ACLS PROTOCOLS EXAM 2025 |146 QUESTIONS WITH
VERIFIED ACCURATE SOLUTIONS
1. A 35-year-old woman presents with a chief complaint of palpitations.
She has no chest discomfort, shortness of breath, or light-
headedness. Her
blood pressure is 120/78 mm Hg. Which intervention is indicated first?
Adenosine 3 mg IV bolus
Metoprolol 5 mg IV and repeat if necessary
Vagal maneuvers
Adenosine 12 mg IV slow push (over 1 to 2 minutes)
2. What is the primary characteristic of polymorphic ventricular
tachycardia as observed on an ECG strip?
Regular, narrow QRS complexes
Irregular, wide QRS complexes with varying morphology
Consistent P waves preceding each QRS
complex Flat T waves with no discernible
QRS complexes
3. You have completed 2 minutes of CPR. The ECG monitor displays
the lead II rhythm below, and the patient has no pulse. Another
member of your team resumes chest compressions, and an IV is in
place. What
management step is your next priority?
, Give 0.5 mg of atropine.
Insert an advanced airway.
Administer 1 mg of epinephrine.
Administer a dopamine infusion.
4. What is the recommended medication to administer after the third
shock in a case of refractory ventricular fibrillation?
Epinephrine 1 mg IV
, Amiodarone 300 mg IV
Atropine 1 mg IV
Lidocaine 100 mg IV
5. During a code blue response for a patient in pulseless
ventricular tachycardia, several rounds of epinephrine and two
shocks have been administered. The EKG shows that the patient
remains in pulseless
ventricular tachycardia. What would be the appropriate next
intervention/ recommendation for you to make as the pharmacist?
no other recommendations are indicated at this time
epinephrine 2 mg x 1 dose, then 1 mg every 3-5 minutes
amiodarone 300 mg IV push x 1 dose
magnesium 2 grams IV push x 1 dose
6. A patient presents with a third-degree atrioventricular block and is
symptomatic with hypotension and altered mental status. What is the
most appropriate immediate intervention according to ACLS
protocols?
Administer epinephrine and prepare for advanced airway
management.
Initiate high-quality CPR and prepare for defibrillation.
Establish transcutaneous pacing and monitor vital signs.
Administer amiodarone and prepare for transport to the hospital.
7. A 70-year-old woman presents with acute ischemic stroke symptoms
, and is eligible for rtPA. After administering rtPA, her CT scan shows
no
hemorrhage. What should be the next step regarding antiplatelet
therapy?
Administer aspirin immediately
Hold aspirin for 24 hours
Start clopidogrel right away
VERIFIED ACCURATE SOLUTIONS
1. A 35-year-old woman presents with a chief complaint of palpitations.
She has no chest discomfort, shortness of breath, or light-
headedness. Her
blood pressure is 120/78 mm Hg. Which intervention is indicated first?
Adenosine 3 mg IV bolus
Metoprolol 5 mg IV and repeat if necessary
Vagal maneuvers
Adenosine 12 mg IV slow push (over 1 to 2 minutes)
2. What is the primary characteristic of polymorphic ventricular
tachycardia as observed on an ECG strip?
Regular, narrow QRS complexes
Irregular, wide QRS complexes with varying morphology
Consistent P waves preceding each QRS
complex Flat T waves with no discernible
QRS complexes
3. You have completed 2 minutes of CPR. The ECG monitor displays
the lead II rhythm below, and the patient has no pulse. Another
member of your team resumes chest compressions, and an IV is in
place. What
management step is your next priority?
, Give 0.5 mg of atropine.
Insert an advanced airway.
Administer 1 mg of epinephrine.
Administer a dopamine infusion.
4. What is the recommended medication to administer after the third
shock in a case of refractory ventricular fibrillation?
Epinephrine 1 mg IV
, Amiodarone 300 mg IV
Atropine 1 mg IV
Lidocaine 100 mg IV
5. During a code blue response for a patient in pulseless
ventricular tachycardia, several rounds of epinephrine and two
shocks have been administered. The EKG shows that the patient
remains in pulseless
ventricular tachycardia. What would be the appropriate next
intervention/ recommendation for you to make as the pharmacist?
no other recommendations are indicated at this time
epinephrine 2 mg x 1 dose, then 1 mg every 3-5 minutes
amiodarone 300 mg IV push x 1 dose
magnesium 2 grams IV push x 1 dose
6. A patient presents with a third-degree atrioventricular block and is
symptomatic with hypotension and altered mental status. What is the
most appropriate immediate intervention according to ACLS
protocols?
Administer epinephrine and prepare for advanced airway
management.
Initiate high-quality CPR and prepare for defibrillation.
Establish transcutaneous pacing and monitor vital signs.
Administer amiodarone and prepare for transport to the hospital.
7. A 70-year-old woman presents with acute ischemic stroke symptoms
, and is eligible for rtPA. After administering rtPA, her CT scan shows
no
hemorrhage. What should be the next step regarding antiplatelet
therapy?
Administer aspirin immediately
Hold aspirin for 24 hours
Start clopidogrel right away
