ACLS EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

ACLS EXAM
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Exam Solution
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ACLS Heartcode EXAM (updated ) Questions & Answers
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Latest Already Graded A+ UPDATE 2026 A+ GRADE ASS
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URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS
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(56353)




QUESTION 1 vc




in cardiac arrest when do you first introduce medical intervention? which drug?
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ANSWER

after 2 rounds of CPR/shock after 2nd shock give 1 mg epinephrine every 3-5 minutes
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QUESTION 2 vc




when do you introduce amiodarone during cardiac arrest?
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ANSWER

after the 3rd shock give 300 mg bolus of amiodarone if second dose is needed give 150mg as second do
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QUESTION 3 vc




what rhythms are shockable in cardiac arrest
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ANSWER

VF VT
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QUESTION 4 vc




what rhythms are not shockable in cardiac arrest
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ANSWER

asystole PEA vc

,QUESTION 5 vc




if you are in an unshockable rhythm arrest when do you give epi
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ANSWER

1mg epi every 3-5 minutes after 1st round of CPR
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QUESTION 6 vc




what do you do after return of spontaneous circulation
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ANSWER

maintain O2 sat at 94% treat hypotension (fluids vasopressor) 12 lead EKG if in coma consider hypothe
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rmia if not in coma and ekg shows STEMI or AMI consider re-perfusion
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QUESTION 7 vc




what are the 5 h's and 5 t's
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ANSWER

hypovolemia hypoxia hydrogen ion (acidosis) hypo/hyperkalemia hypothermia tension pneumothorax t
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amponade, cardiac toxins thrombosis, pulmonary thrombosis, coronary
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QUESTION 8 vc




how do you treat non-symptomatic bradycardia
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ANSWER

monitor and observe vc vc




QUESTION 9 vc




what constitutes symptomatic bradycardia
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ANSWER

hypotension altered mental status signs of shock chest pain acute heart failure
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QUESTION 10 vc




how do you treat symptomatic bradycardia
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ANSWER

,1. give 0.5mg atropine every 3-
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5 mins to max of 3mg if that doesn't work try one of the following: transcutaneous pacing 2-
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10mcg/kg / minute dopamine infusion 2-10mcg/minute epinephrine infusion
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QUESTION 11 vc




what is considered a tachycardia requiring treatment
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ANSWER

over 150 per minute vc vc vc




QUESTION 12 vc




when do you consider cardioversion
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ANSWER

if persistent tachycardia is causing: hypotension altered mental status signs of shock chest pain acute he
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QUESTION 13 vc




if persistent tachycardia does not present with symptoms what do you need to consider
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ANSWER

wide QRS? greater than 0.12 seconds
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QUESTION 14 vc




If persistent tachycardia without symptoms DOES have a wide QRS what to do you do?
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ANSWER

IV access and 12 lead if available 6mg adenosine followed by NS flush only IF regular and monomorphic
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consider anti-arrhythmic infusion: - 20-50mg/min procainamide (max 17mg/kg) -
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150mg amiodarone over 10 minutes - 100mg sotalol over 5 minutes
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QUESTION 15 vc




which anti-arrhythmic drugs can be used if prolonged QT
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ANSWER

only amiodarone 150mg over 10 minutes, repeat if VT occurs follow by maintenance infusion 1mg/min
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for first 6 hours
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, QUESTION 16 vc




if persistent tachycardia without symptoms and without wide QRS what do you do
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ANSWER

IV access and 12 lead EKG if available vagal maneuvers 6mg adenosine followed by NS flush only IF reg
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ular Beta blocker or calcium channel blocker
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QUESTION 17 vc




patient comes in with symptoms of ACS what do you do first
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ANSWER

chew 325mg aspirin O2 nitro morphine get 12 lead EKG IV access
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QUESTION 18 vc




IF ACS patient has EKG showing ST elevation and symptoms are less than 12 hours then
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what
ANSWER

re-perfusion door to balloon 90 minutes door to needle 30 minutes
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QUESTION 19 vc




If ACS patient has EKG showing non ST elevation MI or high risk unstable angina then wh
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at
ANSWER

early invasive strategy? adjunctive treatment? -nitroglycerin -heparin -beta blockers -clopidogrel -
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glycoprotein IIb / IIIa inhibitor vc vc vc vc




QUESTION 20 vc




what are the contraindications to fibrinolytics in ACS treatment
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ANSWER

systolic > 180 diastolic > 100 right arm left arm systolic difference > 15 history of structural central ner
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vous system disease recent head/facial trauma stroke more than 3 hours or less then 3 months ago rece
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nt trauma, surgery or bleed any history of intracranial hemorrhage bleeding, clotting problem or on blo
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od thinners serious systemic disease
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QUESTION 21 vc