ACLS Pre-Course Self-Assessment Questions
with Answers
1. Identify The ECG Strip: Atrial Flutter
2. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz I Wencke- bach)
3. Identify The ECG Strip: Ventricular fibrillation
4. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz I Wencke- bach)
5. Identify The ECG Strip: Monomorphic ventricular tachycardia
6. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz II block)
7. Identify The ECG Strip: Ventricular fibrillation
8. Identify The ECG Strip: Ventricular fibrillation
9. Identify The ECG Strip: Atrial fibrillation
10. Identify The ECG Strip: Pulseless electrical activity
11. Identify The ECG Strip: Sinus Bradycardia
12. Identify The ECG Strip: Supraventricular Tachycardia
13. Identify The ECG Strip: Sinus Tachycardia
14. Identify The ECG Strip: Third-degree Atrioventricular block
15. Identify The ECG Strip: Normal Sinus Rhythm
16. Identify The ECG Strip: Polymorphic Ventricular Tachycardia
1/
13
, 17. Identify The ECG Strip: Agonal Rhythm/Asystole
18. Identify The ECG Strip: Second-degree Atrioventricular Block (Mobitz II Block)
19. Identify The ECG Strip: Sinus Bradycardia
20. Identify The ECG Strip: Supraventricular Tachycardia
21. A monitored patient in the ICU developed a sudden onset of narrow-com- plex tachycardia at a rate of
220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm 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 confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The heart
rate has not responded to vagal maneuvers. What is your next action?
Administer amiodarone 300 mg IV push Administer adenosine
6 mg IV push
Perform synchronized cardioversion at 200 J
Perform synchronized cardioversion at 50 J: Administer adenosine 6 mg IV push
22. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. He is
being evaluated for another acute stroke. The CT scan is negative for hemorrhage. The patient is receiving
oxygen via nasal cannula at 2 L/min, and an IV has been established. His blood pressure is 180/100 mm Hg.
Which drug do you anticipate giving to this patient?
Aspirin
rtPA
Glucose (D50) Nicardipine: Aspirin
23. A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given.
Which drug should be given next?
2/
13
with Answers
1. Identify The ECG Strip: Atrial Flutter
2. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz I Wencke- bach)
3. Identify The ECG Strip: Ventricular fibrillation
4. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz I Wencke- bach)
5. Identify The ECG Strip: Monomorphic ventricular tachycardia
6. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz II block)
7. Identify The ECG Strip: Ventricular fibrillation
8. Identify The ECG Strip: Ventricular fibrillation
9. Identify The ECG Strip: Atrial fibrillation
10. Identify The ECG Strip: Pulseless electrical activity
11. Identify The ECG Strip: Sinus Bradycardia
12. Identify The ECG Strip: Supraventricular Tachycardia
13. Identify The ECG Strip: Sinus Tachycardia
14. Identify The ECG Strip: Third-degree Atrioventricular block
15. Identify The ECG Strip: Normal Sinus Rhythm
16. Identify The ECG Strip: Polymorphic Ventricular Tachycardia
1/
13
, 17. Identify The ECG Strip: Agonal Rhythm/Asystole
18. Identify The ECG Strip: Second-degree Atrioventricular Block (Mobitz II Block)
19. Identify The ECG Strip: Sinus Bradycardia
20. Identify The ECG Strip: Supraventricular Tachycardia
21. A monitored patient in the ICU developed a sudden onset of narrow-com- plex tachycardia at a rate of
220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm 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 confirms a supraventricular tachycardia with no evidence of ischemia or infarction. The heart
rate has not responded to vagal maneuvers. What is your next action?
Administer amiodarone 300 mg IV push Administer adenosine
6 mg IV push
Perform synchronized cardioversion at 200 J
Perform synchronized cardioversion at 50 J: Administer adenosine 6 mg IV push
22. You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months ago. He is
being evaluated for another acute stroke. The CT scan is negative for hemorrhage. The patient is receiving
oxygen via nasal cannula at 2 L/min, and an IV has been established. His blood pressure is 180/100 mm Hg.
Which drug do you anticipate giving to this patient?
Aspirin
rtPA
Glucose (D50) Nicardipine: Aspirin
23. A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given.
Which drug should be given next?
2/
13
