ACLS Exam Version A&B questions and answers 2024/2025 latest 100%CORRECT Already Graded A+, Exams of Nursing

Download ACLS Exam Version A&B questions and answers 2024/2025 latest 100%CORRECT Already Graded A+ and more Exams Nursing in PDF only on Docsity! ACLS Exam Version A&B questions and answers 2024/2025 latest 100%CORRECT Already Graded A+(Exellent score) ACLS Exam Version A&B (100 questions and answers) 2024/2025 latest 100%CORRECT Already Graded A+(Exellent score) ACLS Exam Version A Advanced Cardiovascular Life Support Exam Version A (50 questions) Please do not mark on this exam. Record the best answer on the separate answer sheet. 1. You find an unresponsive patient who is not breathing. After activating the emergency response system, you determine that there is no pulse. What is your next action? A. Open the airway with a head tilt–chin lift. B. Administer epinephrine at a dose of 1 mg/kg. ACLS Exam Version A C. Deliver 2 rescue breaths each over 1 second. D. Start chest compressions at a rate of at least 100/min. 2. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 97%. What assessment step is most important now? A. PETCO2 B. Chest x-ray C. Laboratory testing D. Obtaining a 12-lead ECG 3. What is the preferred method of access for epinephrine administration during cardiac arrest in most patients? A. Intraosseous B. Endotracheal C. Central intravenous D. Peripheral intravenous ACLS Exam Version A 5. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm below, and the patient has no pulse. Another member of your team resumes chest compressions, and an IV is in place. What management step is your next priority? A. Give 0.5 mg of atropine. B. Insert an advanced airway. C. Administer 1 mg of epinephrine. D. Administer a dopamine infusion. 6. During a pause in CPR, you see this lead II ECG rhythm on the monitor. The patient has no pulse. What is the next action? A. Establish vascular access. B. Obtain the patient’s history. C. Resume chest compressions. D. Terminate the resuscitative effort. 7. What is a common but sometimes fatal mistake in cardiac arrest management? A. Failure to obtain vascular access B. Prolonged periods of no ventilations C. Failure to perform endotracheal intubation ACLS Exam Version A D. Prolonged interruptions in chest compressions 8. Which action is a component of high-quality chest compressions? A. Allowing complete chest recoil B. Chest compressions without ventilation C. 60 to 100 compressions per minute with a 15:2 ratio D. Uninterrupted compressions at a depth of 1½ inches ACLS Exam Version A 9. Which action increases the chance of successful conversion of ventricular fibrillation? A. Pausing chest compressions immediately after a defibrillation attempt B. Administering 4 quick ventilations immediately before a defibrillation attempt C. Using manual defibrillator paddles with light pressure against the chest D. Providing quality compressions immediately before a defibrillation attempt 10. Which situation BEST describes pulseless electrical activity? A. Asystole without a pulse B. Sinus rhythm without a pulse C. Torsades de pointes with a pulse D. Ventricular tachycardia with a pulse 11. What is the BEST strategy for performing high-quality CPRon a patient with an advanced airway in place? A. Provide compressions and ventilations with a 15:2 ratio. B. Provide compressions and ventilations with a 30:2 ratio. C. Provide a single ventilation every 6 seconds during the compression pause. D. Provide continuous chest compressions without pauses and 10 ventilations per minute. 12. Three minutes after witnessing a cardiac arrest, one member of your team inserts an endotracheal tube while another performs continuous chest compressions. During subsequent ventilation, you notice the presence of a waveform on the capnography screen and a PETCO2 level of 8 mm Hg. What is the significance of this finding? A. Chest compressions may not be effective. B. The endotracheal tube is no longer in the trachea. C. The patient meets the criteria for termination of efforts. D. The team is ventilating the patient too often (hyperventilation). 