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ACLS AHA Questions and Correct
Answers/ Latest Update / Already Graded
A patient has a rapid *irregular wide-complex tachycardia*;
The ventricular rate is 138/min.;
It is asymptomatic, with a BP of 110/70 mmHG;
He has a h/o angina;
What action is recommended next?
Ans: a) Giving Adenosine: 6 mg IV bolus;
b) Giving Lidocaine: 1.5 mg IV bolus;
c) Performing synchronized cardioversion;
d) *Seeking expert consultation ✅*;
What tests should be performed for a patient with a suspected stroke
within 2 hours of arrival?
Ans: non contrast CT scan of the head
SVT types
Ans: 1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
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4) Wolff-Parkinson-White syndrome;
The patient is in *cardiac arrest*.
High-quality chest compressions are being given.
The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer?
Ans: *Epinephrine 1 mg IV/IO*
*Transcutaneous Pacing*
Ans: Aka external pacing: is a temporary means of pacing a
patient's heart during a medical emergency.
It is accomplished by *gradually delivering pulses* of electric
current (*50-100 mA*) through the patient's chest until capture
is reached (usually at a selected rate of 70), which stimulates
the *heart to contract* at a regular pace.
Which intervention is most appropriate for the treatment of a patient
in *asystole*?
Ans: *Epinephrine*
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A patient with sinus *bradycardia* and a heart rate of 42/min is
diaphoretic and with a blood pressure of 80/60 mm Hg.
What is the *initial dose of atropine*?
Ans: *0.5 mg* of *Atropine*
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 pacing* has failed to capture. The patient is
confused, and her BP is *88/56 mmHg*. Which therapy is now
indicated?
Ans: *Epinephrine infusion: 2-10 mcg/min*.
A monitored patient in the ICU developed a sudden onset of *regular
narrow-complex tachycardia* at a rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the
pulse oximetry reading is 98%.
There is a vascular (IV) access in the left arm, and the patient has not
been given any basic active drugs.
A 12-lead ECG confirms *SVT* with no evidence of ischemia or
infraction.
The HR has not responded to vagal maneuvers.
What is your next action?
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Ans: Administer *adenosine 6 mg* IV push
A patient with possible STEMI has ongoing chest discomfort. What is a
*contraindication to nitrate* administration?
Ans: Use of a *phosphodiesterase inhibitors* (eg. Viagra)
within the previous 24 hours
A patient is in *pulseless V-tach* (PEA). 2 shocks and 1 dose of
epinephrine have been given.
Which drug should be given next?
Ans: *Amiodarone 300 mg* (first dose)
What is the indication for the use of *magnesium* in cardiac arrest?
Ans: Pulseless V-tach associated with *Torsades des pointes*
Which is one way to minimize interruptions in chest compressions
during CPR?
Ans: Continue CPR while the defibrillator charges
A 35-years-old woman has palpitations, light-headedness, and a stable
*tachycardia*.
All rights reserved © 2025/ 2026 |
ACLS AHA Questions and Correct
Answers/ Latest Update / Already Graded
A patient has a rapid *irregular wide-complex tachycardia*;
The ventricular rate is 138/min.;
It is asymptomatic, with a BP of 110/70 mmHG;
He has a h/o angina;
What action is recommended next?
Ans: a) Giving Adenosine: 6 mg IV bolus;
b) Giving Lidocaine: 1.5 mg IV bolus;
c) Performing synchronized cardioversion;
d) *Seeking expert consultation ✅*;
What tests should be performed for a patient with a suspected stroke
within 2 hours of arrival?
Ans: non contrast CT scan of the head
SVT types
Ans: 1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
All rights reserved © 2025/ 2026 |
, Page |2
4) Wolff-Parkinson-White syndrome;
The patient is in *cardiac arrest*.
High-quality chest compressions are being given.
The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer?
Ans: *Epinephrine 1 mg IV/IO*
*Transcutaneous Pacing*
Ans: Aka external pacing: is a temporary means of pacing a
patient's heart during a medical emergency.
It is accomplished by *gradually delivering pulses* of electric
current (*50-100 mA*) through the patient's chest until capture
is reached (usually at a selected rate of 70), which stimulates
the *heart to contract* at a regular pace.
Which intervention is most appropriate for the treatment of a patient
in *asystole*?
Ans: *Epinephrine*
All rights reserved © 2025/ 2026 |
, Page |3
A patient with sinus *bradycardia* and a heart rate of 42/min is
diaphoretic and with a blood pressure of 80/60 mm Hg.
What is the *initial dose of atropine*?
Ans: *0.5 mg* of *Atropine*
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 pacing* has failed to capture. The patient is
confused, and her BP is *88/56 mmHg*. Which therapy is now
indicated?
Ans: *Epinephrine infusion: 2-10 mcg/min*.
A monitored patient in the ICU developed a sudden onset of *regular
narrow-complex tachycardia* at a rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the
pulse oximetry reading is 98%.
There is a vascular (IV) access in the left arm, and the patient has not
been given any basic active drugs.
A 12-lead ECG confirms *SVT* with no evidence of ischemia or
infraction.
The HR has not responded to vagal maneuvers.
What is your next action?
All rights reserved © 2025/ 2026 |
, Page |4
Ans: Administer *adenosine 6 mg* IV push
A patient with possible STEMI has ongoing chest discomfort. What is a
*contraindication to nitrate* administration?
Ans: Use of a *phosphodiesterase inhibitors* (eg. Viagra)
within the previous 24 hours
A patient is in *pulseless V-tach* (PEA). 2 shocks and 1 dose of
epinephrine have been given.
Which drug should be given next?
Ans: *Amiodarone 300 mg* (first dose)
What is the indication for the use of *magnesium* in cardiac arrest?
Ans: Pulseless V-tach associated with *Torsades des pointes*
Which is one way to minimize interruptions in chest compressions
during CPR?
Ans: Continue CPR while the defibrillator charges
A 35-years-old woman has palpitations, light-headedness, and a stable
*tachycardia*.
All rights reserved © 2025/ 2026 |
