x
x
x
x
x
x
x
x
ACLS COMPLETE 2021 QUESTIONS AND
x x x x x
x
ANSWERS LATEST TOP SCORE. x x x
x
x
x
x
x
x
x
x
x
x
BEST xPLAYLIST xI'VE xFOUND xFOR xALL xHEART.ORG xACLS xCODES! x- x xcorrect
xanswer. x
xhttps://www.youtube.com/watch?v=qQTpqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakrRQ
xDKOkTZj x
x
This xis xa xgood xstarting xpoint xfor xJose x(big xMegacode xat xend):
xhttps://www.youtube.com/watch?v=8OB7OreUjy0 x. xUse xthe xfeedback xafter xfailing xto
xget xcloser xand xcloser xto xpassing! x
x
In xwhich xsituation xdoes xbradycardia xrequire xtreatment? x- x xcorrect xanswer. x
xHypotension x
x
Which xintervention xis xmost xappropriate xfor xthe xtreatment xof xa xpatient xin
xasystole? x-
x
correct xanswer. x
xEpinephrine
x
You xarrive xon xthe xscene xwith xthe xcode xteam. xHigh-quality xCPR xis xin xprogress. xAn
xAED xhas xpreviousy xadvised x"no xshock xindicated." xA xrhythm xcheck xnow xfinds
xasystole. xAfter xresuming xhigh-quality xcompressions, xwhich xaction xdo xyou xtake xnext?
x- x xcorrect xanswer. x xEstablish xIV xor xIO xaccess x
x
A xmonitored xpatient xin xthe xICU xdeveloped xa xsudden xonset xof xnarrow-complex
xtachycardia xat xa xrate xof x220/min. xThe xpatient's xblood xpressure xis x128/58 xmm xHg,
xthe xPETCO2 xis x38mm xHg, xand xthe xpulse xoximetry xreading xis x98%. xThere xis
xvascular xaccess xin xthe xleft xarm, xand xthe xpatient xhas xnot xbeen xgiven xany xvasoactive
xdrugs. xA x12-lead xECG xconfirm xa xsupraventricular xtachycardia xwith xno xevidence xof
xischemia xor xinfarction. xThe x
heart xrate xhas xnot xresponded xto xvagal xmaneuvers. xwhat xis xyour xnext xaction? x- x
xcorrect x
x
answer. x xAdminister xadenosine x6mg xIV
xpush
x
,A xpatient xhas xsinus xbradycardia xwith xa xheart xrate xof x36/min. xAtropine xhas xbeen
xadministered xto xa xtoal xdoes xof x3 xmg. xA xtranscutaneous xpacemaker xhas xfailed xto
xcapture. xThe xpatient xis xconfused, xand xher xblood xpressure xis x88/56 xmm xHg. xWhich
xtherapy xis xnow xindicated? x- x xcorrect xanswer. x xEpinephrine x2 xto x10 xmcg/min x
x
A xpatient xis xin xcardiac xarrest. xVentricular xfibrillation xhas xbeen xrefractory xto xa xsecond
xshock. xWhich xdrug xshould xbe xadministered xfirst? x- x xcorrect xanswer. x xEpinephrine x1
xmg xIV/IO x
x
A x62-year-old xman xsuddenly xexperienced xdifficulty xspeaking xand xleft-sided
xweakness. xHe xmeets xinitial xcriteria xfor xfibrinolytic xtherapy, xand xa xCT xscan xof xthe
xbrain xsi xordered. xWhich xbest xdescribes xthe xguidelines xfor xantiplatelet xand xfibrinolytic
xtherapy? x- x xcorrect xanswer. x xHold xaspirin xfor xat xleast x24 xhours xif xrtPA xis
xadministered x
x
A xpatient xis xin xrefractory xventricular xfibrillation xand xhas xreceived xmultiple xappropriate
xdefribillation xshocks, xepinephrine x1 xmg xIV xtwice, xand xan xinitial xdose xof xamiodarone
x300mg xIV. xThe xpatient xis xintubated. xWhich xbest xdescribe xthe xrecommended xsecond
xdoes xof xamiodarone xfor xthis xpatient? x- x xcorrect xanswer. x x150 xmg xIV xpush x
x
A xpatient xwith xsinus xbradycardia xand xa xheart xrate xof x42/min xhas xdiaphoresis xand xa
xblood x
pressure xof x80/60mm xHg. xWhat xis xthe xinitial xdoes xof xatropine? x- x xcorrect xanswer. x
x0.5mg
x
A x35-year-old xwoman xhas xpalpitations, xlight-headedness, xand xa xstable xtachycardia.
