ACLS Basics and STEMIs Practice Test

These questions are part of the practice quiz. Start practicing

• How long should you feel for a pulse during the initial assessment?
• Which items are included in the Primary assessment (systematic approach)?
• Element 'Process' includes what 3 things?
• Interruptions in chest compressions during CPR primarily affect survival by decreasing what?
• Morphine in ACS is given when nitroglycerin does not relieve chest discomfort.
• Which demographic group experiencing acute coronary syndromes is more likely to present without chest pain?
• What happens when teams rapidly assess and intervene when patients have abnormal vital signs?
• Switching compressors between cycles of every how many minutes is best?
• In the Secondary assessment, what does H&Ts refer to?
• Which is a primary duty of the CPR Coach?
• In the SAMPLE framework, which item is included?
• Which of the following is a primary method of reperfusion for STEMI?
• Which of the following is a physiologic criterion that would prompt action if the patient experiences symptomatic hypertension?
• Which of the following is a physiologic adult criterion that would prompt action?
• Which statement best describes a team member's role?
• SAMPLE Allergies includes which item?
• In-patient cardiac arrest is often preceded by changes in the patient's vital signs.
• What is the first step in BLS assessment?
• Before giving any drug during resuscitation, the team should:
• What is the PDE inhibitor time window before nitroglycerin as per the guideline?
• What does the Initial impression in the systematic approach emphasize?
• Which of the following best exemplifies the Team Leader role?
• Check for absent or abnormal breathing by scanning the chest rise and fall for at least ____ seconds but no longer than ____ seconds.
• Which statement best describes the role of P2Y inhibitors in ACS management?
• What is the maximum amount of time you should simultaneously perform the pulse and breathing checks?
• What are the four elements of an integrated system of care?
• If oxygen saturation is below the threshold, what is the recommended initial airway management step?
• What is the primary purpose of the Rapid Response Team (RRT) or Medical Emergency Team (MET)?
• How is Chest Compression Fraction (CCF) defined?
• Which rhythm is common initial rhythm in out-of-hospital witnessed sudden cardiac arrest?
• Which ventilation practice should be avoided during CPR?
• What is one of the most important determinants of survival from cardiac arrest?
• Aspirin is absorbed more readily when it is
• Nitroglycerin primarily reduces which hemodynamic parameter to lower myocardial oxygen demand?
• If the patient has a pulse but is not breathing, how often should rescue breaths be given and how often should you check the pulse?
• What does performing CPR do to the rate of decline in survival per minute when waiting for defibrillation?
• The Quality explanation includes which items?
• Which statement best describes the CPR coach's primary role during resuscitation?
• Which of the following describes a complete occlusion in STEMI?
• Which agent should be considered in ischemic-type chest discomfort along with aspirin and nitro?
• Which item is NOT part of the Timing explanation?
• Which action is described in BLS steps to obtain help and AED?
• Which statement about Chest Compression Fraction (CCF) is true?
• Which action is part of the secondary assessment of a conscious patient?
• What is a primary reason to use 100% oxygen during cardiac arrest?
• Coordination explanation describes which concept?
• The Chain of Survival is a metaphor used to organize and describe:
• What is the primary purpose of the CPR Coach on a resuscitation team?
• NOT part of SAMPLE S/sx?
• Which member on a high-performance resuscitation team is primarily responsible for coaching to maintain high-quality CPR?
• Which therapies achieve early reperfusion in STEMI?
• Morphine is a ____.
• What is the best example of the role of the team leader in a high-performance resuscitation team?
• Nitroglycerin reduces preload of which chambers?
• In an anterior MI, ST segment elevation is approximately how many millimeters?
• During cardiac arrest, what percentage of oxygen should be administered?
• Which device monitors CPR quality?
• Ventricular Fibrillation is defined as
• Which option best describes the recommended chest compression parameters for adults?
• Which of the following is one of the Hs in the Hs and Ts approach?
