AHA ACLS Written Test LATEST UPDATE 2023-
2024 50 QUESTIONS AND ANSWERS
- min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube
while another performs continuous chest comressions. During subsequent bentilation, you notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8
mm Hg. What is the significance of this finding? - CORRECT ANSWER: Chest
compressions may not be effective.
A 49 y/ofmaile arrives in the ER with persistant epigastric pain. She has been taking antacids PO for the past 6 hours because she she had heartburn. BP is 118/72, heart rate is 92/min, resp. rate is 14 non-labored and O2 sat is 96%. What is the most
appropriate next action? - CORRECT ANSWER: Obtain a 12 lead ECG.
A 62 y/o male pt. in the ER says his heart is beating fast. No chest pain or SOB. BP is 142/98, pulse rate is 200/min, reps rate is 14/min, O2 sats are 95 at room air. What
should be the next evaluation? - CORRECT ANSWER: Obtain a 12 lead ECG.
A 68 y/o female pt. experienced a sudden onset of right arm weakness. BP is 140/90, pulse is 78/min, resp rate is non-labored 14/min, 02 sat is 97%. Lead 2 in the ECG
shows a sinus rythm. What would be your next action? - CORRECT ANSWER:
Cinncinati Stroke Scale
A monitored pt. in the ICU developed a suddent onset of narrow complex tach at a rate of 220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%.There is an EJ established for vascular access. The pt. denies taking any vasodialators.A 12 lead shows no ischemia or infarction. Vagal manuevers are ineffective. What is the
next intervention? - CORRECT ANSWER: Adenosine 12mg IV
A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is 110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow complex tach rythm. What is the next
intervention? - CORRECT ANSWER: Vagal manuever.
A pt. in respiratory failure becomes apneic but contineues to have a strong pulse. The heart rate is dropping paridly and now shows a sinus brady rate at 30/min. What intervention has the highest priority? - CORRECT ANSWER: Simple airway manuevers and assisted ventilations.
A pt. presents to the ER with a new onset of dizziness and fatugue. Onexamination, the pt's heart rate is 35 beats/min, BP is 70/50, resp. rate is 22 per min, O2 sat is 95%.
What is the appropriate 1st medication? - CORRECT ANSWER: Atropine 0.5mg
A pt. presents to the ER with dizziness and SOB with a sinus brady of 40/min. The initial atropine dose was ineffective and your monitor does not provide TCP. What is the
appropriate dose of Dopamine for this pt? - CORRECT ANSWER: 2-10mcg/kg/min
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An AED does not promptly analyze a rythm. What is your next step? - CORRECT
ANSWER: Begin chest compressions.
Choose an appropriate inidication to stop or withhold resuscitive efforts. - CORRECT
ANSWER: Evidence of rigor mortis.
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has
no pulse. What is the next action? - CORRECT ANSWER: Resume compressions
During your assessment, your pt suddenly loses consciousness. After calling for help and determining that the pt. is not breathing, you are unsure whether the pt. has a
pulse. What is your next action? - CORRECT ANSWER: Begin chest compressions.
For the past 25 min, EMS crews have attemptedresuscitation of a pt who originally presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which has persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next treatment? - CORRECT ANSWER: Consider terminating resuscitive efforts after consulting medical control.
The use of quantitative capnography in intubated pt's does what? - CORRECT
ANSWER: Allowsfor monitoring CPR quality
What action is recommended to help minimize interruptions in chest compressions
during CPR? - CORRECT ANSWER: Continue CPR while charging the defibrillator.
What is acommon but sometimes fatal mistake in cardiac arrest management? -
CORRECT ANSWER: Prolonged interruptions in chest compressions.
What is an advantage of using hands-free d-fib pads instead of d-fib paddles? -
CORRECT ANSWER: Hands-free allows for more rapid d-fib.
What is the 1st treatment priority for a pt. who achieves ROSC? - CORRECT
ANSWER: Optimizing ventilation and oxygenation.
What is the appropriate intervalfor an interruption in chest compressions? - CORRECT
ANSWER: 10 seconds or less
What is the appropriate procedure for ET suctioning after the catheter is selected? -
CORRECT ANSWER: Suction during withdrawl, but not for longer than 10 seconds.
What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse
of 80 beats/min? - CORRECT ANSWER: 1 breath every 5-6 seconds
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced
airway in place? - CORRECT ANSWER: Provide continuous chest
compressionswithout pauses and 10 ventilations per minute.
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