ACLS Written Exam (2023/ 2024 Update) Questions and 100% Correct Verified Answers
QUESTION
You are receiving a radio report from an EMS team en route
... [Show More] 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?
Answer:
Divert the patient to a hospital 15 minutes away with CT capabilities.
QUESTION
Choose an appropriate indication to stop or withhold resuscitative efforts.
Answer:
Evidence of rigor mortis.
QUESTION
A 49-year-old woman arrives in the emergency department with persistent epigastric pain. She had been taking oral antacids for the past 6 hours because she thought she had heartburn. The initial blood pressure is 118/72 mm Hg, the heart rate is 92/min and regular, the nonlabored respiratory rate is 14 breaths/min, and the pulse oximetry reading is 96%. Which is the most appropriate intervention to perform next?
Answer:
Obtain a 12 lead ECG.
QUESTION
A patient in respiratory failure becomes apneic but continues to have a strong pulse. The heart rate is dropping rapidly and now shows a sinus bradycardia at a rate of 30/min. What intervention has the highest priority?
Answer:
Simple airway manuevers and assisted ventilations.
QUESTION
What is the appropriate procedure for endotracheal tube suctioning after the appropriate catheter is selected?
Answer:
Suction during withdrawal but for no longer than 10 seconds.
QUESTION
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 first intervention ?
Answer:
Atropine 0.5mg
QUESTION
A 68-year-old woman experienced a sudden onset of right arm weakness. EMS personnel measure a blood pressure of 140/90 mm 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?
Answer:
Cincinnati Prehospital Stroke Scale assessment
QUESTION
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 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?
Answer:
Head CT scan
QUESTION
What is the proper ventilation rate for a patient in cardiac arrest who has an advanced airway in place?
Answer:
8-10 breaths per minute
QUESTION
A 62-year-old man in the emergency department says that his heart is beating fast. He says he has no chest pain or shortness of breath. The blood pressure is 142/98 mm Hg, the pulse is 200/min, the respiratory rate is 14 breaths/min, and pulse oximetry is 95% on room air. What intervention should you perform next?
Answer:
Obtain a 12 lead ECG.
QUESTION
You are evaluating a 48-year-old man with crushing substernal chest pain. The patient is pale, diaphoretic, cool to the touch, and slow to respond to your questions. The blood pressure is 58/32 mm Hg, the heart rate is 190/min, the respiratory rate is 18 breaths/min, and the pulse oximeter is unable to obtain a reading because there is no radial pulse. The lead II ECG displays a regular wide-complex tachycardia. What intervention should you perform next?
Answer:
Synchronized cardioversion
QUESTION
What is the initial priority for an unconscious patient with any tachycardia on the monitor?
Answer:
Determine whether pulses are present.
QUESTION
Which rhythm requires synchronized cardioversion?
Answer:
Unstable supraventricular tachycardia
QUESTION
What is the recommended second dose of adenosine for patients in refractory but stable narrow-complex tachycardia?
Answer:
12mg
QUESTION
What is the usual post-cardiac arrest target range for PETCO2 when ventilating a patient who achieves return of spontaneous circulation (ROSC)?
Answer:
35-40mm Hg [Show Less]