Advanced Cardiovascular Life Support (ACLS) Practice Exam

What should be the focus during chest compressions?

1. Ensure 30 compressions are followed by 2 breaths

2. Maintain a compression depth of at least 2 inches

3. Monitor patient vitals closely

4. Continuous conversation with bystanders

The correct answer is: Maintain a compression depth of at least 2 inches

The focus during chest compressions should be on maintaining a compression depth of at least 2 inches. This depth is crucial because effective chest compressions are fundamental to providing sufficient blood flow to the vital organs, particularly the brain and heart, during cardiopulmonary resuscitation (CPR). The recommended depth helps ensure that the heart can generate adequate pressure to perfuse the organs. In addition to depth, the rate of compressions is also important. Compressions should be delivered at a rate of 100 to 120 compressions per minute, and they should be performed at a consistent pace without interruptions, except for necessary interventions. Other options, while they are components of CPR, do not take precedence over the depth of compressions. For instance, while it is important to ensure correct ventilation techniques, like 30 compressions followed by 2 breaths, the immediate focus during the compressions is their effectiveness, particularly their depth. Continuous monitoring of patient vitals, although necessary in a broader care context, is secondary during the active phase of performing CPR. Similarly, conversing with bystanders, while fostering teamwork and coordination, should not distract from the priority of providing high-quality chest compressions. Maintaining the proper depth is foundational to the effectiveness of