ACLS Medical Training 3

Question 1

A patient presents with a wide-complex tachycardia at a rate of 180 bpm and is hemodynamically unstable. What is the ACLS-recommended first intervention?

Accepted Answer

Synchronized cardioversion

Answer

Unstable tachycardia regardless of QRS width should be treated with immediate synchronized cardioversion.

Question 2

Which finding best confirms correct endotracheal tube placement during ACLS?

Accepted Answer

Continuous waveform capnography

Answer

Continuous waveform capnography is the gold standard for confirming and monitoring ETT placement during resuscitation.

Question 3

A patient in PEA arrest is found to have absent breath sounds on the left with tracheal deviation. What reversible cause should be treated immediately?

Accepted Answer

Tension pneumothorax

Answer

Absent unilateral breath sounds and tracheal deviation indicate tension pneumothorax, which requires immediate needle decompression.

Question 4

In ACLS, what is the maximum single dose of atropine for symptomatic bradycardia in adults?

Accepted Answer

2 mg

Answer

The maximum total dose of atropine for symptomatic bradycardia is 3 mg, given as 0.5 mg doses every 3–5 minutes, but 2 mg is not correct — the max total is 3 mg and the answer here reflects 3 mg.

Question 5

During ACLS team training, which role is responsible for ensuring medications are drawn up correctly and documenting their administration time?

Accepted Answer

IV/medication nurse

Answer

The IV/medication nurse role is responsible for preparing, administering, and documenting drug doses and timing during a resuscitation.

ACLS Practice Test

ACLS Practice Test

ACLS Medical Training 3