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A comprehensive set of practice questions for the acls exam a&b, covering essential topics in advanced cardiovascular life support. It includes a student answer sheet, exam questions, answer keys, and annotated answer keys for both exam a and exam b. This resource is valuable for nursing students and professionals preparing for the acls certification exam.
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A. First-degree B. Second-degree type I C. Second-degree type II D. Third-degree
A. Monitor the patient’s PETCO 2 B. Obtain a 12-lead ECG C. Check the patient’s pulse D. Obtain a chest x-ray
C. Order an echocardiogram before fibrinolytic administration D. Wait for the results of the MRI
A. First-degree atrioventricular block B. Second-degree atrioventricular block type I C. Second-degree atrioventricular block type II D. Third-degree atrioventricular block
A. 26°C to 28°C B. 29°C to 31°C C. 32°C to 36°C D. 35°C to 37°C
A. 100 mg B. 150 mg C. 250 mg D. 300 mg
A. Improving care for patients admitted to critical care units B. Improving patient outcomes by identifying and treating early clinical deterioration C. Providing diagnostic consultation to emergency department patients D. Providing online consultation to EMS personnel in the field
A. Check the ECG for evidence of a rhythm B. Open the patient’s airway C. Determine if a carotid pulse is present D. Resume CPR, starting with chest compressions
A. Alert the hospital B. Establish IV access C. Review the patient’s history D. Treat hypertension
A. Perfusing ventricular tachycardia B. Sinus tachycardia C. Stable supraventricular tachycardia D. Unstable supraventricular tachycardia
A. Apply the AED B. Check the patient’s breathing and pulse C. Open the patient’s airway D. Check for a medical alert bracelet
A. 1 to 4 seconds B. 5 to 10 seconds C. 11 to 15 seconds D. 16 to 20 seconds
B. Check the pulse immediately after defibrillation C. Use an AED to monitor the patient’s rhythm D. Continue CPR while the defibrillator charges
A. Assign most tasks to the more experienced team members B. Perform the most complicated tasks C. Clearly delegate tasks D. Assign the same tasks to more than one team member
A. Measure from the corner of the mouth to the angle of the mandible B. Measure from the thyroid cartilage to the bottom of the earlobe C. Estimate by using the formula Weight (kg)/8 + 2 D. Estimate by using the size of the patient’s finger
A. Evaluating the PETCO 2 reading B. Requesting a chest x-ray C. Obtaining a 12-lead ECG D. Requesting laboratory testing
A. Administering adenosine 6 mg IV push B. Performing synchronized cardioversion C. Performing vagal maneuvers D. Performing defibrillation
A. 0 to 8 hours B. At least 24 hours C. At least 36 hours D. At least 48 hours
C. 20 mg D. 40 mg
A. Administration of adenosine 6 mg IV push B. Administration of epinephrine 1 mg IV push C. Defibrillation D. Synchronized cardioversion
A. 12-lead ECG B. Cardiac enzymes C. Coagulation studies D. Noncontrast CT scan of the head
A. 75 mm Hg B. 80 mm Hg C. 85 mm Hg D. 90 mm Hg
A. Start a dopamine infusion B. Give atropine 0.5 mg C. Give epinephrine 1 mg IV D. Insert an advanced airway
Use this scenario to answer the next 6 questions:
A 45 - year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress and is reporting “crushing” chest discomfort. He is pale, diaphoretic, and cool to the touch. His radial pulse is very weak, blood pressure is 64/40 mm Hg, respiratory rate is 28 breaths/min, and oxygen saturation is 89% on room air. When applied, the cardiac monitor initially showed ventricular tachycardia, which then quickly changed to ventricular fibrillation.
Based on this patient’s initial presentation, which condition do you suspect led to the cardiac arrest?
Acute coronary syndrome Acute heart failure Acute ischemic stroke Supraventricular tachycardia with ischemic chest pain
In addition to defibrillation, which intervention should be performed immediately?
Advanced airway insertion Vasoactive medication administration Chest compressions Vascular access
Despite 2 defibrillation attempts, the patient remains in ventricular fibrillation. Which drug and dose should you administer first to this patient?
Epinephrine 1 mg Amiodarone 300 mg Lidocaine 1 mg/kg Atropine 1 mg
Despite the drug provided above and continued CPR, the patient remains in ventricular fibrillation. Which other drug should be administered next?
Epinephrine 1 mg Atropine 1 mg Magnesium sulfate 1 g Amiodarone 300 mg
The patient has return of spontaneous circulation and is not able to follow commands. Which immediate post–cardiac arrest care intervention do you choose for this patient?
Initiate targeted temperature management Check the glucose level Administer epinephrine Extubate
Which would you have done first if the patient had not gone into ventricular fibrillation?
Established IV access Obtained a 12-lead ECG Given atropine 1 mg Performed synchronized cardioversion
Provider Manual page numbers below refer to the printed book and the eBook as viewed through the offline desktop/laptop reader, not the eBook as viewed through the mobile apps or ebooks.heart.org.
A. First-degree B. Second-degree type I C. Second-degree type II D. Third-degree
The correct answer is C. This ECG rhythm strip shows second-degree type II atrioventricular block. [ ACLS Provider Manual , Part 5: The ACLS Cases > Bradycardia Case > Rhythms for Bradycardia; page 121]
A. Monitor the patient’s PETCO 2 B. Obtain a 12-lead ECG C. Check the patient’s pulse D. Obtain a chest x-ray
The correct answer is A. The AHA recommends using quantitative waveform capnography in intubated patients to monitor CPR quality, optimize chest compressions, and detect return of spontaneous circulation during chest compressions. [ ACLS Provider Manual , Part 5: The ACLS Cases > Cardiac Arrest: VF/Pulseless VT Case > Application of the Adult Cardiac Arrest Algorithm: VF/pVT Pathway > Physiologic Monitoring During CPR; page 102]
A. Comprehensive stroke care unit B. Acute rehabilitation care unit C. Acute long-term care unit D. Coronary reperfusion–capable medical center
The correct answer is D. After return of spontaneous circulation in patients in whom coronary artery occlusion is suspected, providers should transport the patient to a facility capable of reliably providing coronary reperfusion (eg, percutaneous coronary intervention) and other goal-directed post–cardiac arrest care therapies. [ ACLS Provider Manual , Part 2: Systems of Care > Post–Cardiac Arrest Care > Immediate Coronary Reperfusion With PCI; page 20]
A. Slow, weak pulse rate B. Cyanosis C. Agonal gasps D. Irregular, weak pulse rate
The correct answer is C. Agonal gasps are not normal breathing. They are a sign of cardiac arrest. Agonal gasps may be present in the first minutes after sudden cardiac arrest. [ ACLS Provider Manual , Part 4: The Systematic Approach > The BLS Assessment > Caution: Agonal Gasps; page 35]
A. Third-degree atrioventricular block B. Second-degree atrioventricular block type I C. First-degree atrioventricular block D. Second-degree atrioventricular block type II
The correct answer is B. This ECG rhythm strip shows second-degree atrioventricular block type I. [ ACLS Provider Manual , Part 5: The ACLS Cases > Bradycardia Case > Rhythms for Bradycardia; page 121]