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ACLS Practice Test

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1.

Answered

2.

Review

1. Recommended ED door to balloon inflation time for a STEMI patient is:

No longer than 15 minutes

No longer than 30 minutes

No longer than 60 minutes

No longer than 90 minutes

2. The following drug used to be the drug of choice but is no longer


recommended for asystole or PEA:

Magnesium

Epinephrine

Sodium Bicarbonate

Atropine

3. Narrow-complex Supraventricular tachycardia is best treated with:

Atropine

Epinephrine

Adenosine

Amiodarone

4. The correct sequence for basic life support is:

ABC - Airway, Breathing, Compressions

ACB - Airway, Compressions, Breathing

CAB - Compressions, Airway, Breathing

BCA - Breathing, Compressions, Airway

5. Team resuscitation is a focus in the 2010 guidelines. The role of the team
leader is different from the other team members in that a team leader is the
person on the team who must:

Understand the ACLS sequences

Be willing and able to perform the role

Be able to perform all the skills if needed

Be practiced in performing the skills of the role

6. You are the paramedic on an ambulance transporting a 65-year-old female.


The patient is connected to the monitor and you see this rhythm; she has a
palpable pulse. What is the rhythm?

Sinus Bradycardia

Sinus Rhythm

Second Degree Heart Block

PEA

7. This rhythm is characterized by a complete dissociation between the P wave


and the QRS:

First Degree AV Block

Third Degree AV Block

Second Degree AV Block Type 2

Second Degree AV Block Type 1

8. True or False: Cricoid pressure is recommended when performing an


emergent adult airway intubation.

True

False

9. True or False: Pulse checks should be done for at least 15 seconds.

True

False

10.True or False: The initial recommended dose of atropine for symptomatic


bradycardia is 0.5 mg IV.

False

True

11.During cardiopulmonary resuscitation, deliver oxygen at:

2 Liters per minute via nasal cannula

Titrated to keep oxygen saturation 94%

Titrated to keep oxygen saturation 85%

100%

12.You are considering use of an oropharyngeal airway (OPA). You know that all
of the following are true EXCEPT:

A too-small OPA may obstruct the airway by pushing the tongue


into the throat
OPAs are safe to use in all patients
You should insert the OPA so that it curves upward and then rotate
it 180 degrees to match the curve of the tongue and throat
A too-large OPA may obstruct the larynx

13.The most common reversible causes of PEA are called the Hs and Ts and
include all of the following EXCEPT:

Hypovolemia

Hypocalcemia

Tamponade

Hypoxia

14.Your patient is in the ED with ACS. You know that the immediate goals of
therapy include all of the following EXCEPT:

Relieve chest pain

Identify elevated cardiac markers

Intervene early for life-threatening complications

Identify STEMI in order to provide early reperfusion therapy.

15.Your patient in the ED has a strong pulse and regular heart rate of 182 beats
per minute with a normal QRS on the cardiac monitor. Her blood pressure is

112/56. She is awake and denies any pain. All of the following may be
appropriate interventions EXCEPT:

12 lead ECG

Administer adenosine

Attempt vagal maneuvers

Perform synchronized cardioversion

16.Narrow-complex Supraventricular tachycardia is best treated with:

Adenosine

Epinephrine

Amiodarone

Atropine

17.Early signs and symptoms of a stroke may include all of following EXCEPT:

Sudden weakness or numbness of the face

Speech difficulties

Sudden confusion or disorientation

Hypotension

18.The goal for initiation of fibrinolytic therapy in appropriate stroke patients is:

Within 3 hours of arrival to the ED

Within 4 hours of arrival to the ED

Within 1 hour of arrival to the ED

Within 6 hours of arrival to the ED

19.The medication that should NOT be given via endotracheal tube is:

Epinephrine

Dopamine

Atropine

Lidocaine

20.The newest AHA ACLS guidelines discuss resuscitation team dynamics,


including the roles of team of team leader and team member. A team
member should possess which of the following?

The ability to insert an central venous catheter

The ability to perform all ACLS skills

The ability to insert an endotracheal tube

A thorough understanding of all ACLS algorithms