ACLS PreTest: Pharmacology and
Practical Application 2024-2025 Edition.
All Questions & Correct Answers.
Graded A+.
A 35-year-old woman presents with a chief complaint of palpitations. She has no chest
discomfort, shortness of breath, or light-headedness. Her blood pressure is 120/78 mm
Hg. Which intervention is indicated first?SVT
Adenosine 3 mg IV bolus
Adenosine 12 mg IV slow push (over 1 to 2 minutes)Metoprolol 5 mg IV and repeat if
necessary
Vagal maneuvers - ANSVagal maneuvers
A 45-year-old woman with a history of palpitations develops light-headedness and
palpitations. She has received adenosine 6 mg IV for the rhythm shown here, without
conversion of the rhythm. She is now extremely apprehensive. Her blood pressure is
128/70 mm Hg. What is the next appropriate intervention? SVT
Administer adenosine 12 mg IV
Perform unsynchronized cardioversion
Perform vagal maneuvers
Perform synchronized cardioversion - ANSAdminister adenosine 12 mg IV
A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor
shows a regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and
her blood pressure is 80/60 mm Hg. Which action do you take next?
Establish IV access
Obtain a 12-lead ECG
Perform electrical cardioversion
Seek expert consultation - ANSPerform electrical cardioversion
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 aspirin 160 to 325 mg to be chewed immediately
Give aspirin 160 mg and clopidogrel 75 mg orally
Give heparin if the CT scan is negative for hemorrhage
Hold aspirin for at least 24 hours if rtPA is administered - ANSHold aspirin for at least 24
hours if rtPA 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 adenosine 6 mg IV push
Administer amiodarone 300 mg IV push
Perform synchronized cardioversion at 50 J
Perform synchronized cardioversion at 200 J - ANSAdminister adenosine 6 mg IV push
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total dose 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?
Atropine 1 mg
Epinephrine 2 to 10 mcg/min
Adenosine 6 mg
Normal saline 250 mL to 500 mL bolus - ANSEpinephrine 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?
Atropine 1 mg IV/IO
Epinephrine 1 mg IV/IO
Lidocaine 1 mg/kg IV/IO
Sodium bicarbonate 50 mEq IV/IO - ANSEpinephrine 1 mg IV/IO
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?
Central line
Practical Application 2024-2025 Edition.
All Questions & Correct Answers.
Graded A+.
A 35-year-old woman presents with a chief complaint of palpitations. She has no chest
discomfort, shortness of breath, or light-headedness. Her blood pressure is 120/78 mm
Hg. Which intervention is indicated first?SVT
Adenosine 3 mg IV bolus
Adenosine 12 mg IV slow push (over 1 to 2 minutes)Metoprolol 5 mg IV and repeat if
necessary
Vagal maneuvers - ANSVagal maneuvers
A 45-year-old woman with a history of palpitations develops light-headedness and
palpitations. She has received adenosine 6 mg IV for the rhythm shown here, without
conversion of the rhythm. She is now extremely apprehensive. Her blood pressure is
128/70 mm Hg. What is the next appropriate intervention? SVT
Administer adenosine 12 mg IV
Perform unsynchronized cardioversion
Perform vagal maneuvers
Perform synchronized cardioversion - ANSAdminister adenosine 12 mg IV
A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor
shows a regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and
her blood pressure is 80/60 mm Hg. Which action do you take next?
Establish IV access
Obtain a 12-lead ECG
Perform electrical cardioversion
Seek expert consultation - ANSPerform electrical cardioversion
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 aspirin 160 to 325 mg to be chewed immediately
Give aspirin 160 mg and clopidogrel 75 mg orally
Give heparin if the CT scan is negative for hemorrhage
Hold aspirin for at least 24 hours if rtPA is administered - ANSHold aspirin for at least 24
hours if rtPA 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 adenosine 6 mg IV push
Administer amiodarone 300 mg IV push
Perform synchronized cardioversion at 50 J
Perform synchronized cardioversion at 200 J - ANSAdminister adenosine 6 mg IV push
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total dose 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?
Atropine 1 mg
Epinephrine 2 to 10 mcg/min
Adenosine 6 mg
Normal saline 250 mL to 500 mL bolus - ANSEpinephrine 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?
Atropine 1 mg IV/IO
Epinephrine 1 mg IV/IO
Lidocaine 1 mg/kg IV/IO
Sodium bicarbonate 50 mEq IV/IO - ANSEpinephrine 1 mg IV/IO
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?
Central line
