ADVANCED CARDIOVASCULAR LIFE
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COMPLETE QUESTIONS AND ANSWERS
BUNDLE WITH FULL SOLUTION
⩥ A patient with possible STEMI has ongoing chest discomfort. What is
a contraindication to nitrate administration? Answer: Use of
phosphodiesterase inhibitor within the previous 24 hours
⩥ A patient is in refractory ventricular fibrillation and has received
multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice,
and an initial dose of amiodarone 300 mg IV. The patient is intubated.
Which best describes the recommended second dose of amiodarone for
this patient? Answer: 150 mg IV push
⩥ Which intervention is most appropriate for the treatment of a patient
in asystole? Answer: Epinephrine
⩥ A monitored patient in the ICU developed a sudden onset of
narrowcomplex 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? Answer: Administer adenosine 6 mg IV push
⩥ 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, which was treated 5 years ago. What is your next action?
Answer: Give aspirin 160 to 325 mg to chew
⩥ A patient is in refractory ventricular fibrillation. High-quality CPR is
in progress. One dose 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 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 1 mg IV/IO
⩥ A patient with sinus bradycardia and a heart rate of 42/min has
diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial
dose of atropine?. Answer: 0.5 mg
⩥ A 35-year-old woman has palpitations, light-headedness, and a stable
tachycardia. The monitor shows a regular narrow-complex QRS at a rate
SUPPORT ACLS TESTBANK 2026
COMPLETE QUESTIONS AND ANSWERS
BUNDLE WITH FULL SOLUTION
⩥ A patient with possible STEMI has ongoing chest discomfort. What is
a contraindication to nitrate administration? Answer: Use of
phosphodiesterase inhibitor within the previous 24 hours
⩥ A patient is in refractory ventricular fibrillation and has received
multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice,
and an initial dose of amiodarone 300 mg IV. The patient is intubated.
Which best describes the recommended second dose of amiodarone for
this patient? Answer: 150 mg IV push
⩥ Which intervention is most appropriate for the treatment of a patient
in asystole? Answer: Epinephrine
⩥ A monitored patient in the ICU developed a sudden onset of
narrowcomplex 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? Answer: Administer adenosine 6 mg IV push
⩥ 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, which was treated 5 years ago. What is your next action?
Answer: Give aspirin 160 to 325 mg to chew
⩥ A patient is in refractory ventricular fibrillation. High-quality CPR is
in progress. One dose 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 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 1 mg IV/IO
⩥ A patient with sinus bradycardia and a heart rate of 42/min has
diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial
dose of atropine?. Answer: 0.5 mg
⩥ A 35-year-old woman has palpitations, light-headedness, and a stable
tachycardia. The monitor shows a regular narrow-complex QRS at a rate
