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AHA ACLS Written Test questions and
answers
You bbfind bban bbunresponsive bbpt. bbwho bbis bbnot bbbreathing. bbAfter bbactivating bbthe bbemergency bbresponse
bbsystem, bbyou bbdetermine bbthere bbis bbno bbpulse. bbWhat bbis bbyour bbnext bbaction? bb- bbANSWER: bb bb➡ bbStart
bbchest bbcompressions bbof bbat bbleast bb 100 bbper bbmin.
You bbare bbevaluating bba bb 58 bbyear bbold bbman bbwith bbchest bbpain. bbThe bbBP bbis bb92/50 bband bba bbheart bbrate
bbof bb92/min, bbnon-labored bbrespiratory bbrate bbis bb 14 bbbreaths/min bband bbthe bbpulse bbO2 bbis bb97%. bbWhat
bbassessment bbstep bbis bbmost bbimportant bbnow? bb- bbANSWER: bb bb➡ bbObtaining bba bb 12 bblead bbECG.
What bbis bbthe bbpreferred bbmethod bbof bbaccess bbfor bbepi bbadministration bbduring bbcardiac bbarrest bbin bbmost
bbpts? bb- bbANSWER: bb bb➡ bbPeripheral bbIV
An bbAED bbdoes bbnot bbpromptly bbanalyze bba bbrythm. bbWhat bbis bbyour bbnext bbstep? bb- bbANSWER: bb bb➡ bbBegin
bbchest bbcompressions.
You bbhave bbcompleted bb 2 bbmin bbof bbCPR. bbThe bbECG bbmonitor bbdisplays bbthe bblead bbbelow bb(PEA) bband bbthe
bbpt. bbhas bbno bbpulse. bbYou bbpartner bbresumes bbchest bbcompressions bband bban bbIV bbis bbin bbplace. bbWhat
bbmanagement bbstep bbis bbyour bbnext bbpriority? bb- bbANSWER: bb bb➡ bbAdminister bb1mg bbof bbepinepherine
During bba bbpause bbin bbCPR, bbyou bbsee bba bbnarrow bbcomplex bbrythm bbon bbthe bbmonitor. bbThe bbpt. bbhas bbno
bbpulse. bbWhat bbis bbthe bbnext bbaction? bb- bbANSWER: bb bb➡ bbResume bbcompressions
What bbis bbacommon bbbut bbsometimes bbfatal bbmistake bbin bbcardiac bbarrest bbmanagement? bb- bbANSWER: bb
bb➡ bbProlonged bbinterruptions bbin bbchest bbcompressions.
Which bbaction bbis bba bbcomponant bbof bbhigh-quality bbchest bbcomressions? bb- bbANSWER: bb bb➡ bbAllowing
bbcomplete bbchest bbrecoil
Which bbaction bbincreases bbthe bbchance bbof bbsuccessful bbconversion bbof bbventricular bbfibrillation? bb-
bbANSWER: bb bb➡ bbProviding bbquality bbcompressions bbimmediately bbbefore bba bbdefibrillation bbattempt.
Which bbsituation bbBEST bbdescribes bbPEA? bb- bbANSWER: bb bb➡ bbSinus bbrythm bbwithout bba bbpulse
What bbis bbthe bbbest bbstrategy bbfor bbperfoming bbhigh-quality bbCPR bbon bba bbpt.with bban bbadvanced bbairway bbin
bbplace? bb- bbANSWER: bb bb➡ bbProvide bbcontinuous bbchest bbcompressionswithout bbpauses bband bb 10
bbventilations bbper bbminute.
3 bbmin bbafter bbwitnessing bba bbcardiac bbarrest, bbone bbmemeber bbof bbyour bbteam bbinserts bban bbET bbtube
bbwhile bbanother bbperforms bbcontinuous bbchest bbcomressions. bbDuring bbsubsequent bbbentilation, bbyou
bbnotice bbthe bbpresence bbof bba bbwavefom bbon bbthe bbcapnogrophy bbscreen bband bba bbPETCO2 bbof bb 8 bbmm bbHg.
bbWhat bbis bbthe bbsignificance bbof bbthis bbfinding? bb- bbANSWER: bb bb➡ bbChest bbcompressions bbmay bbnot bbbe
bbeffective.