13. The use of quantitative capnography in intubated patients A. allows for monitoring of CPR quality. B. measures oxygen levels at the alveoli level. ACLS Exam Version A 18. What action is recommended to help minimize interruptions in chest compressions during CPR? A. Continue CPR while charging the defibrillator. B. Perform pulse checks immediately after defibrillation. C. Administer IV medications only when delivering breaths. D. Continue to use an AED even after the arrival of a manual defibrillator. 19. Which action is included in the BLS Survey? A. Early defibrillation B. Advanced airway management C. Rapid medication administration ACLS Exam Version A D. Preparation for therapeutic hypothermia ACLS Exam Version A 20. Which drug and dose are recommended for the management of a patient in refractory ventricular fibrillation? A. Atropine 2 mg B. Amiodarone 300 mg C. Vasopressin 1 mg/kg D. Dopamine 2 mg/kg per minute 21. What is the appropriate interval for an interruption in chest compressions? A. 10 seconds or less B. 10 to 15 seconds C. 15 to 20 seconds D. Interruptions are never acceptable 22. Which of the following is a sign of effective CPR? A. PETCO2 ≥10 mm Hg B. Measured urine output of 1 mL/kg per hour C. Patient temperature >32°C (89.6°F) D. Diastolic intra-arterial pressure <20 mm Hg 23. What is the primary purpose of a medical emergency team(MET) or rapid response team (RRT)? A. Identifying and treating early clinical deterioration B. Rapidly intervening with patients admitted through emergency department triage C. Responding to patients during a disaster or multiple-patient situation D. Responding to patients after activation of the emergency response system 24. Which action improves the quality of chest compressions delivered during a resuscitation attempt? A. Observe ECG rhythm to determine depth of compressions. B. Do not allow the chest to fully recoil with each compression. C. Compress the upper half of the sternum at a rate of 150 compressions per minute. ACLS Exam Version A 26.A patient presents to the emergency department with new onset of dizziness and fatigue. On examination, the patient’s heartrate is 35/min, the blood pressure is 70/50 mm Hg, the respiratoryrate is 22 breaths/min, and the oxygen saturation is 95%. What is the appropriate first medication? A. Atropine 0.5 mg B. Oxygen 12 to 15 L/min C. Epinephrine 0.5 mg D. Aspirin 160 mg chewed 27.A patient presents to the emergency department with dizziness and shortness of breath with a sinus bradycardia of 40/min. The initial atropine dose was ineffective, and your monitor/defibrillator is not equipped with a transcutaneous pacemaker. What is the appropriate dose of dopamine for this patient? A. 2 to 10 mg/min B. 2 to 10 mcg/kg per minute C. 10 to 15 mg/min D. 10 to 15 mcg/kg per minute 28.A patient has sudden onset of dizziness. The patient’s heart rate is 180/min, blood pressure is 110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is 98% on room air. The lead II ECG is shown below: What is the next appropriate intervention? A. Vagal maneuvers B. Metoprolol 5 mg IV C. Adenosine 6 mg IV ACLS Exam Version A D. Normal saline 1 L bolus ACLS Exam Version A ACLS Exam Version A A. Atropine IV push B. Epinephrine IV infusion C. Application of a transcutaneous pacemaker D. Simple airway maneuvers and assisted ventilation ACLS Exam Version A 34.What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is selected? A. Suction during insertion but for no longer than 30 seconds. B. Suction the mouth and nose for no longer than 30 seconds. C. Suction during withdrawal but for no longer than 10 seconds. D. Hyperventilate before catheter insertion, and then suction during withdrawal. 