ACLS

FREE ACLS Basics Question and Answers

Which of the following is FALSE while doing BLS/ACLS to a patient with a known or suspected cervical spine injury when trying to access the airway?

Use a head stabilizer to immobilize the body.

Use the jaw thrust without extending the head to open the airway.

If the jaw thrust doesn't work, try a head tilt-chin lift.

Utilize a physical restraint to keep the head still.

Correct! Wrong!

Explanation:
In the trauma patient with a suspected neck injury, use jaw thrust without head extension, according to the AHA ACLS Provider Manual, page 104 (Figure 35c). In the event that the jaw thrust is unsuccessful, utilize a head tilt-chin lift procedure in order to preserve a patent airway and provide breathing. Instead of immobilization devices, use manual spinal motion restriction. Spinal immobilization by hand is safer.

All of the following—with the exception of—are instances of advanced airway adjuncts:

Laryngeal tube

Laryngeal mask airway

Oropharyngeal airway

Combitube

Endotracheal tube

Correct! Wrong!

Explanation:
Advanced airways are included on page 113 of the AHA ACLS Provider Manual. An essential airway adjunct is an oropharyngeal airway (pg. 110)

Any resuscitation attempt's success is based on:

Please select 2 correct answers

defibrillation when required by the patients ECG rhythm

high quality CPR

neither defibrillation when required by the patients ECG rhythm or high quality CPR

none of the above

Correct! Wrong!

Explanation:
The main objectives of BLS and ACLS are to: "support and restore effective oxygenation, ventilation, and circulation with the recovery of intact neurologic function." These objectives are supported by CPR and defibrillation.

The following tasks are completed during the (C) circulation phase of the Primary Assessment:

Observe, hear, and feel

Obtain IV access, administer oxygen therapy, maintain the advanced airway, and administer IV/IO fluids as necessary.

Pulse check, heart rate monitoring, and CPR if necessary

Get IV access, Connect ECG leads, check rhythm, administer drugs to control rhythm, and administer IV/IO fluids as necessary.

Correct! Wrong!

Explanation:
Page 21 in the AHA ACLS provider manual. Every action taken throughout the Primary Assessment's Circulation section involves evaluating or treating the circulatory system in some way.

Which of the subsequent procedures takes place prior to the BLS Assessment?

Activate EMS and, if available, procure an AED.

Are you okay? ask the victim as you tap them on the shoulder.

Ensure the safety of the scene.

All of the above

Correct! Wrong!

Explanation:
ACLS AHA handbook, page 15. Make sure the scene is secure before doing the BLS, Primary, and Secondary Assessments.

Which of the following statements about CPR once an advanced airway has been established is true:

Chest compressions should be stopped while giving breaths

One breath every 6 seconds should be given

The breaths should be synchronized with the chest compressions

The goal is 20 or greater breaths per minute

Correct! Wrong!

Explanation:
Give 10 breaths per minute (10 breaths every 6 seconds) while maintaining constant chest compressions.

The compression-to-ventilation ratio during CPR when there is no advanced airway in place is:

10:1

20:2

30:2

5:1

Correct! Wrong!

Explanation:
The compression-to-ventilation ratio during CPR when there is no advanced airway in place is 30:2

Which of the following describes the proper order for BLS CPR?

Airway, breathing, circulation

Chest compressions, airway, breathing

Circulation, airway, breathing

Access care early, begin CPR, check pulse

Correct! Wrong!

Explanation:
C-A-B is the BLS Sequence for CPR (compressions, airway, breathing). This emphasizes reducing chest compression delays and disruptions.

Rescue breaths should be given at a rate of one breath every __ seconds to patients who are having respiratory arrest with a perfusing rhythm.

6 seconds

5-6 seconds

8 to 10 seconds

10 seconds

Correct! Wrong!

Explanation:
Ventilation should be given to patients with a perfusing rhythm once every six seconds. By doing this, it is possible to prevent over ventilating patients who are having respiratory arrest.

(True or False) Healthcare professionals should do the Primary Assessment initially for aware patients who may require more sophisticated assessment and management techniques?

TRUE

FALSE

Correct! Wrong!

