ACLS RECERTIFICATION TEST BANK 2026
ACTUAL EXAM QUESTIONS WITH ANSWERS
◉ Transcutaneous pacing should be started immediately if:
A. there is no response to atropine
B. atropine is unlikely to be effective or if IV access cannot be quickly
established
C. the patient is severely symptomatic
D. all of the above Answer: D-do not delay TCP while preparing
atropine
◉ If transcutaneous pacing is ineffective for symptomatic
bradycardia, the next step would be to prepare for: Answer: prepare
for transvenous pacing
◉ True or false? Atropine doses of less than 0.5mg may
paradoxically result in further slowing of the heart rate. Answer:
true- atropine crosses into the CNS stimulating the vagus nerve
causing bradycardia at low doses.
At higher doses the muscarinic blocking effects of Atropine out
weigh the CNS effects, causing tachycardia.
,◉ The treatment of choice for symptomatic bradycardia with signs
of poor perfusion is ____________. Answer: transcutaneous pacing
◉ What dysrhythmia is treated with the following?
shock 200 J
epi 1 mg 1:10,000
shock 300 J
amiodarone 300 mg
shock 360 J
epi 1 mg 1:10000
shock 360 J
amiodarone 150 mg Answer: pulseless vtach
◉ Transcutaneous pacing is contraindicated in the patient with
________________. Answer: severe hypothermia and is not
recommended for asystole
◉ Transcutaneous pacing has been show to have little or no effect on
the patient with ________________. Answer: asystole
◉ Preparation for transcutaneous pacing should be made for which
of the following?
, 1. unstable sinus bradycardia
2. third degree AV block
3. Mobitz type II second-degree AV block
4. all of the above Answer: all of the above
◉ 1 degree block AKA Answer: PR prolongation
◉ Wenckebach AKA Answer: Mobitz I AKA
2nd degree block type 1
◉ Hay AKA Mobitz II AKA Answer: 2nd degree block type 2
◉ 3rd degree block AKA Answer: complete block
◉ Drugs used in the VF/Pulseless VT Algorithm include: Answer:
epinephrine, amiodarone, lidocaine, and magnesium sulfate
◉ The primary ACLS treatment for VF and Pulseless VT is Answer:
high-energy unsynchronized shocks
◉ If an AED is on the patient and a manual defibrillator is available
you should ___________________________. Answer: Replace the AED
because continued use of the AED may result in unnecessary
ACTUAL EXAM QUESTIONS WITH ANSWERS
◉ Transcutaneous pacing should be started immediately if:
A. there is no response to atropine
B. atropine is unlikely to be effective or if IV access cannot be quickly
established
C. the patient is severely symptomatic
D. all of the above Answer: D-do not delay TCP while preparing
atropine
◉ If transcutaneous pacing is ineffective for symptomatic
bradycardia, the next step would be to prepare for: Answer: prepare
for transvenous pacing
◉ True or false? Atropine doses of less than 0.5mg may
paradoxically result in further slowing of the heart rate. Answer:
true- atropine crosses into the CNS stimulating the vagus nerve
causing bradycardia at low doses.
At higher doses the muscarinic blocking effects of Atropine out
weigh the CNS effects, causing tachycardia.
,◉ The treatment of choice for symptomatic bradycardia with signs
of poor perfusion is ____________. Answer: transcutaneous pacing
◉ What dysrhythmia is treated with the following?
shock 200 J
epi 1 mg 1:10,000
shock 300 J
amiodarone 300 mg
shock 360 J
epi 1 mg 1:10000
shock 360 J
amiodarone 150 mg Answer: pulseless vtach
◉ Transcutaneous pacing is contraindicated in the patient with
________________. Answer: severe hypothermia and is not
recommended for asystole
◉ Transcutaneous pacing has been show to have little or no effect on
the patient with ________________. Answer: asystole
◉ Preparation for transcutaneous pacing should be made for which
of the following?
, 1. unstable sinus bradycardia
2. third degree AV block
3. Mobitz type II second-degree AV block
4. all of the above Answer: all of the above
◉ 1 degree block AKA Answer: PR prolongation
◉ Wenckebach AKA Answer: Mobitz I AKA
2nd degree block type 1
◉ Hay AKA Mobitz II AKA Answer: 2nd degree block type 2
◉ 3rd degree block AKA Answer: complete block
◉ Drugs used in the VF/Pulseless VT Algorithm include: Answer:
epinephrine, amiodarone, lidocaine, and magnesium sulfate
◉ The primary ACLS treatment for VF and Pulseless VT is Answer:
high-energy unsynchronized shocks
◉ If an AED is on the patient and a manual defibrillator is available
you should ___________________________. Answer: Replace the AED
because continued use of the AED may result in unnecessary
