ACLS Pretest 2023 Q&A
Sinus Bradycardia - =Please identify the rhythm by selecting the best single answer.
Reentry supraventricular tachycardia - =Please identify the rhythm by selecting the best single
answer.
Second-degree AV block (Mobitz II block) - =Please identify the rhythm by selecting the best
single answer.
Agonal rhythm/asystole - =Please identify the rhythm by selecting the best single answer.
Third-Degree AV block - =Please identify the rhythm by selecting the best single answer.
Monomorphic Ventricular Tachycardia - =Please identify the rhythm by selecting the best single
answer.
Sinus Tachycardia - =Please identify the rhythm by selecting the best single answer.
Sinus Bradycardia - =Please identify the rhythm by selecting the best single answer.
Atrial Fibrillation - =Please identify the rhythm by selecting the best single answer.
Course Ventricular Fibrillation - =Please identify the rhythm by selecting the best single answer.
Polymorphic Ventricular Tachycardia - =Please identify the rhythm by selecting the best single
answer.
Second-degree AV block (Mobitz I Wenchebach) - =Please identify the rhythm by selecting the
best single answer.
,Normal Sinus Rhythm - =Please identify the rhythm by selecting the best single answer.
Pulseless electrical activity - =Please identify the rhythm by selecting the best single answer.
Course Ventricular Fibrillation - =Please identify the rhythm by selecting the best single answer.
Reentry supraventricular tachycardia - =Please identify the rhythm by selecting the best single
answer.
Fine Ventricular Fibrillation - =Please identify the rhythm by selecting the best single answer.
Atrial Flutter - =Please identify the rhythm by selecting the best single answer.
Second-degree AV block (Mobitz II block) - =Please identify the rhythm by selecting the best
single answer.
Reentry supraventricular tachycardia - =Please identify the rhythm by selecting the best single
answer.
Perform electrical cardioversion - =A 57-year-old woman has palpitations, chest discomfort, and
tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180/min. She becomes
diaphoretic, and her blood pressure is 80/60 mm Hg. The next action is to:
A. Establish IV access
B. Seek expert consultant
C. Obtain a 12-lead ECG
D. Perform electrical cardioversion
Give normal Saline 250 mL to 500 ml fluid bolus - =A patient with a possible acute coronary
syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerin tablets. There
, are no contraindications, and 4 mg of morphine sulfate was administered. Shortly afterward,
blood pressure falls to 88/60 mm Hg, and the patient has increased chest discomfort. You should:
Amiodarone 300 mg - =A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose
of epinephrine have been given. Which drug should be given next?
A. Amiodarone 300mg
B. Epinephrine 3mg
C. Lidocaine 0.5mg/kg
D. Adenosine 6mg
150 mg IV push - =A patient is in refractory ventricular fibrillation and has received multiple
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg
amidarone IV. The patient is intubated. Which best describes the recommended second does of
amiodarone for this patient ?
A. 1 mg/kg IV push
B. 1 to 2 mg/min infusion
C. 150 mg IV Push
D. 300mg IV push
Adenosine 6 mg - =A 35-year-old woman has palpitations, light-headiness, 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
drugs should be administered?
A. adenosine 6 mg
B. atropine 0.5 mg
C. epinephrine 2 to 10 mcg/kg per minute
D. lidocaine 1 mg/kg
Seeking expert consultation - =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?
A. Giving lidocaine 1 to 1.5 mg IV bolus
Sinus Bradycardia - =Please identify the rhythm by selecting the best single answer.
Reentry supraventricular tachycardia - =Please identify the rhythm by selecting the best single
answer.
Second-degree AV block (Mobitz II block) - =Please identify the rhythm by selecting the best
single answer.
Agonal rhythm/asystole - =Please identify the rhythm by selecting the best single answer.
Third-Degree AV block - =Please identify the rhythm by selecting the best single answer.
Monomorphic Ventricular Tachycardia - =Please identify the rhythm by selecting the best single
answer.
Sinus Tachycardia - =Please identify the rhythm by selecting the best single answer.
Sinus Bradycardia - =Please identify the rhythm by selecting the best single answer.
Atrial Fibrillation - =Please identify the rhythm by selecting the best single answer.
Course Ventricular Fibrillation - =Please identify the rhythm by selecting the best single answer.
Polymorphic Ventricular Tachycardia - =Please identify the rhythm by selecting the best single
answer.
Second-degree AV block (Mobitz I Wenchebach) - =Please identify the rhythm by selecting the
best single answer.
,Normal Sinus Rhythm - =Please identify the rhythm by selecting the best single answer.
Pulseless electrical activity - =Please identify the rhythm by selecting the best single answer.
Course Ventricular Fibrillation - =Please identify the rhythm by selecting the best single answer.
Reentry supraventricular tachycardia - =Please identify the rhythm by selecting the best single
answer.
Fine Ventricular Fibrillation - =Please identify the rhythm by selecting the best single answer.
Atrial Flutter - =Please identify the rhythm by selecting the best single answer.
Second-degree AV block (Mobitz II block) - =Please identify the rhythm by selecting the best
single answer.
Reentry supraventricular tachycardia - =Please identify the rhythm by selecting the best single
answer.
Perform electrical cardioversion - =A 57-year-old woman has palpitations, chest discomfort, and
tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180/min. She becomes
diaphoretic, and her blood pressure is 80/60 mm Hg. The next action is to:
A. Establish IV access
B. Seek expert consultant
C. Obtain a 12-lead ECG
D. Perform electrical cardioversion
Give normal Saline 250 mL to 500 ml fluid bolus - =A patient with a possible acute coronary
syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerin tablets. There
, are no contraindications, and 4 mg of morphine sulfate was administered. Shortly afterward,
blood pressure falls to 88/60 mm Hg, and the patient has increased chest discomfort. You should:
Amiodarone 300 mg - =A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose
of epinephrine have been given. Which drug should be given next?
A. Amiodarone 300mg
B. Epinephrine 3mg
C. Lidocaine 0.5mg/kg
D. Adenosine 6mg
150 mg IV push - =A patient is in refractory ventricular fibrillation and has received multiple
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg
amidarone IV. The patient is intubated. Which best describes the recommended second does of
amiodarone for this patient ?
A. 1 mg/kg IV push
B. 1 to 2 mg/min infusion
C. 150 mg IV Push
D. 300mg IV push
Adenosine 6 mg - =A 35-year-old woman has palpitations, light-headiness, 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
drugs should be administered?
A. adenosine 6 mg
B. atropine 0.5 mg
C. epinephrine 2 to 10 mcg/kg per minute
D. lidocaine 1 mg/kg
Seeking expert consultation - =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?
A. Giving lidocaine 1 to 1.5 mg IV bolus
