ACLS PRECOURSE WORK AND SELF
ASSESSMENT FINAL COMPREHENSIVE
ASSESSMENT TEST PAPER QUESTIONS AND
SOLUTIONS
⩥ In which situation does bradycardia require treatment?
Answer: Hypotension
⩥ 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
, ⩥ A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to an initial shock. If no pathway for medication
administration is in place, which method is preferred?
Answer: IV or IO
⩥ What is the indication for the use of magnesium in cardiac
arrest?
Answer: Pulseless ventricular tachycardia-associated torsades de
pointes
⩥ 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. What
action is recommended next?
Answer: Seeking expert consultation
⩥ A patient is in cardiac arrest. High-quality chest compressions
are being given. The patient is intubated, and an IV has been
started. The rhythm is asystole. What is the first drug/dose to
administer?
Answer: Epinephrine 1mg IV/IO
ASSESSMENT FINAL COMPREHENSIVE
ASSESSMENT TEST PAPER QUESTIONS AND
SOLUTIONS
⩥ In which situation does bradycardia require treatment?
Answer: Hypotension
⩥ 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
, ⩥ A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to an initial shock. If no pathway for medication
administration is in place, which method is preferred?
Answer: IV or IO
⩥ What is the indication for the use of magnesium in cardiac
arrest?
Answer: Pulseless ventricular tachycardia-associated torsades de
pointes
⩥ 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. What
action is recommended next?
Answer: Seeking expert consultation
⩥ A patient is in cardiac arrest. High-quality chest compressions
are being given. The patient is intubated, and an IV has been
started. The rhythm is asystole. What is the first drug/dose to
administer?
Answer: Epinephrine 1mg IV/IO
