ACLS AHA Exam Questions and
Answers 100% Solved | Graded A+
A patient has a rapid *irregular wide-complex tachycardia*;
The ventricular rate is 138/min.;
It is asymptomatic, with a BP of 110/70 mmHG;
He has a h/o angina;
What action is recommended next? - ✔✔a) Giving Adenosine: 6 mg IV bolus;
b) Giving Lidocaine: 1.5 mg IV bolus;
c) Performing synchronized cardioversion;
d) *Seeking expert consultation ✅*;
What tests should be performed for a patient with a suspected stroke within 2
hours of arrival? - ✔✔non contrast CT scan of the head
SVT types - ✔✔1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White syndrome;
The patient is in *cardiac arrest*.
High-quality chest compressions are being given.
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,The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer? - ✔✔*Epinephrine 1 mg IV/IO*
*Transcutaneous Pacing* - ✔✔Aka external pacing: is a temporary means of
pacing a patient's heart during a medical emergency.
It is accomplished by *gradually delivering pulses* of electric current (*50-100
mA*) through the patient's chest until capture is reached (usually at a selected
rate of 70), which stimulates the *heart to contract* at a regular pace.
Which intervention is most appropriate for the treatment of a patient in
*asystole*? - ✔✔*Epinephrine*
A patient with sinus *bradycardia* and a heart rate of 42/min is diaphoretic and
with a blood pressure of 80/60 mm Hg.
What is the *initial dose of atropine*? - ✔✔*0.5 mg* of *Atropine*
A patient has sinus *bradycardia* with a heart rate of 36/min. *Atropine* has
been administered to a total dose of 3 mg. A *transcutaneous pacing* has failed
to capture. The patient is confused, and her BP is *88/56 mmHg*. Which
therapy is now indicated? - ✔✔*Epinephrine infusion: 2-10 mcg/min*.
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, A monitored patient in the ICU developed a sudden onset of *regular narrow-
complex tachycardia* at a rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the pulse
oximetry reading is 98%.
There is a vascular (IV) access in the left arm, and the patient has not been given
any basic active drugs.
A 12-lead ECG confirms *SVT* with no evidence of ischemia or infraction.
The HR has not responded to vagal maneuvers.
What is your next action? - ✔✔Administer *adenosine 6 mg* IV push
A patient with possible STEMI has ongoing chest discomfort. What is a
*contraindication to nitrate* administration? - ✔✔Use of a *phosphodiesterase
inhibitors* (eg. Viagra) within the previous 24 hours
A patient is in *pulseless V-tach* (PEA). 2 shocks and 1 dose of epinephrine have
been given.
Which drug should be given next? - ✔✔*Amiodarone 300 mg* (first dose)
What is the indication for the use of *magnesium* in cardiac arrest? -
✔✔Pulseless V-tach associated with *Torsades des pointes*
Which is one way to minimize interruptions in chest compressions during CPR? -
✔✔Continue CPR while the defibrillator charges
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Answers 100% Solved | Graded A+
A patient has a rapid *irregular wide-complex tachycardia*;
The ventricular rate is 138/min.;
It is asymptomatic, with a BP of 110/70 mmHG;
He has a h/o angina;
What action is recommended next? - ✔✔a) Giving Adenosine: 6 mg IV bolus;
b) Giving Lidocaine: 1.5 mg IV bolus;
c) Performing synchronized cardioversion;
d) *Seeking expert consultation ✅*;
What tests should be performed for a patient with a suspected stroke within 2
hours of arrival? - ✔✔non contrast CT scan of the head
SVT types - ✔✔1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White syndrome;
The patient is in *cardiac arrest*.
High-quality chest compressions are being given.
1|Page
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer? - ✔✔*Epinephrine 1 mg IV/IO*
*Transcutaneous Pacing* - ✔✔Aka external pacing: is a temporary means of
pacing a patient's heart during a medical emergency.
It is accomplished by *gradually delivering pulses* of electric current (*50-100
mA*) through the patient's chest until capture is reached (usually at a selected
rate of 70), which stimulates the *heart to contract* at a regular pace.
Which intervention is most appropriate for the treatment of a patient in
*asystole*? - ✔✔*Epinephrine*
A patient with sinus *bradycardia* and a heart rate of 42/min is diaphoretic and
with a blood pressure of 80/60 mm Hg.
What is the *initial dose of atropine*? - ✔✔*0.5 mg* of *Atropine*
A patient has sinus *bradycardia* with a heart rate of 36/min. *Atropine* has
been administered to a total dose of 3 mg. A *transcutaneous pacing* has failed
to capture. The patient is confused, and her BP is *88/56 mmHg*. Which
therapy is now indicated? - ✔✔*Epinephrine infusion: 2-10 mcg/min*.
2|Page
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, A monitored patient in the ICU developed a sudden onset of *regular narrow-
complex tachycardia* at a rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the pulse
oximetry reading is 98%.
There is a vascular (IV) access in the left arm, and the patient has not been given
any basic active drugs.
A 12-lead ECG confirms *SVT* with no evidence of ischemia or infraction.
The HR has not responded to vagal maneuvers.
What is your next action? - ✔✔Administer *adenosine 6 mg* IV push
A patient with possible STEMI has ongoing chest discomfort. What is a
*contraindication to nitrate* administration? - ✔✔Use of a *phosphodiesterase
inhibitors* (eg. Viagra) within the previous 24 hours
A patient is in *pulseless V-tach* (PEA). 2 shocks and 1 dose of epinephrine have
been given.
Which drug should be given next? - ✔✔*Amiodarone 300 mg* (first dose)
What is the indication for the use of *magnesium* in cardiac arrest? -
✔✔Pulseless V-tach associated with *Torsades des pointes*
Which is one way to minimize interruptions in chest compressions during CPR? -
✔✔Continue CPR while the defibrillator charges
3|Page
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
