ACLS COMPLETE 2025 QUESTIONS AND
ANSWERS LATEST TOP SCORE.
BEST PLAYLIST I'VE FOUND FOR ALL HEART.ORG ACLS CODES! - correct
answer.
https://www.youtube.com/watch?v=qQTpqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakrRQ
DKOkTZj
This is a good starting point for Jose (big Megacode at end):
https://www.youtube.com/watch?v=8OB7OreUjy0 . Use the feedback after failing to get
closer and closer to passing!
In which situation does bradycardia require treatment? - correct answer. Hypotension
Which intervention is most appropriate for the treatment of a patient in asystole? -
correct 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? - correct 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? - correct
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? - correct 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? - correct 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? - correct
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? - correct 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? - correct 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? - correct 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? - correct answer. IV or IO
What is the indication for the use of magnesium in cardiac arrest? - correct 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? - correct 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? - correct answer. Epinephrine 1mg IV/IO
,A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One
does 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. - correct answer. Epinephrine 1 mg
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication
to nitrate administration? - correct answer. Use of a phosphodiestrase inhibitor within
the previous 24 hours
A 57-year-old woman has palpitation, chest discomfort, and tachycardia. The monitor
shows a regular wide-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? - correct answer.
Perform electrical cordioversion
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a
heparin infusion of 1000 units per hour are being administered. The patient did not take
aspirin because he has a history of gastritis, with was treated 5 years ago. What is your
next action? - correct answer. Give aspirin 160-325 mg to chew
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 2L/min, and an IV
has been established. His blood pressure is 180/100mm Hg. Which drug do you
anticipate giving to this patient? - correct answer. Aspirin
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine
have been given. Which drug should be given next? - correct answer. Amiodarone
300mg
What is the maximum interval for pausing chest compressions? - correct answer. 10
seconds
Your patient is a 56-year-old woman with a history of type 2 diabetes who reports
feeling dizzy. She is pale and diaphoretic. Her blood pressure is 80/66mm Hg. The
cardiac monitor documents the rhythm shown here. She is receiving oxygen at 4L/min
by nasal cannula, and an Iv has been established. What do you administer next? -
correct answer. Atropine 0.5mg IV
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 120/78mm
Hg. Which intervention is indicated first? - correct answer. Vagal maneuvers
Which action should you take immediately after providing an AED shock? - correct
answer. Resume chest compressions
, What waction wminimizes wthe wrisk wof wair wentering wthe wvictim's wstomach wduring-bag wmask
wventilation? w- w correct wanswer. w Ventilating wuntil wyou wsee wthe wchest wrise
You ware wproviding wbag-mask wventilations wto wa wpatient win wrespiratory warrest. wHow woften
wshould wyou wprovide wventilation? w- w correct wanswer. w About wevery w5-6 wseconds
After winitiation wof wCPR wand w1 wshock wfor wventricular wfibrillation, wthis wrhythm wis wpresent
won wthe wnext wrhythm wcheck. wA wsecond wshock wis wgiven, wand wchest wcompressions ware
wresumed wimmediately. wAn wIV wis win wplace, wand wno wdrugs whave wbeen wgiven. wBag-mask
wventilations ware wproducing wvisible wchest wrise. wWhat wis wyour wnext wintervention? w-
w correct wanswer. w Give wepinephrine w1mg wIV/IO
A wpatient's w12-lead wECG wis wtransmitted wby wthe wparamedics wand wshows wa wSTEMI.
wWhen wthe wpatient warrives win wthe wemergency wdepartment, wthe wrhythm wshown where wis
wseen won wthe wcardiac wmonitor. wThe wpatient whas wresolution wof wmoderate w(5/10) wchest
wpain wafter w3 wdoses wof wsublingual wnitroglycerin. wBlood wpressure wis w104/70mm wHg.
