AHA ACLS PHARMACOLOGY & MEDICATION EXAM -
ACTUAL EXAM 2026/2027 | COMPLETE COURSE
REVIEW | 50 VERIFIED Q&A | COMPLETE RATIONALES
| PASS GUARANTEED - A+ GRADED
QUESTION 1
What is the dose of epinephrine for adult cardiac arrest?
A. 0.1 mg IV/IO every 3-5 minutes
B. 1 mg IV/IO every 3-5 minutes
C. 5 mg IV/IO every 3-5 minutes
D. 10 mg IV/IO every 3-5 minutes
Rationale: The dose of epinephrine for adult cardiac arrest is 1 mg IV/IO every 3-5 minutes. Epinephrine is a
potent vasoconstrictor that increases coronary perfusion pressure and improves the chance of return of
spontaneous circulation (ROSC). Higher doses are not recommended and may cause harm.
QUESTION 2
What is the dose of amiodarone for refractory VF/pVT?
A. 150 mg IV/IO bolus, may repeat 300 mg
B. 300 mg IV/IO bolus, may repeat 150 mg once
C. 450 mg IV/IO bolus
D. 500 mg IV/IO bolus
Rationale: The dose of amiodarone for refractory VF/pVT is 300 mg IV/IO bolus, which may be repeated
once with 150 mg. Amiodarone is an antiarrhythmic that stabilizes the cardiac membrane and increases the
success of defibrillation.
QUESTION 3
What is the dose of atropine for symptomatic bradycardia?
A. 0.1 mg IV/IO every 3-5 minutes
B. 0.5 mg IV/IO every 3-5 minutes (maximum 3 mg)
C. 1 mg IV/IO every 3-5 minutes
D. 2 mg IV/IO every 3-5 minutes
, 2
Rationale: The dose of atropine for symptomatic bradycardia is 0.5 mg IV/IO every 3-5 minutes, up to a
maximum of 3 mg (0.04 mg/kg). Atropine blocks vagal tone and increases heart rate. Higher doses are not
recommended and may cause toxicity.
QUESTION 4
What is the dose of adenosine for stable supraventricular tachycardia (SVT)?
A. 3 mg IV push
B. 6 mg IV push, followed by 12 mg if needed
C. 12 mg IV push
D. 18 mg IV push
Rationale: The dose of adenosine for stable SVT is 6 mg IV push, followed by 12 mg IV push if needed.
Adenosine is given as a rapid IV push followed by a saline flush. It is the first-line treatment for stable SVT.
QUESTION 5
What is the dose of lidocaine for refractory VF/pVT?
A. 0.5-1 mg/kg IV/IO bolus
B. 1-1.5 mg/kg IV/IO bolus, may repeat 0.5-0.75 mg/kg
C. 3 mg/kg IV/IO bolus
D. 5 mg/kg IV/IO bolus
Rationale: The dose of lidocaine for refractory VF/pVT is 1-1.5 mg/kg IV/IO bolus, which may be repeated
with 0.5-0.75 mg/kg. Lidocaine is an alternative to amiodarone for refractory VF/pVT. It is an antiarrhythmic
that suppresses ventricular ectopy.
QUESTION 6
What is the dose of vasopressin for cardiac arrest?
A. 10 units IV/IO every 3-5 minutes
B. 40 units IV/IO (single dose)
C. 100 units IV/IO every 3-5 minutes
D. 500 units IV/IO every 3-5 minutes
Rationale: Vasopressin is given as a single dose of 40 units IV/IO for cardiac arrest. It is a potent
vasoconstrictor that increases coronary perfusion pressure. It can be used as an alternative to epinephrine.