ACLS FINAL EXAM 2024/2025 /COMPLETE ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS ) ALREADY GRADED .PASS
GUARANTEED.
A patient with suspected acute coronary syndromes (ACS) is placed
on a cardiac monitor. The patient is complaining of dyspnea and is
given supplemental oxygen. The provider determines that the oxygen
is effective based on which SaO2 level? - ANSWER-When a patient
presents with potential ACS, the patient should have oxygen
administered to maintain an SaO2 of at least 94%.
A patient experiences cardiac arrest, and the resuscitation team
initiates ventilations using a bag-valve-mask (BVM) resuscitator. The
development of which condition during the provision of care would
lead the team to suspect that improper BVM technique is being used?
- ANSWER-Complications can occur with the use of a BVM
resuscitator due to improper technique. Delivering excessive volume
or ventilating too fast creates excessive pressure that can damage the
airways, lungs and other organs. Excessive volume can lead to
tension pneumothorax.
Assessment of a patient reveals an ETCO2 level of 55 mmHg and an
arterial oxygen saturation (SaO2) level of 88%. The provider would
interpret these findings as indicative of which condition? – ANSWER-
An SaO2 level of less than 90% (PaO2 of less than 50 mmHg)
,accompanied by ETCO2 values greater than 50 mmHg is indicative of
respiratory failure.
A healthcare provider initiates ventilations to ensure adequate
breathing and oxygenation. While ventilations are being performed,
capnography is established to evaluate the adequacy of the
ventilations. The healthcare provider determines that ventilations are
adequate based on which end-tidal carbon dioxide (ETCO2) value? -
ANSWER-End-tidal carbon dioxide values in the range of 35 to 45
mmHg confirm adequacy of ventilation.
A patient comes to the emergency department complaining of
palpitations and "some shortness of breath." Cardiac monitoring is
initiated and reveals the following ECG rhythm strip. The provider
interprets this strip as indicating which arrhythmia? - ANSWER-In
atrial flutter, atrial contraction occurs at such a rapid rate that discrete
P waves separated by a flat baseline cannot be seen on the strip.
Instead, the baseline continually rises and falls, producing the
"flutter" waves. In leads II and III, the flutter waves may be quite
prominent, creating a "sawtooth" pattern. Because of the volume of
atrial impulses, the AV node allows only some of the impulses to pass
through to the ventricles. In atrial flutter, a 2:1 ratio is the most
common (i.e., for every two flutter waves, only one impulse passes
through the AV node to generate a QRS complex). Ratios of 3:1 and
4:1 are also frequently seen.
,A person suddenly collapses while sitting in the sunroom of a
healthcare facility. A healthcare provider observes the event and
hurries over to assess the situation. The healthcare provider performs
which assessment first? - ANSWER-A systematic approach to
assessment is necessary. The healthcare provider should first
perform a rapid assessment. A rapid assessment is a quick visual
survey to ensure safety, to form an initial impression about the
patient's condition, and to check for responsiveness, breathing and a
pulse if the patient appears to be unresponsive. This would be
followed by a primary assessment and then a secondary assessment.
A 35-year-old female patient's ECG is consistent with STEMI. The ECG
reveals a new ST-segment elevation at the J point in leads V2 and V3
of at least which size? - ANSWER-New ST-segment elevation at the J
point in leads V2 and V3 of at least 0.15 mV (1.5 mm) in women 40
years or younger is considered diagnostic of STEMI.
An ECG strip of a patient in the emergency department reveals the
following rhythm. Which feature would the healthcare provider
interpret as indicating atrial fibrillation? - ANSWER-The two key
features of atrial fibrillation on ECG are the absence of discrete P
waves and the presence of irregularly irregular QRS complexes.
A patient presents to the emergency department with mild to
moderate recurrent chest pain, without any nausea or vomiting. A
12lead ECG is obtained and shows ST-segment depression with
, transient T-wave elevation indicative of NSTE-ACS. Cardiac enzyme
levels are obtained and are not elevated. These findings suggest
which condition? - ANSWER-A patient who presents with ECG
findings consistent with NSTE-ACS and does not have elevated
cardiac serum markers is to be considered as having unstable angina.
A healthcare provider is establishing cardiac monitoring using a
fiveelectrode system. The healthcare provider demonstrates proper
use of the system by placing the green electrode in which location? -
ANSWER-In a five-electrode cardiac monitoring system, the green
electrode should be placed on the lower right abdomen.
A resuscitation team is debriefing following a recent event. A patient
experienced cardiac arrest, and advanced cardiac life support was
initiated. The patient required the placement of an advanced airway to
maintain airway patency. Which statement indicates that the team
performed high-quality CPR? - ANSWER-When an advanced airway
has been placed in a patient who is in cardiac arrest, compressions
and ventilations are delivered continuously with no interruptions. One
provider delivers 1 ventilation every 6 seconds, while the second
provider performs compressions at a rate of 100 to 120 compressions
per minute.
A patient's capnogram reveals the following waveform. Which
segment would the healthcare provider interpret as reflecting the
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