ACLS Prep Pre-Test 2024

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Question 1 of 6

1. Question
The fifth “D” of the eight “D’s” of the stroke algorithm refers to “data”. Which diagnostic exam should be performed within 20 minutes of arrival to the Emergency Department to obtain the much needed data regarding stroke origin?
- A. MRI
- B. 12- lead ECG
- C. Non-contrast head CT scan
- D. Chest x-ray
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Question 2 of 6

2. Question
The below block is “regularly, irregular” lending itself to an irregular R-R interval. The PR interval is normal, then begins to lengthen with each beat, and then on the 4th beat, no QRS is generated (dropped beat). Notice the white dots indicate P waves which have now “dropped” a QRS. What type of block? This is not considered dangerous, due to the systematic regularity of “dropping” every 4th beat (as indicated with the example below, but could be every 3rd beat, every 5th beat, etc.).
- A. First-degree atrioventricular block
- B. Second-degree atrioventricular block type I (Wenchebach)
- C. Second-degree atrioventricular block type II (Mobitz II)
- D. Third-degree atrioventricular block
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Question 3 of 6

3. Question
Which is considered part of the defibrillation sequence?
- A. Allowing for no more than 5-10 seconds between the halting of CPR and delivering a shock
- B. Shout “clear” after the shock has been delivered
- C. Halting CPR to evaluate the rhythm if the Petco is less than 10
- D. CPR should be performed at a rate of 130 per minute to “prime the heart” prior to defibrillation
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Question 4 of 6

4. Question
You have completed 2 minutes of CPR and a pulse check is performed, and no pulse is found. This condition is pulseless electrical activity or PEA. Which describes the next best step (s) to be performed?
- A. Nothing else needs to be done
- B. This is PEA: Resume High quality CPR and administer Epinephrine 10mg IVP
- C. This is PEA: Resume High quality CPR and administer Epinephrine 1mg IVP ASAP
- D. This is PEA: Resume High quality CPR and administer 300mg Amiodarone
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Question 5 of 6

5. Question
The patient below begins to deteriorate at a rapid rate and has become unstable. What is the best, immediate option for his care?
- A. Defibrillate
- B. Synchronize cardioversion without sedation
- C. Obtain a 12 lead ECG, draw labs and consult cardiology
- D. Administer Adenosine 6mg IVP and repeat at 12 mg IVP
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Question 6 of 6

6. Question
Notice how the black dots (P waves) march out at a regular rate. Notice how the white dots (QRS complexes) march out at regular rates, but there is no communication between the atria and ventricles. What type of atrioventricular block best describes this rhythm?
- A. First-degree atrioventricular block
- B. Second-degree atrioventricular block type I ( Wenckebach )
- C. Second-degree atrioventricular block type II (Mobitz II)
- D. Third-degree atrioventricular block
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Test Summary

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1. Question

The fifth “D” of the eight “D’s” of the stroke algorithm refers to “data”. Which diagnostic exam should be performed within 20 minutes of arrival to the Emergency Department to obtain the much needed data regarding stroke origin?

2. Question

3. Question

Which is considered part of the defibrillation sequence?

4. Question

You have completed 2 minutes of CPR and a pulse check is performed, and no pulse is found. This condition is pulseless electrical activity or PEA. Which describes the next best step (s) to be performed?

5. Question

The patient below begins to deteriorate at a rapid rate and has become unstable. What is the best, immediate option for his care?

6. Question

Notice how the black dots (P waves) march out at a regular rate. Notice how the white dots (QRS complexes) march out at regular rates, but there is no communication between the atria and ventricles. What type of atrioventricular block best describes this rhythm?