ACLS Pretest 2024-2025 Edition
Questions & Correct, Verified Answers.
Graded A+
0.5 mg - ANSA patient has sinus bradycardia with a heart rate of 42/min has
diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
1 to 2 L of normal saline - ANSA patient has been resuscitated from cardiac arrest and
is being prepared for transport. She is intubated and is receiving 100% oxygen. Blood
pressure is 80/60 mm Hg. During the resuscitation, she received 2 doses of epinephrine
1 mg and 1 dose of aminodarone 300 mg IV. You now observe the above rhythm on the
cardiac monitor. The rhythm abnormality is becoming more frequent and increasing in
number. You should order:
150 mg IV push - ANSA 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 - ANSA 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?
Administer adenosine 6 mg; seek expert consultation - ANSYou are monitoring a
patient. He suddenly has the above persistent rhythm. You ask about symptoms, and
he reports that he has mild palpitations, but otherwise he is clinically stable with
unchanged vital signs. What is your next action?
Administer epinephrine 1 mg. - ANSYou are the code team leader and arrive to find a
patient with the above rhythm and CPR in progress. Team members report that the
patient was well but reported chest pain and then collapsed. She has no pulse or
respirations. Bag-mask ventilations are producing visible chest rise, high-quality CPR is
in progress, and an IV has been established. What would be your next order?
Agonal rhythm/asystole - ANSPlease identify the rhythm by selecting the best single
answer.
Amiodarone 300 mg - ANSA 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?
, Atrial Fibrillation - ANSPlease identify the rhythm by selecting the best single answer.
Atrial Flutter - ANSPlease identify the rhythm by selecting the best single answer.
Atropine 0.5 mg IV - ANSYou arrive on the scene to find a 56-year-old diabetic woman
with dizziness. She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg. The
cardiac monitor documents the rhythm above. She is receiving oxygen at 4 L/min by
nasal cannula, and an IV has been established. Your next order is:
Begin CPR, starting with high-quality chest compressions. - ANSA patient becomes
unresponsive. You are uncertain if a faint pulse is present with the above rhythm. What
is your next action?
Chest pain or shortness of breath is present - ANSBradycardia requires treatment
when:
Continue monitoring and seek expert consultation. - ANSA patient presents with the
above rhythm and reports an irregular heartbeat. She has no other symptoms. Her
medical history is significant for a myocardial infarction 7 years ago. Blood pressure is
110/70 mm Hg. What would you do at this time
Continue monitoring the patient and seek expert consultation. - ANSYou are evaluating
a patient with chest discomfort lasting 15 minutes during transportation to the
emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets
have relieved his chest discomfort. He reports no other symptoms but appears anxious.
Blood pressure is 130/70 mg Hg. You observe the above rhythm on the monitor. What
is your next action?
Course Ventricular Fibrillation - ANSPlease identify the rhythm by selecting the best
single answer.
Course Ventricular Fibrillation - ANSPlease identify the rhythm by selecting the best
single answer.
Do not give aspirin for at least 24 hours if rtPA is administered - ANSA 62-year-old man
suddenly experienced difficulty speaking and left-sided 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?
Epinephrine 1 mg - ANSA patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Of the following, which drug and dose should be
administered first by the IV/IO route?
Questions & Correct, Verified Answers.
Graded A+
0.5 mg - ANSA patient has sinus bradycardia with a heart rate of 42/min has
diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
1 to 2 L of normal saline - ANSA patient has been resuscitated from cardiac arrest and
is being prepared for transport. She is intubated and is receiving 100% oxygen. Blood
pressure is 80/60 mm Hg. During the resuscitation, she received 2 doses of epinephrine
1 mg and 1 dose of aminodarone 300 mg IV. You now observe the above rhythm on the
cardiac monitor. The rhythm abnormality is becoming more frequent and increasing in
number. You should order:
150 mg IV push - ANSA 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 - ANSA 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?
Administer adenosine 6 mg; seek expert consultation - ANSYou are monitoring a
patient. He suddenly has the above persistent rhythm. You ask about symptoms, and
he reports that he has mild palpitations, but otherwise he is clinically stable with
unchanged vital signs. What is your next action?
Administer epinephrine 1 mg. - ANSYou are the code team leader and arrive to find a
patient with the above rhythm and CPR in progress. Team members report that the
patient was well but reported chest pain and then collapsed. She has no pulse or
respirations. Bag-mask ventilations are producing visible chest rise, high-quality CPR is
in progress, and an IV has been established. What would be your next order?
Agonal rhythm/asystole - ANSPlease identify the rhythm by selecting the best single
answer.
Amiodarone 300 mg - ANSA 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?
, Atrial Fibrillation - ANSPlease identify the rhythm by selecting the best single answer.
Atrial Flutter - ANSPlease identify the rhythm by selecting the best single answer.
Atropine 0.5 mg IV - ANSYou arrive on the scene to find a 56-year-old diabetic woman
with dizziness. She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg. The
cardiac monitor documents the rhythm above. She is receiving oxygen at 4 L/min by
nasal cannula, and an IV has been established. Your next order is:
Begin CPR, starting with high-quality chest compressions. - ANSA patient becomes
unresponsive. You are uncertain if a faint pulse is present with the above rhythm. What
is your next action?
Chest pain or shortness of breath is present - ANSBradycardia requires treatment
when:
Continue monitoring and seek expert consultation. - ANSA patient presents with the
above rhythm and reports an irregular heartbeat. She has no other symptoms. Her
medical history is significant for a myocardial infarction 7 years ago. Blood pressure is
110/70 mm Hg. What would you do at this time
Continue monitoring the patient and seek expert consultation. - ANSYou are evaluating
a patient with chest discomfort lasting 15 minutes during transportation to the
emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets
have relieved his chest discomfort. He reports no other symptoms but appears anxious.
Blood pressure is 130/70 mg Hg. You observe the above rhythm on the monitor. What
is your next action?
Course Ventricular Fibrillation - ANSPlease identify the rhythm by selecting the best
single answer.
Course Ventricular Fibrillation - ANSPlease identify the rhythm by selecting the best
single answer.
Do not give aspirin for at least 24 hours if rtPA is administered - ANSA 62-year-old man
suddenly experienced difficulty speaking and left-sided 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?
Epinephrine 1 mg - ANSA patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Of the following, which drug and dose should be
administered first by the IV/IO route?
