ACLS - PRACTICAL EXAM QUESTIONS
AND VERIFIED ANSWERS|100%
CORRECT|GRADE A+ 2024
Patient complains of chest pain: first step? - ANSWER -assess for perfusion
What instructions do you give your team as soon as you arrive on scene? - ANSWER 1. start IV
2. start O2
3. start monitoring
What medications do you provide your patient with right away? - ANSWER 1. oxygen w/ nonrebreather
at 10 L/minute
2. NTG 400 mcg x2 sprays
3. Aspirin 325 mg chewed
4. Morphine 4 mg IV
What should be done in between every spray of NTG? - ANSWER -check blood pressure
After receiving morphine, your patient passes out. Cardiac monitor shows ventricular fibrillation. Next
steps? - ANSWER 1. call for AED
2. check for pulse
3. check for breathing
The patient does not have a pulse nor is he breathing. What do you do next? - ANSWER -ID yourself as
leader
-state "we are going to start CPR!")
What roles do you then assign? - ANSWER 1. chest compressions
2. airway with bag-vale mask
3. drug administration
, 4. timer for CPR and drugs
5. scribe to write down all drugs and times
What do you do as soon as the defibrillator arrives? - ANSWER 1. attach pads
2. turn on machine
3. analyze rhythm
4. charge to 200J
5. "all clear!"
6. shock
What do you do as soon as shock is delivered? List three things. - ANSWER 1. resume CPR - state
"resume bagging and compressions" (round #2)
2. check pulse
3. check rhythm
As you continue CPR for another 2 minutes (during second round), what do you do for the patient's
airway? - ANSWER 1. intubate patient (instruct team member to do so "while continuing chest
compressions")
2. check ETT placement by listening over epigastrium and bilateral lung fields
3. place quantitative end-tidal CO2 deterctor
What ETCO2 indicates adequate CPR/perfusion? - ANSWER -> 10 mm Hg
As you continue CPR for another 2 minutes (during second round), what else should you do other than
intubate? - ANSWER 1. start IV normal saline
2. give first dose of epinephrine 1 mg
What do you do after the second round of CPR is over? - ANSWER -stop CPR
-pulse check
-rhythm check
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