ACLS Certification Exam
Any organized rhythm without a pulse is defined as pulseless electrical activity (PEA). - ANS True
Synchronized cardioversion is appropriate for treating an unknown wide complex tachycardia. - ANS
True
The aorta is the wall that separates the ventricles of the heart. - ANS False
The most effective treatment for ventricular fibrillation is defibrillation. - ANS True
An individual should be cleared-Ñ prior to a shock only when convenient. - ANS False
PEA and asystole are considered non-shockable rhythms and follow the same ACLS algorithm. - ANS
True
Transcutaneous pacing should be used on an individual with bradycardia and inadequate perfusion if
atropine is ineffective and the individual is exhibiting severe symptoms. - ANS True
Low blood pressure may be an indication of hemodynamic instability. - ANS True
Urgent defibrillation is essential for survival in the management of acute strokes. - ANS False
Fibrinolytic therapy within three hours (in some cases 4.5 hours) of first onset of symptoms is the
standard when treating ischemic stroke. - ANS True
100% oxygen is acceptable for early intervention but not for extended periods of time. - ANS True
In a suspected acute stroke individual, you must always immediately obtain IV access. - ANS False
There is never a pulse associated with VF; therefore, you should follow the PEA algorithm with
individuals in VF. - ANS False
, If the AED advises no shock, you should still defibrillate because defibrillation often restarts the heart
with no pulse. - ANS False
If transcutaneous pacing fails, there are no other options to consider. - ANS False
Medication is the only treatment for an unstable tachycardic individual. - ANS False
For an individiual in respiratory arrest with a pulse, how often should they be ventilated?
A) Give two breaths every 8 to 9 seconds, or 13 to 15 breaths per minute.
B) Give one breath every 5 to 6 seconds, or 10 to 12 breaths per minute.
C) Give one breath every 3 to 4 seconds, or 15 to 20 breaths per minute.
D) Give one breath every 8 to 9 seconds, or 6 to 8 breaths per minute. - ANS B) Give one breath
every 5 to 6 seconds, or 10 to 12 breaths per minute.
Which item is NOT a basic airway skill?
A) Placement of endotracheal tube (ET tube)
B) Bag-mask ventilation
C) Jaw-thrust maneuver without head extension
D) Head-tilt-chin-lift maneuver - ANS A) Placement of endotracheal tube (ET tube)
Which of the following basic airway adjuncts can be used in a conscious or semiconscious indivudual
(with an intact cough and gag reflex)?
A)Oropharyngeal airway (OPA)
B) Endotracheal tube (ET tube)
C) Nasopharyngeal airway (NPA)
D) Esophageal-tracheal tube (combitube) - ANS C) Nasopharyngeal airway (NPA)
Blood or secretions in the mouth or upper respiratory tract may threaten the airway. How can they
be removed?
A) Bag-mask ventllation
B) Laryngeal tube
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