The bbuse bbof bbquantitative bbcapnography bbin bbintubated bbpt's bbdoes bbwhat? bb- bbANSWER: bb bb➡ bbAllowsfor
bbmonitoring bbCPR bbquality
For bbthe bbpast bb 25 bbmin, bbEMS bbcrews bbhave bbattemptedresuscitation bbof bba bbpt bbwho bboriginally
bbpresented bbwith bbV-FIB. bbAfter bbthe bb1st bbshock, bbthe bbECG bbscreen bbdisplayed bbasystole bbwhich bbhas
bbpersisted bbdespite bb 2 bbdoses bbof bbepi, bba bbfluid bbbolus, bband bbhigh bbquality bbCPR. bbWhat bbis bbyour bbnext
bbtreatment? bb- bbANSWER: bb bb➡ bbConsider bbterminating bbresuscitive bbefforts bbafter bbconsulting bbmedical
bbcontrol.
Which bbis bba bbsafe bband bbeffective bbpractice bbwithin bbthe bbdefibrillation bbsequence? bb- bbANSWER: bb bb➡ bbBe
bbsure bbO2 bbis bbNOT bbblowing bbover bbthe bbpt's bbchest bbduring bbshock.
During bbyour bbassessment, bbyour bbpt bbsuddenly bbloses bbconsciousness. bbAfter bbcalling bbfor bbhelp bband
bbdetermining bbthat bbthe bbpt. bbis bbnot bbbreathing, bbyou bbare bbunsure bbwhether bbthe bbpt. bbhas bba bbpulse.
bbWhat bbis bbyour bbnext bbaction? bb- bbANSWER: bb bb➡ bbBegin bbchest bbcompressions.
What bbis bban bbadvantage bbof bbusing bbhands-free bbd-fib bbpads bbinstead bbof bbd-fib bbpaddles? bb- bbANSWER: bb
bb➡ bbHands-free bballows bbfor bbmore bbrapid bbd-fib.
What bbaction bbis bbrecommended bbto bbhelp bbminimize bbinterruptions bbin bbchest bbcompressions bbduring
bbCPR? bb- bbANSWER: bb bb➡ bbContinue bbCPR bbwhile bbcharging bbthe bbdefibrillator.
Which bbaction bbis bbincluded bbin bbthe bbBLS bbsurvey? bb- bbANSWER: bb bb➡ bbEarly bbdefibrillation
Which bbdrug bband bbdose bbare bbrecommended bbfor bbthe bbmanagement bbof bba bbpt. bbin bbrefractory bbV-FIB? bb-
bbANSWER: bb bb➡ bbAmioderone bb300mg
What bbis bbthe bbappropriate bbintervalfor bban bbinterruption bbin bbchest bbcompressions? bb- bbANSWER: bb bb➡ bb 10
bbseconds bbor bbless
Which bbof bbthe bbfollowing bbis bba bbsign bbof bbeffective bbCPR? bb- bbANSWER: bb bb➡ bbPETCO2 bb= bbor bb> bb10mm bbHg
What bbis bbthe bbprimary bbpurpose bbof bba bbmedical bbemergency bbteam bbor bbrapid bbresponse bbteam? bb-
bbANSWER: bb bb➡ bbIdentifying bband bbtreating bbearly bbclinical bbdeterioration.
Which bbaction bbimproves bbthe bbquality bbof bbchest bbcompressions bbdelivered bbduring bbresuscitave
bbattemepts? bb- bbANSWER: bb bb➡ bbShitch bbproviders bbabout bbevery bb 2 bbmin bbor bbevery bb 5 bbcompression
bbcycles.
What bbis bbthe bbappropriate bbventilation bbstrategy bbfor bban bbadult bbin bbrespiratory bbarrest bbwith bba bbpulse bbof
bb 80 bbbeats/min? bb- bbANSWER: bb bb➡ bb 1 bbbreath bbevery bb 5 - 6 bbseconds
A bbpt. bbpresents bbto bbthe bbER bbwith bba bbnew bbonset bbof bbdizziness bband bbfatugue. bbOnexamination, bbthe
bbpt's bbheart bbrate bbis bb 35 bbbeats/min, bbBP bbis bb70/50, bbresp. bbrate bbis bb 22 bbper bbmin, bbO2 bbsat bbis bb95%.
bbWhat bbis bbthe bbappropriate bb1st bbmedication? bb- bbANSWER: bb bb➡ bbAtropine bb0.5mg
A bbpt. bbpresents bbto bbthe bbER bbwith bbdizziness bband bbSOB bbwith bba bbsinus bbbrady bbof bb40/min. bbThe bbinitial
bbatropine bbdose bbwas bbineffective bband bbyour bbmonitor bbdoes bbnot bbprovide bbTCP. bbWhat bbis bbthe
bbappropriate bbdose bbof bbDopamine bbfor bbthis bbpt? bb- bbANSWER: bb bb➡ bb 2 - 10mcg/kg/min
A bbpt. bbhas bban bbonset bbof bbdizziness. bbThe bbpt.s bbheart bbrate bbis bb180, bbBP bbis bb110/70, bbresp. bbrate bbis bb18,
bbO2 bbsat bbis bb98%. bbThis bbis bba bbreg bbnarrow bbcomplex bbtach bbrythm. bbWhat bbis bbthe bbnext bbintervention? bb-
bbANSWER: bb bb➡ bbVagal bbmanuever.
