Acls exam version A and B 2024-2025 (100questions with 100% correct answers) graded A Plus, Exams of Nursing

Download Acls exam version A and B 2024-2025 (100questions with 100% correct answers) graded A Plus and more Exams Nursing in PDF only on Docsity! Acls exam version A and B 2024-2025 (100questions with 100% correct answers) graded A Plus.most verified for excellent results. 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. 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 preferredmethod of access for epinephrine administration during cardiac arrest in most patients? A. Intraosseous B. Endotracheal C. Central intravenous ACLS Exam Version A 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 ACLS Exam Version A D. Uninterrupted compressions at a depth of 1½ inches ACLS Exam Version A 9. Which action increasesthe 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. ACLS Exam Version A 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 aninterruption 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. D. Switch providers about every 2 minutes or every 5 compression cycles. 25. What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse rate 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 D. Normal saline 1 L bolus ACLS Exam Version é American Heart Association. ACLS Exam Version A 29.A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of 220/min. The patient’s blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular access at the left internal jugular vein, and the patient has not been given any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. What is the next recommended intervention? A. Adenosine 6 mg IV push B. Amiodarone 300 mg IV push C. Synchronized cardioversion at 50 J D. Synchronized cardioversion at 200 J 30.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. 31.Choose an appropriate indication to stop or withhold resuscitative efforts. A. Arrest not witnessed B. Evidence of rigor mortis C. Patient age greater than 85 years D. No return of spontaneous circulation after 10 minutes of CPR 32.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? A. Administer oxygen. B. Obtain a 12-lead ECG. C. Evaluate for fibrinolytic eligibility. D. Administer sublingual nitroglycerin. 33.A patient in respiratory failure becomes apneic but 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 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? ACLS Exam Version A A. Head CT scan B. Transfer to the stroke unit C. Immediate rtPA administration D. Administration of 100% oxygen ACLS Exam Version é American Heart Association. 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? 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 ACLS Exam Version A period? A. 250 to 500 mL B. 500 to 1000 mL ACLS Exam Version A C. 1 to 2 L ACLS Exam Version A 12 Advanced Cardiovascular Life Support Written Exam Version A © 2011 American Heart Association ACLS Exam Version B questions and answers 2023/24 latest 100%CORRECT 1.Your patient is in cardiac arrest and has been intubated. To assess CPRquality, which should you do? A.Monitor the patients PETCO2 B. Obtain a 12-lead ECG C. Check the patients pulse D.Obtain a chest X-Ray Answer: A. Monitor the patients PETCO2 2.Which facility is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved return of spontaneous circulation in thefield? A. Comprehensive stroke care unit B. Acute rehabilitation care unit C. Acute long-term care unit D.Coronary reperfusion- capable medical center Answer: D. Coronary reperfusion-capable medical center 3.Which of the following signs is a likely indicator of cardiac arrest in anunresponsive patient? A. Slow, weak pulse rate B. Cyanosis C. Agonal gasps D. Irregular, weak pulse rate ACLS Exam Version A Answer: C. Agonal gasps ACLS Exam Version A 4.To properly ventilate a patient with a perfusing rhythm, how often do yousqueeze the bag? A. Once every 3 to 4 seconds B. Once every 5 to 6 seconds C. Once every 10 seconds D.Once every 12 seconds Answer: B. Once every 5 to 6 seconds 5.In addition to clinical assessment, which is the most reliable method toconfirm and monitor correct placement of the endotracheal tube? A. Arterial Blood Gases B. Chest radiography C. Continuous waveform capnography D.Hemoglobin levels Answer: C. Continuous waveform capnography 6.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 approach is the best for this patient? A. Hold fibrinolytic therapy for 24 hours B. Start fibrinolytic therapy as soon as possible C. Order an echocardiogram before fibrinolytic administration D.Wait for the results of the MRI Answer: B. Start fibrinolytic therapy as soon as possible 7.What is the recommended range from which a temperature should be selected and maintained constantly to achieve targeted ACLS Exam Version A Answer: B. 5 to 10 seconds 14. You instruct a team member to give 0.5 mg atropine IV. Which responseis an example of a closed-loop communication? A. "I'll give it in a few minutes" B. "OK" C. "I'll draw up 0.5 mg of atropine" D. "Are you sure that is what you want given?" Answer: C. "I'll draw up 0.5 mg ofatropine." 15.What is an effect of excessive ventilation? A. Decreased cardiac output B. Decreased intrathoracic pressure C. Increased perfusion pressures D. Increased venous return Answer: A. Decreased cardiac output 16. If a team member is about to make a mistake during a resuscitation attempt, which best describes the action that the team leader or other teammembers should take? A. Conduct a debriefing after the resuscitation attempt B. Reassign the team tasks C. Address the team member immediately D.Remove the team member from the area Answer: C. Address the team memberimmediately 17. For STEMI patients, which best describes the recommended maximumgoal time for ED door-to-balloon inflation time for percutaneous coronaryintervention? ACLS Exam Version A A. 180 minutes B. 150 minutes C. 120 minutes D. 90 minutes Answer: D. 90 minutes 18. Which is the maximum interval you should allow for an interruption inchest compressions? A. 10 