Exam
Exam Solution zm
ACLS Pretest 2026 A+ GRADE ASSURED COMPLETE SOL
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UTIONS AND VERIFIED ANSWERS (F5391) zm zm zm zm
QUESTION 1 zm
Perform electrical cardioversion
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ANSWER
A 57-year-
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old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-
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complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60 mm
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Hg. The next action is to:
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A. Establish IV access
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B. Seek expert consultant
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C. Obtain a 12-lead ECG
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D. Perform electrical cardioversion
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QUESTION 2 zm
Epinephrine 2 to 10 mcg/min zm zm zm zm
ANSWER
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been administered to a to
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tal dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused, and he
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r blood pressure is 88/56 mm Hg. Which therapy is now indicated?
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A. atropine 1 mg
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B. epinephrine 2 to 10 mcg/min
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C. adenosine 6 mg
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D. normal saline 250 ml to 500 ml bolus
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QUESTION 3 zm
Epinephrine 1 mg IV/IO zm zm zm
ANSWER
, A patient is in cardiac arrest. Ventricular fibrillation has been refractory to second shock. Which dru
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g should be administered first?
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A. atropine 1 mg IV / IO
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B. epinephrine 1 mg IV / IO
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C. lidocaine 1 mg/kg IV / IO
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D. sodium bicarbonate 50 mEq IV / IO
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QUESTION 4 zm
Establish IV or IO access zm zm zm zm
ANSWER
You arrive on the scene with the code team. High-
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quality CPR is in progress. An AED has previously advised, "no shock indicated." A rhythm check no
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w finds asystole. After resuming high-quality compressions, which action do you take next?
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A. Insert a laryngeal airway
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B. Established IV/IO access
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C. Call for a pulse check Perform endotracheal intubation
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QUESTION 5 zm
Give aspirin 162 to 325 mg to chew
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ANSWER
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a heparin infu
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sion of 1000 unit per hour are being administered. The patient did not take aspirin because he has
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a history of gastritis, which was treated 5 years ago. What is your next action?
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A. give aspirin 162 to 325 mg to chew
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B. give clopidogrel 300 mg orally
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C. give enteric-coated aspirin 75 mg orally
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D. give enteric-coated aspirin 325 mg rectally
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QUESTION 6 zm
1 mg
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ANSWER
A patient has sinus bradycardia with a heart rate of 42/min has diaphoresis and a blood pressure o
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f 80/60 mm Hg. What is the initial dose of atropine?
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A. 3mg
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B. 0.1mg
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C. 1mg
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D. 0.5mg
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QUESTION 7 zm
Exam Solution zm
ACLS Pretest 2026 A+ GRADE ASSURED COMPLETE SOL
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UTIONS AND VERIFIED ANSWERS (F5391) zm zm zm zm
QUESTION 1 zm
Perform electrical cardioversion
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ANSWER
A 57-year-
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old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-
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complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60 mm
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Hg. The next action is to:
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A. Establish IV access
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B. Seek expert consultant
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C. Obtain a 12-lead ECG
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D. Perform electrical cardioversion
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QUESTION 2 zm
Epinephrine 2 to 10 mcg/min zm zm zm zm
ANSWER
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been administered to a to
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tal dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused, and he
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
r blood pressure is 88/56 mm Hg. Which therapy is now indicated?
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A. atropine 1 mg
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B. epinephrine 2 to 10 mcg/min
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C. adenosine 6 mg
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D. normal saline 250 ml to 500 ml bolus
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QUESTION 3 zm
Epinephrine 1 mg IV/IO zm zm zm
ANSWER
, A patient is in cardiac arrest. Ventricular fibrillation has been refractory to second shock. Which dru
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g should be administered first?
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A. atropine 1 mg IV / IO
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B. epinephrine 1 mg IV / IO
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C. lidocaine 1 mg/kg IV / IO
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D. sodium bicarbonate 50 mEq IV / IO
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QUESTION 4 zm
Establish IV or IO access zm zm zm zm
ANSWER
You arrive on the scene with the code team. High-
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quality CPR is in progress. An AED has previously advised, "no shock indicated." A rhythm check no
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
w finds asystole. After resuming high-quality compressions, which action do you take next?
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A. Insert a laryngeal airway
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B. Established IV/IO access
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C. Call for a pulse check Perform endotracheal intubation
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QUESTION 5 zm
Give aspirin 162 to 325 mg to chew
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ANSWER
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a heparin infu
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
sion of 1000 unit per hour are being administered. The patient did not take aspirin because he has
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
a history of gastritis, which was treated 5 years ago. What is your next action?
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A. give aspirin 162 to 325 mg to chew
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B. give clopidogrel 300 mg orally
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C. give enteric-coated aspirin 75 mg orally
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D. give enteric-coated aspirin 325 mg rectally
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QUESTION 6 zm
1 mg
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ANSWER
A patient has sinus bradycardia with a heart rate of 42/min has diaphoresis and a blood pressure o
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f 80/60 mm Hg. What is the initial dose of atropine?
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A. 3mg
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B. 0.1mg
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C. 1mg
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D. 0.5mg
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QUESTION 7 zm