A bbmonitored bbpt. bbin bbthe bbICU bbdeveloped bba bbsuddent bbonset bbof bbnarrow bbcomplex bbtach bbat bba bbrate bbof
bb220/min. bbThe bbpt's bbBP bbis bb128/58, bbthe bbPETCO2 bbis bb38mm bbHg, bband bbthe bbO2 bbsat bbis bb98%. bbThere bbis
bban bbEJ bbestablished bbfor bbvascular bbaccess. bbThe bbpt. bbdenies bbtaking bbany bbvasodialators. bbA bb 12 bblead
bbshows bbno bbischemia bbor bbinfarction. bbVagal bbmanuevers bbare bbineffective. bbWhat bbis bbthe bbnext
bbintervention? bb- bbANSWER: bb bb➡ bbAdenosine bb12mg bbIV
You bbreceiving bba bbradio bbreport bbfrom bban bbEMS bbteam bbenroute bbwith bba bbpt. bbwho bbmay bbbe bbhaving bba
bbstroke. bbThe bbhospital bbCT bbscanner bbis bbbroken. bbWhat bbshould bbyou bbdo? bb- bbANSWER: bb bb➡ bbDivert bbthe
bbpt. bbto bba bbhospital bb 15 bbmin bbaway bbwith bbCT bbcapabilities.
Choose bban bbappropriate bbinidication bbto bbstop bbor bbwithhold bbresuscitive bbefforts. bb- bbANSWER: bb bb➡
bbEvidence bbof bbrigor bbmortis.
A bb 49 bby/ofmaile bbarrives bbin bbthe bbER bbwith bbpersistant bbepigastric bbpain. bbShe bbhas bbbeen bbtaking
bbantacids bbPO bbfor bbthe bbpast bb 6 bbhours bbbecause bbshe bbshe bbhad bbheartburn. bbBP bbis bb118/72, bbheart bbrate
bbis bb92/min, bbresp. bbrate bbis bb 14 bbnon-labored bband bbO2 bbsat bbis bb96%. bbWhat bbis bbthe bbmost bbappropriate
bbnext bbaction? bb- bbANSWER: bb bb➡ bbObtain bba bb 12 bblead bbECG.
A bbpt. bbin bbrespiratory bbfailure bbbecomes bbapneic bbbut bbcontineues bbto bbhave bba bbstrong bbpulse. bbThe bbheart
bbrate bbis bbdropping bbparidly bband bbnow bbshows bba bbsinus bbbrady bbrate bbat bb30/min. bbWhat bbintervention
bbhas bbthe bbhighest bbpriority? bb- bbANSWER: bb bb➡ bbSimple bbairway bbmanuevers bband bbassisted bbventilations.
What bbis bbthe bbappropriate bbprocedure bbfor bbET bbsuctioning bbafter bbthe bbcatheter bbis bbselected? bb-
bbANSWER: bb bb➡ bbSuction bbduring bbwithdrawl, bbbut bbnot bbfor bblonger bbthan bb 10 bbseconds.
While bbtreating bba bbstable bbpt bbfor bbdizziness, bba bbBP bbof bb68/30, bbcool bband bbclammy, bbyou bbsee bba bbbrady
bbrythm bbon bbthe bbECG. bbHow bbdo bbyou bbtreat bbthis? bb- bbANSWER: bb bb➡ bbAtropine bb0.5mg
A bb 68 bby/o bbfemale bbpt. bbexperienced bba bbsudden bbonset bbof bbright bbarm bbweakness. bbBP bbis bb140/90, bbpulse
bbis bb78/min, bbresp bbrate bbis bbnon-labored bb14/min, bb 02 bbsat bbis bb97%. bbLead bb 2 bbin bbthe bbECG bbshows bba
bbsinus bbrythm. bbWhat bbwould bbbe bbyour bbnext bbaction? bb- bbANSWER: bb bb➡ bbCinncinati bbStroke bbScale
You bbare bbtransporting bba bbpt. bbwith bba bbpositive bbstroke bbassessment. bbBP bbis bb138, bbpulse bbis bb80/min,
bbresp bbrate bbis bb12/min, bb 02 bbsat bbis bb95% bbroom bbair. bbGlucose bblevels bbare bbnormal bband bbthe bbECG bbshows
bba bbsinus bbrythm. bbWhat bbis bbnext. bb- bbANSWER: bb bb➡ bbHead bbCT bbscan
What bbis bbthe bbproper bbventilation bbrate bbfor bba bbpt. bbin bbcardiac bbarrest bbwho bbhas bban bbadvanced bbairway
bbin bbplace? bb- bbANSWER: bb bb➡ bb 8 - 10 bbbreaths bbper bbminute
A bb 62 bby/o bbmale bbpt. bbin bbthe bbER bbsays bbhis bbheart bbis bbbeating bbfast. bbNo bbchest bbpain bbor bbSOB. bbBP bbis
bb142/98, bbpulse bbrate bbis bb200/min, bbreps bbrate bbis bb14/min, bbO2 bbsats bbare bb 95 bbat bbroom bbair. bbWhat
bbshould bbbe bbthe bbnext bbevaluation? bb- bbANSWER: bb bb➡ bbObtain bba bb 12 bblead bbECG.
