1.What is the rate for performing chest compressions for an adult victim?
a) 30 compressions per minute
b) 50 compressions per minute
c) 80 compressions per minute
d) 100- 120 compressions per minute
2.Which of the following describes a way you can allow the chest to recoil
completely after each chest compression?
a) Keep the chest pushed down approximately ½ to 1 inch between
compressions
b) Keep your weight on the victim's chest so the chest is slightly compressed at
all times
c) Compress the chest shallowly with each compression so you don't have to
release too far
d) Take your weight off your hands and allow the chest to come back to its
normal position.
3.When you do not suspect cervical spine injury, what is the best way to
open an unresponsive victim's airway?
a) Give abdominal thrusts and then sweep out the mouth.
b) Use the head tilt-chin lift.
c) Use the tongue lift-finger sweep.
d) Use a mask while giving breaths to the victim.
4.After you open the airway and pinch the nose of an unresponsive adult,
which of the following describes the best way to give mouth-to-mouth
breaths?
a) Seal your mouth over the victim's mouth and give 2 breaths, watching for the
chest rise.
b) Put your mouth on the victim's mouth and give small puffs try to avoid
making the chest rise.
c) Put your mouth on the victim's mouth and give 1 slow breath over about 5
seconds.
d) Put your mouth on the victim's mouth and give 5 slow breaths over about 2
seconds each, watching for chest rise.
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5.You must check adequate breathing before giving breaths to an
unresponsive adult victim. You do this by looking for chest rise and feeling for
airflow through the victim's nose or mouth. What another sign should you
assess?
a) Look into the victim's mouth to see if anything is blocking the airway.
b) Count the victim's breaths for at least 15 seconds.
c) Look carefully for gasps because they are signs of adequate breathing.
d) Listen for airflow from the victim's nose or mouth.
6.What might happen if you touch the victim while the AED is delivering a
shock?
a) The AED will power off if you touch the victim while it is shocking.
b) You might move the victim, which may cause the AED to reanalyze the
victim's rhythm.
c) The AED could shock you while it is shocking the victim
d) The AED might mistake your movement for the victim's pulse and not deliver
a shock.
7.Which of the following statements best describes why you should minimize
interruptions when giving chest compressions to any victim of cardiac arrest?
a) You do not need to worry about interrupting chest compressions.
b) Minimizing interruptions means you will not be as tired giving CPR.
c) Only advanced care professionals need to worry about minimizing
interruptions.
d) If you minimize interruptions in chest compressions, you will increase the
victim's chances of survival.
8. What is the recommended depth of chest compressions in adult CPR?
a) 2-3 cm
b) 5-6 cm
c) 6-7 cm
d) 8-9 cm
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9. Which medication is commonly used for the treatment of ventricular
fibrillation and pulseless ventricular tachycardia?
a) Aspirin
b) Epinephrine
c) Amiodarone
d) Nitroglycerin
10. What is the recommended target temperature for therapeutic hypothermia
in comatose survivors of cardiac arrest?
a) 32-34°C
b) 35-37°C
c) 38-40°C
d) 41-43°C
4. In symptomatic bradycardia, what is the initial treatment of choice?
a) Administering oxygen
b) Performing synchronized cardioversion
c) Administering atropine
d) Initiating chest compressions
5. What is the first-line medication for stable regular narrow-complex
tachycardia?
a) Adenosine
b) Amiodarone
c) Lidocaine
d) Epinephrine
6. Which term describes a coordinated network of healthcare facilities that
work together to provide timely care for patients with acute cardiovascular
conditions?
a) Chain of survival
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b) Stroke chain of survival
c) Regional trauma system
d) Regional Systems of Care
7. During resuscitation, which team member is responsible for managing the
airway and performing intubation?
a) Team leader
b) Chest compressor
c) Airway manager
d) Medication administrator
8. Which cardiac enzyme is most specific for myocardial injury?
a) Troponin
b) Creatine kinase (CK)
c) Lactate dehydrogenase (LDH)
d) Aspartate aminotransferase (AST)
9. What is the most common cause of ischemic stroke?
a) Hemorrhage
b) Atherosclerosis
c) Embolism
d) Thrombosis
10. What is the recommended compression-to-ventilation ratio for adult CPR?
a) 15:2
b) 30:2
c) 5:1
d) 10:1
11. What is the recommended target oxygen saturation level for post-cardiac
arrest patients?