Explanation:
The AHA ACLS provider manual, page 15. "Use the Primary Assessment for your initial evaluation if the patient appears conscious."

For adult resuscitation, the most crucial algorithm to understand is:

PEA

Cardiac Arrest

Bradycardia

Tachycardia

Correct! Wrong!

Explanation:
The Adult Cardiac Arrest Algorithm is the most crucial algorithm for adult resuscitation, and you must be familiar with it.

After using an AED to shock someone, you should:

check a pulse

let the AED reanalyze the rhythm

Start CPR, beginning with chest compressions

give a rescue breath

Correct! Wrong!

Explanation:
CPR should immediately follow each shock, starting with compressions.

Suctioning attempts in ACLS scenarios should typically be:

no more than 30 seconds

5 seconds or less

ten seconds or less

20 seconds or less

Correct! Wrong!

Explanation:
Suction attempts shouldn't last longer than ten seconds.

Which of the following statements regarding supplemental oxygen administration is true regarding the Primary Assessment's evaluation of (B)breathing? (Select any that apply.)

For ACS keep O2 sat ≥ 90%

Give cardiac and respiratory arrest patients 100% oxygen

Give oxygen to the patient in order to get a pulse oximetry O2 saturation value of 95–98%, excluding cardiac and respiratory arrest.

Keep O2 at 92–98% for post-cardiac arrest treatment.

Correct! Wrong!

Explanation:
Page in the AHA ACLS provider manual. p. 21 of the AHA ACLS provider manual. Using a bag-valve-mask, 100% oxygen will be administered during cardiac and respiratory arrest. For any reason other than cardiac and respiratory arrest, you will supply oxygen using the most appropriate delivery method (i.e. nasal cannula, simple mask, etc.). Keep the oxygen saturation at 90% or below for ACS. Keep the oxygen saturation between 92 and 98% for postcardiac arrest. Hypoxia and hyperoxia are thus avoided. Maintain an oxygen saturation of 95–98% in all other situations.

The following questions should be made during the Primary Assessment's Airway Assessment section:

Is the airway patent?

Is an advanced airway indicated?

Does the patient have a pulse?

both 1 and 2

Correct! Wrong!

Explanation:
A detailed explanation of the Primary Assessment is provided on page 21 of the AHA ACLS Provider manual. The Primary Assessment's Circulation section would evaluate the patient's pulse. also see: Systematic ACLS Approach

Which statement regarding the oropharyngeal airway (OPA) is false:

Throughout bag-mask ventilation, the OPA maintains the airway open.

The OPA can make you gag and cough.

On a patient who is aware, the OPA should only be applied.

The patient's ability to bite on an ET tube can be stopped by the OPA.

Correct! Wrong!

Explanation:
Page 107 of the AHA ACLS Provider Manual. OPAs shouldn't be administered to awake or semiconscious patients because they could cause them to gag and vomit.

FREE ACLS Basics Question and Answers

Which of the following is FALSE while doing BLS/ACLS to a patient with a known or suspected cervical spine injury when trying to access the airway?

All of the following—with the exception of—are instances of advanced airway adjuncts:

Any resuscitation attempt's success is based on:

The following tasks are completed during the (C) circulation phase of the Primary Assessment:

Which of the subsequent procedures takes place prior to the BLS Assessment?

Which of the following statements about CPR once an advanced airway has been established is true:

The compression-to-ventilation ratio during CPR when there is no advanced airway in place is:

Which of the following describes the proper order for BLS CPR?

Rescue breaths should be given at a rate of one breath every __ seconds to patients who are having respiratory arrest with a perfusing rhythm.

(True or False) Healthcare professionals should do the Primary Assessment initially for aware patients who may require more sophisticated assessment and management techniques?

For adult resuscitation, the most crucial algorithm to understand is:

After using an AED to shock someone, you should:

Suctioning attempts in ACLS scenarios should typically be:

Which of the following statements regarding supplemental oxygen administration is true regarding the Primary Assessment's evaluation of (B)breathing? (Select any that apply.)

The following questions should be made during the Primary Assessment's Airway Assessment section:

Which statement regarding the oropharyngeal airway (OPA) is false:

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