ACLS Precourse Work & Self-
Assessment Questions
Which quality improvement component of systems of care best describes the capture and
review of data related to resuscitation education, processes, and outcomes? - correct answer
Measurement
Which one of the following is an interdependent component of systems of care? - correct
answer Structure
Science of Resuscitation. What is an effect of excessive ventilation? - correct answer decreased
CO
Which is the maximum interval you should allow for an interruption in chest compressions? -
correct answer 10 s
Which is the recommended next step after a defibrillation attempt? - correct answer Resume
CPR, starting with chest compressions
What is the first step in the systematic approach to patient assessment? - correct answer Initial
impression
Which action is part of the Secondary Assessment of a conscious patient? Which action is part
of the Secondary Assessment of a conscious patient? - correct answer Formulate a differential
diagnosis
Which is one of the H's and T's that represent a potentially reversible cause of cardiac arrest
and other emergency cardiopulmonary conditions? - correct answer Hypothermia
The CPR Coach role can be blended into which of the following roles? - correct answer The
monitor/defibrillator
Which of the following is a responsibility of the CPR Coach? - correct answer Coordinating
compressor switches
High Quality BLS Part 1.What is the recommended compression rate for high-quality CPR? -
correct answer 100 to 120
Which best describes the length of time it should take to perform a pulse check during the BLS
Assessment? - correct answer 5-10 seconds
Which is a component of high-quality CPR? - correct answer Compression depth of at least 2
inches
Which component of high-quality CPR directly affects chest compression fraction? - correct
answer Interruptions
, ACLS Precourse Work & Self-
Assessment Questions
To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag? -
correct answer Once every 6 seconds
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway? -
correct answer Measure from the corner of the mouth to the angle of the mandible
Which action is likely to cause air to enter the victim's stomach (gastric inflation) during bag-
mask ventilation? - correct answer Ventilating too quickly
In addition to clinical assessment, which is the most reliable method to confirm and monitor
correct placement of an endotracheal tube? - correct answer Continuous waveform
capnography
What are the 3 signs of clinical deterioration that would cause activation of a rapid response
system? - correct answer Symptomatic hypertension, unexplained agitation, seizure
What is the purpose of a rapid response team (RRT) or medical emergency team (MET)? -
correct answer Identify and treat early clinical deterioration
What is the difference between stable angina and unstable angina? - correct answer Stable
angina involves chest discomfort during exertion
What is a classic symptom of acute ischemic chest discomfort? - correct answer Pain radiating
down the left arm
What is the most common symptom of myocardial ischemia and infarction? - correct answer
Retrosternal chest pain
What is one goal of therapy for patients with ACS? - correct answer Relief of ischemic chest
discomfort
What is the recommended dose of aspirin if not contraindicated? - correct answer 162-325 mg
Which is a contraindication to the administration of aspirin for the management of a patient
with ACS? - correct answer Recent GI bleed
What is the initial drug therapy for ACS? - correct answer Oxygen (if needed), aspirin,
nitroglycerin, morphine (if needed)
A patient without dyspnea has signs of ACS. There are no obvious signs of heart failure. You
assess a noninvasively monitored oxyhemoglobin saturation. Which patient should receive
supplemental oxygen? - correct answer 88%
Which clinical finding represents a contraindication to the administration of nitroglycerin? -
correct answer Systolic blood pressure of 84
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