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a) 88-92%
b) 92-94%
c) 96-98%
d) 99-100%
13. Which medication is commonly used for the treatment of symptomatic
bradycardia if atropine is ineffective?
a) Dopamine
b) Epinephrine
c) Isoproterenol
d) Norepinephrine
14. What is the treatment of choice for stable wide-complex tachycardia with a
pulse?
a) Electrical cardioversion
b) Adenosine
c) Amiodarone
d) Synchronized cardioversion
15. What is the term used to describe a system that provides coordinated care
for patients with acute stroke, including rapid diagnosis, treatment, and
rehabilitation?
a) Stroke center
b) STEMI center
c) Trauma center
d) Comprehensive stroke center
16. Which team member is responsible for delivering medications during
resuscitation efforts?
a) Team leader
b) Airway manager
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c) Chest compressor
d) Medication administrator
17. Which type of acute coronary syndrome is characterized by partial
occlusion of a coronary artery?
a) Unstable angina
b) ST-elevation myocardial infarction (STEMI)
c) Non-ST-elevation myocardial infarction (NSTEMI)
d) Prinzmetal's angina
18. What is the most common type of stroke?
a) Ischemic stroke
b) Hemorrhagic stroke
c) Transient ischemic attack (TIA)
d) Cryptogenic stroke
19. What is the recommended blood glucose range for post-cardiac arrest
patients?
a) 80-120 mg/dL
b) 120-180 mg/dL
c) 180-220 mg/dL
d) 220-250 mg/dl
20. What is the recommended depth of chest compressions for pediatric CPR?
a) 1-2 cm
b) 2-3 cm
c) 4-5 cm
d) 5-6 cm
21. What is the recommended time window for administering intravenous
thrombolysis with alteplase in patients with acute ischemic stroke?
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a) Within 1 hour of symptom onset
b) Within 3 hours of symptom onset
c) Within 4.5 hours of symptom onset
d) Within 6 hours of symptom onset
22. In the management of acute ischemic stroke, what is the recommended
blood pressure target during the first 24 hours?
a) <140/90 mmHg
b) <160/100 mmHg
c) <180/110 mmHg
d) <200/120 mmHg
23. Which imaging modality is commonly used to assess the extent and
location of brain ischemia in patients with acute ischemic stroke?
a) Computed tomography (CT)
b) Magnetic resonance imaging (MRI)
c) Positron emission tomography (PET)
d) Single-photon emission computed tomography (SPECT)
24. What is the recommended target range for blood glucose levels in patients
with acute ischemic stroke?
a) 80-100 mg/dL
b) 100-140 mg/dL
c) 140-180 mg/dL
d) 180-220 mg/dL
25.What is the first step in the ACLS algorithm for a patient in cardiac
arrest?
a) Chest compressions
b) Defibrillation
c) Airway management
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d) Administration of epinephrine
26.What is the recommended depth of chest compressions in adult patients
during CPR?
a) 1 inch
b) 2 inches
c) 3 inches
d) 4 inches
27.What is the recommended dose of epinephrine during ACLS?
a) 0.1 mg/kg
b) 0.01 mg/kg
c) 1 mg/kg
d) 0.5 mg/kg
28.What is the maximum number of shocks that can be delivered during a
single defibrillation attempt?
a) 1
b) 2
c) 3
d) There is no maximum number of shocks
29.What is the recommended initial energy level for biphasic defibrillation in
adult patients?
a) 50-100 J
b) 100-200 J
c) 200-300 J
d) 300-360 J
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30.What is the recommended treatment for pulseless ventricular tachycardia?
a) Defibrillation
b) Synchronized cardioversion
c) Epinephrine
d) Amiodarone or lidocaine
31.What is the recommended treatment for pulseless electrical activity (PEA)?
a) Defibrillation
b) Synchronized cardioversion
c) Epinephrine
d) Amiodarone or lidocaine
32.What is the recommended treatment for asystole?
a) Defibrillation
b) Synchronized cardioversion
c) Epinephrine
d) Amiodarone or lidocaine
33.What is the recommended treatment for stable monomorphic ventricular
tachycardia?
a) Defibrillation
b) Synchronized cardioversion
c) Epinephrine
d) Amiodarone or lidocaine
34.What is the recommended treatment for unstable polymorphic ventricular
tachycardia (VT) with a pulse?
a) Defibrillation
b) Synchronized cardioversion
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c) Epinephrine
d) Amiodarone or lidocaine
35. What is the recommended treatment for torsades de pointes?
a) Defibrillation
b) Synchronized cardioversion
c) Epinephrine
d) Magnesium sulfate
36.What is the recommended treatment for supraventricular tachycardia
(SVT) with a pulse?
a) Defibrillation
b) Synchronized cardioversion
c) Adenosine
d) Amiodarone or lidocaine
37.What is the recommended treatment for atrial fibrillation with rapid
ventricular response (RVR)?
a) Defibrillation
b) Synchronized cardioversion
c) Adenosine
d) Amiodarone or lidocaine
38.What is the recommended treatment for stable bradycardia?
a) Atropine
b) Epinephrine
c) Dopamine
d) Amiodarone or lidocaine
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39.What is the recommended treatment for unstable bradycardia?
a) Atropine
b) Epinephrine
c) Dopamine
d) Transcutaneous pacing
40.What is the recommended treatment for hypotension during ACLS?
a) Epinephrine
b) Dopamine
c) Norepinephrine
d) All of the above
41.What is the recommended treatment for anaphylaxis during ACLS?
a) Epinephrine
b) Diphenhydramine
c) Corticosteroids
d) All of the above
42.What is the recommended treatment for pulmonary edema during ACLS?
a) Diuretics
b) Nitroglycerin
c) Morphine
d) All of the above
43.What is the recommended treatment for acute coronary syndrome during
ACLS?