xThe xmonitor xshows xa xregular xnarrow-complex xQRS xat xa xrate xof x180/min. xVagal
xmaneuvers xhave xnot xbeen xeffective xin xterminating xthe xrhythm. xAn xIV xhas xbeen
xestablished. xWhich xdrug xshould xbe xadministered? x- x xcorrect xanswer. x xAdenosine
x6mg x
x
A xpatient xis xin xcardiac xarrest. xVentricular xfibrillation xhas xbeen xrefractory xto xan
xinitial x
x
shock. xIf xno xpathway xfor xmedication xadministration xis xin xplace, xwhich
xmethod xis
x
preferred? x- x xcorrect xanswer. x xIV xor
xIO
x
What xis xthe xindication xfor xthe xuse xof xmagnesium xin xcardiac xarrest? x- x xcorrect
xanswer. x x
x
Pulseless xventricular xtachycardia-associated xtorsades xde
xpointes
x
A xpatient xhas xa xrapid xirregular xwide-complex xtachycardia. xThe xventricular xrate xis
x138/min. xHe xis xasymptomatic, xwith xa xblood xpressure xof x110/70 xmm xHg. xHe xhas xa
xhistory xof xangina. xWhat xaction xis xrecommended xnext? x- x xcorrect xanswer. x xSeeking
xexpert xconsultation x
x
,A xpatient xis xin xcardiac xarrest. xHigh-quality xchest xcompressions xare xbeing xgiven. xThe
xpatient xis xintubated, xand xan xIV xhas xbeen xstarted. xThe xrhythm xis xasystole. xWhat xis
xthe xfirst xdrug/dose xto xadminister? x- x xcorrect xanswer. x xEpinephrine x1mg xIV/IO x
x
A xpatient xis xin xrefractory xventricular xfibrillation. xHigh-quality xCPR xis xin xprogress. xOne
xdoes xof xepinephrine xwas xgiven xafter xthe xsecond xshock. xAn xantiarrhythmic xdrug xwas
xgiven ximmediately xafter xthe xthird xshock. xYou xare xthe xteam xleader. xWhich xmedication
xdo xyou xorder xnext. x- x xcorrect xanswer. x xEpinephrine x1 xmg x
x
A xpatient xwith xpossible xSTEMI xhas xongoing xchest xdiscomfort. xWhat xis xa
xcontraindication xto xnitrate xadministration? x- x xcorrect xanswer. x xUse xof xa
xphosphodiestrase xinhibitor xwithin xthe xprevious x24 xhours x
x
A x57-year-old xwoman xhas xpalpitation, xchest xdiscomfort, xand xtachycardia. xThe
xmonitor x
x
shows xa xregular xwide-QRS xat xa xrate xof x180/min. xShe xbecomes xdiaphoretic, xand x x
xher xblood xpressure xis x80/60 xmm xHG/ xWhich xaction xdo xyou xtake xnext? x- x xcorrect
xanswer.
x
Perform xelectrical
xcordioversion
x
A xpatient xwith xSTEMI xhas xongoing xchest xdiscomfort. xHeparin x4000 xunits xIV xbolus
xand xa xheparin xinfusion xof x1000 xunits xper xhour xare xbeing xadministered. xThe xpatient
xdid xnot xtake xaspirin xbecause xhe xhas xa xhistory xof xgastritis, xwith xwas xtreated x5 xyears
xago. xWhat xis xyour xnext xaction? x- x xcorrect xanswer. x xGive xaspirin x160-325 xmg xto
xchew x
x
You xare xcaring xfor xa x66-year-old xman xwith xa xhistory xof xa xlarge xintracerebral
xhemorrhage x2 xmonths xago. xHe xis xbeing xevaluated xfor xanother xacute xstroke. xThe xCT
xscan xis xnegative xfor xhemorrhage. xThe xpatient xis xreceiving xoxygen xvia xnasal xcannula
xat x2L/min, xand xan xIV x
x
has xbeen xestablished. xHis xblood xpressure xis x180/100mm xHg. xWhich xdrug xdo
xyou
x
anticipate xgiving xto xthis xpatient? x- x xcorrect xanswer. x
xAspirin
x
A xpatient xis xin xpulseless xventricular xtachycardia. xTwo xshocks xand x1 xdose xof
xepinephrine x
x
have xbeen xgiven. xWhich xdrug xshould xbe xgiven xnext? x- x xcorrect xanswer. x
xAmiodarone
x
300mg
x
What xis xthe xmaximum xinterval xfor xpausing xchest xcompressions? x- x xcorrect xanswer.
