Advanced Cardiovascular Life Support

Exam Version A (50 questions)

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

the emergency response system, you determine that there is no pulse.

What is your next action?

A. Open the airway with a head tilt–chin lift.

B. Administer epinephrine at a dose of 1 mg/kg.

C. Deliver 2 rescue breaths each over 1 second.

D. Start chest compressions 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 mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14

breaths/min, and the pulse oximetry reading is 97%. What assessment step is

most important now?

A. PETCO2

B. Chest x-ray

C. Laboratory testing

D. Obtaining a 12-lead ECG

3. What is the preferred method of access for epinephrine administration during

cardiac arrest in most patients?

A. Intraosseous

B. Endotracheal

C. Central intravenous

D. Peripheral intravenous

4. An activated AED does not promptly analyze the rhythm. What is your next action?

A. Begin chest compressions.

B. Discontinue the resuscitation attempt.

C. Check all AED connections and reanalyze.

D. Rotate AED electrodes to an alternate position.

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5. You have completed 2 minutes of CPR. The ECG monitor displays the lead II rhythm

below, and the patient has no pulse. Another member of your team resumes chest

compressions, and an IV is in place. What management step is your next priority?

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 II 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.

C. Resume chest compressions.

D. Terminate the resuscitative effort.

7. What is a common but sometimes fatal mistake in cardiac arrest management?

A. Failure to obtain vascular access

B. Prolonged periods of no ventilations

C. Failure to perform endotracheal intubation

D. Prolonged interruptions in chest compressions

8. Which action is a component of high-quality chest compressions?

A. Allowing complete chest recoil

B. Chest compressions without ventilation

C. 60 to 100 compressions per minute with a 15:2 ratio

D. Uninterrupted compressions at a depth of 1½ inches

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