wWhich wintervention wis wmost wimportant win wreducing wthis wpatient's win-hospital wand w30-
day wmortality wrate? w- w correct wanswer. w Repersfusion wtherapy
A wpatient wwas win wrefractory wventricular wfibrillation. wA wthrid wshock whas wjust wbeen
wadministered. wYour wteam wlooks wto wyou wfor winstructions. wWhat wis wyour wnext waction? w-
wcorrect wanswer. w Resume whigh wquality wchest wcompressions
Which waction wis wlikely wto wcause wair wto wenter wthe wvictim's wstomach w(gastric winflation)
wduring wbag-mask wventilation? w- w correct wanswer. w Ventilating wtoo wquickly
A w45-year-old wwoman wwith wa whistory wof wpalpitations wdevelops wlight-headedness wand
wpalpitations. wShe whas wreceived wadensoine w6mg wIV wfor wthe wrhythm wshown where
w(SVT), wwithout wconversion wof wthe wrhythm. wShe wis wnow wextremely wapprehensive. wHer
wblood wpressure wsi w128/70mm wHg. wWhat wis wthe wnext wappropriate wintervention? w-
w correct wanswer. wAdminister wadenosine w12 wmg wIV
Your wpatient wis wnot wresponsive wand wis wnot wbreathing, wYou wcan wpalpate wa wcarotid wpulse.
wWhich waction wdo wyou wtake wnext? w- w correct wanswer. w Start wrescue wbreathing
You warrive won wthe wscene wto wfind wCPR win wprogress. wNursing wstaff wreport wthe wpatient
wwas wrecovering wfrom wa wpulmonary wembolism wand wsuddenly wcollapsed. wTwo wshocks
whave wbeen wdelivered, wand wan wIV whas wbeen winitiated. wWhat wdo wyou wadminister wnow? w-
w correct wanswer. wEpinephrine w1 wmg wIV
You ware wthe wcode wteam wleader wand warrive wto wfind wa wpatient wwith wCPR win wprogress. wOn
wthe wnext wrhythm wcheck, wyou wsee wthe wrhythm wshown where. wTeam wmembers wtell wyou
wthat wthe wpatient wwas wwell wbut wreported wchest wdiscomfort wand wthen wcollapsed. wShe whas
wno wpulse wor wrespirations. wBag-mask wventilations ware wproducing wvisible wchest wrise, wand
wIV waccess whas wbeen westablished, wWhich wintervention wwould wbe wyour wnext waction? w-
w correct wanswer.
Epinephrine w1mg
ANSWERS LATEST TOP SCORE.
BEST PLAYLIST I'VE FOUND FOR ALL HEART.ORG ACLS CODES! - correct
answer.
https://www.youtube.com/watch?v=qQTpqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakrRQ
DKOkTZj
This is a good starting point for Jose (big Megacode at end):
https://www.youtube.com/watch?v=8OB7OreUjy0 . Use the feedback after failing to get
closer and closer to passing!
In which situation does bradycardia require treatment? - correct answer. Hypotension
Which intervention is most appropriate for the treatment of a patient in asystole? -
correct 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? - correct 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? - correct
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? - correct 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? - correct 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? - correct
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? - correct 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? - correct 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? - correct 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? - correct answer. IV or IO
What is the indication for the use of magnesium in cardiac arrest? - correct 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? - correct 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? - correct answer. Epinephrine 1mg IV/IO
,A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One
does 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. - correct answer. Epinephrine 1 mg
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication
to nitrate administration? - correct answer. Use of a phosphodiestrase inhibitor within
the previous 24 hours
A 57-year-old woman has palpitation, chest discomfort, and tachycardia. The monitor
shows a regular wide-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? - correct answer.
