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ACLS: FINAL TEST QUESTIONS AND ANSWERS
1. 1. Which type of atrioventricular block best describes this rhythm?: C) Second-degree type II
2. 2. Your patient is in cardiac arrest and has been intubated. To assess CPR quality, which should you do?: A)
Monitor the patient's PETCO
3. 3. Which facility is the most appropriate EMS destination for a patient with sudden cardiac who achieved
return of spontaneous circulation in the field?: D) Coronary reperfusion-capable medical center
4. 4. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient?: C) Agonal
gasps
5. 5. Which type of atrioventricular block best describes this rhythm?: B) Second-degree atrioventricular
block type I
6. 6. To properly ventilate a patient with a perfusing rhythm, how often do you squeeze the bag?: B) Once every 5
to 6 seconds.
7. 7. In addition to clinical assessment, which is the most reliable method to confirm and monitor correct
placement of an endotracheal tube?: C) Continu- ous waveform capnography
8. 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?: B) Start fibrinolytic therapy as soon as possible.
9. 9. Which best describes this rhythm?: D) Third-degree atrioventricular block.
10. 10. What is the recommended range from which a temperature should be selected and maintained
constantly to achieve targeted temperature manage- ment after cardiac arrest?: C) 32 to 36 Degrees Celsius
11. 11. Which is the recommended first intravenous dose of amiodarone for a patient with refractory ventricular
fibrillation?: D) 300 mg
12. 12. What is the primary of a medical emergency team or rapid response team?: B) Improving patient
outcomes by identifying and treating early clinical deterioration.
13. 13. What is the recommended next step after a defibrillation attempt?: D) Resume CPR, starting with chest
compressions
14. 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?: A) Alert the hospital.
15. 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?: D) Unstable supraventricular tachycardia
16. 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?: B) Check the patient's breathing and pulse.
17. 17. Which best describes the length of time it should take to perform a pulse check during the BLS
assessment?: B) 5 to 10 seconds
18. 18. You instruct a team member to give 1 mg Atropine IV. Which is the best example of closed-loop
communication?: C) I'll draw up 1 mg of Atropine.
19. 19. What is an effect of excessive ventilation?: A) Decreased cardiac output.
mmHg. Which is the significance of this finding?: A) Chest compressions may not be effective.
31. 31. Which is the recommended oral dose of aspirin for a patient with a suspected acute coronary
syndrome?: C) 160 to 325 mg.
32. 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?: A) Ask for a new task or role.
33. 33. As the team leader, when do you tell the chest compressors to switch?-
: B) About every 2 minutes.
34. 34. You are performing chest compressions during an adult resuscitation attempt. Which rate should you
use to perform the compressions?: C) 100 to 120/min.
35. 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?: D) I have an order to give 500 mg of amiodarone IV.
36. 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?: B) 12 mg.
37. 37. A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm. Which is the
appropriate treatment?: C) Defibrillation
38. 38. Which of these tests should be performed for a patient with suspected stroke within 25 minutes of
hospital arrival?: D) Noncontrast CT scan of the head.
39. 39. What is the minimum systolic blood pressure one should attempt to achieve with fluid
administration or vasoactive agents in a hypotensive post-cardiac arrest patient who achieves return of spontaneous circulation?- : D) 90 mm Hg.
40. 40. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm shown here, and
the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place. What do you do next?: C) Give epinephrine 1 mg IV.
41. 41. Based on this patient's initial presentation, which condition do you suspect led to the cardiac arrest?:
A) Acute Coronary Syndrome.
42. 42. In addition to defibrillation, which intervention should be performed immediately?: C) Chest
Compressions.
43. 43. Despite 2 Defibrillation attempts, the patient remains in ventricular fib- rillation. Which drug and dose
should you administer first to this patient?: A) Epinephrine 1 mg.
44. 44. Despite the drug provided above and continued CPR, the patient re- mains in ventricular fibrillation.
Which other drug should be administered next?: D) Amiodarone 300 mg.
45. 45. The patient has return of spontaneous circulation and is not able to follow commands. Which immediate
post-cardiac arrest care intervention do you choose for this patient?: A) Initiate targeted temperature management.
46. 46. Which would you have done first if the patient had not gone into ventricular fibrillation?: D)
Performed synchronized cardioversion.
47. 47. Based on this patient's initial assessment, which adult ACLS algorithm should you follow?: B)
Tachycardia.
48. 48. The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take?: C)
Apply oxygen.
49. 49. After your initial assessment of this patient, which intervention should be performed next?: A)
Synchronized cardioversion.
50. 50. If the patient became apneic and pulseless but the rhythm remained the same, which would take the
highest priority?: D) Perform defibrillation.