x x10
x
seconds
x
, Your xpatient xis xa x56-year-old xwoman xwith xa xhistory xof xtype x2 xdiabetes xwho xreports
xfeeling xdizzy. xShe xis xpale xand xdiaphoretic. xHer xblood xpressure xis x80/66mm xHg. xThe
xcardiac xmonitor xdocuments xthe xrhythm xshown xhere. xShe xis xreceiving xoxygen xat
x4L/min xby xnasal xcannula, xand xan xIv xhas xbeen xestablished. xWhat xdo xyou xadminister
xnext? x- x xcorrect xanswer. x xAtropine x0.5mg xIV x
x
A x35-year-old xwoman xpresents xwith xa xchief xcomplaint xof xpalpitations. xShe xhas xno
xchest x
discomfort, xshortness xof xbreath, xor xlight-headedness. xHer xblood xpressure xis
x120/78mm x
x
Hg. xWhich xintervention xis xindicated xfirst? x- x xcorrect xanswer. x xVagal
xmaneuvers
x
Which xaction xshould xyou xtake ximmediately xafter xproviding xan xAED xshock? x- x
xcorrect x
x
answer. x x Resume xchest
xcompressions
x
What xaction xminimizes xthe xrisk xof xair xentering xthe xvictim's xstomach xduring-bag
xmask x
x
ventilation? x- x xcorrect xanswer. x xVentilating xuntil xyou xsee xthe xchest
xrise
x
You xare xproviding xbag-mask xventilations xto xa xpatient xin xrespiratory xarrest. xHow
xoften x
x
should xyou xprovide xventilation? x- x xcorrect xanswer. x xAbout xevery x5-6
xseconds
x
After xinitiation xof xCPR xand x1 xshock xfor xventricular xfibrillation, xthis xrhythm xis xpresent
xon xthe xnext xrhythm xcheck. xA xsecond xshock xis xgiven, xand xchest xcompressions xare
xresumed ximmediately. xAn xIV xis xin xplace, xand xno xdrugs xhave xbeen xgiven. xBag-mask
xventilations xare xproducing xvisible xchest xrise. xWhat xis xyour xnext xintervention? x- x
xcorrect xanswer. x xGive xepinephrine x1mg xIV/IO x
x
A xpatient's x12-lead xECG xis xtransmitted xby xthe xparamedics xand xshows xa xSTEMI.
xWhen xthe xpatient xarrives xin xthe xemergency xdepartment, xthe xrhythm xshown xhere xis
xseen xon xthe xcardiac xmonitor. xThe xpatient xhas xresolution xof xmoderate x(5/10) xchest
xpain xafter x3 xdoses xof xsublingual xnitroglycerin. xBlood xpressure xis x104/70mm xHg.
