ACLS Final Exam 2 QUESTIONS AND ANSWERS 100% ACCURATE.
Cardiac monitoring reveals a tachyarrhythmia. The patient is hemodynamically stable and has a
regular heart rate ranging from 120 to 135 beats per minute. Which statements by the patient
could the team interpret as contributing to the tachyarrhythmia? - "I've been so anxious lately
because I just lost my job."
"I've had a terrible cold with a horrible cough for the past week and today I developed a fever."
Correct
"I've been vomiting for the past 2 days from a gastrointestinal bug."
A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest,
and advanced life support was initiated. The patient required the placement of an advanced
airway to maintain airway patency. Which statement indicates that the team performed high-
quality CPR? - "We provided chest compressions at a rate of 100 to 120 compressions per
minute while giving 1 ventilation every 6 seconds without pausing compressions."
What is the priority intervention for a patient with a narrow-complex tachycardia (160 bpm) and
a blood pressure of 72/48 mmHg? - Perform immediate synchronized cardioversion
A patient is brought into the emergency department. The patient does not have a pulse. The
cardiac monitor shows the following rhythm. The team interprets this as which condition? -
Ventricular tachycardia
A patient's ECG reveals a narrow QRS complex with a regular rhythm, indicating a narrow-
complex supraventricular tachyarrhythmia. The patient is not showing signs of hemodynamic
compromise. Which intervention would be initiated first if it does not delay other interventions?
- Vagal maneuvers
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg,
what interventions should be considered? - Administer atropine
Initiate transcutaneous pacing
Initiate a dopamine infusion
A patient with suspected acute coronary syndromes (ACS) has a pulse oximetry reading of 86%
and is given supplemental oxygen. The provider determines that the supplemental oxygen dose is
correct based on which SaO2 level? - 93%
A member of the resuscitation team is preparing to defibrillate a patient in cardiac arrest using a
biphasic defibrillator. The team member would set the energy dose according to the
manufacturer's recommendations, which is usually: - 120 to 200 joules
Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient has a
pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG reveals an
, irregular rhythm with QRS complexes greater than 0.12 second in duration. Which action would
be appropriate at this time? - Consider an antiarrhythmic medication
A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest, the
patient's ECG showed peaked T waves. What might be causing the patient's cardiac arrest? -
Hyperkalemia
A patient is admitted to the emergency department with signs and symptoms of stroke. The
stroke team should complete a comprehensive neurologic assessment and obtain brain imaging
results within what time frame? - Within 20 minutes
Which statement accurately reflects the management of cardiac arrest in a pregnancy of 26
weeks' gestation? - Resuscitative cesarean delivery (RCD) should be performed within 5 minutes
from the time of arrest.
Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterial oxygen saturation
(SaO2) level of 88%. The provider would interpret these findings as indicative of which
condition? - Respiratory failure
A 42-year-old woman presents to the emergency department with complaints of fatigue,
shortness of breath, back pain and nausea. A 12-lead ECG is obtained and shows ST-segment
depression in leads II, III, and aVF and intermittent runs of nonsustained ventricular tachycardia.
Cardiac serum markers are elevated. These findings suggest which condition? - High-risk non-
ST-segment elevation ACS (NSTE-ACS)
A 30-year-old patient has been brought to the emergency department in cardiac arrest. The
cardiac monitor shows the following rhythm. Interpretation of this rhythm would suggest which
of the following as a possible precipitating factor? - Electrocution
After cardiac arrest and successful resuscitation, the patient has a return of spontaneous
circulation. The patient is unable to follow verbal commands. Targeted temperature management
is initiated. Which method(s) would be appropriate for the resuscitation team to use? - Using an
endovascular catheter
Giving an ice-cold IV fluid bolus
Applying cooling blankets to the patient's body
Which statements accurately reflect the recommendations for post-cardiac arrest
neuroprognostication? - Post-cardiac arrest neuroprognostication should be multimodal.
Decision-making related to the continuation or withdrawal of life-sustaining treatments should
be delayed until 72 hours after return of spontaneous circulation (ROSC) and following return to
normothermia.
A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has a
history of myocardial infarction. The patient's ECG rhythm strip is shown in the following
figure. The provider interprets this strip as indicating which arrhythmia? - Third-degree AV
block
Cardiac monitoring reveals a tachyarrhythmia. The patient is hemodynamically stable and has a
regular heart rate ranging from 120 to 135 beats per minute. Which statements by the patient
could the team interpret as contributing to the tachyarrhythmia? - "I've been so anxious lately
because I just lost my job."
