ACLS PRETEST 2026 FINAL PAPER
PRACTICE QUESTIONS ANSWERS
ACCURATE A+
◉ Which intervention is most appropriate for the treatment of a patient
in asystole? Answer: Epinephrine
◉ You arrive on the scene with the code team. High-quality CPR is in
progress. An AED has previousy 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
◉ 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 38mm 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 confirm a
supraventricular tachycardia with no evidence of ischemia or infarction.
The heart rate has not responded to vagal maneuvers. what is your next
action? Answer: Administer adenosine 6mg IV push
◉ A patient has sinus bradycardia with a heart rate of 36/min. Atropine
has been administered to a toal does of 3 mg. A transcutaneous
pacemaker has failed to capture. The patient is confused, and her blood
pressure is 88/56 mm Hg. Which therapy is now indicated? Answer:
Epinephrine 2 to 10 mcg/min
, ◉ A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Which drug should be administered first?
Answer: Epinephrine 1 mg IV/IO
◉ 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 si 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 is in refractory ventricular fibrillation and has received
multiple appropriate defribillation shocks, epinephrine 1 mg IV twice,
and an initial dose of amiodarone 300mg IV. The patient is intubated.
Which best describe the recommended second does of amiodarone for
this patient? Answer: 150 mg IV push
◉ A patient with sinus bradycardia and a heart rate of 42/min has
diaphoresis and a blood pressure of 80/60mm Hg. What is the initial
does of atropine? Answer: 0.5mg
◉ A 35-year-old woman has palpitations, light-headedness, 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 terminating the
rhythm. An IV has been established. Which drug should be
administered? Answer: Adenosine 6mg
PRACTICE QUESTIONS ANSWERS
ACCURATE A+
◉ Which intervention is most appropriate for the treatment of a patient
in asystole? Answer: Epinephrine
◉ You arrive on the scene with the code team. High-quality CPR is in
progress. An AED has previousy 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
◉ 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 38mm 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 confirm a
supraventricular tachycardia with no evidence of ischemia or infarction.
The heart rate has not responded to vagal maneuvers. what is your next
action? Answer: Administer adenosine 6mg IV push
◉ A patient has sinus bradycardia with a heart rate of 36/min. Atropine
has been administered to a toal does of 3 mg. A transcutaneous
pacemaker has failed to capture. The patient is confused, and her blood
pressure is 88/56 mm Hg. Which therapy is now indicated? Answer:
Epinephrine 2 to 10 mcg/min
, ◉ A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Which drug should be administered first?
Answer: Epinephrine 1 mg IV/IO
◉ 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 si 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 is in refractory ventricular fibrillation and has received
multiple appropriate defribillation shocks, epinephrine 1 mg IV twice,
and an initial dose of amiodarone 300mg IV. The patient is intubated.
Which best describe the recommended second does of amiodarone for
this patient? Answer: 150 mg IV push
◉ A patient with sinus bradycardia and a heart rate of 42/min has
diaphoresis and a blood pressure of 80/60mm Hg. What is the initial
does of atropine? Answer: 0.5mg
◉ A 35-year-old woman has palpitations, light-headedness, 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 terminating the
rhythm. An IV has been established. Which drug should be
administered? Answer: Adenosine 6mg
