ACLS reviewed assessment questions and correct answers GRADED A+

ACLS REVIEWED
ASSESSMENT QUESTIONS
AND CORRECT ANSWERS
GRADED A+ 2025-2026
in cardiac arrest when do you first introduce medical intervention? which drug? - ANS-
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? - ANS-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 - ANS-VF
VT


what rhythms are not shockable in cardiac arrest - ANS-asystole

PEA


if you are in an unshockable rhythm arrest when do you give epi - ANS-1mg epi every
3-5 minutes after 1st round of CPR


what do you do after return of spontaneous circulation - ANS-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 - ANS-hypovolemia
hypoxia

hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia


tension pneumothorax
tamponade, cardiac

toxins
thrombosis, pulmonary
thrombosis, coronary


how do you treat non-symptomatic bradycardia - ANS-monitor and observe


what constitutes symptomatic bradycardia - ANS-hypotension
altered mental status
signs of shock
chest pain
acute heart failure


how do you treat symptomatic bradycardia - ANS-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 - ANS-over 150 per minute