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AHA ACLS Post Test Answer Key 2024
AHA ACLS Post Test Answer Key 2024: This is a sample copy of the American Heart Association (AHA) Advanced Cardiac Life Support Precourse Self-Assessment Test Questions with Answer Keys. There are a total of 50 multiple-choice questions for the AHA ACLS Post-Test with answer keys. The Advanced Cardiovascular Life Support (ACLS) Precourse Self-Assessment is an online tool that evaluates a student’s knowledge before the course to determine their proficiency and identify any need for additional review and practice in 3 sections: rhythm recognition, pharmacology, and practical application.
AHA ACLS Post Test Answer Key 2024
Test Name AHA ACLS Post Test Type of Question Sample Question Answers Topics Pharmacology, Rhythm Total Question 50 Test Type Online Quiz Available of Answers YES ACLS Advanced Cardiovascular Life Support Identify the choice that best completes the statement or answers the question. Q1. A 48-year-old man became unresponsive shortly after presenting to you with nausea and generalized chest discomfort. You observe gasping breathing and are unsure if you feel a pulse. You should know: A. Call for help and begin chest compressions. B. Wait until breathing stops and then check again for a pulse. C. Begin chest compressions only if you are certain a pulse is absent. D. Observe the patient for 2 minutes, then reassess his breathing and pulse. View Correct Answer Answer Key: A
Q4. Your general impression of a 78-year-old woman reveals that her eyes are closed, she is not moving, you can see no rise and fall of her chest or abdomen, and her skin color is pale. When you arrive at the patient’s side, you confirm that she is unresponsive. Your best action in this situation will be to: A. Open her airway and give two breaths. B. Apply an automated external defibrillator (AED). C. Assess breathing and determine whether she has a pulse. D. Prepare the necessary equipment to insert an advanced airway. Q5. A 60-year-old woman has suffered a cardiac arrest. A health care professional trained in endotracheal intubation has intubated the patient. Which of the following findings would indicate inadvertent esophageal intubation? A. Jugular vein distention B. Subcutaneous emphysema C. Gurgling sounds heard over the epigastrium D. Breath sounds heard on only one side of the chest View Correct Answer Answer Key: C View Correct Answer Answer Key: D
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Q8. Assuming there are no contraindications, which of the following can be performed as an initial intervention for a stable but symptomatic patient with the rhythm shown? A. Defibrillation B. Vagal maneuvers C. Administration of intravenous (IV) diltiazem D. Administration of IV epinephrine Q9. A 62-year-old man received IV tissue plasminogen activator (tPA) 2 hours ago after a diagnosis of acute ischemic stroke. While assessing the patient’s vital signs, you observe swelling of the patient’s lips and tongue. Your best course of action will be to: A. Administer aspirin and IV heparin. B. Administer IV antihistamines and steroids. C. Observe and reassess the patient every 15 minutes. View Correct Answer Answer Key: B
D. Request an emergent brain computed tomography scan. Q10. During a cardiac arrest, multiple attempts to establish a peripheral IV have proved unsuccessful. Your best course of action at this time will be to: A. Insert a central line. B. Attempt intraosseous access. C. Discontinue resuscitation efforts. D. Continue peripheral IV attempts until successful. Q11. Synchronized cardioversion: A. Is used only for atrial dysrhythmias. B. Delivers a shock during ventricular depolarization. C. Delivers a shock between the peak and end of the T wave. D. Is used only for rhythms with a ventricular rate of less than 60 beats/min. View Correct Answer Answer Key: B View Correct Answer Answer Key: B
Q12. An 84-year-old man presents with an acute onset of altered mental status. The cardiac monitor shows the rhythm here. The patient’s BP is 58/30 mm Hg and his ventilatory rate is 14 breaths/min. His skin is cool, moist, and pale. His blood oxygen saturation level (SpO2) on room air is 95%. An IV has been established. On the basis of the information provided, your best course of action will be to: A. Prepare for transcutaneous pacing. B. Give amiodarone 300 mg IV push. C. Give epinephrine 1 mg IV bolus and reassess. D. Observe the patient and monitor for signs of deterioration. Questions 13 through 23 pertain to the following scenario View Correct Answer Answer Key: A Answer Key: B
