ACLS Post Test (copy) Question and
Answers
a patient is being resuscitated in a very noisy environment. A team member thinks he heard an order of
500mg of amiodarone IV. which is the best response from the team member? -
ANS I have an order to give 500mg of amiodarone IV. Is this correct?
Which is the recommended next step after a defibrillation attempt? -
ANS resume CPR, starting with chest compression
A responder is caring for a patient with a history of congestive heart failure. The patient is experiencing
shortness of breath, 68/50 mmHg, heart rate 190/min. The patient's lead 2 ECG is shown. Which best
characterizes this patient's rhythm? -
ANS unstable supraventicular tachycardia
which is one way to minimize interruptions in chest compressions during CPR? -
ANS continue CPR while the defibrillator charges
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake & responsive but ill-
appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready & fast. Your are unable to get a
BP. She has no obvious dependent edema, & her neck veins are flat. Her lung sounds are equal w/
moderate rales present bilaterally. The cardiac monitor shows rhythm seen here. Based on the patient's
initial assessment, what adult ACLS algorithm should you follow? -
ANS tachycardia
wide complex (monophasic) tachycardia
, A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake & responsive but ill-
appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready & fast. Your are unable to get a
BP. She has no obvious dependent edema, & her neck veins are flat. Her lung sounds are equal w/
moderate rales present bilaterally. The cardiac monitor shows rhythm seen here. After your initial
assessment, which intervention should be preformed? -
ANS synchronized cardioversiion
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake & responsive but ill-
appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready & fast. Your are unable to get a
BP. She has no obvious dependent edema, & her neck veins are flat. Her lung sounds are equal w/
moderate rales present bilaterally. The cardiac monitor shows rhythm seen here. If the patient became
apnic & pulseless but the rhythm remained the same, which would take the highest priority? -
ANS perform defibrillation
Which best describes the rhythm? -
ANS monomorphic ventricular tachycardia
A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to the 1st dose of
adenosine. Which dose would you administer next? -
ANS 12mg
You instruct a team member to give 0.5mg atropine IV. Which response is an example of closed-loop
communication? -
ANS I'll draw up 0.5mg of atropine
A patient has a witnessed loss of consciousness. The lead 2 ECG is shown. appropriate treatment? -
ANS defibrillation
You have completed 2 mins of CPR. The ECG monitor shows the lead 2 rhythm, and the patient has no
pulse. Another member of your team resumes chest compression, and an IV is in place. Which do you
do next? -
ANS Give epi 1mg IV
to properly ventilate a patient w/ perfusing rhythm, how often do you squeeze the bag? -
ANS once every 5-6 seconds
Which is the recommended 1st IV dose of amiodarone for a patient w/ refractory ventricular fibrillation? -
ANS 300mg
Which best describes the length of time it should take to perform a pulse check during BLS assessment? -
Answers
a patient is being resuscitated in a very noisy environment. A team member thinks he heard an order of
500mg of amiodarone IV. which is the best response from the team member? -
ANS I have an order to give 500mg of amiodarone IV. Is this correct?
Which is the recommended next step after a defibrillation attempt? -
ANS resume CPR, starting with chest compression
A responder is caring for a patient with a history of congestive heart failure. The patient is experiencing
shortness of breath, 68/50 mmHg, heart rate 190/min. The patient's lead 2 ECG is shown. Which best
characterizes this patient's rhythm? -
ANS unstable supraventicular tachycardia
which is one way to minimize interruptions in chest compressions during CPR? -
ANS continue CPR while the defibrillator charges
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake & responsive but ill-
appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready & fast. Your are unable to get a
BP. She has no obvious dependent edema, & her neck veins are flat. Her lung sounds are equal w/
moderate rales present bilaterally. The cardiac monitor shows rhythm seen here. Based on the patient's
initial assessment, what adult ACLS algorithm should you follow? -
ANS tachycardia
wide complex (monophasic) tachycardia
, A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake & responsive but ill-
appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready & fast. Your are unable to get a
BP. She has no obvious dependent edema, & her neck veins are flat. Her lung sounds are equal w/
moderate rales present bilaterally. The cardiac monitor shows rhythm seen here. After your initial
assessment, which intervention should be preformed? -
ANS synchronized cardioversiion
A 68F lightheadedness, nausea, chest discomfort. Your assessment finds her awake & responsive but ill-
appearing, pale, and grossly diaphoretic. Her radial pulse is weak, thready & fast. Your are unable to get a
BP. She has no obvious dependent edema, & her neck veins are flat. Her lung sounds are equal w/
moderate rales present bilaterally. The cardiac monitor shows rhythm seen here. If the patient became
apnic & pulseless but the rhythm remained the same, which would take the highest priority? -
ANS perform defibrillation
Which best describes the rhythm? -
ANS monomorphic ventricular tachycardia
A patient in stable narrow-complex tachycardia with a peripheral IV in place is refractory to the 1st dose of
adenosine. Which dose would you administer next? -
ANS 12mg
You instruct a team member to give 0.5mg atropine IV. Which response is an example of closed-loop
communication? -
ANS I'll draw up 0.5mg of atropine
A patient has a witnessed loss of consciousness. The lead 2 ECG is shown. appropriate treatment? -
ANS defibrillation
You have completed 2 mins of CPR. The ECG monitor shows the lead 2 rhythm, and the patient has no
pulse. Another member of your team resumes chest compression, and an IV is in place. Which do you
do next? -
ANS Give epi 1mg IV
to properly ventilate a patient w/ perfusing rhythm, how often do you squeeze the bag? -
ANS once every 5-6 seconds
Which is the recommended 1st IV dose of amiodarone for a patient w/ refractory ventricular fibrillation? -
ANS 300mg
Which best describes the length of time it should take to perform a pulse check during BLS assessment? -