xWhich xintervention xis xmost ximportant xin xreducing xthis xpatient's xin-hospital xand x30-
day xmortality xrate? x- x xcorrect xanswer. x xRepersfusion xtherapy x
x
A xpatient xwas xin xrefractory xventricular xfibrillation. xA xthrid xshock xhas xjust xbeen
xadministered. xYour xteam xlooks xto xyou xfor xinstructions. xWhat xis xyour xnext xaction? x- x
xcorrect xanswer. x xResume xhigh xquality xchest xcompressions x
x
Which xaction xis xlikely xto xcause xair xto xenter xthe xvictim's xstomach x(gastric xinflation)
xduring x
x
x
x
x
x
x
x
ACLS COMPLETE 2021 QUESTIONS AND
x x x x x
x
ANSWERS LATEST TOP SCORE. x x x
x
x
x
x
x
x
x
x
x
x
BEST xPLAYLIST xI'VE xFOUND xFOR xALL xHEART.ORG xACLS xCODES! x- x xcorrect
xanswer. x
xhttps://www.youtube.com/watch?v=qQTpqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakrRQ
xDKOkTZj x
x
This xis xa xgood xstarting xpoint xfor xJose x(big xMegacode xat xend):
xhttps://www.youtube.com/watch?v=8OB7OreUjy0 x. xUse xthe xfeedback xafter xfailing xto
xget xcloser xand xcloser xto xpassing! x
x
In xwhich xsituation xdoes xbradycardia xrequire xtreatment? x- x xcorrect xanswer. x
xHypotension x
x
Which xintervention xis xmost xappropriate xfor xthe xtreatment xof xa xpatient xin
xasystole? x-
x
correct xanswer. x
xEpinephrine
x
You xarrive xon xthe xscene xwith xthe xcode xteam. xHigh-quality xCPR xis xin xprogress. xAn
xAED xhas xpreviousy xadvised x"no xshock xindicated." xA xrhythm xcheck xnow xfinds
xasystole. xAfter xresuming xhigh-quality xcompressions, xwhich xaction xdo xyou xtake xnext?
x- x xcorrect xanswer. x xEstablish xIV xor xIO xaccess x
x
A xmonitored xpatient xin xthe xICU xdeveloped xa xsudden xonset xof xnarrow-complex
xtachycardia xat xa xrate xof x220/min. xThe xpatient's xblood xpressure xis x128/58 xmm xHg,
xthe xPETCO2 xis x38mm xHg, xand xthe xpulse xoximetry xreading xis x98%. xThere xis
xvascular xaccess xin xthe xleft xarm, xand xthe xpatient xhas xnot xbeen xgiven xany xvasoactive
xdrugs. xA x12-lead xECG xconfirm xa xsupraventricular xtachycardia xwith xno xevidence xof
xischemia xor xinfarction. xThe x
heart xrate xhas xnot xresponded xto xvagal xmaneuvers. xwhat xis xyour xnext xaction? x- x
xcorrect x
x
answer. x xAdminister xadenosine x6mg xIV
xpush
x
,A xpatient xhas xsinus xbradycardia xwith xa xheart xrate xof x36/min. xAtropine xhas xbeen
xadministered xto xa xtoal xdoes xof x3 xmg. xA xtranscutaneous xpacemaker xhas xfailed xto
xcapture. xThe xpatient xis xconfused, xand xher xblood xpressure xis x88/56 xmm xHg. xWhich
xtherapy xis xnow xindicated? x- x xcorrect xanswer. x xEpinephrine x2 xto x10 xmcg/min x
x
A xpatient xis xin xcardiac xarrest. xVentricular xfibrillation xhas xbeen xrefractory xto xa xsecond
xshock. xWhich xdrug xshould xbe xadministered xfirst? x- x xcorrect xanswer. x xEpinephrine x1
xmg xIV/IO x
x
A x62-year-old xman xsuddenly xexperienced xdifficulty xspeaking xand xleft-sided
xweakness. xHe xmeets xinitial xcriteria xfor xfibrinolytic xtherapy, xand xa xCT xscan xof xthe
xbrain xsi xordered. xWhich xbest xdescribes xthe xguidelines xfor xantiplatelet xand xfibrinolytic
xtherapy? x- x xcorrect xanswer. x xHold xaspirin xfor xat xleast x24 xhours xif xrtPA xis
xadministered x
x
A xpatient xis xin xrefractory xventricular xfibrillation xand xhas xreceived xmultiple xappropriate
xdefribillation xshocks, xepinephrine x1 xmg xIV xtwice, xand xan xinitial xdose xof xamiodarone
x300mg xIV. xThe xpatient xis xintubated. xWhich xbest xdescribe xthe xrecommended xsecond
xdoes xof xamiodarone xfor xthis xpatient? x- x xcorrect xanswer. x x150 xmg xIV xpush x
x
A xpatient xwith xsinus xbradycardia xand xa xheart xrate xof x42/min xhas xdiaphoresis xand xa
xblood x
pressure xof x80/60mm xHg. xWhat xis xthe xinitial xdoes xof xatropine? x- x xcorrect xanswer. x
x0.5mg
x
A x35-year-old xwoman xhas xpalpitations, xlight-headedness, xand xa xstable xtachycardia.
