ACLS PRETEST 2026 EMERGENCY
TEST PAPER QUESTIONS ANSWERS
GRADED A+
◉ A 62-year-old man suddenly experienced difficulty speaking and left-
sided weakness. He meets initial criteria for fibrinolytic therapy, and a
CT scan of the brain is ordered. Which best describes the guidelines for
antiplatelet and fibrinolytic therapy?
- Give heparin if the CT scan is neg for hemorrhage
- Give aspirin 162 to 325 mg to be chewed immediately
- Hold aspirin for at least 24 hours if tPA is administered
- Given aspirin 120 mg and clopidogrel 75 mg orally. Answer: Hold
aspirin for at least 24 hours if tPA is administered
◉ A monitored patient in the ICU developed a sudden onset of narrow-
complex tachycardia at a rate of 220/min. The patient's blood pressure is
128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry
reading is 98%. There is vascular access in the left arm, and the patient
has not been given any vasoactive drugs. A 12-lead ECG confirms a
supraventricular tachycardia with no evidence of ischemia or infarction.
The heart rate has not responded to vagal maneuvers. What is your next
action?
- Administer amiodarone 300 mg IV push
- Perform synchronized cardioversion at 200 J
- Perform synchronized cardioversion at 50 J
- Administer adenosine 6 mg IV push. Answer: Administer adenosine 6
mg IV push
, ◉ 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?
- Establish IV or IO access
- Call for a pulse check
- Perform endotracheal intubation
- Inset a laryngeal airway. Answer: Establish IV or IO access
◉ A patient with possible STEMI has ongoing chest discomfort. What is
a contraindication to nitrate administration?
- HR less than 90/min
- Anterior wall myocardial infarction
- Use of phosphodiesterase inhibitor within the previous 24 hours
- Systolic blood pressure great than 180mmHg. Answer: Use of
phosphodiesterase inhibitor within the previous 24 hours
◉ 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 negative for hemorrhage. The
patient is receiving oxygen via nasal cannula at 2 L/min, and an IV has
been established. His blood pressure is 180/100 mm Hg. Which drug do
you anticipate giving to this patient?
- Nicardipine
- Aspirin
TEST PAPER QUESTIONS ANSWERS
GRADED A+
◉ A 62-year-old man suddenly experienced difficulty speaking and left-
sided weakness. He meets initial criteria for fibrinolytic therapy, and a
CT scan of the brain is ordered. Which best describes the guidelines for
antiplatelet and fibrinolytic therapy?
- Give heparin if the CT scan is neg for hemorrhage
- Give aspirin 162 to 325 mg to be chewed immediately
- Hold aspirin for at least 24 hours if tPA is administered
- Given aspirin 120 mg and clopidogrel 75 mg orally. Answer: Hold
aspirin for at least 24 hours if tPA is administered
◉ A monitored patient in the ICU developed a sudden onset of narrow-
complex tachycardia at a rate of 220/min. The patient's blood pressure is
128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry
reading is 98%. There is vascular access in the left arm, and the patient
has not been given any vasoactive drugs. A 12-lead ECG confirms a
supraventricular tachycardia with no evidence of ischemia or infarction.
The heart rate has not responded to vagal maneuvers. What is your next
action?
- Administer amiodarone 300 mg IV push
- Perform synchronized cardioversion at 200 J
- Perform synchronized cardioversion at 50 J
- Administer adenosine 6 mg IV push. Answer: Administer adenosine 6
mg IV push
, ◉ 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?
- Establish IV or IO access
- Call for a pulse check
- Perform endotracheal intubation
- Inset a laryngeal airway. Answer: Establish IV or IO access
◉ A patient with possible STEMI has ongoing chest discomfort. What is
a contraindication to nitrate administration?
- HR less than 90/min
- Anterior wall myocardial infarction
- Use of phosphodiesterase inhibitor within the previous 24 hours
- Systolic blood pressure great than 180mmHg. Answer: Use of
phosphodiesterase inhibitor within the previous 24 hours
◉ 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 negative for hemorrhage. The
patient is receiving oxygen via nasal cannula at 2 L/min, and an IV has
been established. His blood pressure is 180/100 mm Hg. Which drug do
you anticipate giving to this patient?
- Nicardipine
- Aspirin
