ACLS PRETEST PHARMACOLOGY AND
PRACTICAL APPLICATION COMPREHENSIVE
TEST 2026 QUESTIONS ANSWERS GRADED A+
◉ 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
◉ You are caring for a 66-year-old man with a history of a large
intracerebral hemorrhage 2 months ago. He is being evaluated for
another acute stroke. The CT scan is negative for hemorrhage. The
patient is receiving oxygen via nasal cannula at 2L/min, and an IV
has been established. His blood pressure is 180/100mm Hg. Which
drug do you anticipate giving to this patient? Answer: Aspirin
◉ A patient is in pulseless ventricular tachycardia. Two shocks and 1
dose of epinephrine have been given. Which drug should be given
next? Answer: Amiodarone 300mg
◉ What is the maximum interval for pausing chest compressions?
Answer: 10 seconds
◉ Your patient is a 56-year-old woman with a history of type 2
diabetes who reports feeling dizzy. She is pale and diaphoretic. Her
blood pressure is 80/66mm Hg. The cardiac monitor documents the
rhythm shown here. She is receiving oxygen at 4L/min by nasal
cannula, and an Iv has been established. What do you administer
next? Answer: Atropine 0.5mg IV
, ◉ A 35-year-old woman presents with a chief complaint of
palpitations. She has no chest discomfort, shortness of breath, or
light-headedness. Her blood pressure is 120/78mm Hg. Which
intervention is indicated first? Answer: Vagal maneuvers
◉ Which action should you take immediately after providing an AED
shock? Answer: Resume chest compressions
◉ What action minimizes the risk of air entering the victim's
stomach during-bag mask ventilation? Answer: Ventilating until you
see the chest rise
◉ You are providing bag-mask ventilations to a patient in
respiratory arrest. How often should you provide ventilation?
Answer: About every 5-6 seconds
◉ After initiation of CPR and 1 shock for ventricular fibrillation, this
rhythm is present on the next rhythm check. A second shock is given,
and chest compressions are resumed immediately. An IV is in place,
and no drugs have been given. Bag-mask ventilations are producing
visible chest rise. What is your next intervention? Answer: Give
epinephrine 1mg IV?IO
PRACTICAL APPLICATION COMPREHENSIVE
TEST 2026 QUESTIONS ANSWERS GRADED A+
◉ 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
◉ You are caring for a 66-year-old man with a history of a large
intracerebral hemorrhage 2 months ago. He is being evaluated for
another acute stroke. The CT scan is negative for hemorrhage. The
patient is receiving oxygen via nasal cannula at 2L/min, and an IV
has been established. His blood pressure is 180/100mm Hg. Which
drug do you anticipate giving to this patient? Answer: Aspirin
◉ A patient is in pulseless ventricular tachycardia. Two shocks and 1
dose of epinephrine have been given. Which drug should be given
next? Answer: Amiodarone 300mg
◉ What is the maximum interval for pausing chest compressions?
Answer: 10 seconds
◉ Your patient is a 56-year-old woman with a history of type 2
diabetes who reports feeling dizzy. She is pale and diaphoretic. Her
blood pressure is 80/66mm Hg. The cardiac monitor documents the
rhythm shown here. She is receiving oxygen at 4L/min by nasal
cannula, and an Iv has been established. What do you administer
next? Answer: Atropine 0.5mg IV
, ◉ A 35-year-old woman presents with a chief complaint of
palpitations. She has no chest discomfort, shortness of breath, or
light-headedness. Her blood pressure is 120/78mm Hg. Which
intervention is indicated first? Answer: Vagal maneuvers
◉ Which action should you take immediately after providing an AED
shock? Answer: Resume chest compressions
◉ What action minimizes the risk of air entering the victim's
stomach during-bag mask ventilation? Answer: Ventilating until you
see the chest rise
◉ You are providing bag-mask ventilations to a patient in
respiratory arrest. How often should you provide ventilation?
Answer: About every 5-6 seconds
◉ After initiation of CPR and 1 shock for ventricular fibrillation, this
rhythm is present on the next rhythm check. A second shock is given,
and chest compressions are resumed immediately. An IV is in place,
and no drugs have been given. Bag-mask ventilations are producing
visible chest rise. What is your next intervention? Answer: Give
epinephrine 1mg IV?IO