"I've had a terrible cold with a horrible cough for the past week and today I developed a fever."
Correct
"I've been vomiting for the past 2 days from a gastrointestinal bug."
A resuscitation team is debriefing following a recent event. A patient experienced cardiac arrest,
and advanced life support was initiated. The patient required the placement of an advanced
airway to maintain airway patency. Which statement indicates that the team performed high-
quality CPR? - "We provided chest compressions at a rate of 100 to 120 compressions per
minute while giving 1 ventilation every 6 seconds without pausing compressions."
What is the priority intervention for a patient with a narrow-complex tachycardia (160 bpm) and
a blood pressure of 72/48 mmHg? - Perform immediate synchronized cardioversion
A patient is brought into the emergency department. The patient does not have a pulse. The
cardiac monitor shows the following rhythm. The team interprets this as which condition? -
Ventricular tachycardia
A patient's ECG reveals a narrow QRS complex with a regular rhythm, indicating a narrow-
complex supraventricular tachyarrhythmia. The patient is not showing signs of hemodynamic
compromise. Which intervention would be initiated first if it does not delay other interventions?
- Vagal maneuvers
For a patient with third-degree atrioventricular (AV) block and a blood pressure of 70/48 mmHg,
what interventions should be considered? - Administer atropine
Initiate transcutaneous pacing
Initiate a dopamine infusion
A patient with suspected acute coronary syndromes (ACS) has a pulse oximetry reading of 86%
and is given supplemental oxygen. The provider determines that the supplemental oxygen dose is
correct based on which SaO2 level? - 93%
A member of the resuscitation team is preparing to defibrillate a patient in cardiac arrest using a
biphasic defibrillator. The team member would set the energy dose according to the
manufacturer's recommendations, which is usually: - 120 to 200 joules
Cardiac monitoring indicates that a patient has a ventricular tachyarrhythmia. The patient has a
pulse and is not showing any signs of hemodynamic compromise. A 12-lead ECG reveals an
, irregular rhythm with QRS complexes greater than 0.12 second in duration. Which action would
be appropriate at this time? - Consider an antiarrhythmic medication
A patient with acute renal failure experiences cardiac arrest. Just before the cardiac arrest, the
patient's ECG showed peaked T waves. What might be causing the patient's cardiac arrest? -
Hyperkalemia
A patient is admitted to the emergency department with signs and symptoms of stroke. The
stroke team should complete a comprehensive neurologic assessment and obtain brain imaging
results within what time frame? - Within 20 minutes
Which statement accurately reflects the management of cardiac arrest in a pregnancy of 26
weeks' gestation? - Resuscitative cesarean delivery (RCD) should be performed within 5 minutes
from the time of arrest.
Assessment of a patient reveals an ETCO2 level of 55 mmHg and an arterial oxygen saturation
(SaO2) level of 88%. The provider would interpret these findings as indicative of which
condition? - Respiratory failure
A 42-year-old woman presents to the emergency department with complaints of fatigue,
shortness of breath, back pain and nausea. A 12-lead ECG is obtained and shows ST-segment
depression in leads II, III, and aVF and intermittent runs of nonsustained ventricular tachycardia.
Cardiac serum markers are elevated. These findings suggest which condition? - High-risk non-
ST-segment elevation ACS (NSTE-ACS)
A 30-year-old patient has been brought to the emergency department in cardiac arrest. The
cardiac monitor shows the following rhythm. Interpretation of this rhythm would suggest which
of the following as a possible precipitating factor? - Electrocution
After cardiac arrest and successful resuscitation, the patient has a return of spontaneous
circulation. The patient is unable to follow verbal commands. Targeted temperature management
is initiated. Which method(s) would be appropriate for the resuscitation team to use? - Using an
endovascular catheter
Giving an ice-cold IV fluid bolus
Applying cooling blankets to the patient's body
Which statements accurately reflect the recommendations for post-cardiac arrest
neuroprognostication? - Post-cardiac arrest neuroprognostication should be multimodal.
Decision-making related to the continuation or withdrawal of life-sustaining treatments should
be delayed until 72 hours after return of spontaneous circulation (ROSC) and following return to
normothermia.
A patient in the telemetry unit is receiving continuous cardiac monitoring. The patient has a
history of myocardial infarction. The patient's ECG rhythm strip is shown in the following
figure. The provider interprets this strip as indicating which arrhythmia? - Third-degree AV
block
