1|Pag e
ACLS PRE-TEST PHARMACOLOGY AND
PRACTICAL APPLICATION EXAM ALL
QUESTIONS AND 100% CORRECT ANSWERS||
LATEST AND FULLY COVERED WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!!
In which situation does bradycardia require treatment? - ANSWER: Hypotension
Which intervention is most appropriate for the treatment of a patient in asystole? -
ANSWER: Epinephrine
You arrive on the scene with the code team. High-quality CPR is in progress. An
AED has previousy advised "no shock indicated." A rhythm check now finds
asystole. After resuming high-quality compressions, which action do you take
next? - ANSWER: Establish IV or IO access
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a
second shock. Which drug should be administered first? - ANSWER: Epinephrine
1 mg IV/IO
A 62-year-old man suddenly experienced difficulty speaking and left-sided
weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the
brain si ordered. Which best describes the guidelines for antiplatelet and
fibrinolytic therapy? - ANSWER: Hold aspirin for at least 24 hours if rtPA is
administered
A patient is in refractory ventricular fibrillation and has received multiple
appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of
amiodarone 300mg IV. The patient is intubated. Which best describe the
recommended second does of amiodarone for this patient? - ANSWER: 150 mg
IV push
,2|Pag e
A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia.
The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal
maneuvers have not been effective in terminating the rhythm. An IV has been
established. Which drug should be administered? - ANSWER: Adenosine 6mg
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an
initial shock. If no pathway for medication administration is in place, which
method is preferred? - ANSWER: IV or IO
What is the indication for the use of magnesium in cardiac arrest? - ANSWER:
Pulseless ventricular tachycardia-associated torsades de pointes
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? - ANSWER: Seeking expert
consultation
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? - ANSWER: Epinephrine 1mg IV/IO
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress.
One does of epinephrine was given after the second shock. An antiarrhythmic drug
was given immediately after the third shock. You are the team leader. Which
medication do you order next. - ANSWER: Epinephrine 1 mg
A patient with possible STEMI has ongoing chest discomfort. What is a
contraindication to nitrate administration? - ANSWER: Use of a phosphodiestrase
inhibitor within the previous 24 hours
, 3|Pag e
A 57-year-old woman has palpitation, chest discomfort, and tachycardia. The
monitor shows a regular wide-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? -
ANSWER: Perform electrical cordioversion
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus
and a heparin infusion of 1000 units per hour are being administered. The patient
did not take aspirin because he has a history of gastritis, with was treated 5 years
ago. What is your next action? - ANSWER: Give aspirin 160-325 mg to chew
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 180/100mm Hg.
Which drug do you anticipate giving to this patient? - ANSWER: Aspirin
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which drug should be given next? - ANSWER:
Amiodarone 300mg
What is the maximum interval for pausing chest compressions? - ANSWER: 10
seconds
Your patient is a 56-year-old woman with a history of type 2 diabetes who reports
feeling dizzy. She is pale and diaphoretic. Her blood pressure is 80/66mm Hg. The
cardiac monitor documents the rhythm shown here. She is receiving oxygen at
4L/min by nasal cannula, and an Iv has been established. What do you administer
next? - ANSWER: Atropine 0.5mg IV
ACLS PRE-TEST PHARMACOLOGY AND
PRACTICAL APPLICATION EXAM ALL
QUESTIONS AND 100% CORRECT ANSWERS||
LATEST AND FULLY COVERED WITH VERIFIED
SOLUTIONS|| ASSURED PASS!!!
In which situation does bradycardia require treatment? - ANSWER: Hypotension
Which intervention is most appropriate for the treatment of a patient in asystole? -
ANSWER: Epinephrine
You arrive on the scene with the code team. High-quality CPR is in progress. An
AED has previousy advised "no shock indicated." A rhythm check now finds
asystole. After resuming high-quality compressions, which action do you take
next? - ANSWER: Establish IV or IO access
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a
second shock. Which drug should be administered first? - ANSWER: Epinephrine
1 mg IV/IO
A 62-year-old man suddenly experienced difficulty speaking and left-sided
weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the
brain si ordered. Which best describes the guidelines for antiplatelet and
fibrinolytic therapy? - ANSWER: Hold aspirin for at least 24 hours if rtPA is
administered
A patient is in refractory ventricular fibrillation and has received multiple
appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of
amiodarone 300mg IV. The patient is intubated. Which best describe the
recommended second does of amiodarone for this patient? - ANSWER: 150 mg
IV push
,2|Pag e
A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia.
The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal
maneuvers have not been effective in terminating the rhythm. An IV has been
established. Which drug should be administered? - ANSWER: Adenosine 6mg
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an
initial shock. If no pathway for medication administration is in place, which
method is preferred? - ANSWER: IV or IO
What is the indication for the use of magnesium in cardiac arrest? - ANSWER:
Pulseless ventricular tachycardia-associated torsades de pointes
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? - ANSWER: Seeking expert
consultation
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? - ANSWER: Epinephrine 1mg IV/IO
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress.
One does of epinephrine was given after the second shock. An antiarrhythmic drug
was given immediately after the third shock. You are the team leader. Which
medication do you order next. - ANSWER: Epinephrine 1 mg
A patient with possible STEMI has ongoing chest discomfort. What is a
contraindication to nitrate administration? - ANSWER: Use of a phosphodiestrase
inhibitor within the previous 24 hours
, 3|Pag e
A 57-year-old woman has palpitation, chest discomfort, and tachycardia. The
monitor shows a regular wide-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? -
ANSWER: Perform electrical cordioversion
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus
and a heparin infusion of 1000 units per hour are being administered. The patient
did not take aspirin because he has a history of gastritis, with was treated 5 years
ago. What is your next action? - ANSWER: Give aspirin 160-325 mg to chew
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 180/100mm Hg.
Which drug do you anticipate giving to this patient? - ANSWER: Aspirin
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which drug should be given next? - ANSWER:
Amiodarone 300mg
What is the maximum interval for pausing chest compressions? - ANSWER: 10
seconds
Your patient is a 56-year-old woman with a history of type 2 diabetes who reports
feeling dizzy. She is pale and diaphoretic. Her blood pressure is 80/66mm Hg. The
cardiac monitor documents the rhythm shown here. She is receiving oxygen at
4L/min by nasal cannula, and an Iv has been established. What do you administer
next? - ANSWER: Atropine 0.5mg IV
