ACLS Final Exam Advanced Cardiovascular Life Support Exam Questions And Answers 2024
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ACLS
ACLS Final Exam Advanced Cardiovascular Life Support Exam Questions And Answers 2024/ACLS Final Exam Advanced Cardiovascular Life Support Exam Questions And Answers 2024/ACLS Final Exam Advanced Cardiovascular Life Support Exam Questions And Answers 2024
ACLS Final Exam Advanced Cardiovascular Life
Support Exam Questions And Answers 2024
ACLS Final Exam Advanced Cardiovascular Life
Support Exam Questions And Answers 2024
1. In which situation does bradycardia require treatment? -Ans| >> Hypotension
2. Which intervention is most appropriate for the treatment of a patient in asystole?
Ans| >> Epinephrine
3. You arrive on the scene with the code team. High-quality CPR is in progress. An
AED has previously advised "no shock indicated." A rhythm check now finds
asystole. After resuming high-quality compressions, which action do you take
next? Ans| >> Establish IV or IO access
4. A monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg,
the PETCO2 is 38mm Hg, and the pulse oximetry reading is 98%. There is
vascular access in the left arm, and the patient has not been given any vasoactive
drugs. A 12lead ECG confirm a supraventricular tachycardia with no evidence of
ischemia or infarction. The heart rate has not responded to vagal maneuvers. what
is your next action? -Ans| >> Administer adenosine 6mg IV push
5. A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total does of 3 mg. A transcutaneous pacemaker has failed to
capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which
therapy is now indicated? -Ans| >> Epinephrine 2 to 10 mcg/min
6. A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a
second shock. Which drug should be administered first? -Ans| >> Epinephrine 1
mg IV/IO
7. A 62-year-old man suddenly experienced difficulty speaking and left-sided
weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the
brain si ordered. Which best describes the guidelines for antiplatelet and
fibrinolytic therapy? -Ans| >> Hold aspirin for at least 24 hours if rtPA is
administered
8. A patient is in refractory ventricular fibrillation and has received multiple
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose
of amiodarone 300mg IV. The patient is intubated. Which best describe the
recommended second does of amiodarone for this patient? -Ans| >> 150 mg IV
push
,Prof.Exams
9. A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a
blood pressure of 80/60mm Hg. What is the initial does of atropine? -Ans| >>
0.5mg
10. A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia.
The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal
maneuvers have not been effective in terminating the rhythm. An IV has been
established. Which drug should be administered? -Ans| >> Adenosine 6mg
11. A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an
initial shock. If no pathway for medication administration is in place, which
method is preferred? -Ans| >> IV or IO
12. What is the indication for the use of magnesium in cardiac arrest? -Ans| >>
Pulseless ventricular tachycardia-associated torsades de pointes
13. A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is
138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a
history of angina. What action is recommended next? -Ans| >> Seeking expert
consultation
14. A patient is in cardiac arrest. High-quality chest compressions are being given.
The patient is intubated, and an IV has been started. The rhythm is asystole. What
is the first drug/dose to administer? -Ans| >> Epinephrine 1mg IV/IO
15. A patient is in refractory ventricular fibrillation. High-quality CPR is in progress.
One does of epinephrine was given after the second shock. An antiarrhythmic
drug was given immediately after the third shock. You are the team leader. Which
medication do you order next. -Ans| >> Epinephrine 1 mg
16. A patient with possible STEMI has ongoing chest discomfort. What is a
contraindication to nitrate administration? -Ans| >> Use of a phosphodiestrase
inhibitor within the previous 24 hours
17. A 57-year-old woman has palpitation, chest discomfort, and tachycardia. The
monitor shows a regular wide-QRS at a rate of 180/min. She becomes diaphoretic,
and her blood pressure is 80/60 mm HG/ Which action do you take next? -Ans| >>
Perform electrical cordioversion
18. A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus
and a heparin infusion of 1000 units per hour are being administered. The patient
did not take aspirin because he has a history of gastritis, with was treated 5 years
ago. What is your next action? -Ans| >> Give aspirin 160-325 mg to chew
,Prof.Exams
19. You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT
scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula
at 2L/min, and an IV has been established. His blood pressure is 180/100mm Hg.
