ACLS PRE-COURSE SELF-ASSESSMENT QUESTIONS
WITH ANSWERS 100% CORRECT VERIFIED
ANSWERS NEWEST UPDATED 2024/2025 BEST
GRADED A+ FOR SUCCESS
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 amiodarone 300 mg IV push
Administer adenosine 6 mg IV push
Perform synchronized cardioversion at 200 J
Perform synchronized cardioversion at 50 J - CORRECT ANSWERS Administer
adenosine 6 mg IV push
You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The
CT scan is negative for hemorrhage. The patient is receiving oxygen via nasal
cannula at 2 L/min, and an IV has been established. His blood pressure is
180/100 mm Hg. Which drug do you anticipate giving to this patient?
Aspirin
rtPA
Glucose (D50)
Nicardipine - CORRECT ANSWERS Aspirin
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which drug should be given next?
,ACLS PRE-COURSE SELF-ASSESSMENT QUESTIONS
WITH ANSWERS 100% CORRECT VERIFIED
ANSWERS NEWEST UPDATED 2024/2025 BEST
GRADED A+ FOR SUCCESS
Epinephrine 3 mg
Lidocaine 0.5 mg/kg
Amiodarone 300 mg
Adenosine 6 mg - CORRECT ANSWERS Amiodarone 300 mg
A patient with possible STEMI has ongoing chest discomfort. What is a
contraindication to nitrate administration?
Heart rate less than 90/min
Use of a phosphodiesterase inhibitor within the previous 24 hours
Anterior wall myocardial infarction
Systolic blood pressure greater than 180 mm Hg - CORRECT ANSWERS Use of a
phosphodiesterase inhibitor within the previous 24 hours
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?
Dopamine 2 to 20 mcg/kg per minute IV/IO
Atropine 1 mg IV/IO
Epinephrine 1 mg IV/IO
Atropine 0.5 mg IV/IO - CORRECT ANSWERS Epinephrine 1 mg IV/IO
, ACLS PRE-COURSE SELF-ASSESSMENT QUESTIONS
WITH ANSWERS 100% CORRECT VERIFIED
ANSWERS NEWEST UPDATED 2024/2025 BEST
GRADED A+ FOR SUCCESS
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress.
One dose of epinephrine was given after the second shock. An antiarrhythmic
drug was given immediately after the third shock. You are the team leader.
Which medication do you order next?
Epinephrine 1 mg
A second dose of the antiarrhythmic drug
Epinephrine 3 mg
Sodium bicarbonate 50 mEq - CORRECT ANSWERS Epinephrine 1 mg
Which intervention is most appropriate for the treatment of a patient in
asystole?
Atropine
Transcutaneous pacing
Defibrillation
Epinephrine - CORRECT ANSWERS Epinephrine
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis
and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
0.1 mg
1 mg
3 mg
0.5 mg - CORRECT ANSWERS 1 mg
WITH ANSWERS 100% CORRECT VERIFIED
ANSWERS NEWEST UPDATED 2024/2025 BEST
GRADED A+ FOR SUCCESS
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 amiodarone 300 mg IV push
Administer adenosine 6 mg IV push
Perform synchronized cardioversion at 200 J
Perform synchronized cardioversion at 50 J - CORRECT ANSWERS Administer
adenosine 6 mg IV push
You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The
CT scan is negative for hemorrhage. The patient is receiving oxygen via nasal
cannula at 2 L/min, and an IV has been established. His blood pressure is
180/100 mm Hg. Which drug do you anticipate giving to this patient?
Aspirin
rtPA
Glucose (D50)
Nicardipine - CORRECT ANSWERS Aspirin
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which drug should be given next?
,ACLS PRE-COURSE SELF-ASSESSMENT QUESTIONS
WITH ANSWERS 100% CORRECT VERIFIED
ANSWERS NEWEST UPDATED 2024/2025 BEST
GRADED A+ FOR SUCCESS
Epinephrine 3 mg
Lidocaine 0.5 mg/kg
Amiodarone 300 mg
Adenosine 6 mg - CORRECT ANSWERS Amiodarone 300 mg
A patient with possible STEMI has ongoing chest discomfort. What is a
contraindication to nitrate administration?
Heart rate less than 90/min
Use of a phosphodiesterase inhibitor within the previous 24 hours
Anterior wall myocardial infarction
Systolic blood pressure greater than 180 mm Hg - CORRECT ANSWERS Use of a
phosphodiesterase inhibitor within the previous 24 hours
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?
Dopamine 2 to 20 mcg/kg per minute IV/IO
Atropine 1 mg IV/IO
Epinephrine 1 mg IV/IO
Atropine 0.5 mg IV/IO - CORRECT ANSWERS Epinephrine 1 mg IV/IO
, ACLS PRE-COURSE SELF-ASSESSMENT QUESTIONS
WITH ANSWERS 100% CORRECT VERIFIED
ANSWERS NEWEST UPDATED 2024/2025 BEST
GRADED A+ FOR SUCCESS
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress.
One dose of epinephrine was given after the second shock. An antiarrhythmic
drug was given immediately after the third shock. You are the team leader.
Which medication do you order next?
Epinephrine 1 mg
A second dose of the antiarrhythmic drug
Epinephrine 3 mg
Sodium bicarbonate 50 mEq - CORRECT ANSWERS Epinephrine 1 mg
Which intervention is most appropriate for the treatment of a patient in
asystole?
Atropine
Transcutaneous pacing
Defibrillation
Epinephrine - CORRECT ANSWERS Epinephrine
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis
and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
0.1 mg
1 mg
3 mg
0.5 mg - CORRECT ANSWERS 1 mg
