ACLS Final Exam: Questions & Answers: Latest Updated
What is a common but sometimes fatal mistake in cardiac arrest management? -
ANSWERProlonged interruption in chest compressions
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? - ANSWERObtaining a 12-lead ECG
What is the preferred method of access for epinephrine administration during
cardiac arrest in most patients? - ANSWERPeripheral intrvenous
An activated AED does not promptly analyze the rhythm. What is your next action? -
ANSWERBegin chest compressions
3 mins after witnessing a cardiac arrest, 1 member inserts an ET tube while another
performs chest compress. During subsequent ventilation, you notice the presence of
a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What does
this mean? - ANSWERChest compressions may not be effective
The use of quantitative capnography in intubated patients - ANSWERallows for
monitoring of CPR quality
For 25 minutes, an EMS crew has attempted resuscitation of a pt who presented in V
Fib. 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 next? -
ANSWERConsider terminating resuscitative efforts after consulting medical control
Which is a safe and effective practice within the defibrillation sequence? -
ANSWERBe sure oxygen is not blowing over the patient's chest during the shock
D. Commandingly announce "clear" after you deliver the defibrillation shock. What is
the primary purpose of a medical emergency team (MET) or rapid response team
(RRT)? - ANSWERIdentifying and treating early clinical deterioration
Choose an appropriate indication to stop or withhold resuscitative efforts. -
ANSWEREvidence of igor mortis
What is the first treatment priority for a patient who achieves ROSC? -
ANSWEROptimizing ventilation and oxygenating
What is the minimum systolic blood pressure one should attempt to achieve with
fluid, inotropic, or vasopressor administration in a hypotensive post-cardiac arrest
patient who achieves ROSC? - ANSWER90mm Hg
, What is the potential danger of using ties that pass circumferentially around the
patient's neck when securing an advanced airway? - ANSWERObstruction of venous
return from the brain
What is the most reliable method of confirming and monitoring correct placement of
an endotracheal tube? - ANSWERContinuous waveform capnoraphy
What is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a
patient who achieves ROSC but is hypotensive during the post-cardiac arrest period?
- ANSWER1 to 2 L
Which condition is a contraindication to therapeutic hypothermia during the post
arrest cardiac period for patients who achieve return of post arrest spontaneous
circulation (ROSC)? - ANSWERResponding to verbal commands
Choose an appropriate indication to stop or withhold resuscitative efforts. -
ANSWEREvidence of rigor mortis.
you find a patient who is not breathing. You activate the EMS and you determine
there is no pulse. What is your next action? - ANSWERStart chest compressions
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and HR is
92/mi, nonlabored respiratory rate is 14 breaths/min and the pulse ox reading is
97%. What is the assessment step is most important now? - ANSWERObtaining a 12
lead ECG
What is the preferred method of access for epi administration during cardiac arrest
in most patients? - ANSWERPeripheral intravenous
An activated AED does not promptly analyze the rhythm. what is the next action -
ANSWERbegin chest compressions
completed 2 minutes CPR. the ECG monitor displays PEA and the patient has no
pulse. Member of the team resumes chest compressions, IV placed. What is the
management step is the next priority? - ANSWERAdmin 1mg Epi
during pause in cpr your monitor shows Normal sinus rhythm with no pulse. What is
the next action - ANSWERResume chest compressions.
common mistake in cardiac arrest management? - ANSWERprolonged interuptions in
chest compressions
which action is a component in high quality chest compressions - ANSWERallow
complete chest recoil
whisch action increases the chance for successful conversion of V FIB? -
ANSWERproviding quality compressions immediately before defib attempts
What is a common but sometimes fatal mistake in cardiac arrest management? -
ANSWERProlonged interruption in chest compressions
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? - ANSWERObtaining a 12-lead ECG
What is the preferred method of access for epinephrine administration during
cardiac arrest in most patients? - ANSWERPeripheral intrvenous
An activated AED does not promptly analyze the rhythm. What is your next action? -
ANSWERBegin chest compressions
3 mins after witnessing a cardiac arrest, 1 member inserts an ET tube while another
performs chest compress. During subsequent ventilation, you notice the presence of
a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What does
this mean? - ANSWERChest compressions may not be effective
The use of quantitative capnography in intubated patients - ANSWERallows for
monitoring of CPR quality
For 25 minutes, an EMS crew has attempted resuscitation of a pt who presented in V
Fib. 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 next? -
ANSWERConsider terminating resuscitative efforts after consulting medical control
Which is a safe and effective practice within the defibrillation sequence? -
ANSWERBe sure oxygen is not blowing over the patient's chest during the shock
D. Commandingly announce "clear" after you deliver the defibrillation shock. What is
the primary purpose of a medical emergency team (MET) or rapid response team
(RRT)? - ANSWERIdentifying and treating early clinical deterioration
Choose an appropriate indication to stop or withhold resuscitative efforts. -
ANSWEREvidence of igor mortis
What is the first treatment priority for a patient who achieves ROSC? -
ANSWEROptimizing ventilation and oxygenating
What is the minimum systolic blood pressure one should attempt to achieve with
fluid, inotropic, or vasopressor administration in a hypotensive post-cardiac arrest
patient who achieves ROSC? - ANSWER90mm Hg
, What is the potential danger of using ties that pass circumferentially around the
patient's neck when securing an advanced airway? - ANSWERObstruction of venous
return from the brain
What is the most reliable method of confirming and monitoring correct placement of
an endotracheal tube? - ANSWERContinuous waveform capnoraphy
What is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a
patient who achieves ROSC but is hypotensive during the post-cardiac arrest period?
- ANSWER1 to 2 L
Which condition is a contraindication to therapeutic hypothermia during the post
arrest cardiac period for patients who achieve return of post arrest spontaneous
circulation (ROSC)? - ANSWERResponding to verbal commands
Choose an appropriate indication to stop or withhold resuscitative efforts. -
ANSWEREvidence of rigor mortis.
you find a patient who is not breathing. You activate the EMS and you determine
there is no pulse. What is your next action? - ANSWERStart chest compressions
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and HR is
92/mi, nonlabored respiratory rate is 14 breaths/min and the pulse ox reading is
97%. What is the assessment step is most important now? - ANSWERObtaining a 12
lead ECG
What is the preferred method of access for epi administration during cardiac arrest
in most patients? - ANSWERPeripheral intravenous
An activated AED does not promptly analyze the rhythm. what is the next action -
ANSWERbegin chest compressions
completed 2 minutes CPR. the ECG monitor displays PEA and the patient has no
pulse. Member of the team resumes chest compressions, IV placed. What is the
management step is the next priority? - ANSWERAdmin 1mg Epi
during pause in cpr your monitor shows Normal sinus rhythm with no pulse. What is
the next action - ANSWERResume chest compressions.
common mistake in cardiac arrest management? - ANSWERprolonged interuptions in
chest compressions
which action is a component in high quality chest compressions - ANSWERallow
complete chest recoil
whisch action increases the chance for successful conversion of V FIB? -
ANSWERproviding quality compressions immediately before defib attempts
