1|Pag e
ACLS FINAL EXAM|| ACLS FINAL STUDY GUIDE
240 QUESTIONS AND 100% CORRECT ANSWERS
ALREADY GRADED A+|| LATEST AND COMPLETE
VERSION 2024-2025 (ALL TOPICS FULLY
COVERED) WITH VERIFIED SOLUTIONS||
ASSURED PASS!!!
Dosing of epinephrine in the setting of VF/pVT and asystole/PEA - ANSWER: 1
mg every 3-5 minutes
Dosing of amiodarone (first and second dose) in the setting of cardiac arrest -
ANSWER: 300mg first dose
150mg second dose after 3-5 min
Dosing of lidocaine (first and second dose) in the setting of cardiac arrest -
ANSWER: 1-1.5mg/kg first dose
0.5-0.75 mg/kg second dose, repeat in 5-10 min
What is the maximum dose of lidocaine? - ANSWER: 3 doses or 3mg/kg
ROSC is typically signified by a PETCO2 of what? - ANSWER: 40 mm Hg or
more
The "Hs" of reversible causes of cardiac arrest - ANSWER: 1. Hypovolemia
2. Hypoxia
3. Hydrogen ions (acidosis)
4. Hypo/hyperkalemia
,2|Pag e
5. Hypothermia
The "Ts" of reversible causes of cardiac arrest - ANSWER: 1. Tension
pneumothorax
2. Tamponade, cardiac
3. Toxins
4. Thrombosis, pulmonary
5. Thrombosis, coronary
In the setting of cardiac arrest, once an advanced airway is in place, 1 breath
should be given every ______ seconds. Should chest compressions be interrupted
once an advanced airway is in place? - ANSWER: 6-8 seconds (8-10 breaths/min)
with continuous chest compressions
If PETCO2 falls below ______, attempts should be made to improve chest
compressions - ANSWER: 10
If intra-arterial pressure monitoring is being utilized during a resuscitation attempt,
if the diastolic pressure falls below ___mm Hg, attempts should be made to
improve chest compressions - ANSWER: 20
depth of adequate chest compressions - ANSWER: 2 inches
rate of adequate chest compressions - ANSWER: 100-120/min
If no advanced airway is in place, what is the ratio of chest compressions to
ventilations? - ANSWER: 30:2
,3|Pag e
Shock energy that should be used on a biphasic machine for defibrillation -
ANSWER: 120-200 J, if recommended setting not known, use maximum available
Shock energy that should be used on a monophasic machine for defibrillation -
ANSWER: 360J
In the setting of cardiac arrest, when should vasopressors be administered? -
ANSWER: after the patient has failed CPR and defibrillation (shock-refractory
arrhythmias)
The only vasopressor recommended in the cardiac arrest algorithm - ANSWER:
epinephrine
Why is vasopressin no longer recommended in the cardiac arrest algorithm as a
vasopressor? - ANSWER: no additional benefit and may increase delays in
medication administration
Are higher doses of epinephrine recommended in certain situations of cardiac
arrest? If so, what situations are higher doses of epinephrine recommended? -
ANSWER: no; no benefit to support use, possible harm
When is endotracheal medication administration recommended? - ANSWER: not
recommended unless unable to give meds IV or IO
Which medications can be administered via endotracheal tube? - ANSWER:
lidocaine, epinephrine, atropine, naloxone
What is different about the dosing of medications if endotracheal medication
administration is performed? - ANSWER: Typically ETT dose 2-2.5 higher than
IV due to lower absorption and dilution in 5-10mL of fluid is recommended
, 4|Pag e
When can antiarrhythmics be considered in the setting of cardiac arrest? -
ANSWER: use may be considered in patients with VF/VT who have failed high-
quality CPR, shocks, and vasopressors
Why must antiarrhythmics never interfere with CPR and shocks? - ANSWER:
never been shown to increase survival to discharge
Antiarrhythmics that could be considered in the setting of VF/VT - ANSWER:
amiodarone and lidocaine
The traditional formulation of amiodarone contains what component that may
cause bradycardia and hypotension - ANSWER: polysorbate 80
Premixed bags of amiodarone contain what component instead of polysorbate 80? -
ANSWER: captisol
Are premixed bags (360mg/200mL) of amiodarone typically found in the code
cart? - ANSWER: no; used in the ICU
Sodium bicarbonate is not typically used in the setting of cardiac arrest, except
under what circumstances? - ANSWER: -known preexisting hyperkalemia
-known preexisiting bicarbonate-responsive acidosis such as DKA
-OD of TCAs, aspirin, cocaine, or diphenhydramine
-prolonged resuscitation with effective ventilation; on return of spontaneous
circulation after long arrest interval
Calcium is not typically used in the setting of cardiac arrest, except under what
circumstances? - ANSWER: -beta blocker or calcium channel blocker overdose
ACLS FINAL EXAM|| ACLS FINAL STUDY GUIDE
240 QUESTIONS AND 100% CORRECT ANSWERS
ALREADY GRADED A+|| LATEST AND COMPLETE
VERSION 2024-2025 (ALL TOPICS FULLY
COVERED) WITH VERIFIED SOLUTIONS||
ASSURED PASS!!!