35.While treating a patient with dizziness, a blood pressure of 68/30 mm Hg, and cool, clammy skin, you see this lead II ECG rhythm: What is the most appropriate first intervention? A. Aspirin B. Atropine C. Lidocaine D. Nitroglycerin 36.A 68-year-old woman experienced a sudden onset of right arm weakness. EMS personnel measure a blood pressure of 140/90mm Hg, a heart rate of 78/min, a nonlabored respiratory rate of 14 breaths/min, and a pulse oximetry reading of 97%. The lead II ECG displays sinus rhythm. What is the most appropriate action for the EMS team to perform next? A. 12-lead ECG assessment B. Administration of 100% supplementary oxygen C. Cincinnati Prehospital Stroke Scale assessment D. Administration of a low-dose aspirin 37.EMS is transporting a patient with a positive prehospital stroke assessment. Upon arrival in the emergency department, the initial blood pressure is 138/78 mm Hg, the pulse rate is 80/min, the respiratory rate is 12 breaths/min, and the ACLS Exam Version A pulse oximetry reading is 95% on room air. The lead II ECG displays sinus rhythm. The blood glucose level is within normal limits. What intervention should you perform next? A. Head CT scan B. Transfer to the stroke unit C. Immediate rtPA administration D. Administration of 100% oxygen ACLS Exam Version A 42. Which rhythm requires synchronized cardioversion? A. Unstable supraventricular tachycardia B. Atrial fibrillation C. Sinus tachycardia D. NSR on monitor but no pulse ACLS Exam Version A 43.What is the recommended second dose of adenosine for patients in refractory but stable narrow-complex tachycardia? A. 3 mg B. 6 mg C. 9 mg D. 12 mg 44.What is the usual post–cardiac arrest target range for PETCO2 when ventilating a patient who achieves return of spontaneous circulation (ROSC)? A. 30 to 35 mm Hg B. 35 to 40 mm Hg C. 40 to 45 mm Hg D. 45 to 50 mm Hg 45.Which condition is a contraindication to therapeutic hypothermia during the post–cardiac arrest period for patients who achieve return of spontaneous circulation ROSC? A. Initial rhythm of asystole B. Responding to verbal commands C. Patient age greater than 60 years D. Desire to provide coronary reperfusion (eg, PCI) 46.What is the potential danger of using ties that pass circumferentially around the patient’s neck when securing an advanced airway? A. May interfere with effective ventilation B. Places the patient’s cervical spine at risk C. Obstruction of venous return from the brain D. Does not adequately secure the airway device 47.What is the most reliable method of confirming andmonitoring correct placement of an endotracheal tube? ACLS Exam Version A A. 5-point auscultation B. Colorimetric capnography C. Continuous waveform capnography D. Use of esophageal detection devices 48.What is the recommended IV fluid (normal saline or Ringer’s lactate) bolus dose for a patient who achieves ROSC but is hypotensive during the post– cardiac arrest period? A. 250 to 500 mL B. 500 to 1000 mL ACLS Exam Version A 49.What is the minimum systolic blood pressure one should attempt to achieve with fluid, inotropic, or vasopressor administration in a hypotensive post–cardiac arrest patient who achieves ROSC? A. 90 mm Hg B. 85 mm Hg C. 80 mm Hg D. 75 mm Hg 50. What is the first treatment priority for a patient who achieves ROSC? A. Coronary reperfusion B. Therapeutic hypothermia C. Maintaining blood glucose <185 mg/dL D. Optimizing ventilation and oxygenation Advanced Cardiovascular Life Support Exam VersionAand B (100 Questions with 100% correct Answers) Updated 2024. 1 2 Advanced Cardiovascular Life Support Written Exam Version A © 2011 American Heart Association Advanced Cardiovascular Life Support Exam Version B (50 Questions with 100% correct Answers) Updated 2024. Please do not mark on this exam. Record the best answer on the separate answer sheet. 1. What should be done to minimize interruptions in chest compressions during CPR? A. Perform pulse checks only after defibrillation. B. Continue CPR while the defibrillator is charging. C. Administer IV medications only when breaths are given. D. Continue to use AED even after the arrival of a manual defibrillator. ACLS Exam Version A 2. Which condition is an indication to stop or withhold resuscitative efforts? A. Unwitnessed arrest B. Safety threat to providers C. Patient age greater than 85 years D. No return of spontaneous circulation after 10 minutes of CPR 3. After verifying the absence of a pulse, you initiate CPR with adequate bag-mask ventilation. The patient’s lead II ECG appears below. What is your next action? A. IV or IO access B. Endotracheal tube placement C. Consultation with cardiology for possible PCI D. Application of a transcutaneous pacemaker 4. After verifying unresponsiveness and abnormal breathing, you activate the emergency response team. What is your next action? A. Retrieve an AED. B. Check for a pulse. C. Deliver 2 rescue breaths. D. Administer a precordial thump. ACLS Exam Version A 13. IV/IO drug administration during CPR should be A. given rapidly during compressions. B. administered slowly during the pause for a pulse check. C. given by infusion. D. given before any defibrillation attempts. 