ACLS pretest
3˚ AV block
p and qrs completely separate - Answer Identify the rhythm.
Pulseless electrical activity (PEA) - Answer Identify the rhythm.
Coarse ventricular fibrillation - Answer Identify the rhythm.
Reentry supraventricualr tachycardia (SVT) - Answer Identify the rhythm.
Sinus bradycardia - Answer Identify the rhythm.
Polymorphic ventricular tachycardia - Answer Identify the rhythm.
3˚ AV block - Answer Identify the rhythm.
Reentry Supraventricular tachycardia (SVT) - Answer Identify the rhythm.
2˚ AV block (Mobitz type II)
no p-r prolonged, random drops - Answer Identify the rhythm.
Sinus bradycardia - Answer Identify the rhythm.
Atrial flutter - Answer Identify the rhythm.
Reentry supraventricular tachycardia (SVT) - Answer Identify the rhythm.
2˚ AV block
(Mobitz type I Wenckebach) - Answer Identify the rhythm.
Normal sinus rhythm - Answer Identify the rhythm.
Sinus tachycardia - Answer Identify the rhythm.
Atrial fibrillation
irreg, irreg - Answer Identify the rhythm.
Sinus tachycardia - Answer Identify the rhythm.
Fine ventricular fibrillation - Answer Identify the rhythm.
, 2˚ AV block
(Mobitz type I Wenchkebach) - Answer Identify the rhythm.
Agonal rhythm/asystole - Answer Identify the rhythm.
Coarse ventricular fibrillation - Answer Identify the rhythm.
Monomorphic Ventricular tachycardia - Answer Identify the rhythm.
2. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. -
Answer Which of the following statements about the use of magnesium in cardiac arrest
is most accurate?
1. Magnesium is indicated for shock-refractory monomorphic VT.
2. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes.
3. Magnesium is contraindicated for VT associated with a normal QT interval.
4. Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine.
1. Give aspirin 160 to 325 mg chewed immediately. - Answer A patient with ST-segment
elevation MI has ongoing chest discomfort. Fibrinolytic therapy has been ordered.
Heparin 4000 units IV bolus was administered, and a heparin infusion of 1000 units per
hour is being administered. Aspirin was not taken by the patient because he had a
history of gastritis treated 5 years ago. Your next action is to:
1. Give aspirin 160 to 325 mg chewed immediately.
2. Give 75 mg enteric-coated aspirin orally.
3.Give 325 mg enteric-coated aspirin rectally.
4. Substitute clopidogrel 300 mg loading dose.
4. 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 of 3 mg. A
transcutaneous pacemaker has failed to capture. The patient is confused, and her blood
pressure is 110/60 mm Hg. Which of the following is now indicated?
1. Give additional 1 mg atropine.
2. Start dopamine 10 to 20 mcg/kg per minute.
3. Give normal saline bolus 250 mL to 500 mL.
4. Start epinephrine 2 to 10 mcg/min.
1. Do not give aspirin for at least 24 hours if rtPA is administered. - Answer A 62-year-
old man suddenly experienced difficulty speaking and left-side weakness. He was
brought to the emergency department. He meets initial criteria for fibrinolytic therapy,
and a CT scan of the brain is ordered. What are the guidelines for antiplatelet and
fibrinolytic therapy?
1. Do not give aspirin for at least 24 hours if rtPA is administered.
2. Give aspirin 160 mg and clopidogrel 75 mg orally.
3. Administer heparin if CT scan is negative for hemorrhage.
4. Administer aspirin 160 to 325 mg chewed immediately.
3˚ AV block
p and qrs completely separate - Answer Identify the rhythm.
Pulseless electrical activity (PEA) - Answer Identify the rhythm.
Coarse ventricular fibrillation - Answer Identify the rhythm.
Reentry supraventricualr tachycardia (SVT) - Answer Identify the rhythm.
Sinus bradycardia - Answer Identify the rhythm.
Polymorphic ventricular tachycardia - Answer Identify the rhythm.
3˚ AV block - Answer Identify the rhythm.
Reentry Supraventricular tachycardia (SVT) - Answer Identify the rhythm.
2˚ AV block (Mobitz type II)
no p-r prolonged, random drops - Answer Identify the rhythm.
Sinus bradycardia - Answer Identify the rhythm.
Atrial flutter - Answer Identify the rhythm.
Reentry supraventricular tachycardia (SVT) - Answer Identify the rhythm.
2˚ AV block
(Mobitz type I Wenckebach) - Answer Identify the rhythm.
Normal sinus rhythm - Answer Identify the rhythm.
Sinus tachycardia - Answer Identify the rhythm.
Atrial fibrillation
irreg, irreg - Answer Identify the rhythm.
Sinus tachycardia - Answer Identify the rhythm.
Fine ventricular fibrillation - Answer Identify the rhythm.
, 2˚ AV block
(Mobitz type I Wenchkebach) - Answer Identify the rhythm.
Agonal rhythm/asystole - Answer Identify the rhythm.
Coarse ventricular fibrillation - Answer Identify the rhythm.
Monomorphic Ventricular tachycardia - Answer Identify the rhythm.
2. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. -
Answer Which of the following statements about the use of magnesium in cardiac arrest
is most accurate?
1. Magnesium is indicated for shock-refractory monomorphic VT.
2. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes.
3. Magnesium is contraindicated for VT associated with a normal QT interval.
4. Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine.
1. Give aspirin 160 to 325 mg chewed immediately. - Answer A patient with ST-segment
elevation MI has ongoing chest discomfort. Fibrinolytic therapy has been ordered.
Heparin 4000 units IV bolus was administered, and a heparin infusion of 1000 units per
hour is being administered. Aspirin was not taken by the patient because he had a
history of gastritis treated 5 years ago. Your next action is to:
1. Give aspirin 160 to 325 mg chewed immediately.
2. Give 75 mg enteric-coated aspirin orally.
3.Give 325 mg enteric-coated aspirin rectally.
4. Substitute clopidogrel 300 mg loading dose.
4. 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 of 3 mg. A
transcutaneous pacemaker has failed to capture. The patient is confused, and her blood
pressure is 110/60 mm Hg. Which of the following is now indicated?
1. Give additional 1 mg atropine.
2. Start dopamine 10 to 20 mcg/kg per minute.
3. Give normal saline bolus 250 mL to 500 mL.
4. Start epinephrine 2 to 10 mcg/min.
1. Do not give aspirin for at least 24 hours if rtPA is administered. - Answer A 62-year-
old man suddenly experienced difficulty speaking and left-side weakness. He was
brought to the emergency department. He meets initial criteria for fibrinolytic therapy,
and a CT scan of the brain is ordered. What are the guidelines for antiplatelet and
fibrinolytic therapy?
1. Do not give aspirin for at least 24 hours if rtPA is administered.
2. Give aspirin 160 mg and clopidogrel 75 mg orally.
3. Administer heparin if CT scan is negative for hemorrhage.
4. Administer aspirin 160 to 325 mg chewed immediately.
