ACLS GUIDE PRACTICE
TEST QUESTIONS AND
CORRECT ANSWERS
GRADED A+ 2025-2026
Recommended time window after symptom onset for early fibrinolytic therapy or PCI
with STEMI - ANS-12 HOURS
Goal for PCI with symptomatic ischemia in STEMI - ANS-
When to administer first dose of epi with shockable rhythm - ANS-between second and
third shock
How much and how often epi - ANS-1 mg q 3-5 minutes
Amiodarone first and second dose amounts - ANS-300/150
Lidocaine first and second dose amounts - ANS-1-1.5 mg/kg then 0.5-0.75 mg/kg
H's and T's - ANS-5 H's
H ypoxia
H ypovolemia
H ydrogen ion (acidosis)
H ypo / H yper kalemia
H ypothermia
, 5 T's
T ension pneumothorax
T amponade
T oxins
T hrombosis (pulmonary)
T hrombosis (coronary)
Two most common underlying causes of PEA - ANS-hypovolemia and hypoxia
When is the recommended point to administer epinephrine to a pt with asystole? -
ANS-As soon as IV/IO access is available
Which alteration to standard ACLS algorithm is appropriate for patient's whose cardiac
arrest is secondary to hypothermia? - ANS-Spacing medications further apart
Which arrhythmia is caused by methadone and propoxyphene? - ANS-Torsades de
Pontes
List all possible ways to administer Narcan - ANS-IV
IM
Nasal
Sub Q
Nebulize for inhalation
ET Tube
2 Most common causes of LVAD RVAD or BVAD devices - ANS-1. Disconnection of
Power
2. Disconnection of Driveline
How will the current generation of continuous-flow VADs complicate BLS assessment -
ANS-The devices will not produce a pulse
TEST QUESTIONS AND
CORRECT ANSWERS
GRADED A+ 2025-2026
Recommended time window after symptom onset for early fibrinolytic therapy or PCI
with STEMI - ANS-12 HOURS
Goal for PCI with symptomatic ischemia in STEMI - ANS-
When to administer first dose of epi with shockable rhythm - ANS-between second and
third shock
How much and how often epi - ANS-1 mg q 3-5 minutes
Amiodarone first and second dose amounts - ANS-300/150
Lidocaine first and second dose amounts - ANS-1-1.5 mg/kg then 0.5-0.75 mg/kg
H's and T's - ANS-5 H's
H ypoxia
H ypovolemia
H ydrogen ion (acidosis)
H ypo / H yper kalemia
H ypothermia
, 5 T's
T ension pneumothorax
T amponade
T oxins
T hrombosis (pulmonary)
T hrombosis (coronary)
Two most common underlying causes of PEA - ANS-hypovolemia and hypoxia
When is the recommended point to administer epinephrine to a pt with asystole? -
ANS-As soon as IV/IO access is available
Which alteration to standard ACLS algorithm is appropriate for patient's whose cardiac
arrest is secondary to hypothermia? - ANS-Spacing medications further apart
Which arrhythmia is caused by methadone and propoxyphene? - ANS-Torsades de
Pontes
List all possible ways to administer Narcan - ANS-IV
IM
Nasal
Sub Q
Nebulize for inhalation
ET Tube
2 Most common causes of LVAD RVAD or BVAD devices - ANS-1. Disconnection of
Power
2. Disconnection of Driveline
How will the current generation of continuous-flow VADs complicate BLS assessment -
ANS-The devices will not produce a pulse
