pg. 1 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.
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pg. 2 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.
Which rhythm requires synchronized cardioversion? - Correct Answer - Unstable supraventricular tachycardia
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
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pg. 3 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
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