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RQI 2025 HeartCode ACLS Healthcare Provider
RQI 2025 ACLS Healthcare Provider
ACLS Final Comprehensive Test Bank Solution Guide updated 2021/2022, A+ Solutions
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ACLS Final Comprehensive Test Bank Solution
Guide 2021/2022
BLS & Chocking Relief of Adults, Children, Infants; Opioid Overdose; EKG interpretation; Cardiac anatomy;
Team dynamics; BLS/Primary/Secondary Assessment; H's & T's; Airway Management; Bradycardia ACLS
Algorithm; ACS ACLS Algorithm; Stroke ACLS Algorithm; Tachycardia ACLS Algorithm; Immediate Post-Cardiac
Arrest Care ACLS Algorithm; Phamacology
What is the most common cause of cardiac arrest in children? - respiratory failure or shock
What is cardiac arrest? - occurs when the heart develops an abnormal rhythm and stops beating or
beats too ineffectively to circulate blood to the brain and other vital organs
What is heart attack? - A blockage of blood flow to the heart muscle.
List the eight components of high quality CPR. - 1. Start compressions within 10 seconds of
recognition of cardiac arrest.
2. Compress at a rate of 100-120/min with a depth of at least 2 inches in adults/children and 1 1/2
inches in infants.
3. Allow complete chest recoil after each compression.
4. Minimize interruptions in compressions (limit to <10 seconds).
5. Give effective breaths that make the chest visibly rise.
6. Switch compressors about every 2 minutes or earlier if fatigued.
7. Continue delivering chest compressions while the AED is charging.
8. Avoid prolonged rhythm analysis, frequent or inappropriate pulse checks, taking too long to give
breaths to the patient, excessive ventilation, or unnecessarily moving the patient.
What is the recommended compression depth for adults and children? - 2 inches
What is the recommended compression depth for infants? - 1 1/2 inches
What can result if a patient is ventilated too quickly? - hyperventilation -> excessive intrathoracic
pressure and gastric inflation -> decreased venous return -> decreased coronary and cerebral perfusion
pressures -> diminished cardiac output -> decreased rates of survival
What memory aid may be used when evaluating a patient's level of consciousness? - AVPU
Alert, responds to Verbal stimuli, responds to Painful stimuli, Unresponsive
Upon finding an unresponsive adult patient, you verified that the scene is safe, called for help and
asked that someone get an AED or defibrillator. Your next action should be to: - simultaneously look
for breathing and feel for a carotid pulse for no more than 10 seconds
Upon finding an unresponsive child, you verified that the scene is safe, called for help and asked that
someone get an AED or defibrillator. Your next action should be to: - simultaneously look for
breathing and feel for a carotid or femoral pulse for no more than 10 seconds
,Upon finding an unresponsive infant, you verified that the scene is safe, called for help and asked that
someone get an AED or defibrillator. Your next action should be to: - simultaneously look for
breathing and feel for a brachial pulse for no more than 10 seconds
Upon finding an unresponsive adult patient, you verified that the scene is safe, called for help and
asked that someone get an AED or defibrillator. You check for breathing and a carotid pulse
simultaneously. The patient has no pulse and is not breathing normally. Your next action should be to:
- begin chest compressions; remove clothing; use AED as soon as it arrives
Upon finding an unresponsive adult patient, you verified that the scene is safe, called for help and
asked that someone get an AED or defibrillator. You check for breathing and a carotid pulse
simultaneously. The patient is breathing normally and a pulse is present. Your next action should be
to: - continue to monitor until additional help arrives.