14. How often should the team leader switch chest compressors during a resuscitation attempt? A. Every minute B. Every 2 minutes C. Every 3 minutes D. Every 4 minutes 15. Which finding is a sign of ineffective CPR? A. PETCO2 <10 mm Hg B. Patient temperature >32°C (89.6°F) C. Diastolic intra-arterial pressure ≥20 mm Hg D. Measured patient urine output of 1 mL/kg per hour ACLS Exam Version A 22. A patient with pulseless ventricular tachycardia is defibrillated. What is the next action? A. Check for a pulse. B. Administer an IV antiarrhythmic. C. Start chest compressions at a rate of at least 100/min. D. Repeat the unsynchronized shock, increasing to 200 J. 23. You have completed your first 2-minute period of CPR. You see an organized, nonshockable rhythm on the ECG monitor. What is the next action? A. Administer normal saline at 20 mL/kg. B. Administer epinephrine at 1 mg/kg IV. C. Obtain a blood pressure and oxygen saturation. D. Have a team member attempt to palpate a carotid pulse. 24. Emergency medical responders are unable to obtain a peripheral IV for a patient in cardiac arrest. What is the next most preferred route for drug administration? A. Intraosseous (IO) B. Endotracheal (ET) C. Intramuscular (IM) D. Central venous access 25. What is the appropriate rate of chest compressions for an adult in cardiac arrest? A. At least 150/min B. At least 100/min C. Approximately 100/min D. Approximately 120/min ACLS Exam Version A 26. You are receiving a radio report from an EMS team en route with a patient who may be having an acute stroke. The hospital CT scanner is not working at this time. What should you do in this situation? A. Contact the patient’s family to see what they would prefer. B. Have the EMS crew choose an appropriate patient disposition. C. Accept the report and provide care within your present capability. D. Divert the patient to a hospital 15 minutes away with CT capabilities. D. Obtain a 12-lead ECG and administer aspirin if not contraindicated. ACLS Exam Version A 31. An 80-year-old woman presents to the emergency department with dizziness. She now states she is asymptomatic after walking around. Her blood pressure is 102/72 mm Hg. She is alert and oriented. Her lead II ECG is below. After you start an IV, what is the next action? A. Give an IV fluid bolus. B. Give atropine and monitor for changes in mental status. C. Start an epinephrine infusion and titrate to patient response. D. Conduct a problem-focused history and physical examination. 32. What is the recommended oral dose of aspirin for patients suspected of having one of the acute coronary syndromes? A. 2 to 4 mg B. 80 to 120 mg C. 160 to 325 mg D. 400 to 600 mg 33. 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 mm Hg, and a heart rate of 190/min. The patient’s lead II ECG is displayed below. Which of the following terms best describes this patient? A. Sinus tachycardia B. Perfusing ventricular tachycardia C. Stable supraventricular tachycardia D. Unstable supraventricular tachycardia ACLS Exam Version A D. Performing a jaw thrust without head extension 39. A patient in respiratory distress and with a blood pressure of 70/50 mm Hg presents with the following lead II ECG rhythm: What is the appropriate next intervention? A. Defibrillation B. Amiodarone 150 mg IV C. Adenosine 6 mg IV push D. Synchronized cardioversion 40. A patient has a witnessed loss of consciousness. The lead II ECG reveals this rhythm: What is the appropriate next intervention? A. Defibrillation B. Adenosine 6 mg IV push C. Epinephrine 1 mg IV push D. Synchronized cardioversion ACLS Exam Version A 41. What is the recommended energy dose for biphasic synchronized cardioversion of atrial fibrillation? A. 50 to 75 J B. 75 to 100 J C. 120 to 200 J D. 200 to 300 J