Exam Version A (50 questions) Advanced Cardiovascular Life Support
Please do not mark on this exam. Record the best answer on the separate answer sheet.
1.You find an unresponsive patient who is not breathing. After activating thenext action?
A. Open the airway with a head tit-chin lift.B.Administer epinephrine at a dose of 1 mg/kg.C.Deliver 2rescue breaths each over 1second. D. Start chest pressions at a rate of at least 100/min.
2. You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50
A.PETCOB.Chest x-rayC.Laboratory testing D. Obtaining a 12-lead ECG
3.What is the preferred method of access for epinephrine administration during cardiacarrest in most patients?
A.IntraosseousB.Endotracheal C.Central intravenousD.Peripheral intravenous
4.An activated AED does not promptly analyze the rhythm. What is your next action?
B.Discontinue the resuscitation attempt. A.Begin chest pressions.C.Check all AED connections and reanalyze.D. Rotate AED electrodes to an altemate position.
5.You have pleted 2 minutes of CPR. The ECG monitor displays the lead Il rhythmbelow and the patient has no pulse. Another member of your team resumes chest
A.Give 0.5 mg of atropine.B. Insert an advanced airway. C. Administer 1 mg of epinephrine.D. Administer a dopamine infusion.
6.During a pause in CPR you see this lead Il ECG rhythm on the monitor. The patient has no pulse. What is the next action?
A.Establish vascular access.B. Obtain the patient's history. Resume chest pressions.D. Terminate the resuscitative effort.
7.What is a mon but sometimes fatal mistake in cardiac arrest management?
A.Failure to obtain vascular accessB.Prolonged periods of no ventilations C.Failure to perform endotracheal intubationD.Prolonged interruptions in chest pressions
8.Which action is a ponent of high-quality chest pressions?
A.Allowing plete chest recoilB. Chest pressions without ventilationC.60 to 100 pressions per minute with a 15:2ratio D. Uninterrupted pressions at a depth of 1% inches
9.Which action increases the chance of successful conversion of ventricular fibrillation?
B. Administering 4 quick ventilations immediately before a defibrillation attempt A. Pausing chest pressions immediately after a defibrillation attemptC.Using manual defibrllator paddles with light pressure against the chestD. Providing quality pressions immediately before a defibrllation attempt
10.Which situation BEST describes pulseless electrical activity?
A.Asystole without a pulse B.Sinus rhythm without a pulseC. Torsades de pointes with a pulseD.Ventricular tachycardia with a pulse
11.What is the BEST strategy for performing high-quality CPR on a patient with anadvanced airway in place?
A. Provide pressions and ventilations with a 15:2 ratio.B.Provide pressions and ventilations with a 30:2 ratio.D. Provide continuous chest pressions without pauses and 10 ventilations per minute.
endotracheal tube while another performs continuous chest pressions.During 12.Three minutes after witnessing a cardiac arrest one member of your team inserts ansubsequent ventilation younotice the presence of a waveform onthecapnographyscreen and a PETCO level of 8mm Hg. What is the significance of this finding?
B.The endotracheal tube is no longer in the trachea. A. Chest pressions may not be effective.C.The patient meets the criteriafor termination of efforts.D.The team is ventilating the patient too often (hyperventilation).
13.The use of quantitative capnography in intubated patients
B.measures oxygen levels at the alveoli level. A. allows for monitoring of CPR quality.C.determines inspired carbon dioxide relating to cardiac output.D. detects electrolyte abnormalities early in code management.
14.Forthe past 25minutes anEMS crew has attemptedresuscitation of a patient whooriginally presented inventricularfibrillation.After thefirst shock theECGscreen displayed asystole which has persisted despite 2 doses of epinephrine a fluid bolus and high-quality CPR. What is your next treatment?
A.Apply a transcutaneous pacemaker.B.Administer 1 mg of intravenous atropine. C.Administer 40 units of intravenous vasopressin.D.Consider terminating resuscitative efforts after consulting medical control.
A.Stop chest pressions as you charge the defibrillator.B.Be sure oxygen is not blowing over the patient's chest during the shock.C.Assess for the presence of a pulse immediately after the shock. D.Commandingly announce “clear” after you deliver the defibrillation shock.
16.During your assessment your patient suddenly loses consciousness.After callingforhelp and determining that the patient is not breathing you are unsure whetherthe patient has a pulse.What is your next action?
A. Leave and get an AED.B.Begin chest pressions. C.Deliver 2 quick ventilations.D.Check the patient's mouth for the presence of a foreign body.
17.What is an advantage of using hands-free defibrillation pads instead of defibrillation
A.Hands-free pads deliver more energy than paddles.B.Hands-free pads increase electrical arc. C. Hands-free pads allow for a more rapid defibrillation.D. Hands-free pads have universal adaptors that can work with any machine.
18.What action is remended to help minimize interruptions in chest pressions during CPR?
B.Perform pulse checks immediately after defibrillation. A. Continue CPR while charging the defibrillator.C.Administer IV medications only when delivering breaths.D. Continue to use an AED even after the arrival of a manual defibrillator.
19.Which action is included in the BLS Survey?
A.Early defibrillationB.Advanced airwaymanagementC.Rapid medication administration D.Preparation for therapeutic hypothermia
refractoryventricularfibrillation?
A.Atropine 2 mgB.Amiodarone 300 mgD.Dopamine 2 mg/kg per minute C. Vasopressin 1mg/kg
21.What is the appropriate interval for an interruption in chest pressions?
A. 10 seconds or lessC.15 to 20 seconds B.10 to 15 secondsD. Interruptions are never acceptable
22.Which of the following is a sign of effective CPR?
A.PETCO210 mm HgB. Measured urine output of 1 mL/kg per hour C.Patient temperature >32°C (89.6°F)D. Diastolic intra-arterial pressure <20 mm Hg response team (RRT)? A. Identifying and treating early clinical deteriorationB.C.Responding to patients during a disaster or multiple-patient situation D.Responding to patients afteractivation of the emergency response system resuscitation attempt? A.Observe ECG rhythm to determine depth of pressions.B.Do not allow the chest to fully recoil with each pression. C. Compress the upper half of the sternum at a rate of 150 pressions per minute.D.Switch providers about every 2 minutes or every 5 pression cycles. 25.What is the appropriate ventilation strategy for an adult in respiratory arrest with a pulse rate of 80/min? A. 1 breath every 3 to 4 secondsB. 1 breath every 5 to 6 secondsC.2 breaths every 5 to 6 secondsD.2 breaths every 6 to 8 seconds
