ACLS Written Exam Newest 2024/ Actual Exam
Questions with Correct Detailed Answers
(Verified Answers) Graded A+
While treating a patient with dizziness, a blood pressure of 68/30 mm Hg, and cool,
clammy skin, you see this lead II ECG rhythm: What is the first intervention? - Correct
Answer - Atropine 0.5mg
A 68-year-old woman experienced a sudden onset of right arm weakness. EMS
personnel measure a blood pressure of 140/90 mm Hg, a heart rate of 78/min, a
nonlabored respiratory rate of 14 breaths/min, and a pulse oximetry reading of 97%.
The lead II ECG displays sinus rhythm. What is the most appropriate action for the EMS
team to perform next? - Correct Answer - Cincinnati Prehospital Stroke Scale
assessment
EMS is transporting a patient with a positive prehospital stroke assessment. Upon
arrival in the emergency department, the initial blood pressure is 138/78 mm Hg, the
pulse rate is 80/min, the respiratory rate is 12 breaths/min, and the pulse oximetry
reading is 95% on room air. The lead II ECG displays sinus rhythm. The blood glucose
level is within normal limits. What intervention should you perform next? - Correct
Answer - Head CT scan
What is the proper ventilation rate for a patient in cardiac arrest who has an advanced
airway in place? - Correct Answer - 8-10 breaths per minute
A 62-year-old man in the emergency department says that his heart is beating fast. He
says he has no chest pain or shortness of breath. The blood pressure is 142/98 mm Hg,
the pulse is 200/min, the respiratory rate is 14 breaths/min, and pulse oximetry is 95%
on room air. What intervention should you perform next? - Correct Answer - Obtain a 12
lead ECG.
pg. 1
,You are evaluating a 48-year-old man with crushing substernal chest pain. The patient
is pale, diaphoretic, cool to the touch, and slow to respond to your questions. The blood
pressure is 58/32 mm Hg, the heart rate is 190/min, the respiratory rate is 18
breaths/min, and the pulse oximeter is unable to obtain a reading because there is no
radial pulse. The lead II ECG displays a regular wide-complex tachycardia. What
intervention should you perform next? - Correct Answer - Synchronized cardioversion
What is the initial priority for an unconscious patient with any tachycardia on the
monitor? - Correct Answer - Determine whether pulses are present.
What is the recommended second dose of adenosine for patients in refractory but
stable narrow-complex tachycardia? - Correct Answer - 12mg
What is the usual post-cardiac arrest target range for PETCO2 when ventilating a
patient who achieves return of spontaneous circulation (ROSC)? - Correct Answer - 35-
40mm Hg
Which condition is a contraindication to therapeutic hypothermia during the post-cardiac
arrest period for patients who achieve return of spontaneous circulation ROSC? -
Correct Answer - Responding to verbal commands
What is the potential danger of using ties that pass circumferentially around the patient's
neck when securing an advanced airway? - Correct Answer - Obstruction of venous
return from the brain
What is the most reliable method of confirming and monitoring correct placement of an
endotracheal tube? - Correct Answer - Continuous waveform capnography
What is the appropriate rate of chest compressions for an adult in cardiac arrest? -
Correct Answer - At least 100/min
pg. 2
, You are receiving a radio report from an EMS team end route with a patient who may be
having an acute stroke. The hospital CT scanner is not working at this time. What
should you do in this situation? - Correct Answer - Divert the patient to a hospital 15
minutes away with CT capabilities.
A 53-year-old man has shortness of breath, chest discomfort, and weakness. The
patient's blood pressure is 102/59 mm Hg, the heart rate is 230/min, the respiratory rate
is 16 breaths/min, and the pulse oximetry reading is 96%. The lead II ECG is displayed
below. A patent peripheral IV is in place. What is the next action? - Correct Answer -
Vagal maneuvers
A 49-year-old man has retrosternal chest pain radiating into the left arm. The patient is
diaphoretic, with associated shortness of breath. The blood pressure is 130/88 mm Hg,
the heart rate is 110/min, the respiratory rate is 22 breaths/min, and the pulse oximetry
value is 95%. The patient's 12-lead ECG shows ST-segment elevation in the anterior
leads. First responders administered 160 mg of aspirin, and there is a patent peripheral
IV. The pain is described as an 8 on a scale of 1 to 10 and is unrelieved after 3 doses of
nitroglycerin. What is the next action? - Correct Answer - Administer 2 to 4 mg of
morphine by slow IV bolus.
A 56-year-old man reports that he has palpitations but not chest pain or difficulty
breathing. The blood pressure is 132/68 mm Hg, the pulse is 130/min and regular, the
respiratory rate is 12 breaths/min, and the pulse oximetry reading is 95%. The lead II
ECG displays a wide-complex tachycardia. What is the next action after establishing an
IV and obtaining a 12-lead ECG? - Correct Answer - Seeking expert consultation
A postoperative patient in the ICU reports new chest pain. What actions have the
highest priority? - Correct Answer - Obtain a 12-lead ECG and administer aspirin if not
contraindicated.
hat is the recommended IV fluid (normal saline or Ringer's lactate) bolus dose for a
patient who achieves ROSC but is hypotensive during the post-cardiac arrest period? -
Correct Answer - 1 to 2 Liters
What is the minimum systolic blood pressure one should attempt to achieve with fluid,
inotropic, or vasopressor administration in a hypotensive post-cardiac arrest patient who
achieves ROSC? - Correct Answer - 90mm Hg
pg. 3
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