Advanced Cardiovascular Life Support (ACLS) Practice Exam 2025 – Your Comprehensive All-in-One Guide to Exam Success!

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How should a rescuer position the hands for effective chest compressions?

Place the heel of one hand on the upper half of the sternum

Place the heel of one hand on the lower half of the sternum with the other hand on top

The technique of positioning the hands for effective chest compressions is pivotal in achieving the best outcomes during cardiac arrest situations. The correct positioning involves placing the heel of one hand on the lower half of the sternum, with the other hand placed on top. This technique ensures that the compressions are delivered directly to the heart, which is located behind the sternum, maximizing the fundamental goal of increasing cardiac output by effectively compressing the thoracic cavity.

In this position, the rescuer can generate the necessary force and leverage to provide adequate depth and rate of compressions, which are critical factors outlined in ACLS guidelines. Compressions should ideally be at least two inches deep and at a rate of 100 to 120 compressions per minute, which is facilitated by this hand positioning.

This method also helps provide stability and control during the compressions, reducing the risk of slipping or misalignment. By using both hands in the correct manner, rescuers can better maintain the rhythm needed to create blood flow during a cardiac arrest.

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Place both hands on the abdomen for better leverage

Use one hand to support the neck and the other on the sternum

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