• What is the first link in the OHCA chain of survival?
• Activation of the Rapid Response Team is intended to accomplish which outcome?
• You can only achieve high chest compression fraction (CCF) by:
• In high-risk NSTE-ACS, dynamic T-wave inversion is typically accompanied by which symptom?
• Treat STEMIs by providing which of the following?
• In a patient with an arterial line, a reasonable surrogate for CPP is which of the following?
• Nitroglycerin should be used cautiously in patients with which of the following conditions?
• Element 'Patient Outcome' includes what 3 things?
• Pauses for defibrillator analysis should be kept to 10 seconds or less to maintain which parameter?
• ETCO2 is used to estimate what during CPR?
• SAMPLE Medications category includes information about which?
• For every minute that passes between collapse and defibrillation, the chance of survival from a witnessed VF sudden cardiac arrest declines by what percent per minute with CPR?
• Which of the following describes the formula for Coronary Perfusion Pressure (CPP)?
• Continuous quantitative waveform capnography provides a measure of what and why?
• During Basic Life Support, if the AED does not recommend a shock, which action in the Primary Assessment should be performed first?
• What is the recommended depth of chest compressions for adults during CPR?
• Element 'Structure' includes what 3 things?
• 15 seconds before pausing compressions at the end of each 2-minute cycle, high-performance teams should:
• AVPU is a quick tool used to assess neurological status. What does AVPU stand for?
• In single-rescuer adult CPR, what is the recommended ratio of chest compressions to rescue breaths?
• The magnitude of ischemic ST-segment depression defined for high-risk NSTE-ACS is:
• In STEMI, a complete occlusion of an epicardial artery results in what for blood flow beyond the blockage?
• Which of the following is correctly listed as a H in resuscitation guidelines?
• Disability assessment includes which of the following?
• High-risk NSTE-ACS is characterized by which electrocardiographic finding?
• Which statement is true about high-risk NSTE-ACS in terms of ECG findings compared with STEMI?
• Which action is included in the Team Leader role?
• SAMPLE Last Meal includes which information?
• In ACS assessment with no dyspnea and no signs of heart failure, what noninvasive measurement helps guide oxygen therapy?
• Threshold values for ST-segment elevation consistent with STEMIs include which of the following?
• Which statement correctly describes the Last Meal component?
• During CPR, chest compression fraction (CCF) should be at least ___% and ideally greater than ____%.
• Limit interruptions for defibrillator analysis and rhythm checks to what maximum duration?
• Which group is more likely to present acute coronary syndromes without chest pain?
• The term epicardial refers to arteries located where?
• Which high-performance team member is described as part of the resuscitation triangle?
• New left bundle branch block is STEMI-equivalent especially when ischemic symptoms are present.
• Which member of a high-performance team has the responsibility for assigning roles?
• What is the recommended sequence for treating ventricular fibrillation?
• Which item is a measure included in the Patient Outcome element?
• Which rhythm is typically treated with a defibrillator during cardiac arrest?
• The systematic approach consists of:
• What is the most common symptom of myocardial infarction and ischemia?
• What is the most effective way to treat Ventricular Fibrillation?
• Which oxygen saturation level dictates supplemental oxygen should be started in ACS?
• Which consideration should be addressed during the initial scene safety assessment?
• The goal of STEMI management is to restore blood flow as soon as possible. Which term describes this?
• How often should compressors be switched during CPR cycles?
• How quickly does the chance of survival decline for every minute of defibrillation delay in patients with VF who do not receive CPR?
• What compression depth is recommended during adult CPR?
• Only give drugs after:
• Morphine can adversely affect which medications given for ACS pts?
• Early CPR can ____ the survival rate from a witnessed sudden cardiac arrest?
• Ventricular Fibrillation deteriorates to?
• When switching compressors, what is the recommended entry position for the second compressor?
• STEMI usually involves complete occlusion of which type of artery?
• What should be used to monitor the effectiveness of airway placement?
