ACLS PRETEST COMPLETE
QUESTIONS AND CORRECT
ANSWERS
Third-Degree AV block - ANSWER --Please identify the rhythm by selecting the best single
answer.
Monomorphic Ventricular Tachycardia - ANSWER --Please identify the rhythm by selecting
the best single answer.
Sinus Tachycardia - ANSWER --Please identify the rhythm by selecting the best single
answer.
Sinus Bradycardia - ANSWER --Please identify the rhythm by selecting the best single
answer.
Sinus Bradycardia - ANSWER --Please identify the rhythm by selecting the best single
answer.
Reentry supraventricular tachycardia - ANSWER --Please identify the rhythm by selecting
the best single answer.
Second-degree AV block (Mobitz II block) - ANSWER --Please identify the rhythm by
selecting the best single answer.
,Agonal rhythm/asystole - ANSWER --Please identify the rhythm by selecting the best
single answer.
Atrial Fibrillation - ANSWER --Please identify the rhythm by selecting the best single
answer.
Course Ventricular Fibrillation - ANSWER --Please identify the rhythm by selecting the
best single answer.
Second-degree AV block (Mobitz II block) - ANSWER --Please identify the rhythm by
selecting the best single answer.
Reentry supraventricular tachycardia - ANSWER --Please identify the rhythm by selecting
the best single answer.
Perform immediate electrical cardioversion - ANSWER --A 57-year-old woman has
palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS
at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. The
next action is to:
Give normal Saline 250 mL to 500 ml fluid bolus - ANSWER --A patient with a possible
acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual
nitroglycerin tablets. There are no contraindications, and 4 mg of morphine sulfate was
administered. Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient has
increased chest discomfort. You should:
Amiodarone 300 mg - ANSWER --A patient is in pulseless ventricular tachycardia. Two
shocks and 1 dose of epinephrine have been given. Which is the next drug/dose to anticipate
administering?
, 150 mg IV push - ANSWER --A patient is in refractory ventricular fibrillation and has
received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial
dose of 300 mg amidarone IV. The patient is intubated. A second does of amiodarone is now
called for. The recommended second dose of amiodarone is
Adenosine 6 mg - ANSWER --A 35-year-old woman has palpitations, light-headiness, and a
stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min.
Vagal maneuvers have not been effective in terminated the rhythm. An IV has been established.
What drug should be administered IV?
Seeking expert consultation - ANSWER --A patient has a rapid irregular wide-complex
tachycardia. The ventricular rate is 138/min. He is asymptomatic, with a blood pressure of
110/70 mm Hg. He has a history of angina. Which of the following actions is recommended?
Use of phosphodiesterase inhibitor within 12 hours. - ANSWER --A patient with possible
ST-segment elevation MI has ongoing chest discomfort. Which of the following would be a
contraindication to the administration of nitrates?
Start epinephrine 2 to 10 mcg/min - ANSWER --A patient has sinus bradycardia with a
heart rate of 36/min. Atropine has been administered to a total dose of 3 mg. A transcutaneous
pacemaker has failed to capture. The patient is confused, and her blood pressure is 100/60 mm
Hg. Which of the following is now indicated?
Polymorphic Ventricular Tachycardia - ANSWER --Please identify the rhythm by selecting
the best single answer.
Second-degree AV block (Mobitz I Wenchebach) - ANSWER --Please identify the rhythm
by selecting the best single answer.
QUESTIONS AND CORRECT
ANSWERS
Third-Degree AV block - ANSWER --Please identify the rhythm by selecting the best single
answer.
Monomorphic Ventricular Tachycardia - ANSWER --Please identify the rhythm by selecting
the best single answer.
Sinus Tachycardia - ANSWER --Please identify the rhythm by selecting the best single
answer.
Sinus Bradycardia - ANSWER --Please identify the rhythm by selecting the best single
answer.
Sinus Bradycardia - ANSWER --Please identify the rhythm by selecting the best single
answer.
Reentry supraventricular tachycardia - ANSWER --Please identify the rhythm by selecting
the best single answer.
Second-degree AV block (Mobitz II block) - ANSWER --Please identify the rhythm by
selecting the best single answer.
,Agonal rhythm/asystole - ANSWER --Please identify the rhythm by selecting the best
single answer.
Atrial Fibrillation - ANSWER --Please identify the rhythm by selecting the best single
answer.
Course Ventricular Fibrillation - ANSWER --Please identify the rhythm by selecting the
best single answer.
Second-degree AV block (Mobitz II block) - ANSWER --Please identify the rhythm by
selecting the best single answer.
Reentry supraventricular tachycardia - ANSWER --Please identify the rhythm by selecting
the best single answer.
Perform immediate electrical cardioversion - ANSWER --A 57-year-old woman has
palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS
at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. The
next action is to:
Give normal Saline 250 mL to 500 ml fluid bolus - ANSWER --A patient with a possible
acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual
nitroglycerin tablets. There are no contraindications, and 4 mg of morphine sulfate was
administered. Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient has
increased chest discomfort. You should:
Amiodarone 300 mg - ANSWER --A patient is in pulseless ventricular tachycardia. Two
shocks and 1 dose of epinephrine have been given. Which is the next drug/dose to anticipate
administering?
, 150 mg IV push - ANSWER --A patient is in refractory ventricular fibrillation and has
received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial
dose of 300 mg amidarone IV. The patient is intubated. A second does of amiodarone is now
called for. The recommended second dose of amiodarone is
Adenosine 6 mg - ANSWER --A 35-year-old woman has palpitations, light-headiness, and a
stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min.
Vagal maneuvers have not been effective in terminated the rhythm. An IV has been established.
What drug should be administered IV?
Seeking expert consultation - ANSWER --A patient has a rapid irregular wide-complex
tachycardia. The ventricular rate is 138/min. He is asymptomatic, with a blood pressure of
110/70 mm Hg. He has a history of angina. Which of the following actions is recommended?
Use of phosphodiesterase inhibitor within 12 hours. - ANSWER --A patient with possible
ST-segment elevation MI has ongoing chest discomfort. Which of the following would be a
contraindication to the administration of nitrates?
Start epinephrine 2 to 10 mcg/min - ANSWER --A patient has sinus bradycardia with a
heart rate of 36/min. Atropine has been administered to a total dose of 3 mg. A transcutaneous
pacemaker has failed to capture. The patient is confused, and her blood pressure is 100/60 mm
Hg. Which of the following is now indicated?
Polymorphic Ventricular Tachycardia - ANSWER --Please identify the rhythm by selecting
the best single answer.
Second-degree AV block (Mobitz I Wenchebach) - ANSWER --Please identify the rhythm
by selecting the best single answer.