Perform electrical cordioversion
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a
heparin infusion of 1000 units per hour are being administered. The patient did not take
aspirin because he has a history of gastritis, with was treated 5 years ago. What is your
next action? - correct answer. Give aspirin 160-325 mg to chew
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 2L/min, and an IV
has been established. His blood pressure is 180/100mm Hg. Which drug do you
anticipate giving to this patient? - correct answer. Aspirin
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine
have been given. Which drug should be given next? - correct answer. Amiodarone
300mg
What is the maximum interval for pausing chest compressions? - correct answer. 10
seconds
Your patient is a 56-year-old woman with a history of type 2 diabetes who reports
feeling dizzy. She is pale and diaphoretic. Her blood pressure is 80/66mm Hg. The
cardiac monitor documents the rhythm shown here. She is receiving oxygen at 4L/min
by nasal cannula, and an Iv has been established. What do you administer next? -
correct answer. Atropine 0.5mg IV
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 120/78mm
Hg. Which intervention is indicated first? - correct answer. Vagal maneuvers
Which action should you take immediately after providing an AED shock? - correct
answer. Resume chest compressions
, What waction wminimizes wthe wrisk wof wair wentering wthe wvictim's wstomach wduring-bag wmask
wventilation? w- w correct wanswer. w Ventilating wuntil wyou wsee wthe wchest wrise
You ware wproviding wbag-mask wventilations wto wa wpatient win wrespiratory warrest. wHow woften
wshould wyou wprovide wventilation? w- w correct wanswer. w About wevery w5-6 wseconds
After winitiation wof wCPR wand w1 wshock wfor wventricular wfibrillation, wthis wrhythm wis wpresent
won wthe wnext wrhythm wcheck. wA wsecond wshock wis wgiven, wand wchest wcompressions ware
wresumed wimmediately. wAn wIV wis win wplace, wand wno wdrugs whave wbeen wgiven. wBag-mask
wventilations ware wproducing wvisible wchest wrise. wWhat wis wyour wnext wintervention? w-
w correct wanswer. w Give wepinephrine w1mg wIV/IO
A wpatient's w12-lead wECG wis wtransmitted wby wthe wparamedics wand wshows wa wSTEMI.
wWhen wthe wpatient warrives win wthe wemergency wdepartment, wthe wrhythm wshown where wis
wseen won wthe wcardiac wmonitor. wThe wpatient whas wresolution wof wmoderate w(5/10) wchest
wpain wafter w3 wdoses wof wsublingual wnitroglycerin. wBlood wpressure wis w104/70mm wHg.
wWhich wintervention wis wmost wimportant win wreducing wthis wpatient's win-hospital wand w30-
day wmortality wrate? w- w correct wanswer. w Repersfusion wtherapy
A wpatient wwas win wrefractory wventricular wfibrillation. wA wthrid wshock whas wjust wbeen
wadministered. wYour wteam wlooks wto wyou wfor winstructions. wWhat wis wyour wnext waction? w-
wcorrect wanswer. w Resume whigh wquality wchest wcompressions
Which waction wis wlikely wto wcause wair wto wenter wthe wvictim's wstomach w(gastric winflation)
wduring wbag-mask wventilation? w- w correct wanswer. w Ventilating wtoo wquickly
A w45-year-old wwoman wwith wa whistory wof wpalpitations wdevelops wlight-headedness wand
wpalpitations. wShe whas wreceived wadensoine w6mg wIV wfor wthe wrhythm wshown where
w(SVT), wwithout wconversion wof wthe wrhythm. wShe wis wnow wextremely wapprehensive. wHer
wblood wpressure wsi w128/70mm wHg. wWhat wis wthe wnext wappropriate wintervention? w-
w correct wanswer. wAdminister wadenosine w12 wmg wIV
Your wpatient wis wnot wresponsive wand wis wnot wbreathing, wYou wcan wpalpate wa wcarotid wpulse.
wWhich waction wdo wyou wtake wnext? w- w correct wanswer. w Start wrescue wbreathing
You warrive won wthe wscene wto wfind wCPR win wprogress. wNursing wstaff wreport wthe wpatient
wwas wrecovering wfrom wa wpulmonary wembolism wand wsuddenly wcollapsed. wTwo wshocks
whave wbeen wdelivered, wand wan wIV whas wbeen winitiated. wWhat wdo wyou wadminister wnow? w-
w correct wanswer. wEpinephrine w1 wmg wIV
You ware wthe wcode wteam wleader wand warrive wto wfind wa wpatient wwith wCPR win wprogress. wOn
wthe wnext wrhythm wcheck, wyou wsee wthe wrhythm wshown where. wTeam wmembers wtell wyou
wthat wthe wpatient wwas wwell wbut wreported wchest wdiscomfort wand wthen wcollapsed. wShe whas
wno wpulse wor wrespirations. wBag-mask wventilations ware wproducing wvisible wchest wrise, wand
wIV waccess whas wbeen westablished, wWhich wintervention wwould wbe wyour wnext waction? w-
w correct wanswer.
Epinephrine w1mg
