ACLS AHA WITH UPDATES ASSESSMENT 2026
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
◉ You arrive on the scene with the code team.
High-quality CPR is in progress. An AED has previously advised "no
shock indicated".
A rhythm check now finds *asystole*.
After resuming high-quality compressions, which action do you take
next? Answer: Establish IV or IO access
◉ You are caring for a 66-years-old man with a history of a large
intracerebral hemorrhage two months ago. He is being evaluated for
another acute stroke.
The CT scan is *negative for hemorrhage*.
The patient is receiving oxygen via nasal cannula at 2L/min., and an
IV has been established.
His blood pressure is *180/100 mm Hg*.
Which drug do you anticipate giving to this patient? Answer:
*Aspirin*
◉ A patient is in *refractory V-fib*.
High-quality CPR is in progress.
,1 dose of epinephrine was given after the 2nd shock.
An antiarrhythmic drug (amiodarone or lidocaine) was given
immediately after the 3rd shock.
You are the team leader.
Which medication do you order next? Answer: *Epinephrine 1 mg*
◉ Targeted Temperature Management (TTM) Answer: Post-cardiac
arrest care:
mild induced hypothermia (32°C-36°C) for 24-28 hrs to improve
health outcomes during recovery after a period of stopped blood
flow to the brain;
◉ *Vagal Maneuvers* Answer: Techniques used to stimulate the
vagal nerve in order to *slow the HR and halt* an episode of
superventricular tachycardia (*SVT*):
1) Bearing Down: Valsalva Maneuver to increase intrathoracic
pressure and stimulate the vagus nerve;
2) Coughing: forceful and sustained;
3) Cold Stimulus to the Face: should last about 10 seconds (the
reaction is similar to the "diver's reflex");
, 4) Gagging: a tongue depressor is briefly inserted into the mouth,
touching the back of the throat;
5) Carotid Massage: pressure is applied underneath the angle of the
jaw in a gentle circular motion for about 10 seconds:
not be recommended with carotid artery stenosis and a history of
smoking;
◉ A 62-years-old man suddenly experienced difficulty speaking and
left-sided weakness. He meets initial criteria for fibronolytic therapy,
and a CT scan of the brain is ordered.
Which best describes the guidelines for *antiplatelet and fibrinolytic
therapy*? Answer: Hold aspirin for at least 24 hours if rtPA is
administered
◉ 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 take aspirin because he has a history of gastritis,
which was treated 5 years ago.
What is your next action? Answer: Give *aspirin* 160 to 325 mg to
chew
◉ In which situation does *bradycardia* require treatment? Answer:
*Hypotension*
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
◉ You arrive on the scene with the code team.
High-quality CPR is in progress. An AED has previously advised "no
shock indicated".
A rhythm check now finds *asystole*.
After resuming high-quality compressions, which action do you take
next? Answer: Establish IV or IO access
◉ You are caring for a 66-years-old man with a history of a large
intracerebral hemorrhage two months ago. He is being evaluated for
another acute stroke.
The CT scan is *negative for hemorrhage*.
The patient is receiving oxygen via nasal cannula at 2L/min., and an
IV has been established.
His blood pressure is *180/100 mm Hg*.
Which drug do you anticipate giving to this patient? Answer:
*Aspirin*
◉ A patient is in *refractory V-fib*.
High-quality CPR is in progress.
,1 dose of epinephrine was given after the 2nd shock.
An antiarrhythmic drug (amiodarone or lidocaine) was given
immediately after the 3rd shock.
You are the team leader.
Which medication do you order next? Answer: *Epinephrine 1 mg*
◉ Targeted Temperature Management (TTM) Answer: Post-cardiac
arrest care:
mild induced hypothermia (32°C-36°C) for 24-28 hrs to improve
health outcomes during recovery after a period of stopped blood
flow to the brain;
◉ *Vagal Maneuvers* Answer: Techniques used to stimulate the
vagal nerve in order to *slow the HR and halt* an episode of
superventricular tachycardia (*SVT*):
1) Bearing Down: Valsalva Maneuver to increase intrathoracic
pressure and stimulate the vagus nerve;
2) Coughing: forceful and sustained;
3) Cold Stimulus to the Face: should last about 10 seconds (the
reaction is similar to the "diver's reflex");
, 4) Gagging: a tongue depressor is briefly inserted into the mouth,
touching the back of the throat;
5) Carotid Massage: pressure is applied underneath the angle of the
jaw in a gentle circular motion for about 10 seconds:
not be recommended with carotid artery stenosis and a history of
smoking;
◉ A 62-years-old man suddenly experienced difficulty speaking and
left-sided weakness. He meets initial criteria for fibronolytic therapy,
and a CT scan of the brain is ordered.
Which best describes the guidelines for *antiplatelet and fibrinolytic
therapy*? Answer: Hold aspirin for at least 24 hours if rtPA is
administered
◉ 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 take aspirin because he has a history of gastritis,
which was treated 5 years ago.
What is your next action? Answer: Give *aspirin* 160 to 325 mg to
chew
◉ In which situation does *bradycardia* require treatment? Answer:
*Hypotension*
