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ACLS Post Test 1 (Latest 2024 / 2025 ) Actual Questions and Answers 100% Correct, Exams of Nursing

Sharda UniversityNursing

ACLS Post Test 1 (Latest 2024 / 2025 ) Actual Questions and Answers 100% Correct

Typology: Exams

2024/2025

Available from 10/12/2024

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Advanced Cardiac Life Support
(ACLS) Practice Questions
2024/2025
1. A patient with suspected ACS is placed on a cardiac monitor.
The patient's blood pressure is 90/60 mmHg. Which
medication would be most appropriate for this patient?
Answer: Intravenous fluids (to improve blood pressure).
2. During the assessment of a patient, a healthcare provider
notes chest pain that radiates to the left arm. What is the
most appropriate initial intervention?
Answer: Administer aspirin (unless contraindicated).
3. A patient is being treated for acute pulmonary edema.
Which position should the healthcare provider place the
patient in for optimal comfort and oxygenation?
Answer: Sitting upright with feet dangling.
4. In a patient with a suspected acute coronary syndrome,
which laboratory test is essential for confirming myocardial
ischemia?
Answer: Cardiac troponin levels.
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Advanced Cardiac Life Support

(ACLS) Practice Questions

  1. A patient with suspected ACS is placed on a cardiac monitor. The patient's blood pressure is 90/60 mmHg. Which medication would be most appropriate for this patient? Answer: Intravenous fluids (to improve blood pressure).
  2. During the assessment of a patient, a healthcare provider notes chest pain that radiates to the left arm. What is the most appropriate initial intervention? Answer: Administer aspirin (unless contraindicated).
  3. A patient is being treated for acute pulmonary edema. Which position should the healthcare provider place the patient in for optimal comfort and oxygenation? Answer: Sitting upright with feet dangling.
  4. In a patient with a suspected acute coronary syndrome, which laboratory test is essential for confirming myocardial ischemia? Answer: Cardiac troponin levels.
  1. During CPR, chest compressions should be delivered at a depth of at least how many inches? Answer: At least 2 inches.
  2. A patient presents with altered mental status and signs of hypoperfusion. The provider suspects shock. What is the most appropriate first step in management? Answer: Establish intravenous access and administer fluids.
  3. What is the significance of a heart rate greater than 150 beats per minute in a patient with tachycardia and dyspnea? Answer: Potentially indicates a significant cardiovascular compromise.
  4. During intubation, what is the most critical consideration to ensure proper placement of the endotracheal tube? Answer: Confirm the tube is in the trachea by auscultation and capnography.
  5. If a patient in cardiac arrest develops a wide-complex tachycardia during resuscitation efforts, what is the recommended treatment? Answer: Immediate defibrillation (if pulseless).
  6. A patient receiving mechanical ventilation has an elevated plateau pressure of 35 cm H2O. What does this

Answer: Confirm the patient's blood pressure is above 90/ mmHg.

  1. In a patient experiencing hypertensive crisis, which medication class is typically used for immediate management? Answer: Antihypertensives (e.g., nitroglycerin or labetalol).
  2. For a patient undergoing synchronized cardioversion, which rhythm indicates the need for immediate action? Answer: Atrial fibrillation with significant symptoms (e.g., hypotension).
  3. During a code blue scenario, what is the first step after confirming unresponsiveness of the patient? Answer: Call for help and activate the emergency response team.
  4. When a patient presents with dyspnea and wheezing, what initial management should be prioritized? Answer: Administer bronchodilators (e.g., albuterol).
  5. In a suspected anaphylactic reaction, which medication is lifesaving and should be administered immediately? Answer: Epinephrine.
  6. A patient with acute coronary syndrome is experiencing nausea. Which medication can be administered to help

alleviate this symptom? Answer: Ondansetron (Zofran).

  1. In assessing a patient with pneumonia, what is an expected finding on lung examination? Answer: Dullness to percussion over affected lung areas.
  2. What is the optimal head tilt-chin lift maneuver used for in unconscious patients? Answer: To maintain a patent airway.
  3. In a patient experiencing ventricular fibrillation, what is the first intervention? Answer: Immediate defibrillation.
  4. In a patient with suspected myocardial infarction, which symptom is most characteristic? Answer: Crushing chest pain radiating to the arm or jaw.
  5. An arterial blood gas shows a pH of 7.28 and a PaCO2 of 55 mmHg. What is the likely acid-base disturbance? Answer: Respiratory acidosis.
  6. In patients with signs of stroke, which imaging modality is typically used to differentiate between hemorrhagic and ischemic stroke? Answer: CT scan of the head.
  1. How is the effectiveness of CPR monitored? Answer: By assessing for signs of circulation and capnography values.
  2. What is a common side effect when administering adenosine for supraventricular tachycardia (SVT)? Answer: A brief period of asystole or bradycardia.
  3. In a cardiac patient, an increase in central venous pressure (CVP) indicates what? Answer: Fluid overload or right heart failure.
  4. If a patient has sinus tachycardia with a heart rate of 130 bpm but is otherwise stable, what does this usually signify? Answer: Physiological response to stress or pain.
  5. During a code, which position should the patient be in before administering a shock? Answer: Supine, clear of any objects on or around them.
  6. A patient with acute exacerbation of COPD is put on a non-rebreather mask. What is an expected outcome? Answer: Improved oxygen saturation.
  1. In a cardiac arrest situation, what is the target end-tidal CO2 (ETCO2) during CPR? Answer: 10 to 20 mmHg.
  2. A patient suffering from CHF is presenting with acute pulmonary edema. What medication can provide rapid diuresis? Answer: Furosemide.
  3. In cases of suspected aortic dissection presenting with chest pain, what should be initiated immediately? Answer: Blood pressure control (typically with beta-blockers).
  4. What is the first step in assessing a patient’s airway during resuscitation? Answer: Immobilize the spinal cord if trauma is suspected.
  5. In a patient with new-onset afib and rapid ventricular response, what medication is often used for rate control? Answer: Beta-blockers.
  6. A patient is resuscitated and has regained spontaneous circulation. What is the purpose of post-cardiac arrest care? Answer: To improve neurological outcomes and manage hemodynamic stability.