ECC Advanced Life Support & Resuscitation Techniques 2

Question 1

During ACLS, a patient in pulseless ventricular tachycardia receives one shock. The rhythm immediately converts to sinus bradycardia at 38 bpm with a pulse. What is the next priority action?

Accepted Answer

Administer atropine 0.5 mg IV

Answer

Symptomatic bradycardia post-resuscitation is treated first with atropine 0.5 mg IV, repeated every 3–5 minutes up to 3 mg total.

Question 2

A resuscitation team is performing CPR on an adult. The team member doing compressions is fatiguing. According to AHA guidelines, how often should compressor roles be rotated?

Accepted Answer

Every 2 minutes (each rhythm check)

Answer

Compressor roles should be switched every 2 minutes (at each rhythm check) to prevent fatigue and maintain high-quality compressions.

Question 3

A patient in cardiac arrest has a waveform capnography reading that suddenly rises to 40 mmHg during CPR. What does this most likely indicate?

Accepted Answer

Return of spontaneous circulation (ROSC)

Answer

A sudden rise in ETCO2 to near-normal levels (≥40 mmHg) during CPR is a reliable indicator of ROSC.

Question 4

Which of the following is the recommended vasopressor dose of epinephrine for cardiac arrest in adults?

Accepted Answer

1 mg IV every 3–5 minutes

Answer

The standard dose of epinephrine in adult cardiac arrest is 1 mg IV/IO every 3–5 minutes.

Question 5

A patient with witnessed VF receives a shock, CPR resumes, and after 2 minutes the rhythm is checked and shows organized activity. Which action is correct?

Accepted Answer

Check for a pulse

Answer

Any organized rhythm after a shock should prompt an immediate pulse check to determine if ROSC has occurred.

(ECC) Emergency Cardiovascular Care Certification Practice Test

(ECC) Emergency Cardiovascular Care Certification Practice Test

ECC Advanced Life Support & Resuscitation Techniques 2