1
HEARTCODE ACLS EXAM LATEST 2026 -
ACTUAL QUESTIONS & VERIFIED |A+
GRADE
in cardiac arrest when do you first introduce medical intervention? which drug? -
correct-answer -after 2 rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during cardiac arrest? - correct-answer -after
the 3rd shock give 300 mg bolus of amiodarone
if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac arrest - correct-answer -VF
VT
what rhythms are not shockable in cardiac arrest - correct-answer -asystole
PEA
,2
if you are in an unshockable rhythm arrest when do you give epi - correct-answer
-1mg epi every 3-5 minutes after 1st round of CPR
what do you do after return of spontaneous circulation - correct-answer -maintain
O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's - correct-answer -hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
,3
how do you treat non-symptomatic bradycardia - correct-answer -monitor and
observe
what constitutes symptomatic bradycardia - correct-answer -hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia - correct-answer -1. give 0.5mg
atropine every 3-5 mins to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what is considered a tachycardia requiring treatment - correct-answer -over 150
per minute
, 4
when do you consider cardioversion - correct-answer -if persistent tachycardia is
causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present with symptoms what do you need to
consider - correct-answer -wide QRS?
greater than 0.12 seconds
If persistent tachycardia without symptoms DOES have a wide QRS what to do you
do? - correct-answer -IV access and 12 lead if available
6mg adenosine followed by NS flush only IF regular and monomorphic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 minutes
- 100mg sotalol over 5 minutes
HEARTCODE ACLS EXAM LATEST 2026 -
ACTUAL QUESTIONS & VERIFIED |A+
GRADE
in cardiac arrest when do you first introduce medical intervention? which drug? -
correct-answer -after 2 rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during cardiac arrest? - correct-answer -after
the 3rd shock give 300 mg bolus of amiodarone
if second dose is needed give 150mg as second dose
what rhythms are shockable in cardiac arrest - correct-answer -VF
VT
what rhythms are not shockable in cardiac arrest - correct-answer -asystole
PEA
,2
if you are in an unshockable rhythm arrest when do you give epi - correct-answer
-1mg epi every 3-5 minutes after 1st round of CPR
what do you do after return of spontaneous circulation - correct-answer -maintain
O2 sat at 94%
treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's - correct-answer -hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
,3
how do you treat non-symptomatic bradycardia - correct-answer -monitor and
observe
what constitutes symptomatic bradycardia - correct-answer -hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia - correct-answer -1. give 0.5mg
atropine every 3-5 mins to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
what is considered a tachycardia requiring treatment - correct-answer -over 150
per minute
, 4
when do you consider cardioversion - correct-answer -if persistent tachycardia is
causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present with symptoms what do you need to
consider - correct-answer -wide QRS?
greater than 0.12 seconds
If persistent tachycardia without symptoms DOES have a wide QRS what to do you
do? - correct-answer -IV access and 12 lead if available
6mg adenosine followed by NS flush only IF regular and monomorphic
consider anti-arrhythmic infusion:
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 minutes
- 100mg sotalol over 5 minutes
