2026 ACLS PHARMACOLOGY PRETEST ACTUAL
QUESTIONS WITH VERIFIED CORRECT
ANSWERS
You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2
months ago. He is being evaluated for another acute stroke. The CT scan is negativefor
hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IVhas been
established. His blood pressure is 180/100 mm Hg. Which drug do you anticipate giving to this
patient?
Aspirin
Glucose (D50)
Nicardipiner
tPA - Aspirin
In which situation does bradycardia require treatment?
12-lead ECG showing a normal sinus rhythm
Hypotension
Diastolic blood pressure greater than 90 mm Hg
Systolic blood pressure greater than 100 mm Hg – Hypotension
What is the indication for the use of magnesium in cardiac arrest?
Ventricular tachycardia associated with a normal QT interval
Shock-refractory monomorphic ventricular tachycardia
Pulseless ventricular tachycardia-associated torsades de pointes
Shock-refractory ventricular fibrillation - Pulseless ventricular tachycardia-associated
torsades de pointes
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a secondshock.
Which drug should be administered first?
Atropine 1 mg IV/IO
Epinephrine 1 mg IV/IO
Lidocaine 1 mg/kg IV/IO
Sodium bicarbonate 50 mEq IV/IO - Epinephrine 1 mg IV/IO
1
, Which action should you take immediately after providing an AED shock?
Check the pulse rate
Prepare to deliver a second shock
Resume chest compressions
Start rescue breathing - Resume chest compressions
Which intervention is most appropriate for the treatment of a patient in asystole?
Atropine
Defibrillation
Epinephrine
Transcutaneous pacing - Epinephrine
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a heparin
infusion of 1000 units per hour are being administered. The patient did not takeaspirin because
he has a history of gastritis, which was treated 5 years ago. What is your next action?
Give aspirin 160 to 325 mg to chew
Give clopidogrel 300 mg orally
Give enteric-coated aspirin 75 mg orally
Give enteric-coated aspirin 325 mg rectally - Give aspirin 160 to 325 mg to chew
2
QUESTIONS WITH VERIFIED CORRECT
ANSWERS
You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2
months ago. He is being evaluated for another acute stroke. The CT scan is negativefor
hemorrhage. The patient is receiving oxygen via nasal cannula at 2 L/min, and an IVhas been
established. His blood pressure is 180/100 mm Hg. Which drug do you anticipate giving to this
patient?
Aspirin
Glucose (D50)
Nicardipiner
tPA - Aspirin
In which situation does bradycardia require treatment?
12-lead ECG showing a normal sinus rhythm
Hypotension
Diastolic blood pressure greater than 90 mm Hg
Systolic blood pressure greater than 100 mm Hg – Hypotension
What is the indication for the use of magnesium in cardiac arrest?
Ventricular tachycardia associated with a normal QT interval
Shock-refractory monomorphic ventricular tachycardia
Pulseless ventricular tachycardia-associated torsades de pointes
Shock-refractory ventricular fibrillation - Pulseless ventricular tachycardia-associated
torsades de pointes
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a secondshock.
Which drug should be administered first?
Atropine 1 mg IV/IO
Epinephrine 1 mg IV/IO
Lidocaine 1 mg/kg IV/IO
Sodium bicarbonate 50 mEq IV/IO - Epinephrine 1 mg IV/IO
1
, Which action should you take immediately after providing an AED shock?
Check the pulse rate
Prepare to deliver a second shock
Resume chest compressions
Start rescue breathing - Resume chest compressions
Which intervention is most appropriate for the treatment of a patient in asystole?
Atropine
Defibrillation
Epinephrine
Transcutaneous pacing - Epinephrine
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a heparin
infusion of 1000 units per hour are being administered. The patient did not takeaspirin because
he has a history of gastritis, which was treated 5 years ago. What is your next action?
Give aspirin 160 to 325 mg to chew
Give clopidogrel 300 mg orally
Give enteric-coated aspirin 75 mg orally
Give enteric-coated aspirin 325 mg rectally - Give aspirin 160 to 325 mg to chew
2
