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INSTANT PDF DOWNLOAD – Complete ACLS Post Test 1, 2 & 3 with actual questions and answers plus expert-verified explanations. Each post test contains 50 multiple-choice questions, aligned with current ACLS guidelines and trusted textbooks. Designed to help healthcare professionals confidently prepare and achieve the required 90% passing score. acls post test 1, acls post test 2, acls post test 3, acls post test pdf, acls questions and answers, acls practice test, acls exam review pdf, acls post test answers, acls certification practice, acls multiple choice questions, acls study guide pdf, acls exam prep, acls verified answers, acls healthcare exam, acls resuscitation exam, acls training test
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Table of Contents
ACLS POST TEST 1
### 1. A 48-year-old man became unresponsive shortly after presenting to you with nausea and generalized chest discomfort. You observe gasping breathing and are unsure if you feel a pulse. You should know:
A. Call for help and begin chest compressions.
B. Wait until breathing stops and then check again for a pulse.
C. Begin chest compressions only if you are certain a pulse is absent.
D. Observe the patient for 2 minutes, then reassess his breathing and pulse.
Answer: A. Call for help and begin chest compressions.
### 3. A 52-year-old man is complaining of palpitations that came on suddenly after walking up a short flight of stairs. His symptoms have been present for about 20 minutes. He is not short of breath. His blood pressure is 144/88 mm Hg, his heart rate is 186 beats/min. What medication is most appropriate in this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
D. Procainamide or amiodarone
Answer: D. Procainamide or amiodarone
Expert Explanation: Given the patient’s unstable tachycardia (186 beats/min) without chest pain, administering antiarrhythmic medications such as procainamide or amiodarone would be appropriate. They can help stabilize his rhythm and reduce heart rate.
### 4. Your general impression of a 78-year-old woman reveals that her eyes are closed, she is not moving, and you can see no rise and fall of her chest or abdomen. When you arrive at her side, you confirm that she is unresponsive. Your best action in this situation will be to:
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has a pulse.
D. Prepare the necessary equipment to insert an advanced airway.
Answer: C. Assess breathing and determine whether she has a pulse.
Expert Explanation: Before starting interventions such as CPR or using an AED, it is crucial to assess breathing and pulse. This step determines the appropriate course of action based on whether the patient is in cardiac arrest.
### 5. A 60-year-old woman has suffered cardiac arrest. A health care professional trained in endotracheal intubation has intubated the patient. Which of the following findings would indicate inadvertent esophageal intubation?
A. Jugular vein distention
B. Subcutaneous emphysema
### 7. Which of the following is incorrect with regard to a postevent debriefing?
A. The facilitator should use open-ended questions to encourage discussion.
B. Team members are encouraged to identify lessons learned in a nonpunitive environment.
C. The gather phase of the debriefing includes a comparison of the team's actions with current resuscitation algorithms.
D. Team members are given an opportunity to reflect on their performance and how their performance can be improved.
Answer: C. The gather phase of the debriefing includes a comparison of the team's actions with current resuscitation algorithms.
Expert Explanation: In the gather phase, the focus is typically on sharing experiences and what occurred during the event rather than adhering strictly to algorithms. A comparison with guidelines would usually occur at a later stage of the debriefing.
### 8. Assuming there are no contraindications, which of the following can be performed as an initial intervention for a stable but symptomatic patient with the rhythm shown?
A. Defibrillation
B. Vagal maneuvers
C. Administration of intravenous (IV) diltiazem
D. Administration of IV epinephrine
Answer: B. Vagal maneuvers
Expert Explanation: For stable patients experiencing symptomatic tachycardia, vagal maneuvers are the first-line treatment. These maneuvers can help restore normal heart rhythm effectively.
### 9. A 62-year-old man received IV tissue plasminogen activator (tPA) 2 hours ago after a diagnosis of acute ischemic stroke. You observe swelling of the patient's lips and tongue. Your best course of action will be to:
Expert Explanation: In cases of unsuccessful peripheral IV access during a cardiac arrest, attempting intraosseous access is the next best step for delivering medications rapidly and efficiently. It can provide a reliable route for resuscitative drugs.
### 11. Synchronized cardioversion:
A. Is used only for atrial dysrhythmias.
B. Delivers a shock during ventricular depolarization.
C. Delivers a shock between the peak and end of the T wave.
D. Is used only for rhythms with a ventricular rate of less than 60 beats/min.
Answer: B. Delivers a shock during ventricular depolarization.
Expert Explanation: Synchronized cardioversion is designed to deliver a shock during the R wave of the QRS complex to prevent the shock from inducing ventricular fibrillation, which can occur if the shock is delivered during the vulnerable period of the T wave.
status. The cardiac monitor shows he is hypotensive with a BP of 58/30 mm Hg and the skin is cool and moist. Your best course of action will be to:
A. Prepare for transcutaneous pacing.
B. Give amiodarone 300 mg IV push.
C. Give epinephrine 1 mg IV bolus and reassess.
D. Observe the patient and monitor for signs of deterioration.
Answer: A. Prepare for transcutaneous pacing.