Which drug do you anticipate giving to this patient? -Ans| >> Aspirin
20. A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which drug should be given next? -Ans| >>
Amiodarone 300mg
21. What is the maximum interval for pausing chest compressions? -Ans| >> 10
seconds
22. Your patient is a 56-year-old woman with a history of type 2 diabetes who reports
feeling dizzy. She is pale and diaphoretic. Her blood pressure is 80/66mm Hg.
The cardiac monitor documents the rhythm shown here. She is receiving oxygen
at 4L/min by nasal cannula, and an Iv has been established. What do you
administer next? -Ans| >> Atropine 0.5mg IV
23. A 35-year-old woman presents with a chief complaint of palpitations. She has no
chest discomfort, shortness of breath, or light-headedness. Her blood pressure is
120/78mm Hg. Which intervention is indicated first? -Ans| >> Vagal maneuvers
24. Which action should you take immediately after providing an AED shock? -Ans|
>> Resume chest compressions
25. What action minimizes the risk of air entering the victim's stomach during-bag
mask ventilation? -Ans| >> Ventilating until you see the chest rise
26. You are providing bag-mask ventilations to a patient in respiratory arrest. How
often should you provide ventilation? -Ans| >> About every 5-6 seconds
27. After initiation of CPR and 1 shock for ventricular fibrillation, this rhythm is
present on the next rhythm check. A second shock is given, and chest
compressions are resumed immediately. An IV is in place, and no drugs have
been given. Bag-mask ventilations are producing visible chest rise. What is your
next intervention? -Ans| >> Give epinephrine 1mg IV/IO
28. A patient's 12-lead ECG is transmitted by the paramedics and shows a STEMI.
When the patient arrives in the emergency department, the rhythm shown here is
seen on the cardiac monitor. The patient has resolution of moderate (5/10) chest
pain after 3 doses of sublingual nitroglycerin. Blood pressure is 104/70mm Hg.
, Prof.Exams
Which intervention is most important in reducing this patient's in-hospital and 30-
day mortality rate? -Ans| >> Repersfusion therapy
29. A patient was in refractory ventricular fibrillation. A thrid shock has just been
administered. Your team looks to you for instructions. What is your next action?
Ans| >> Resume high quality chest compressions
30. Which action is likely to cause air to enter the victim's stomach (gastric inflation)
during bag-mask ventilation? -Ans| >> Ventilating too quickly
31. A 45-year-old woman with a history of palpitations develops light-headedness
and palpitations. She has received adensoine 6mg IV for the rhythm shown here
(SVT), without conversion of the rhythm. She is now extremely apprehensive.
Her blood pressure si 128/70mm Hg. What is the next appropriate intervention? -
Ans| >> Administer adenosine 12 mg IV
32. Your patient is not responsive and is not breathing, You can palpate a carotid
pulse. Which action do you take next? -Ans| >> Start rescue breathing
33. You arrive on the scene to find CPR in progress. Nursing staff report the patient
was recovering from a pulmonary embolism and suddenly collapsed. Two shocks
have been delivered, and an IV has been initiated. What do you administer now? -
Ans| >> Epinephrine 1 mg IV
34. You are the code team leader and arrive to find a patient with CPR in progress.
On the next rhythm check, you see the rhythm shown here. Team members tell
you that the patient was well but reported chest discomfort and then collapsed.
She has no pulse or respirations. Bag-mask ventilations are producing visible
chest rise, and IV
access has been established, Which intervention would be your next action? -Ans| >>
Epinephrine 1mg
35. What is recommended depth of chest compressions for an adult victim? -Ans| >>
At least 2 inches
36. How does complete chest recoil contribute to effective CPR? -Ans| >> Allows
maximum blood return to the heart
37. What is the recommended compression rate for high-quality CPR? -Ans| >> 100-
120 compressions per minute
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