ACLS Pre-Course Self-Assessment – AHA Advanced Cardiovascular Life Support Questions & Answers

ACLS Pre-Course Self-Assessment
Study online at https://quizlet.com/_a8ow8v

1. Identify The ECG Strip: Atrial Flutter
2. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz I Wenckebach)
3. Identify The ECG Strip: Ventricular fibrillation
4. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz I Wenckebach)
5. Identify The ECG Strip: Monomorphic ventricular tachycardia
6. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz II block)
7. Identify The ECG Strip: Ventricular fibrillation
8. Identify The ECG Strip: Ventricular fibrillation
9. Identify The ECG Strip: Atrial fibrillation
10. Identify The ECG Strip: Pulseless electrical activity
11. Identify The ECG Strip: Sinus Bradycardia
12. Identify The ECG Strip: Supraventricular Tachycardia
13. Identify The ECG Strip: Sinus Tachycardia
14. Identify The ECG Strip: Third-degree Atrioventricular block
15. Identify The ECG Strip: Normal Sinus Rhythm
16. Identify The ECG Strip: Polymorphic Ventricular Tachycardia
17. Identify The ECG Strip: Agonal Rhythm/Asystole
18. Identify The ECG Strip: Second-degree Atrioventricular Block (Mobitz II Block)
19. Identify The ECG Strip: Sinus Bradycardia
20. Identify The ECG Strip: Supraventricular Tachycardia
21. A monitored patient in the ICU developed a sudden onset of narrow-com-
plex tachycardia at a rate of 220/min. The patient's blood pressure is 128/58
mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%.
There is vascular access in the left arm, and the patient has not been given
any vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia
with no evidence of ischemia or infarction. The heart rate has not responded
to vagal maneuvers. What is your next action?

Administer amiodarone 300 mg IV push
Administer adenosine 6 mg IV push




, ACLS Pre-Course Self-Assessment
Study online at https://quizlet.com/_a8ow8v

Perform synchronized cardioversion at 200 J
Perform synchronized cardioversion at 50 J: Administer adenosine 6 mg IV push
22. You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke.
The CT scan is negative for hemorrhage. The patient is receiving oxygen via
nasal cannula at 2 L/min, and an IV has been established. His blood pressure
is 180/100 mm Hg. Which drug do you anticipate giving to this patient?

Aspirin
rtPA
Glucose (D50)
Nicardipine: Aspirin
23. A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which drug should be given next?

Epinephrine 3 mg
Lidocaine 0.5 mg/kg
Amiodarone 300 mg
Adenosine 6 mg: Amiodarone 300 mg
24. A patient with possible STEMI has ongoing chest discomfort. What is a
contraindication to nitrate administration?

Heart rate less than 90/min
Use of a phosphodiesterase inhibitor within the previous 24 hours
Anterior wall myocardial infarction
Systolic blood pressure greater than 180 mm Hg: Use of a phosphodiesterase inhibitor
within the previous 24 hours
25. A patient is in cardiac arrest. High-quality chest compressions are being
given. The patient is intubated, and an IV has been started. The rhythm is
asystole. What is the first drug/dose to administer?

Dopamine 2 to 20 mcg/kg per minute IV/IO