ACLS Provider Exam A 2015

If the patient became apneic/pulseless but the rhythm remained the same (below) which would take the highest priority?

Based on this patient's initial presentation, which condition do you suspected led to the cardiac arrest?

Which critical action performed by EMS will expedite a stroke patient's care and reduce time to treatment?

You instruct a team member to give 0.5mg Atropine. Which response is an example of closed-loop communication?

You are performing compressions during a resuscitation attempt. Which rate should you use to perform the compressions?

What temperature range should be maintained to achieve targeted temperature management after cardiac arrest?

Despite drug provided above and cont. CPR, the pt. remains in ventricular fib. Which other drug should be admin. next?

Which best describes an action taken by the team leader to avoid inefficiencies during a resuscitation attempt?

Your patient is in cardiac arrest and intubated. To assess CPR quality, which should you do?

Which type of AV block best describes this rhythm?

Which would you have done first if the patient had not gone into ventricular fibrillation?

Based on this patient's inital assessment, which adult ACLS algorithm should you follow?

Stable pt. with narrow-complex tachy with a PIV is refractory to the first dose of adenosine. What dose is next?

In addition to clinical assessment, which is the most reliable method to confirm and monitor correct ETT placement?

Your team finds a 59-yr old man lying unresponsive on the floor. What is the next step in assessment/care of this pt?

Patient with suspected stroke. CT normal/no bleed. No contraindications to fibrinolytic tx. Which tx is best?

After your initial assessment of this patient, which intervention should be performed next?

What is min SBP to attempt to achieve with fluids or vasopressors in hypotensive post-cardiac arrest?

If a team member is about to make a mistake, which best describes the action that the team leader/members should take?

Which is the recommended next step after defibrillation attempt?

In addition to defibrillation, which intervention should be performed immediately?

Which is an acceptable method of selecting an appropriately sized OPA?

Pt. has a witnessed loss of consciousness. The lead II ECG reveals this rhythm. Which is the appropriate treatment?

3 min into a code a pt is intubated and ETCO2 is persistently 8mmHg. What is the significance of this finding?

Which is the max interval you should allow for interruption in chest compressions?

Which is the recommended oral dose of ASA for pt with suspected ACS?

Pt with chest discomfort. B/P 92/60, HR 92/min, resp = 14/min unlabored. O2 sat 97%. Which step is most important now?

Which is the most appropriate EMS destination for a patient with sudden cardiac arrest who achieved ROSC in the field?

What is the recommended first IV dose of amiodarone for a patient with refractory ventricular fibrillation?

Which of these tests should be performed for a patient with suspected stroke within 25 mins. of hospital arrival?

Which best describes this rhythm?

Pt. returned to spontaneous circulation & unable to follow commands. Which immediate post-arrest intervention is next?

Completed 2 mins. of CPR. The ECG shows this with no pulse. Resumes chest comp. and IV in place. Which do you do next?

Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient?

Which is one way to minimize interruptions in chest compressions during CPR?

To properly ventilate a patient with a perfusing rhythm, how often do you squeeze bag?

Which best describes this rhythm?

As the team leader, when do you tell compressors to switch?

Which is the primary purpose of a medical emergency or rapid response team?

Despite 2 defibrillation attempts, pt. remains in ventricular fibrillation. Which drug & dose should you admin. first?

For STEMI, what is the recommended max goal time for ED door to balloon inflation time for PCI?

Which best describes the length of time to perform pulse/breath check during BLS Assessment?

Pt in resp. distress with B/P 70/50 with rhythm below. Which is the appropriate treatment?

A patient with history of CHF has shortness of breath, B/P 68/50, and HR 190 with the rhythm below. What is the rhythm?

A team member is unable to perform an assigned task due to scope of practice. Which action should the team member take?

What is the effect of excessive ventilation?

During post-cardiac arrest care, what is the recommended time of TTM after reaching correct temperature range?

The patient's pulse oximeter shows a reading of 84% on room air. Which initial action do you take?

A code is very noisy. A team member thinks he heard an order for Amiodarone 500mg IV. Which is the best response?

Which best describes this rhythm?