Expert Explanation: In patients with acute hemodynamic instability and altered mental status likely due to bradycardia caused by heart block, preparing for transcutaneous pacing can be a critical intervention to stabilize the rhythm and improve blood pressure.
lead to timely and appropriate treatment such as reperfusion therapy, thereby reducing treatment delays at the hospital.
Immediate management of this patient should include:
A. Giving aspirin and NTG.
B. Establishing IV access and giving aspirin.
C. Administering oxygen and establishing IV access.
D. Administering oxygen and obtaining a targeted history.
Answer: B. Establishing IV access and giving aspirin.
Expert Explanation: Establishing IV access allows for the administration of medications such as aspirin, which is essential for patients with suspected acute coronary syndrome. It is a rapid intervention that helps to relieve coronary artery occlusion risks.
___ of patient contact when acute coronary syndrome (ACS) is suspected.
A. 10 minutes
B. 30 minutes
C. 45 minutes
D. 60 minutes
Answer: A. 10 minutes
Expert Explanation: Time-dependent management of ACS patients is a critical aspect of care, with guidelines recommending obtaining a 12-lead ECG within 10 minutes of contact to facilitate immediate diagnosis and appropriate treatment.
### 16. The patient's 12-lead ECG results should be used to classify the patient into one of three groups. Which of the following correctly reflects these categories?
A. ST elevation (STE), normal ECG, Q waves
B. Q waves, ST depression (STD), inconclusive ECG
C. STD, normal ECG, inconclusive ECG
D. STE, STD, normal or nondiagnostic ECG
Answer: D. STE, STD, normal or nondiagnostic ECG
B. V2, V3, and V
C. III, aVF, and V
D. I, II, III, and aVL
Answer: B. V2, V3, and V
Expert Explanation: Contiguous leads are those that are next to each other in the ECG layout; thus, findings should be interpreted in at least two contiguous leads to assess for the significance properly.
A. Posterior
B. Inferolateral
C. Anterolateral
D. Non-ST elevation
Answer: C. Anterolateral
Expert Explanation: The description of the ECG leads indicates anterior and lateral involvement of the heart muscle, consistent with an anterolateral myocardial infarction.
A. The patient should be classified as having a nondiagnostic ECG and discharged with follow-up instructions.
B. The patient should be classified as having an ST elevation MI (STEMI) and should be evaluated for immediate reperfusion therapy.
C. The patient should be classified as having a normal ECG; serial ECGs should be obtained at 30-minute intervals to detect the development of ST elevation.
D. The patient should be classified as having a non-ST elevation ACS (NSTE- ACS) and should be admitted to a monitored bed for further evaluation.
Answer: B. The patient should be classified as having an ST elevation MI (STEMI) and should be evaluated for immediate reperfusion therapy.
Expert Explanation: Given the findings on the 12-lead ECG indicating STE, the patient meets criteria for STEMI, warranting urgent intervention such as PCI or thrombolytics.
### 21. Assuming there are no contraindications for any of the following medications, which of the following would be appropriate for this patient at this time?
Expert Explanation: Nitroglycerin lowers blood pressure; therefore, it is contraindicated in patients with significant hypotension, as it may exacerbate their condition.
recommended dosage of NTG tablets. Morphine sulfate was ordered and a 4 mg dose was given IV. The patient's BP is now 80/60 mm Hg and his skin is cool, moist, and pale. You should:
A. Prepare a lidocaine infusion at 1 to 4 mg/min.
B. Prepare an epinephrine infusion at 2 mcg/min.
C. Give a 250 mL IV fluid bolus of normal saline.
D. Prepare a dopamine infusion at 2 to 10 mcg/kg/min.
Answer: C. Give a 250 mL IV fluid bolus of normal saline.
Expert Explanation: IV fluid boluses can help increase preload and improve blood pressure in hypotensive patients. In this scenario, the patient exhibits signs of shock, necessitating fluid resuscitation.
### 24. Which of the following is not recommended when performing defibrillation?
A. Check for a pulse immediately after defibrillation to determine next steps.
B. Visually check and ensure that everyone is clear of the patient before shock delivery.
C. Remove transdermal medication patches or ointment from the patient's chest before the procedure.
D. All team members with the exception of the chest compressor should clear the patient as the machine charges.
Answer: A. Check for a pulse immediately after defibrillation to determine next steps.
Expert Explanation: After defibrillation, the resuscitation team should continue CPR without checking for a pulse immediately, as immediate monitoring may delay further effective interventions.
A. Older adults, women, and diabetic individuals.
B. Men, older adults, and individuals who have liver disease.
C. Women, diabetic individuals, and individuals who have liver disease.
