©PREP4EXAMS@2024/2025 [REAL-EXAM-DUMPS] Sunday, August 4, 2024 12:41 AM
WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
ACLS Pretest Practice Questions and Answers (100% pass)
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One
dose of epinephrine was given after the second shock. A antiarrhythmic drug was given
immediately after the third shock. You are the team leader. Which medication do you
order next?
-epinephrine 1 mg
-epinephrine 3 mg
-sodium bicarbonate 50 mEq
-a second dose of the antiarrhythmic drug - ✔️✔️-epinephrine 1 mg
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 2L/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
-glucose (d50)
-nicardipine
1
,©PREP4EXAMS@2024/2025 [REAL-EXAM-DUMPS] Sunday, August 4, 2024 12:41 AM
WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
-rTPA - ✔️✔️-Aspirin
A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is
138/min. He is asymptomatic with a blood pressure of 110/70 mm Hg. He has a history
of angina. What action is recommended next?
-giving adenosine 6 mg IV bolus
-giving lidocaine 1-1.5 mg IV bolus
-Performing synchronized cardioversion
-seeking expert consultation - ✔️✔️-seeking expert consultation
A patient is in refractory ventricular fibrillation and has received multiple appropriate
defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300
mg IV. The patient is intubated. Which best describes the recommended second dose
of amiodarone for his patient?
-1 mg/kg IV push
-1 to 2 mg/min infusion
-150 mg IV push
-300 mg IV push - ✔️✔️-150 mg IV push
A patient with a possible STEMI has ongoing chest discomfort. What is a
contraindication to nitrate administration?
2
, ©PREP4EXAMS@2024/2025 [REAL-EXAM-DUMPS] Sunday, August 4, 2024 12:41 AM
WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
-anterior wall myocardial infarction
-heart rate less than 90/min
-systolic blood pressure greater than 180mm Hg
-Use of a phosphodiesterase inhibitor within the previous 24 hours - ✔️✔️-Use of a
phosphodiesterase inhibitor within the previous 24 hours
What is the indication for the use of magnesium in cardiac arrest?
-ventricular tachycardia associated with a normal QT interval
-shock-refractory monomorphic ventricular tachycardia
-pulseless ventricular tachycardia-associated torsades de pointes
-shock-refractory ventricular fibrillation - ✔️✔️-pulseless ventricular tachycardia-
associated torsades de pointes
A 57 y/o woman has palpitations, chest discomfort, and tachycardia. The monitor shows
a regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and her
blood pressure is 80/60 mm Hg. Which action do you take next?
-establish IV access
-obtain a 12-lead ECG
-Perform electrical cardioversion
3
WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
ACLS Pretest Practice Questions and Answers (100% pass)
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One
dose of epinephrine was given after the second shock. A antiarrhythmic drug was given
immediately after the third shock. You are the team leader. Which medication do you
order next?
-epinephrine 1 mg
-epinephrine 3 mg
-sodium bicarbonate 50 mEq
-a second dose of the antiarrhythmic drug - ✔️✔️-epinephrine 1 mg
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 2L/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
-glucose (d50)
-nicardipine
1
,©PREP4EXAMS@2024/2025 [REAL-EXAM-DUMPS] Sunday, August 4, 2024 12:41 AM
WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
-rTPA - ✔️✔️-Aspirin
A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is
138/min. He is asymptomatic with a blood pressure of 110/70 mm Hg. He has a history
of angina. What action is recommended next?
-giving adenosine 6 mg IV bolus
-giving lidocaine 1-1.5 mg IV bolus
-Performing synchronized cardioversion
-seeking expert consultation - ✔️✔️-seeking expert consultation
A patient is in refractory ventricular fibrillation and has received multiple appropriate
defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300
mg IV. The patient is intubated. Which best describes the recommended second dose
of amiodarone for his patient?
-1 mg/kg IV push
-1 to 2 mg/min infusion
-150 mg IV push
-300 mg IV push - ✔️✔️-150 mg IV push
A patient with a possible STEMI has ongoing chest discomfort. What is a
contraindication to nitrate administration?
2
, ©PREP4EXAMS@2024/2025 [REAL-EXAM-DUMPS] Sunday, August 4, 2024 12:41 AM
WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
-anterior wall myocardial infarction
-heart rate less than 90/min
-systolic blood pressure greater than 180mm Hg
-Use of a phosphodiesterase inhibitor within the previous 24 hours - ✔️✔️-Use of a
phosphodiesterase inhibitor within the previous 24 hours
What is the indication for the use of magnesium in cardiac arrest?
-ventricular tachycardia associated with a normal QT interval
-shock-refractory monomorphic ventricular tachycardia
-pulseless ventricular tachycardia-associated torsades de pointes
-shock-refractory ventricular fibrillation - ✔️✔️-pulseless ventricular tachycardia-
associated torsades de pointes
A 57 y/o woman has palpitations, chest discomfort, and tachycardia. The monitor shows
a regular wide-complex QRS at a rate of 180/min. She becomes diaphoretic, and her
blood pressure is 80/60 mm Hg. Which action do you take next?
-establish IV access
-obtain a 12-lead ECG
-Perform electrical cardioversion
3
