ACLS EXAM VERSION A 50 QUESTIONS
WITH
VERIFIED ANSWERS 2023-2024
ACTUAL EXAM
Advanced Cardiovascular Life Support
Exam Version A (50
... [Show More] 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.
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
ACLS Exam Version A
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
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.
C. determines inspired carbon dioxide relating to cardiac output.
D. detects electrolyte abnormalities early in code management. [Show Less]