Dosing of epinephrine in the setting of VF/pVT and asystole/PEA - ANSWER: 1
mg every 3-5 minutes
Dosing of amiodarone (first and second dose) in the setting of cardiac arrest -
ANSWER: 300mg first dose
150mg second dose after 3-5 min
Dosing of lidocaine (first and second dose) in the setting of cardiac arrest -
ANSWER: 1-1.5mg/kg first dose
0.5-0.75 mg/kg second dose, repeat in 5-10 min
What is the maximum dose of lidocaine? - ANSWER: 3 doses or 3mg/kg
ROSC is typically signified by a PETCO2 of what? - ANSWER: 40 mm Hg or
more
The "Hs" of reversible causes of cardiac arrest - ANSWER: 1. Hypovolemia
2. Hypoxia
3. Hydrogen ions (acidosis)
4. Hypo/hyperkalemia
,2|Pag e
5. Hypothermia
The "Ts" of reversible causes of cardiac arrest - ANSWER: 1. Tension
pneumothorax
2. Tamponade, cardiac
3. Toxins
4. Thrombosis, pulmonary
5. Thrombosis, coronary
In the setting of cardiac arrest, once an advanced airway is in place, 1 breath
should be given every ______ seconds. Should chest compressions be interrupted
once an advanced airway is in place? - ANSWER: 6-8 seconds (8-10 breaths/min)
with continuous chest compressions
If PETCO2 falls below ______, attempts should be made to improve chest
compressions - ANSWER: 10
If intra-arterial pressure monitoring is being utilized during a resuscitation attempt,
if the diastolic pressure falls below ___mm Hg, attempts should be made to
improve chest compressions - ANSWER: 20
depth of adequate chest compressions - ANSWER: 2 inches
rate of adequate chest compressions - ANSWER: 100-120/min
If no advanced airway is in place, what is the ratio of chest compressions to
ventilations? - ANSWER: 30:2
,3|Pag e
Shock energy that should be used on a biphasic machine for defibrillation -
ANSWER: 120-200 J, if recommended setting not known, use maximum available
Shock energy that should be used on a monophasic machine for defibrillation -
ANSWER: 360J
In the setting of cardiac arrest, when should vasopressors be administered? -
ANSWER: after the patient has failed CPR and defibrillation (shock-refractory
arrhythmias)
The only vasopressor recommended in the cardiac arrest algorithm - ANSWER:
epinephrine
Why is vasopressin no longer recommended in the cardiac arrest algorithm as a
vasopressor? - ANSWER: no additional benefit and may increase delays in
medication administration
Are higher doses of epinephrine recommended in certain situations of cardiac
arrest? If so, what situations are higher doses of epinephrine recommended? -
ANSWER: no; no benefit to support use, possible harm
When is endotracheal medication administration recommended? - ANSWER: not
recommended unless unable to give meds IV or IO
Which medications can be administered via endotracheal tube? - ANSWER:
lidocaine, epinephrine, atropine, naloxone
What is different about the dosing of medications if endotracheal medication
administration is performed? - ANSWER: Typically ETT dose 2-2.5 higher than
IV due to lower absorption and dilution in 5-10mL of fluid is recommended
, 4|Pag e
When can antiarrhythmics be considered in the setting of cardiac arrest? -
ANSWER: use may be considered in patients with VF/VT who have failed high-
quality CPR, shocks, and vasopressors
Why must antiarrhythmics never interfere with CPR and shocks? - ANSWER:
never been shown to increase survival to discharge
Antiarrhythmics that could be considered in the setting of VF/VT - ANSWER:
amiodarone and lidocaine
The traditional formulation of amiodarone contains what component that may
cause bradycardia and hypotension - ANSWER: polysorbate 80
Premixed bags of amiodarone contain what component instead of polysorbate 80? -
ANSWER: captisol
Are premixed bags (360mg/200mL) of amiodarone typically found in the code
cart? - ANSWER: no; used in the ICU
Sodium bicarbonate is not typically used in the setting of cardiac arrest, except
under what circumstances? - ANSWER: -known preexisting hyperkalemia
-known preexisiting bicarbonate-responsive acidosis such as DKA
-OD of TCAs, aspirin, cocaine, or diphenhydramine
-prolonged resuscitation with effective ventilation; on return of spontaneous
circulation after long arrest interval
Calcium is not typically used in the setting of cardiac arrest, except under what
circumstances? - ANSWER: -beta blocker or calcium channel blocker overdose
