ACLS COMPLETE EXAM | QUESTIONS &
100% CORRECT ANSWERS (VERIFIED) |
LATEST UPDATE | GRADE A+
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In which situation does bradycardia require treatment?
Correct Answer: Hypotension
Which intervention is most appropriate for the treatment of a patient in asystole?
Correct 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?
Correct Answer: Establish IV or IO access
A monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the
PETCO2 is 38mm Hg, and the pulse oximetry reading is 98%. There is vascular access
in the left arm, and the patient has not been given any vasoactive drugs. A 12-lead ECG
1
,confirm a supraventricular tachycardia with no evidence of ischemia or infarction. The
heart rate has not responded to vagal maneuvers. what is your next action?
Correct Answer: Administer adenosine 6mg IV push
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a toal does of 3 mg. A transcutaneous pacemaker has failed to capture.
The patient is confused, and her blood pressure is 88/56 mm Hg. Which therapy is now
indicated?
Correct Answer: Epinephrine 2 to 10 mcg/min
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second
shock. Which drug should be administered first?
Correct 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?
Correct 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?
2
,Correct Answer: 150 mg IV push
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood
pressure of 80/60mm Hg. What is the initial does of atropine?
Correct Answer: 0.5mg
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?
Correct 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?
Correct Answer: IV or IO
What is the indication for the use of magnesium in cardiac arrest?
Correct 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?
3
, Correct 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?
Correct 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.
Correct Answer: Epinephrine 1 mg
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication
to nitrate administration?
Correct Answer: Use of a phosphodiestrase inhibitor within the previous 24 hours
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?
Correct Answer: Perform electrical cordioversion
4
100% CORRECT ANSWERS (VERIFIED) |
LATEST UPDATE | GRADE A+
BEST PLAYLIST I'VE FOUND FOR ALL HEART.ORG ACLS CODES!
In which situation does bradycardia require treatment?
Correct Answer: Hypotension
Which intervention is most appropriate for the treatment of a patient in asystole?
Correct 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?
Correct Answer: Establish IV or IO access
A monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the
PETCO2 is 38mm Hg, and the pulse oximetry reading is 98%. There is vascular access
in the left arm, and the patient has not been given any vasoactive drugs. A 12-lead ECG
1
,confirm a supraventricular tachycardia with no evidence of ischemia or infarction. The
heart rate has not responded to vagal maneuvers. what is your next action?
Correct Answer: Administer adenosine 6mg IV push
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a toal does of 3 mg. A transcutaneous pacemaker has failed to capture.
The patient is confused, and her blood pressure is 88/56 mm Hg. Which therapy is now
indicated?
Correct Answer: Epinephrine 2 to 10 mcg/min
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second
shock. Which drug should be administered first?
Correct 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?
Correct 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?
2
,Correct Answer: 150 mg IV push
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood
pressure of 80/60mm Hg. What is the initial does of atropine?
Correct Answer: 0.5mg
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?
Correct 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?
Correct Answer: IV or IO
What is the indication for the use of magnesium in cardiac arrest?
Correct 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?
3
, Correct 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?
Correct 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.
Correct Answer: Epinephrine 1 mg
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication
to nitrate administration?
Correct Answer: Use of a phosphodiestrase inhibitor within the previous 24 hours
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?
Correct Answer: Perform electrical cordioversion
4