seconds B. 15 seconds C. 20 seconds D. 25-30 seconds Answer: A. 10 seconds 19. Which is one way to minimize interruptions in chest compressions duringCPR? A. Administer IV medications only when delivery breaths B. Check the pulse immediately after defibrillation C. Use an AED to monitor the patients rhythm D.Continue CPR while the defibrillator charges Answer: D. Continue CPR while thedefibrillator charges 20. Which best describes an action taken by the team leader to avoid inefficiencies during a resuscitation attempt? A. Assign most tasks to more experienced members B. Perform the most complicated tasks C. Clearly delegate tasks D.Assign the same tasks to more than one team member Answer: C. Clearly delegatetasks ACLS Exam Version A 21. Which is an acceptable method of selecting an appropriately sizedoropharyngeal airway? A.Measure from the corner of the mouth to the angle of the mandible B.Measure from the thyroid cartilage to the bottom of the earlobe C. Estimate by using the formula weight D.Estimate by using the size of the patient's finger Answer: A. Measure from the cornerof the mouth to the angle of the mandible 22. You are evluating a 58 year old man with chest discomfort. His blood pressure is 92/50 mmHg, his HR is 92/min, his nonlabored RR is 14 breaths/min, and his pulse oximetry is 97%. Which assessment is more important now? A. Evaluating the PETCO2 reading B. Requesting a chest x-ray C. Obtaining a 12-lead ECG D.Requesting lab testing Answer: C. Obtaining a 12-lead ECG 23. A patient in respiratory distress and with BP of 70/50 mmHg presents withthe lead II ECG rhythm in Ventricular tachycardia. Which is the appropriate treatment? A. Administering adenosine 6 mg IV Push B. Performing synchronized cardioversion C. Perform vagal maneuvers D. Perform defibrillation Answer: B. Performing synchronized cardioversion ACLS Exam Version A C. "Amiodarone 500 mg IV has been given" D. "I have an order to give 500 mg of amiodarone IV. Is this correct?" Answer: D. "Ihave an order to give 500 mg of amiodarone IV. Is this correct?" 31. A patient in stable narrow-complex tachycardia witha peripheral IV in place is refractory to the first dose of adenosine. Which dose would youadminister next? A. 3 mg B. 12 mg C. 20 mg D. 40 mg Answer: B. 12 mg 32. Which of these tests should be performed for a patient with suspectedstroke within 25 minutes of hospital arrival? A. 12-lead ECG B. Cardiac Enzymes C. Coagulation studies D.Noncontrast CT scan of the head Answer: D. Noncontrast CT scan of the head 33. 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? A. 75 mmHg B. 80 mmHg C. 85 mmHg ACLS Exam Version A D. 90 mmHg Answer: D. 90 mmHg 34. A 45-year old man had coronary artery stents placed 2 days ago. Today,he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. his radial pulse is very weak, blood pressures is 64/40 mmHg, respiratory rate is 28/min, and oxygen sat is 89% on RA. When applied, the cardiac monitor initially showed ventriculartachycardia, which then quickly changed to ventricular fibrillation. Based on the initial presentation, which condition do you suspect led to the cardiac arrest? A. Acute coronary syndrome B. Acute heart failure C. Acute ischemic stroke D. Supraventricular tachycardia with ischemic chest pain Answer: A. Acute coronarysyndrome 35. A 45-year old man had coronary artery stents placed 2 days ago. Today,he is in severe distress and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. his radial pulse is very weak, blood pressures is 64/40 mmHg, respiratory rate is 28/min, and oxygen sat is 89% on RA. When applied, the cardiac monitor initially showed ventriculartachycardia, which then quickly changed to ventricular fibrillation. In addition to defibrillation, which intervention should be performed immediately? A. Advanced airway insertion ACLS Exam Version A B. vasoactive medication administration ACLS Exam Version A Which would you have done first if the patient had not gone into V- ACLS Exam Version A Fib? A. Establish IV access B. Obtain a 12 lead ECG C. Given atropine 1 mg D. Performed syncrhonized cardioversion? Answer: D. Performed synchronized cardioversion 40. A 68-year old women presents with light-headedness, nausea, and chestdiscomfort. Your assessment finds her awake and responsive but ill-appear-ing, pale, and grossly diaphoretic. Her radial pulse is weak thready, and fast.You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderaterales present bilaterally. The cardiac rhythm is tachycardia. The patient's pulse oximeter shows a reading of 84% on RA. Which initialaction do you take? A. Perform bag-mask ventilation B. Intubate the patient C. Apply oxygen D.Check the pulse oximeter probe Answer: C. Apply oxygen 41. A 68-year old women presents with light-headedness, nausea, and chestdiscomfort. Your assessment finds her awake and responsive but ill-appear-ing, pale, and grossly diaphoretic. Her radial pulse is weak thready, and fast.You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderaterales present bilaterally. The cardiac rhythm is tachycardia. ACLS Exam Version A After your initial assessment of this patient, which intervention should beperformed next? A. Synchronized cardioversion B. Administration of amiodarone 150 mg IM C. Immediate defibrillation D. Endotracheal intubation Answer: A. Synchronized cardioversion 42. A 68-year old women presents with light-headedness, nausea, and chestdiscomfort. Your assessment finds her awake and responsive but ill-appear-ing, pale, and grossly diaphoretic. Her radial pulse is weak thready, and fast.You are unable to obtain a blood pressure. She has no obvious dependent edema, and her neck veins are flat. Her lung sounds are equal, with moderaterales present bilaterally. The cardiac rhythm is tachycardia. If the patient became apneic and pulseless but the rhythm remained the same, which would take the highest priority? A. Administer amiodarone 300 mg B. Administer atropine 0.5 mg C. Insert an advanced airway D. Perform defibrillation Answer: D. Perform defibrillation