ACLS Principles Quiz 2

Read the questions carefully and choose the best answer among the choices below.

ACLS Principles Quiz 2

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Question 1 of 10

1. Question
1. A 55-year-old man with cardiac arrest in asystole is being resuscitated for about 15 minutes. Your team decides to perform the rhythm check and record the following:

You check the pulse and feel none. You record the following vital signs: HR = 0 bpm, BP = 0 mm Hg. What is your next course of action?
- a. Defibrillate
- b. Continue high-quality CPR for 2 minutes and administer 1mg epinephrine every 3 to 5 minutes
- c. Stop CPR and optimize ventilation and oxygenation and treat hypotension
- d. Start an infusion of dopamine 5–10 mcg/kg/min
Correct

Incorrect
Question 2 of 10

2. Question
2. A 59-year-old man is brought to the emergency department unconscious and not breathing. An ECG shows the following tracing. What is your interpretation of the ECG finding?
- a. Ventricular fibrillation
- b. Ventricular tachycardia
- c. Asystole
- d. Atrial fibrillation
Correct

Incorrect
Question 3 of 10

3. Question
3. A 60-year-old man with stage IV lung cancer is being resuscitated in the emergency department. He is in cardiac arrest with pulseless electrical activity. After 2 minutes of high-quality CPR, the team performs a rhythm check and records the following ECG tracing:

The patient has no pulse and is not breathing. What is the next treatment of choice?
- a. Amiodarone 300 mg IV injection
- b. Defibrillation
- c. Continue high-quality CPR for 2 minutes, giving epinephrine 1 mg IV every 3 to 5 minutes
- d. Have the ED physician call the time of death, as CPR is futile
Correct

Incorrect
Question 4 of 10

4. Question
4. A 65-year-old man complains of chest pain and soon becomes unresponsive. EMS has been called and is in transit. No pulse or spontaneous breathing is detected. What is the next correct step?
- a. Give rescue breaths
- b. Clear the path for EMS personnel in case they arrive
- c. Keep checking for return of spontaneous circulation every 2 minutes
- d. Begin CPR
Correct

Incorrect
Question 5 of 10

5. Question
5. A 65-year-old man is brought to the emergency department allegedly due to a heart attack. The patient is unconscious with no pulse and not breathing spontaneously. The following ECG tracing was recorded:

What is the interpretation of this ECG finding?
- a. Pulseless electrical activity
- b. Sinus bradycardia
- c. Idioventricular rhythm
- d. First-degree AV block
Correct

Incorrect
Question 6 of 10

6. Question
6. Your team is treating a patient that is pulseless and occasionally gasping. You are assigned the monitor/defibrillator role and have hooked the patient to a defibrillator. The monitor shows a flatline rhythm. In your role, what is the next course of action?
- a. Replace the defibrillator with a new one.
- b. Check for loose leads.
- c. Defibrillate.
- d. Perform a precordial thump.
Correct

Incorrect
Question 7 of 10

7. Question
7. A cardiac arrest patient has been successfully intubated. During CPR with an advanced airway, the provider must deliver 1 breath every:
- a. 3 seconds
- b. 6 seconds
- c. 7 seconds
- d. 10 seconds
Correct

Incorrect
Question 8 of 10

8. Question
8. A cardiac arrest patient is brought by EMS to your emergency department for further management. He sustained electrical shock injuries after being hit by lightning in the fields where he farms apples. You record the following ECG tracing:

What is your interpretation of this ECG finding?
- a. Ventricular tachycardia
- b. Asystole
- c. Pulseless electrical activity
- d. Ventricular fibrillation
Correct

Incorrect
Question 9 of 10

9. Question
9. A cardiac arrest patient’s rhythm strip shows the following ECG tracing:

What is the definitive treatment for this patient?
- a. Epinephrine
- b. Chest compressions
- c. Extracorporeal CPR
- d. Defibrillation
Correct

Incorrect
Question 10 of 10

10. Question
10. A critically ill patient shows the following ECG tracing:

What is the first course of action in this case?
- a. Immediate CPR beginning with chest compressions
- b. Ensure the ECG leads are properly connected
- c. Early defibrillation
- d. Endotracheal intubation
Correct

Incorrect