TEST BANK ACLS Advanced Cardiovascular Life
Support: COMPREHENSIVE FINAL EXAM QUESTIONS
AND ANSWERS GRADED A+
1. Which type of atrioventricular block best describes this rhythm? - correct answer C) Second-degree
type II
2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do? -
correct answer A) Monitor the patient's PETCO2
3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who achieved
return of spontaneous circulation in the field? - correct answer D) Coronary reperfusion-capable medical
center
4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient? - correct
answer C) Agonal gasps
5. Which type of atrioventricular block best describes this rhythm? - correct answer B) Second-degree
atrioventricular block type I
6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? - correct
answer B) Once every 5 to 6 seconds.
7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct
placement of an endotracheal tube? - correct answer C) Continuous waveform capnography
8. You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The CT scan
was normal, with no signs of hemorrhage. The patient does not have any contraindications to fibrinolytic
therapy. Which treatment is the best for this patient? - correct answer B) Start fibrinolytic therapy as
soon as possible.
9. Which best describes this rhythm? - correct answer D) Third-degree atrioventricular block.
,10. What is the recommended range from which a temperature should be selected and maintained
constantly to achieve targeted temperature management after cardiac arrest? - correct answer C) 32 to
36 Degrees Celsius
11. Which is the recommended first intravenous dose of amiodarone for a patient with refractory
ventricular fibrillation? - correct answer D) 300 mg
12. What is the primary of a medical emergency team or rapid response team? - correct answer B)
Improving patient outcomes by identifying and treating early clinical deterioration.
13. What is the recommended next step after a defibrillation attempt? - correct answer D) Resume CPR,
starting with chest compressions
14. EMS providers are treating a patient with suspected stroke. According to the Adult Suspected Stroke
Algorithm, which critical action performed by the EMS team will expedite this patient's care on arrival
and reduce the time to treatment? - correct answer A) Alert the hospital.
15. A responder is caring for a patient with a history of congestive heart failure. The patient is
experiencing shortness of breath, a blood pressure of 68/50 mmHg, and a heart rate of 190/min. The
patient's lead II ECG is displayed here. Which best characterizes this patient's rhythm? - correct answer
D) Unstable supraventricular tachycardia
16. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine that he
is unresponsive. Which is the next step in your assessment and management of this patient? - correct
answer B) Check the patient's breathing and pulse.
17. Which best describes the length of time it should take to perform a pulse check during the BLS
assessment? - correct answer B) 5 to 10 seconds
18. You instruct a team member to give 1 mg Atropine IV. Which is the best example of closed-loop
communication? - correct answer C) I'll draw up 1 mg of Atropine.
19. What is an effect of excessive ventilation? - correct answer A) Decreased cardiac output.
,20. If a team member is about to make a mistake during a resuscitation attempt, which best describes
the action that the team leader or other team members should take? - correct answer C) Address the
team members immediately.
21. Which best describes this rhythm? - correct answer A) Monomorphic ventricular tachycardia.
22. For STEMI patient, which best describes the recommended maximum goal time for emergency
department door-to-balloon inflation time for percutaneous coronary intervention? - correct answer D)
90 minutes.
23. Which is the maximum interval you should allow for an interruption in chest compressions? - correct
answer A) 10 seconds.
24. Which is the one way to minimize interruptions in chest compressions during CPR? - correct answer
D) Continue CPR while the defibrillator charges.
25. Which best describes an action taken by the team leader to avoid insufficiencies during a
resuscitation attempt? - correct answer C) Clearly delegate tasks.
26. Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? - correct
answer A) Measure the corner of the mouth to the angle of the mandible.
27. You are evaluating a 58-year-old man with chest discomfort. His blood pressure is 92/50 mm Hg, his
heart rate is 92/min, his nonlabored respiratory rate is 14 breaths/min, and his pulse oximetry reading is
97%. Which assessment step is most important now? - correct answer C) Obtaining a 12-lead ECG.
28. A patient in respiratory distress and with a blood pressure of 70/50 mmHg presents with the lead
IIECG rhythm shown here. Which is the appropriate treatment? - correct answer B) Performing
synchronized cardioversion.
29. During post-cardiac arrest care, which is the recommended duration of targeted temperature
management after reaching the correct temperature range? - correct answer B) At least 24 hours.
, 30. Three minutes into a cardiac resuscitation attempt, one member of your team inserts an
endotracheal tube while another performs chest compressions. Capnography shows a persistent
waveform and a PETCO2 of 8 mmHg. Which is the significance of this finding? - correct answer A) Chest
compressions may not be effective.
31. Which is the recommended oral dose of aspirin for a patient with a suspected acute coronary
syndrome? - correct answer C) 160 to 325 mg.
32. A team member is unable to perform an assigned task because it is beyond the team member's
scope of practice. Which action should the team member take? - correct answer A) Ask for a new task or
role.
33. As the team leader, when do you tell the chest compressors to switch? - correct answer B) About
every 2 minutes.
34. You are performing chest compressions during an adult resuscitation attempt. Which rate should you
use to perform the compressions? - correct answer C) 100 to 120/min.
35. A patient is being resuscitated in a very noisy environment. A team member thinks he heard an order
for 500 mg of amiodarone IV. Which is the best response? - correct answer D) I have an order to give 500
mg of amiodarone IV.
36. A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to the first
dose of adenosine. Which dose would you administer next? - correct answer B) 12 mg.
37. A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm. Which is the
appropriate treatment? - correct answer C) Defibrillation
38. Which of these tests should be performed for a patient with suspected stroke within 25 minutes of
hospital arrival? - correct answer D) Noncontrast CT scan of the head.
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