xThe xmonitor xshows xa xregular xnarrow-complex xQRS xat xa xrate xof x180/min. xVagal
xmaneuvers xhave xnot xbeen xeffective xin xterminating xthe xrhythm. xAn xIV xhas xbeen
xestablished. xWhich xdrug xshould xbe xadministered? x- x xcorrect xanswer. x xAdenosine
x6mg x
x
A xpatient xis xin xcardiac xarrest. xVentricular xfibrillation xhas xbeen xrefractory xto xan
xinitial x
x
shock. xIf xno xpathway xfor xmedication xadministration xis xin xplace, xwhich
xmethod xis
x
preferred? x- x xcorrect xanswer. x xIV xor
xIO
x
What xis xthe xindication xfor xthe xuse xof xmagnesium xin xcardiac xarrest? x- x xcorrect
xanswer. x x
x
Pulseless xventricular xtachycardia-associated xtorsades xde
xpointes
x
A xpatient xhas xa xrapid xirregular xwide-complex xtachycardia. xThe xventricular xrate xis
x138/min. xHe xis xasymptomatic, xwith xa xblood xpressure xof x110/70 xmm xHg. xHe xhas xa
xhistory xof xangina. xWhat xaction xis xrecommended xnext? x- x xcorrect xanswer. x xSeeking
xexpert xconsultation x
x
,A xpatient xis xin xcardiac xarrest. xHigh-quality xchest xcompressions xare xbeing xgiven. xThe
xpatient xis xintubated, xand xan xIV xhas xbeen xstarted. xThe xrhythm xis xasystole. xWhat xis
xthe xfirst xdrug/dose xto xadminister? x- x xcorrect xanswer. x xEpinephrine x1mg xIV/IO x
x
A xpatient xis xin xrefractory xventricular xfibrillation. xHigh-quality xCPR xis xin xprogress. xOne
xdoes xof xepinephrine xwas xgiven xafter xthe xsecond xshock. xAn xantiarrhythmic xdrug xwas
xgiven ximmediately xafter xthe xthird xshock. xYou xare xthe xteam xleader. xWhich xmedication
xdo xyou xorder xnext. x- x xcorrect xanswer. x xEpinephrine x1 xmg x
x
A xpatient xwith xpossible xSTEMI xhas xongoing xchest xdiscomfort. xWhat xis xa
xcontraindication xto xnitrate xadministration? x- x xcorrect xanswer. x xUse xof xa
xphosphodiestrase xinhibitor xwithin xthe xprevious x24 xhours x
x
A x57-year-old xwoman xhas xpalpitation, xchest xdiscomfort, xand xtachycardia. xThe
xmonitor x
x
shows xa xregular xwide-QRS xat xa xrate xof x180/min. xShe xbecomes xdiaphoretic, xand x x
xher xblood xpressure xis x80/60 xmm xHG/ xWhich xaction xdo xyou xtake xnext? x- x xcorrect
xanswer.
x
Perform xelectrical
xcordioversion
x
A xpatient xwith xSTEMI xhas xongoing xchest xdiscomfort. xHeparin x4000 xunits xIV xbolus
xand xa xheparin xinfusion xof x1000 xunits xper xhour xare xbeing xadministered. xThe xpatient
xdid xnot xtake xaspirin xbecause xhe xhas xa xhistory xof xgastritis, xwith xwas xtreated x5 xyears
xago. xWhat xis xyour xnext xaction? x- x xcorrect xanswer. x xGive xaspirin x160-325 xmg xto
xchew x
x
You xare xcaring xfor xa x66-year-old xman xwith xa xhistory xof xa xlarge xintracerebral
xhemorrhage x2 xmonths xago. xHe xis xbeing xevaluated xfor xanother xacute xstroke. xThe xCT
xscan xis xnegative xfor xhemorrhage. xThe xpatient xis xreceiving xoxygen xvia xnasal xcannula
xat x2L/min, xand xan xIV x
x
has xbeen xestablished. xHis xblood xpressure xis x180/100mm xHg. xWhich xdrug xdo
xyou
x
anticipate xgiving xto xthis xpatient? x- x xcorrect xanswer. x
xAspirin
x
A xpatient xis xin xpulseless xventricular xtachycardia. xTwo xshocks xand x1 xdose xof
xepinephrine x
x
have xbeen xgiven. xWhich xdrug xshould xbe xgiven xnext? x- x xcorrect xanswer. x
xAmiodarone
x
300mg
x
What xis xthe xmaximum xinterval xfor xpausing xchest xcompressions? x- x xcorrect xanswer.
