ACI Concrete Field Testing Technician Grade I | Certification Practice Questions, Answers & Exam Review 2026-2027
in cardiac arrest when do you first introduce medical after 2 rounds of CPR/shock
intervention? which drug? after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during cardiac arrest? 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 VF
VT
what rhythms are not shockable in cardiac arrest asystole
PEA
if you are in an unshockable rhythm arrest when do you 1mg epi every 3-5 minutes after 1st round of CPR
give epi
what do you do after return of spontaneous circulation 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 hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia monitor and observe
what constitutes symptomatic bradycardia hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia 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 over 150 per minute
when do you consider cardioversion if persistent tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
, ACI Concrete Field Testing Technician Grade I | Certification Practice Questions, Answers & Exam Review 2026-2027
if persistent tachycardia does not present with symptoms wide QRS?
what do you need to consider greater than 0.12 seconds
If persistent tachycardia without symptoms DOES have a IV access and 12 lead if available
wide QRS what to do you do?
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
which anti-arrhythmic drugs can be used if prolonged QT only amiodarone
150mg over 10 minutes, repeat if VT occurs
follow by maintenance infusion 1mg/min for first 6 hours
if persistent tachycardia without symptoms and without IV access and 12 lead EKG if available
wide QRS what do you do vagal maneuvers
6mg adenosine followed by NS flush only IF regular
Beta blocker or calcium channel blocker
patient comes in with symptoms of ACS what do you do chew 325mg aspirin
first O2
nitro
morphine
get 12 lead EKG
IV access
IF ACS patient has EKG showing ST elevation and re-perfusion
symptoms are less than 12 hours then what door to balloon 90 minutes
door to needle 30 minutes
If ACS patient has EKG showing non ST elevation MI or early invasive strategy?
high risk unstable angina then what adjunctive treatment?
-nitroglycerin
-heparin
-beta blockers
-clopidogrel
-glycoprotein IIb / IIIa inhibitor
what are the contraindications to fibrinolytics in ACS systolic > 180
treatment diastolic > 100
right arm left arm systolic difference > 15
history of structural central nervous system disease
recent head/facial trauma
stroke more than 3 hours or less then 3 months ago
recent trauma, surgery or bleed
any history of intracranial hemorrhage
bleeding, clotting problem or on blood thinners
serious systemic disease
adenosine used in tachy
6mg bolus followed by 20mL normal saline
12mg can be used after 1-2 minutes
amiodirone In VF/VT arrest AFTER trying CPR shock and epi/vasopressin:
300mg then 150mg
In life threatening arrhythmias:
150mg over 10 minute infusion, every 10 minutes as needed
in cardiac arrest when do you first introduce medical after 2 rounds of CPR/shock
intervention? which drug? after 2nd shock give 1 mg epinephrine every 3-5 minutes
when do you introduce amiodarone during cardiac arrest? 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 VF
VT
what rhythms are not shockable in cardiac arrest asystole
PEA
if you are in an unshockable rhythm arrest when do you 1mg epi every 3-5 minutes after 1st round of CPR
give epi
what do you do after return of spontaneous circulation 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 hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia monitor and observe
what constitutes symptomatic bradycardia hypotension
altered mental status
signs of shock
chest pain
acute heart failure
how do you treat symptomatic bradycardia 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 over 150 per minute
when do you consider cardioversion if persistent tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
, ACI Concrete Field Testing Technician Grade I | Certification Practice Questions, Answers & Exam Review 2026-2027
if persistent tachycardia does not present with symptoms wide QRS?
what do you need to consider greater than 0.12 seconds
If persistent tachycardia without symptoms DOES have a IV access and 12 lead if available
wide QRS what to do you do?
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
which anti-arrhythmic drugs can be used if prolonged QT only amiodarone
150mg over 10 minutes, repeat if VT occurs
follow by maintenance infusion 1mg/min for first 6 hours
if persistent tachycardia without symptoms and without IV access and 12 lead EKG if available
wide QRS what do you do vagal maneuvers
6mg adenosine followed by NS flush only IF regular
Beta blocker or calcium channel blocker
patient comes in with symptoms of ACS what do you do chew 325mg aspirin
first O2
nitro
morphine
get 12 lead EKG
IV access
IF ACS patient has EKG showing ST elevation and re-perfusion
symptoms are less than 12 hours then what door to balloon 90 minutes
door to needle 30 minutes
If ACS patient has EKG showing non ST elevation MI or early invasive strategy?
high risk unstable angina then what adjunctive treatment?
-nitroglycerin
-heparin
-beta blockers
-clopidogrel
-glycoprotein IIb / IIIa inhibitor
what are the contraindications to fibrinolytics in ACS systolic > 180
treatment diastolic > 100
right arm left arm systolic difference > 15
history of structural central nervous system disease
recent head/facial trauma
stroke more than 3 hours or less then 3 months ago
recent trauma, surgery or bleed
any history of intracranial hemorrhage
bleeding, clotting problem or on blood thinners
serious systemic disease
adenosine used in tachy
6mg bolus followed by 20mL normal saline
12mg can be used after 1-2 minutes
amiodirone In VF/VT arrest AFTER trying CPR shock and epi/vasopressin:
300mg then 150mg
In life threatening arrhythmias:
150mg over 10 minute infusion, every 10 minutes as needed