• Which action is aligned with administration principles for a high-performance team?
• During resuscitation, what is the best method to confirm airway placement and monitor chest compression effectiveness?
• To function effectively, a high-performance team needs to focus on four areas.
• Among others, which factor has been associated with improved survival in cardiac arrest?
• Which clinical finding represents a contraindication to the administration of nitro?
• What is the recommended chest compression rate during adult CPR?
• What is the recommended chest recoil after each compression?
• In addition to decreased IHCA, what are some of the other benefits of implementing a rapid response system?
• Which item is NOT part of the Quality explanation?
• When switching compressors the second compressor should:
• What is the advantage of a systematic approach to patient assessment?
• When pressing the shock button, the defibrillator operator should face what?
• What is the first step in the systematic approach to patient assessment?
• Which of the following is a physiologic criterion that would prompt action if the respiratory rate is markedly elevated?
• What is the only intervention that can restore an organized rhythm in patients with ventricular fibrillation?
• What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival?
• During CPR, a CPP of what value or greater must be achieved?
• Which compressor should resume compressions after a defibrillator shock?
• What is a benefit of morphine when given for the management of ACS?
• Indications for initiating IV nitroglycerin in STEMI include which of the following?
• For STEMI reperfusion, which time metric is a goal?
• What is the purpose of capnography during CPR?
• STEMI is categorized by ST-elevation in 2 or more contiguous leads or new left bundle branch block.
• In the SAMPLE framework, which statement best describes 'Events'?
• Which high-performance team member is part of the resuscitation triangle?
• When PCI is not immediately available, which reperfusion option is commonly used for STEMI?
• Aspirin dosing in ACS is typically within which range?
• Which statement best defines Coordination in a high-performance team?
• Which therapy is used as a reperfusion option in STEMI aside from PCI?
• What is a physiologic effect of nitroglycerin?
• Element 'System' includes what 3 things?
• SAMPLE Past Medical Hx includes which item?
• During BLS, which action is appropriate when a patient has a pulse but is not breathing?
• How often should rescuers switch compressors during high-quality CPR?
• Morphine may be used to manage acute coronary syndrome because it
• New or presumed new left bundle branch block is STEMI-equivalent.
• What is another name used for the Rapid Response Team (RRT) in the material?
• Only give Nitro if SBP is greater than which value and no lower than how many mmHg below baseline?
• Which of the following is a physiologic criterion that would prompt action if the heart rate exceeds 140 beats per minute?
• Which symptom is listed as a sign of clinical deterioration that would prompt activation of a rapid response?
• What does continuous capnography during CPR primarily assess?
• In an inferior MI, the ST segment elevation is approximately how many millimeters?
• What does CCF stand for and what is the target?
• What does PCI stand for in STEMI treatment?
• BLS assessment steps include which sequence?
• Which statement is NOT an indication for IV nitro in STEMI?
• Which statement is a step in closed-loop communication?
• What is the recommended rescue breath frequency for an adult with a pulse but no breathing, expressed as breaths per minute?
• SAMPLE S/sx includes which sign?
• Which of the following is NOT listed as a Ts in the Hs and Ts approach?
• If you find NO breathing or only gasping, and NO pulse within 10 seconds, what should you do?
• Ventricular fibrillation is most likely to develop within the first ___ hours after onset of symptoms?
• NOT a component of the SAMPLE acronym?
• One of the measures of a high-performance team is the ability to achieve:
• In the management of ventricular fibrillation, which statement is consistent with the provided guidance?
• Pulseless Ventricular Tachycardia deteriorates to?
• SAMPLE Medications includes which item?
• Which piece of information helps estimate the onset of symptoms in an emergency event?
• Nitroglycerin reduces preload of which chambers? (alternate phrasing)
• Which items are included in the Secondary Assessment (systematic approach)?
• Which of the following is one of the Ts in the Hs and Ts approach?
• Only give Nitro if the heart rate is between which values?