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ACLS Real Exam Questions

Advanced Cardiac Life Support

301 questions available · Page 1 of 31

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Question 1 Fill in the blank

How should the trigger be positioned on a flow-restricted oxygen-powered ventilation device?

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Accepted answer: In such a way that both hands of the EMT can remain on the mask to hold it in position.

Question 2 Single choice

T/F: Brain damage, after resuscitation, is evidence of negligence:

  1. A

    True

  2. B

    False

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Correct answer: B

Question 3 Fill in the blank

What is the mechanism of action of adenosine on the heart?

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Accepted answer: Depresses sinus node and AV node activity.

Question 4 Single choice

You are monitoring a patient. Chest discomfort has been relieved with sublingual nitrates and morphine sulfate 4 mg IV. He suddenly has the above persistent rhythm. You ask about symptoms and he reports mild palpitations, but otherwise he is clinically stable with unchanged vital signs. Your next action is:

  1. A

    Give sedation and perform synchronized cardioversion

  2. B

    Administer amiodarone 150 mg over 10 minutes; seek expert consultation

  3. C

    Give immediate synchronized shock

  4. D

    Give immediate unsynchronized shock

  5. E

    Administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes

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Correct answer: B

Question 5 Single choice

T/F: Epinephrine increases peripheral vascular resistance and increases myocardial contractility.

  1. A

    False

  2. B

    True

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Correct answer: B

Question 6 Single choice

A patient with an acute Ml on a 12-lead ECG transmitted by the paramedics has the above findings on a rhythm strip when a monitor is placed in the ED. The patient had resolution of moderate (5/10) chest pain with three doses of sublingual nitroglycerin. Blood pressure is 104/70 mmHg.

Which intervention below is most important, reducing in-hospital and 30-day mortality?

  1. A

    Atropine 1 mg IV, total dose 3 mg as needed

  2. B

    Intravenous nitroglycerin for 24 hours

  3. C

    Reperfusion therapy

  4. D

    Atropine 0.5 mg IV, total dose 2 mg as needed

  5. E

    Temporary pacing

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Correct answer: C

Question 7 Single choice

Identify the rhythm by selecting the best single answer:

  1. A

    Normal sinus rhythm

  2. B

    Sinus tachycardia

  3. C

    Sinus bradycardia

  4. D

    Reentry supraventricular tachycardia

  5. E

    First-degree AV Block

  6. F

    Second-degree AV Block (Mobitz 1 Wenckebach)

  7. G

    Second-degree AV Block (Mobitz II Block)

  8. H

    Third-degree AV Block

  9. I

    Atrial fibrillation

  10. J

    Atrial flutter

  11. K

    Monomorphic ventricular tachycardia

  12. L

    Polymorphic ventricular tachycardia

  13. M

    Coarse ventricular fibrillation

  14. N

    Fine ventricular fibrillation

  15. O

    Agonal rhythm/asystole

  16. P

    Pulseless electrical activity

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Correct answer: O

Question 8 Single choice

Nitroglycerin:

  1. A

    may be given sublingually or IV

  2. B

    is useful in relieving chest pain in acute myocardial infarction

  3. C

    causes hypotension

  4. D

    may be repeated more than once

  5. E

    All of the above

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Correct answer: E

Question 9 Fill in the blank

What is the effect of dopamine at intermediate doses (5?
0 mcg/kg/min)?

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Accepted answer: Cardiac dose Beta-1 and alpha-adrenergic effect causing enhanced myocardial contractility, increased cardiac output, and a very slight rise in blood pressure.

Question 10 Fill in the blank

If while ventilating a patient the chest does not rise and fall, what should you do after checking for obstruction?

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Accepted answer: Use alternative method of artificial ventilation, e.g., pocket mask, manually triggered device. If necessary, consider the use of adjuncts such as oral or nasal airways.