ACLS Final Exam 2022
Advanced Cardiovascular Life Support Exam 2022
,ACLS Final Exam 2022
In which situation does bradycardia require treatment? –
ANSWER Hypotension
Which intervention is most appropriate for the treatment of a patient in asystole? -
ANSWER Epinephrine
You arrive on the scene with the code team. High-quality CPR is in progress. An AED
has previously advised "no shock indicated." A rhythm check now finds asystole. After
resuming high-quality compressions, which action do you take next? –
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
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? –
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? –
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? –
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? –
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? –
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? –
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? –
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? –
ANSWER IV or IO
What is the indication for the use of magnesium in cardiac arrest? –
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? –
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? –
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. –
ANSWER Epinephrine 1 mg
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication
to nitrate administration? –
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? –
ANSWER Perform electrical cordioversion
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a
heparin infusion of 1000 units per hour are being administered. The patient did not take
aspirin because he has a history of gastritis, with was treated 5 years ago. What is your
next action? –
ANSWER Give aspirin 160-325 mg to chew
Advanced Cardiovascular Life Support Exam 2022
,ACLS Final Exam 2022
In which situation does bradycardia require treatment? –
ANSWER Hypotension
Which intervention is most appropriate for the treatment of a patient in asystole? -
ANSWER Epinephrine
You arrive on the scene with the code team. High-quality CPR is in progress. An AED
has previously advised "no shock indicated." A rhythm check now finds asystole. After
resuming high-quality compressions, which action do you take next? –
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
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? –
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? –
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? –
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? –
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? –
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? –
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? –
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? –
ANSWER IV or IO
What is the indication for the use of magnesium in cardiac arrest? –
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? –
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? –
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. –
ANSWER Epinephrine 1 mg
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication
to nitrate administration? –
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? –
ANSWER Perform electrical cordioversion
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a
heparin infusion of 1000 units per hour are being administered. The patient did not take
aspirin because he has a history of gastritis, with was treated 5 years ago. What is your
next action? –
ANSWER Give aspirin 160-325 mg to chew
