ACLS CLASS 42 QUESTIONS AND
ANSWERS 2023
If a Patient is unconscious which survey should you begin - answer BCLS
If a patient is conscious which survey should be your initial assessment - answer ACLS
Steps in the BCLS survey - answer 1. Check for responsiveness
2. activate the emergency response system
3. circulation check pulse for 5-10 seconds. If no pulse start CPR.
4. Defibrillation. Follow each shock with CPR beginning with Compressions
Steps in the ACLS Survey - answer A. Airway. is the airway patent. Airway is maintained by the
head-lift, chin tilt.
B. Breathing.
C. Circulation.
D. Differential diagnosis: search and find the reversible cause.
What does ROSC stand for? - answer Return of spontaneous circulation
When does CPR quality need to be improved based on quantitative waveform capnography -
answer if PETCO2 is less than 10 you need to improve CPR.
Also if Diastolic is less than 20 you need to improve CPR
What style of communication should the Team Leader use - answer Closed Loop communication
, Closed Loop communication - answer give a message, receive a clear response and eye contact,
the team leader confirms the message is understood, team leader listens for confirmation of
task performance before another task is assigned
Fixation error - answer when team leaders become trapped in a specific treatment or diagnostic
approach.
Three common fixation errors - answer Everything is ok, This and only this is the correct path,
and anything but this
Successful Resuscitation requires - answer 1. immediate recognition of cardiac arrest and
activation of Emergency response
2. early CPR emphasis on chest compressions
3. rapid defib
4. effective advanced life support
5. integrated post cardiac arrest care.
Respiratory arrest patient is unconscious. - answer begin BLS survey. patient has a pulse no
compressions or AED is needed.
Respiratory arrest with pulse how many breaths - answer give one breath every 5 -6 seconds.
Recheck pulse about every two minutes.
The key to using an OPA - answer Assess the gag reflex or intact cough if present do not use the
OPA. used only for unconscious patients
Nasopharyngeal airway - answer Can be used in semiconscious or conscious patients. Sizing is
from the tip of the nose to the earlobe.
When to use an AED - answer No response, Absent or abnormal Breathing, and no pulse
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