ACLS VERSION A 50 QUESTIONS AND
ANSWERS
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? - answer start chest
compressions at a rate of at least 100/min.
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? - answer obtaining 12-lead ecg.
what is the preferred method of access for epinephrine administration during cardiac arrest in
most patients? - answer peripheral intravenous
An activated AED does not promptly analyze the rhythm. What is your next action? - answer
begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below and the pt. has no
pulse. another member resumes chest compressions and an IV is in place. What management
step is your next priority? - answer administer one mg of epinephrine
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? - answer resume chest compressions
what is a common but sometimes fatal mistake in cardiac arrest management? - answer
prolonged interruptions of chest compressions
what action is a component of high-quality chest compressions? - answer uninterrupted
compressions at a depth of 1 1/2 inches
, Which action increases the chance of successful conversion of ventricular fibrillation? - answer
ventricular tachycardia with a pulse
which situation BEST describes pulseless electrical activity? - answer sinus rhythm without a
pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in
place? - answer provide continuous chest compressions without pauses and 10 ventilations per
minute.
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? - answer chest compressions may not
be effective
the use of quantitative capnography in intubated patients - answer allows for monitoring of cpr
quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who originally presented
with ventricular fibrillation. After the 1st shock, the ECG screen displayed asystole, which has
persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next
treatment? - answer consider terminating resuscitative efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? - answer be sure
oxygen is now blowing over the patient's chest during the shock
During your assessment, your pt suddenly loses consciousness. After calling for help and
determining that the pt. is not breathing, you are unsure whether the pt. has a pulse. What is
your next action? - answer Begin chest compressions
ANSWERS
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? - answer start chest
compressions at a rate of at least 100/min.
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? - answer obtaining 12-lead ecg.
what is the preferred method of access for epinephrine administration during cardiac arrest in
most patients? - answer peripheral intravenous
An activated AED does not promptly analyze the rhythm. What is your next action? - answer
begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below and the pt. has no
pulse. another member resumes chest compressions and an IV is in place. What management
step is your next priority? - answer administer one mg of epinephrine
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? - answer resume chest compressions
what is a common but sometimes fatal mistake in cardiac arrest management? - answer
prolonged interruptions of chest compressions
what action is a component of high-quality chest compressions? - answer uninterrupted
compressions at a depth of 1 1/2 inches
, Which action increases the chance of successful conversion of ventricular fibrillation? - answer
ventricular tachycardia with a pulse
which situation BEST describes pulseless electrical activity? - answer sinus rhythm without a
pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced airway in
place? - answer provide continuous chest compressions without pauses and 10 ventilations per
minute.
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? - answer chest compressions may not
be effective
the use of quantitative capnography in intubated patients - answer allows for monitoring of cpr
quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who originally presented
with ventricular fibrillation. After the 1st shock, the ECG screen displayed asystole, which has
persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next
treatment? - answer consider terminating resuscitative efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? - answer be sure
oxygen is now blowing over the patient's chest during the shock
During your assessment, your pt suddenly loses consciousness. After calling for help and
determining that the pt. is not breathing, you are unsure whether the pt. has a pulse. What is
your next action? - answer Begin chest compressions