a) Aspirin
b) Nitroglycerin
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c) Heparin
d) All of the above
44.What is the recommended treatment for acute ischemic stroke during
ACLS?
a) Aspirin
b) Tissue plasminogen activator (tPA)
c) Heparin
d) All of the above
45.What is the recommended treatment for hypoglycemia during ACLS?
a) Glucose
b) Dextrose
c) Insulin
d) All of the above
46.What is the recommended treatment for hyperkalemia during ACLS?
a) Calcium chloride or calcium gluconate
b) Sodium bicarbonate
c) Insulin and glucose
d) All of the above
47.What is the recommended treatment for hypocalcemia during ACLS?
a) Calcium chloride or calcium gluconate
b) Sodium bicarbonate
c) Insulin and glucose
d) All of the above
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48.What is the recommended treatment for hypermagnesemia during ACLS?
a) Calcium chloride or calcium gluconate
b) Sodium bicarbonate
c) Insulin and glucose
d) All of the above
49.What is the recommended treatment for hypomagnesemia during ACLS?
a) Magnesium sulfate
b) Sodium bicarbonate
c) Insulin and glucose
d) All of the above
50.What is the recommended treatment for acidosis during ACLS?
a) Sodium bicarbonate
b) Calcium chloride or calcium gluconate
c) Insulin and glucose
d) All of the above
51.What is the recommended treatment for alkalemia during ACLS?
a) Sodium bicarbonate
b) Calcium chloride or calcium gluconate
c) Insulin and glucose
d) All of the above
52.What is the recommended treatment for acute asthma exacerbation during
ACLS?
a) Albuterol
b) Epinephrine
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c) Corticosteroids
d) All of the above
53.What is the recommended treatment for acute pulmonary embolism
during ACLS?
a) Heparin
b) Tissue plasminogen activator (tPA)
c) Oxygen
d) All of the above
54.What is the recommended treatment for acute aortic dissection during
ACLS?
a) Nitroprusside
b) Beta-blockers
c) Calcium channel blockers
d) All of the above
55.What is the recommended treatment for acute pericarditis during ACLS?
a) Aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs)
b) Colchicine
c) Corticosteroids
d) All of the above
56.What is the recommended treatment for acute heart failure during ACLS?
a) Diuretics
b) Nitroglycerin
c) Inotropic agents
d) All of the above
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57.What is the recommended treatment for acute myocardial infarction
(AMI) during ACLS?
a) Aspirin
b) Nitroglycerin
c) Beta-blockers
d) All of the above
58.What is the recommended treatment for acute pulmonary hypertension
during ACLS?
a) Nitric oxide
b) Inhaled prostacyclin
c) Milrinone
d) All of the above
59.What is the recommended treatment for acute aortic dissection during
ACLS?
a) Nitroprusside
b) Beta-blockers
c) Calcium channel blockers
d) All of the above
You are a healthcare provider working in a hospital. A code blue is called, and
you rush to the scene where a patient has experienced a cardiopulmonary
arrest. Choose the best answer for each question based on the scenario.
1. What is the first step you should take upon arriving at the scene?
a) Begin chest compressions
b) Assess the patient's pulse
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c) Open the airway
d) Administer rescue breaths
2. You open the patient's airway and find that they are not breathing. What
should you do next?
a) Begin chest compressions
b) Check for a pulse
c) Administer rescue breaths
d) Call for additional help
3. While performing rescue breaths, you notice that the patient's chest is not
rising. What should you do?
a) Reposition the patient's head and try again
b) Continue rescue breaths at a faster rate
c) Check for a pulse
d) Begin chest compressions
4. After repositioning the patient's head, you still cannot achieve chest rise.
What should you do next?
a) Continue rescue breaths regardless
b) Check for a pulse
c) Begin chest compressions
d) Administer oxygen via a bag-valve-mask device
5. While performing chest compressions, another healthcare provider arrives.
What should you ask them to do?
a) Take over chest compressions while you provide rescue breaths
b) Administer medications
c) Check for a pulse
d) Retrieve the automated external defibrillator (AED)
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6. The AED arrives, and you attach it to the patient's chest. What should you
do next?
a) Administer a shock if advised by the AED
b) Continue chest compressions while the AED analyzes the rhythm
c) Check for a pulse
d) Administer rescue breaths
7. The AED advises a shock. What should you do?
a) Administer the shock immediately
b) Check for a pulse
c) Administer chest compressions for two more minutes before shocking
d) Administer rescue breaths
8. After administering the shock, what should you do next?
a) Check for a pulse
b) Administer chest compressions
c) Analyze the rhythm with the AED again
d) Administer rescue breaths
9. After two minutes of chest compressions, you reassess the patient and find
no signs of circulation. What should you do next?
a) Administer epinephrine
b) Continue chest compressions
c) Administer rescue breaths
d) Check for a pulse
10. After administering epinephrine, you continue with CPR. What should
you do next?
a) Check for a pulse every 2 minutes
b) Administer another shock with the AED
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c) Administer rescue breaths
d) Perform an advanced airway intervention
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