x x10
x
seconds
x
, Your xpatient xis xa x56-year-old xwoman xwith xa xhistory xof xtype x2 xdiabetes xwho xreports
xfeeling xdizzy. xShe xis xpale xand xdiaphoretic. xHer xblood xpressure xis x80/66mm xHg. xThe
xcardiac xmonitor xdocuments xthe xrhythm xshown xhere. xShe xis xreceiving xoxygen xat
x4L/min xby xnasal xcannula, xand xan xIv xhas xbeen xestablished. xWhat xdo xyou xadminister
xnext? x- x xcorrect xanswer. x xAtropine x0.5mg xIV x
x
A x35-year-old xwoman xpresents xwith xa xchief xcomplaint xof xpalpitations. xShe xhas xno
xchest x
discomfort, xshortness xof xbreath, xor xlight-headedness. xHer xblood xpressure xis
x120/78mm x
x
Hg. xWhich xintervention xis xindicated xfirst? x- x xcorrect xanswer. x xVagal
xmaneuvers
x
Which xaction xshould xyou xtake ximmediately xafter xproviding xan xAED xshock? x- x
xcorrect x
x
answer. x x Resume xchest
xcompressions
x
What xaction xminimizes xthe xrisk xof xair xentering xthe xvictim's xstomach xduring-bag
xmask x
x
ventilation? x- x xcorrect xanswer. x xVentilating xuntil xyou xsee xthe xchest
xrise
x
You xare xproviding xbag-mask xventilations xto xa xpatient xin xrespiratory xarrest. xHow
xoften x
x
should xyou xprovide xventilation? x- x xcorrect xanswer. x xAbout xevery x5-6
xseconds
x
After xinitiation xof xCPR xand x1 xshock xfor xventricular xfibrillation, xthis xrhythm xis xpresent
xon xthe xnext xrhythm xcheck. xA xsecond xshock xis xgiven, xand xchest xcompressions xare
xresumed ximmediately. xAn xIV xis xin xplace, xand xno xdrugs xhave xbeen xgiven. xBag-mask
xventilations xare xproducing xvisible xchest xrise. xWhat xis xyour xnext xintervention? x- x
xcorrect xanswer. x xGive xepinephrine x1mg xIV/IO x
x
A xpatient's x12-lead xECG xis xtransmitted xby xthe xparamedics xand xshows xa xSTEMI.
xWhen xthe xpatient xarrives xin xthe xemergency xdepartment, xthe xrhythm xshown xhere xis
xseen xon xthe xcardiac xmonitor. xThe xpatient xhas xresolution xof xmoderate x(5/10) xchest
xpain xafter x3 xdoses xof xsublingual xnitroglycerin. xBlood xpressure xis x104/70mm xHg.
xWhich xintervention xis xmost ximportant xin xreducing xthis xpatient's xin-hospital xand x30-
day xmortality xrate? x- x xcorrect xanswer. x xRepersfusion xtherapy x
x
A xpatient xwas xin xrefractory xventricular xfibrillation. xA xthrid xshock xhas xjust xbeen
xadministered. xYour xteam xlooks xto xyou xfor xinstructions. xWhat xis xyour xnext xaction? x- x
xcorrect xanswer. x xResume xhigh xquality xchest xcompressions x
x
Which xaction xis xlikely xto xcause xair xto xenter xthe xvictim's xstomach x(gastric xinflation)
xduring x