You bbare bbevaluating bba bb 48 bby/o bbmale bbwith bbcrushing bbsub-sternal bbpain. bbHe bbis bbcool, bbpale, bbdiaphretic,
bband bbslow bbto bbrespond bbto bbyour bbquestions. bbBP bbis bb58/32, bbpulse bbis bb190/min, bbresp bbrate bbis bb18, bband
bbyou bbare bbunable bbto bbobtain bban bb 02 bbsat bbdue bbto bbno bbradial bbpulse. bbThe bbECG bbshows bba bbwide
bbcomplex bbtach bbrythm. bbWhat bbintervention bbshould bbbe bbnext? bb- bbANSWER: bb bb➡ bbSyncronized
bbcardioversion.
What bbis bbthe bbinitial bbpriority bbfor bban bbunconscious bbpt. bbwith bbany bbtachycardia bbon bbthe bbmonitor? bb-
bbANSWER: bb bb➡ bbDetermine bbif bba bbpulse bbis bbpresent.
Which bbrythm bbrequires bbsynchronized bbcardioversion? bb- bbANSWER: bb bb➡ bbUnstable bbSVT
What bbis bbthe bbrecommended bbdose bbfor bbadenosine bbfor bbpt's bbin bbrefractory, bbbut bbstable bbnarrow
bbcomplex bbtachycardia? bb- bbANSWER: bb bb➡ bb12mg
What bbis bbthe bbusual bbpost-cardiac bbarrest bbtarget bbrange bbfor bbPETCO2 bbwho bbachieves bbreturn bbof
bbspontaneous bbcirculation bb(ROSC)? bb- bbANSWER: bb bb➡ bb 35 - 40mm bbHg
Which bbconditionis bba bbcontraindication bbto bbtheraputic bbhypothermia bbduring bbthe bbpost-cardiac bbarrest
bbperiod bbfor bbpt's bbwho bbachieve bbreturn bbof bbspontaneous bbcirculation bb(ROSC)? bb- bbANSWER: bb bb➡
bbResponding bbto bbverbal bbcommands
What bbis bbthe bbpotential bbdanger bbto bbusing bbties bbthat bbpass bbcircumfrentially bbaround bbthe bbpt's bbneck
bbwhen bbsecuring bban bbadvanced bbairway? bb- bbANSWER: bb bb➡ bbObstruction bbof bbveneous bbreturn bbfrom bbthe
bbbrain
What bbis bbthe bbmost bbreliable bbmethod bbof bbconfirming bband bbmontioring bbcorrect bbplacement bbof bban bbET
bbtube? bb- bbANSWER: bb bb➡ bbContinuous bbwaveform bbcapnography
What bbis bbthe bbrecommended bbIV bbfluid bb(NS bbor bbLR) bbbolus bbdose bbfor bba bbpt. bbwho bbachieves bbROSC bbbut
bbis bbhypotensive bbduring bbthe bbpost-cardiac bbarrest bbperiod? bb- bbANSWER: bb bb➡ bb 1 bbto bb 2 bbLiters
What bbis bbthe bbminimum bbsystolic bbBP bbone bbshould bbattempt bbto bbachieve bbwith bbfluid, bbInotropic, bbor
bbvasopressor bbadministration bbin bba bbhypotensive bbpost-cardiac bbarrest bbwho bbachieves bbROSC? bb-
bbANSWER: bb bb➡ bb90mm bbHg
What bbis bbthe bb1st bbtreatment bbpriority bbfor bba bbpt. bbwho bbachieves bbROSC? bb- bbANSWER: bb bb➡ bbOptimizing
bbventilation bband bboxygenation.
