AT GALEN COLLEGE OF NURSING
1. Initial dose of amiodarone bolus IV
A. 150 mg IV push
B. 300 mg IV bolus
C. 1 mg/min infusion
D. 0.5 mg/kg IV
Correct Answer – B. 300 mg IV bolus
Rationale: During cardiac arrest (VF/pulseless VT), ACLS guidelines recommend
an initial 300 mg IV/IO bolus to stabilize ventricular dysrhythmias by prolonging
myocardial repolarization and reducing automaticity.
2. The med is administrated rapid IV push resulting in a brief flatline, used
for SVT, code cart must be at bedside
,A. Metoprolol
B. Diltiazem
C. Adenosine
D. Amiodarone
Correct Answer – C. Adenosine
Rationale: Adenosine transiently blocks AV node conduction and may cause brief
asystole (“flatline”), making it highly effective for SVT conversion. Continuous
cardiac monitoring and resuscitation equipment must be available.
3. what are the doses for adenosine?
, A. 3 mg, 6 mg, 6 mg
B. 5 mg, 10 mg, 10 mg
C. 6 mg, 12 mg, 12 mg rapid IV push
D. 10 mg, 20 mg
Correct Answer – C. 6 mg, 12 mg, 12 mg rapid IV push
Rationale: Standard ACLS dosing: 6 mg rapid push, followed by 12 mg, may repeat
12 mg once if SVT persists.
4. medication used PRN for angina
A. Aspirin
B. Nitro
C. Morphine
D. Clopidogrel
Correct Answer – B. Nitro
Rationale: Nitroglycerin dilates coronary arteries and reduces preload, decreasing
myocardial oxygen demand. Common adverse effects: headache and
hypotension.
5. Each large box on the ecg paper represents how many seconds
A. 0.04 sec
B. 0.10 sec
C. 0.20 sec
D. 1 second
Correct Answer – C. 0.20 sec
Rationale: One large ECG box = 0.20 seconds (five small boxes of 0.04 sec each).
6. two serum lab tests that would be elevated with MI