Paramedics are on the scene with a 55-year-old man who is complaining of severe chest discomfort. He describes his discomfort as a “heavy pressure” in the middle of his chest that has been present for about 1 hour. Q13. Which of the following actions performed at the scene is most likely to reduce subsequent treatment delays at the hospital? A. Giving aspirin B. Obtaining a 12-lead electrocardiogram (ECG) C. Assessing vital signs and oxygen saturation D. Assessing the patient’s degree of discomfort Q14. The patient rates his discomfort 9/10. His BP is 126/72 mm Hg and ventilations 14 breaths/min. His SpO2 on room air is 95%. The cardiac monitor shows a sinus rhythm at 60 beats/min. Immediate management of this patient should include: A. Giving aspirin and NTG. B. Establishing IV access and giving aspirin. C. Administering oxygen and establishing IV access. D. Administering oxygen and obtaining a targeted history. View Correct Answer Answer Key: B View Correct Answer Answer Key: B
The patient’s 12-lead ECG shows: A. STE in leads II, III, and aVF. B. STD in leads I, II, III, and aVL. C. STE in leads I, aVL, and V2 to V6. D. STD in leads V1, V4, V5, and V6. Q18. To be considered significant, ECG findings, such as STE or STD, need to be viewed in two or more contiguous leads. Which of the following are contiguous leads? View Correct Answer Answer Key: C
A. V1, V4, and V B. V2, V3, and V C. III, aVF, and V D. I, II, III, and aVL Q19. The patient’s 12-lead ECG findings suggest a(n) MI. A. Posterior B. Inferolateral C. Anterolateral D. Non–ST elevation Q20. On the basis of the patient’s 12-lead ECG findings: A. The patient should be classified as having a nondiagnostic ECG and discharged with follow-up instructions. B. The patient should be classified as having an ST elevation MI (STEMI) and should be evaluated for immediate reperfusion therapy. C. The patient should be classified as having a normal ECG; serial ECGs should be obtained at 30-minute intervals to detect the development of ST elevation. View Correct Answer Answer Key: C View Correct Answer Answer Key: B
Q23. The patient’s chest discomfort was unrelieved after the maximum recommended dosage of NTG tablets. Morphine sulfate was ordered and a 4 mg dose was given IV. The patient’s BP is now 80/60 mm Hg and his skin is cool, moist, and pale. His breath sounds are clear. You should: A. Prepare a lidocaine infusion at 1 to 4 mg/min. B. Prepare an epinephrine infusion at 2 mcg/min. C. Give a 250 mL IV fluid bolus of normal saline. D. Prepare a dopamine infusion at 2 to 10 mcg/kg/min. Q24. Which of the following is not recommended when performing defibrillation? A. Check for a pulse immediately after defibrillation to determine next steps. B. Visually check and ensure that everyone is clear of the patient before shock delivery. C. Remove transdermal medication patches or ointment from the patient’s chest before the procedure. D. All team members with the exception of the chest compressor should clear the patient as the machine charges. View Correct Answer Answer Key: C View Correct Answer Answer Key: A
View Correct Answer Answer Key: A
Q27. An unstable patient with a narrow-QRS tachycardia requires electrical therapy. You have a biphasic defibrillator available to you. Which of the following correctly reflects the recommended energy dose that should be delivered in this situation? A. Defibrillate with 120 joules (J). B. Defibrillate with 360 J. C. Perform synchronized cardioversion with 50 to 100 J for the initial shock. D. Perform synchronized cardioversion with 100 to 200 J for the initial shock. Q28. The preferred method used to verify the proper placement of an endotracheal tube is: A. Obtaining a chest radiograph. B. Using continuous waveform capnography. C. Auscultating the presence of bilateral breath sounds. D. Observing adequate chest rise with positive pressure ventilation. View Correct Answer Answer Key: B View Correct Answer Answer Key: C View Correct Answer Answer Key: A
Q29. Which of the following is incorrect with regard to the events of a typical resuscitation effort? A. The team leader should state his or her instructions one at a time. B. The team leader should encourage a respectful exchange of ideas. C. Team members must be knowledgeable about current resuscitation algorithms. D. Team members should be encouraged to confer among themselves throughout the resuscitation effort. Q30. Which of the following statements is correct about the use of medications during cardiac arrest? A. Amiodarone is the drug of choice for cardiac arrest resulting from asystole. B. Lidocaine is contraindicated in cardiac arrest associated with a shockable rhythm. C. Epinephrine should be given as soon as feasible after the onset of cardiac arrest associated with a nonshockable rhythm. D. Vasopressin can be substituted for either the first or second dose of epinephrine in the treatment of cardiac arrest. Q31. This 12-lead ECG is from a 50-year-old man complaining of chest discomfort. View Correct Answer Answer Key: C View Correct Answer Answer Key: B