Upon finding an unresponsive infant or child, you verified that the scene is safe, called for help and
asked that someone get an AED or defibrillator. You check for breathing and a carotid pulse
simultaneously. The patient has no pulse and is not breathing normally. The arrest was not sudden and
not witnessed. Your next action should be to: - begin chest compressions 30:2 (1 rescuer), 15:2 (2
rescuer); if 2 rescuers are present, one rescuer begins CPR and the other activates the ERS; use the
AED as soon as it arrives; after about 2 min of CPR, if you are still alone, activate the ERS and get the
AED if not already done
Upon finding an unresponsive infant or child, you verified that the scene is safe, called for help and
asked that someone get an AED or defibrillator. You check for breathing and a carotid pulse
simultaneously. The patient has no pulse and is not breathing normally. The arrest was sudden and
witnessed. Your next action should be to: - activate the emergency response system and retrieve the
AED; begin chest compressions 30:2 (1 rescuer), 15:2 (2 rescuer)
Upon finding an unresponsive infant or child, you verified that the scene is safe, called for help and
asked that someone get an AED or defibrillator. You check for breathing and a carotid pulse
simultaneously. The patient is breathing normally and a pulse is present. Your next action should be
to: - activate ERS, return to victim and monitor until emergency responders arrive
Upon finding an unresponsive adult patient, you verified that the scene is safe, called for help and
asked that someone get an AED or defibrillator. You check for breathing and a carotid pulse
simultaneously. The patient is not breathing normally but a pulse is present. Your next action should
be to: - provide rescue breathing (one breath every 5-6 seconds) and recheck for a pulse every 2
minutes; be ready to perform high quality CPR if you do not feel a pulse; if opioid use is suspected,
consider administering naloxone
Upon finding an unresponsive infant or child, you verified that the scene is safe, called for help and
asked that someone get an AED or defibrillator. You check for breathing and a carotid pulse
simultaneously. The patient is not breathing normally but a pulse is present. Your next action should
be to: - provide rescue breathing (one every 3-5 seconds); add compressions if pulse remains <60/min
with signs of poor perfusion; activate ERS after 2 min; continue rescue breathing and check pulse
about every 2 min (if no pulse begin CPR)
,What is the purpose of the primary survey? - to detect the presence of life-threatening problems that
require rapid interventions
What two cardiac arrest rhythms are shockable? - VF and pVT
What two cardiac arrest rhythms are not shockable? - asystole and PEA
During the primary survey, for what length of time should you assess for the presence of a pulse? - at
least 5 seconds but no more than 10 seconds
What is the importance of measuring coronary perfusion pressure during CPR? - represents
myocardial blood flow during chest compressions and is a key determinant of the success of
resuscitation
What is an adequate coronary perfusion pressure (CPP)? - 15 mm Hg
What is the importance of measuring waveform capnography (PETCO2) during CPR? - allows for
evaluation of CPR quality, optimize chest compressions, detection of ROSC during chest
compressions or when a rhythm check reveals an organized rhythm, ET tube placement
What is an adequate waveform capnogrpahy (PETCO2) range? - 10-20 mm Hg
When ROSC occurs, what happens to waveform capnography? - There will be a significant increase in
the ETCO2. (35-45 mmHg) This increase represents a drastic improvement in blood flow (more CO2
being dumped in the lungs by the circulation) which indicates circulation.
What is chest compression fraction? - the proportion of time that chest compressions are performed
during a cardiac arrest
What is the target goal of chest compression fraction during CPR? - 60-80%
What is the appropriate tidal volume for adult cardiac arrest patients? - 500-600 mL (half a squeeze of
an adult ventilation bag; enough to see visible chest rise)
Single rescuers should use the compression-to-ventilation ratio of ____ compressions to ____ breaths
when giving CPR to victims of any age. - 30:2
At what rate should compressions occur? - 100-120/min
Interruptions in chest compressions should be limited to how many seconds? - <10
Rescuers should switch compressors how often? - every 5 cycles (2 min) or sooner if fatigued
What method should be utilized when opening the airway of a patient who is suspected of having a
head or neck injury? - jaw thrust
When communicating with a team member, the team leader communicates by taking these steps:
, 1. The team leader gives a message, order, or assignment to a team member.
2. By receiving a clear response and eye contact, the team leader confirms that the team member heard
and understood the message.
3. The team leader listens for confirmation of task performance from the team member before
assigning another task.
What type of communication do these steps represent? - closed-loop communication
Which pulse is palpated when performing a BLS assessment on an adult? - carotid
What do agonal gasps represent? - not normal breathing; is a sign of cardiac arrest
How does one palpate a carotid pulse? - locate the trachea; slide 2-3 fingers into the groove between
the trachea and the muscles at the side of the neck; feel for at least 5 seconds but no more than 10
seconds
When should the victim be moved during chest compressions? - never unless the victim is in a
dangerous environment (such as a burning building) or if you believe you cannot perform CPR
effectively in the victim's present position or location
How does one properly perform chest compressions on an adult during resuscitation efforts? - 1. Make
sure the victim is lying face-up on a firm surface.
2. Put the heel of one hand in the center of the victim's chest, on the lower half of the sternum.
3. Put the heel of your hand on top of the first hand.
4. Straighten your arms and position your shoulders directly over your hands.
5. Rate of 100-120/min.
6. Press down at least 2 in with each compression.
7. Allow for complete chest recoil.
8. Minimize interruptions in chest compressions.
How does one properly perform the head tilt-chin lift technique? - 1. Place one hand on the victim's
forehead and push with your palm to tilt the head back.
2. Place the fingers of the other hand under the bony part of the lower jaw near the chin.
3. Lift the jaw to bring the chin forward.
How does one properly perform the jaw thrust maneuver? - 1. Place one hand on each side of the
victim's head. You may rest your elbows on the surface on which the victim is lying.
2. Place your fingers under the angles of the victim's lower jaw and lift with both hands, displacing the
jaw forward.
3. If the lips close, push the lower lip with your thumb to open the lips.
How does one properly use a pocket mask to deliver breaths using the head tilt-chin lift technique? - 1.
Position yourself at the victim's side.
2. Place the pocket mask on the victim's face, using the bridge of the nose as a guide for correct
position.
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