year-old woman reveals that her eyes are closed, she is not moving,
you can see no rise and fall of her chest or abdomen, and her skincolor is pale. When you arrive at the
patient's side, you confirm that she is unresponsive. Your best action in this situation will be to:
A 48 year old man became unresponsive shortly after presenting to you with nausea and generalized
chest discomfort. You observe gasping breathing and are unsure if you feel a pulse. You should now:
Call for help and begin chest compressions
What is the most likely complication of inferior wall MI?
Bradydysrhythmias
assess breathing and determine whether she has a pulse
A 60-year-old woman has suffered a cardiac arrest. A health care professional trained in endotracheal
intubation has intubated the patient. What would indicate inadvertent esophageal intubation?
gurgling sounds heard over the epigastrium
Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of spontaneous circulation
(ROSC) may necessitate the use of:
Epinephrine, dopamine, or norepinephrine
Which of the following is incorrect with regard to a postevent debriefing?
A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive environment.
C. The gather phase of the debriefing includes a comparison of the team's actions with current
resuscitation algorithms.
D. Team members are given an opportunity to reflect on their performance and how their
performance can be improved.
C. The gather phase of the debriefing includes a comparison of the team's actions with current
resuscitation algorithms
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Assuming there are no contraindications, which of the following can be performed as an initial
intervention for a stable but symptomatic patient with tachycardia?
Vagal Maneuvers
A 62-year-old man received IV tissue plasminogen activator (tPA) 2 hours ago after a diagnosis of
acute ischemic stroke. While assessing the patient's vital signs, you observe swelling of the patient's
lips and tongue. Your best course of action will be to:
administer IV antihistamines and steroids
During a cardiac arrest, multiple attempts to establish a peripheral IV have proved unsuccessful. Your
best course of action at this time will be to:
attempt intraosseous access
Synchronized cardioversion:
delivers a shock during ventricular depolarization
An 84-year-old man presents with an acute onset of altered mental status. The cardiac monitor shows
bradycardia. The patient's BP is 58/30 mm Hg and his ventilatory rate is 14 breaths/min. His skin is
cool, moist, and pale. His blood oxygen saturation level (SpO2) on room air is 95%. An IV has been
established. The best course of action will be to:
Prepare for transcutaneous pacing
Paramedics are on the scene with a 55-year-old man who is complaining of severe chest discomfort.
He describes his discomfort as a "heavy pressure" in the middle of his chest that has been present for
about 1 hour.Which of the following actions performed at the scene is most likely to reduce
subsequent treatment delays at the hospital?
A. Giving aspirin
B. Obtaining a 12-lead electrocardiogram (ECG)
C. Assessing vital signs and oxygen saturation
D. Assessing the patient's degree of discomfort
Obtaining a 12-lead electrocardiogram
The patient rates his discomfort 9/10. His BP is 126/72 mm Hg and ventilations 14 breaths/min. His
SpO2 on room air is 95%. The cardiac monitor shows a sinus rhythm at 60 beats/min. Immediate
management of this patient should include:
Establishing IV access and giving aspirin
Current guidelines recommend obtaining an initial 12-lead ECG within ____ of patient contact when
an acute coronary syndrome (ACS) is suspected.
10 minutes
When the patient's 12-lead ECG is reviewed, the results should be used to classify the patient into one
of three groups.Which of the following correctly reflects these categories?
ACLS Post Test LATEST 2024-2025 QUESTIONS & ANSWERS VERSION 1 & 2
A 52-year-old man is complaining of palpitations that came on suddenly after walking up a short flight
of stairs. His symptoms have been present for about 20 minutes. He denies chest pain and is not short
of breath. His skin is warm and dry; breath sounds are clear. His blood pressure (BP) is 144/88
millimeters of mercury (mm Hg), his heart rate is 186 beats per minute (beats/min), and his
ventilatory rate is 18 breaths/min. The cardiac monitor reveals the rhythm here. Vascular access has
been established. What medication is most appropriate in this situation?
Procainamide or amiodarone
Your general impression of a 78-year-old woman reveals that her eyes are closed, she is not moving,
you can see no rise and fall of her chest or abdomen, and her skincolor is pale. When you arrive at the
patient's side, you confirm that she is unresponsive. Your best action in this situation will be to:
A 48 year old man became unresponsive shortly after presenting to you with nausea and generalized
chest discomfort. You observe gasping breathing and are unsure if you feel a pulse. You should now:
Call for help and begin chest compressions
What is the most likely complication of inferior wall MI?
Bradydysrhythmias
assess breathing and determine whether she has a pulse
A 60-year-old woman has suffered a cardiac arrest. A health care professional trained in endotracheal
intubation has intubated the patient. What would indicate inadvertent esophageal intubation?
gurgling sounds heard over the epigastrium
Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of spontaneous circulation
(ROSC) may necessitate the use of:
Epinephrine, dopamine, or norepinephrine
Which of the following is incorrect with regard to a postevent debriefing?
A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive environment.
C. The gather phase of the debriefing includes a comparison of the team's actions with current
resuscitation algorithms.
D. Team members are given an opportunity to reflect on their performance and how their
performance can be improved.
C. The gather phase of the debriefing includes a comparison of the team's actions with current
resuscitation algorithms
, Page 2 of 15
Assuming there are no contraindications, which of the following can be performed as an initial
intervention for a stable but symptomatic patient with tachycardia?
Vagal Maneuvers
A 62-year-old man received IV tissue plasminogen activator (tPA) 2 hours ago after a diagnosis of
acute ischemic stroke. While assessing the patient's vital signs, you observe swelling of the patient's
lips and tongue. Your best course of action will be to:
administer IV antihistamines and steroids
During a cardiac arrest, multiple attempts to establish a peripheral IV have proved unsuccessful. Your
best course of action at this time will be to:
attempt intraosseous access
Synchronized cardioversion:
delivers a shock during ventricular depolarization
An 84-year-old man presents with an acute onset of altered mental status. The cardiac monitor shows
bradycardia. The patient's BP is 58/30 mm Hg and his ventilatory rate is 14 breaths/min. His skin is
cool, moist, and pale. His blood oxygen saturation level (SpO2) on room air is 95%. An IV has been
established. The best course of action will be to:
Prepare for transcutaneous pacing
Paramedics are on the scene with a 55-year-old man who is complaining of severe chest discomfort.
He describes his discomfort as a "heavy pressure" in the middle of his chest that has been present for
about 1 hour.Which of the following actions performed at the scene is most likely to reduce
subsequent treatment delays at the hospital?
A. Giving aspirin
B. Obtaining a 12-lead electrocardiogram (ECG)
C. Assessing vital signs and oxygen saturation
D. Assessing the patient's degree of discomfort
Obtaining a 12-lead electrocardiogram
The patient rates his discomfort 9/10. His BP is 126/72 mm Hg and ventilations 14 breaths/min. His
SpO2 on room air is 95%. The cardiac monitor shows a sinus rhythm at 60 beats/min. Immediate
management of this patient should include:
Establishing IV access and giving aspirin
Current guidelines recommend obtaining an initial 12-lead ECG within ____ of patient contact when
an acute coronary syndrome (ACS) is suspected.
10 minutes
When the patient's 12-lead ECG is reviewed, the results should be used to classify the patient into one
of three groups.Which of the following correctly reflects these categories?
