ACLS PRETEST PHARMACOLOGY AND
PRACTICAL APPLICATION PRACTICE TEST
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ A 35-year-old woman presents with the chief complaint of
palpitations. She has no chest discomfort shortness of breath or
light-headedness. Her blood pressure is . Which
intervention is indicated first?
Adenosine 3 mg IV bolus
Adenosine 12 mg IV slow push (over 1 to 2 minutes)
Metoprolol 5 mg IV and repeat if necessary
Vagal maneuvers. Answer: Vagal maneuvers
◉ A patient's 12-lead ECG is transmitted by the paramedics and
shows a stemi when the patient arrives in the emergency
department the rhythm ST elevation is seen on the cardiac monitor.
the patient has resolution of moderate 5/10 chest pain after 3 doses
of sublingual nitroglycerin. blood pressure is . Which
, intervention is most important in reducing this patients in hospital
and 30-day mortality rate?
Application of transcutaneous pacemaker
Atropine administration
Nitroglycerin administration
Reperfusion therapy. Answer: Reperfusion therapy
◉ You are the code team leader and arrive to find a patient with CPR
in progress. On the next rhythm check you see the rhythm normal
sinus rhythm. Team members tell you that the patient was well but
reported chest discomfort and then collapse. She has no pulse or
respirations. Bag mask ventilation are producing visible chest rise
and IO access has been established. Which intervention would be
your next action?
Atropine 1 mg
Dopamine at 10 to 20 mcg/kg per minute
Epinephrine 1 mg
PRACTICAL APPLICATION PRACTICE TEST
2026 QUESTIONS WITH ANSWERS GRADED
A+
◉ A 35-year-old woman presents with the chief complaint of
palpitations. She has no chest discomfort shortness of breath or
light-headedness. Her blood pressure is . Which
intervention is indicated first?
Adenosine 3 mg IV bolus
Adenosine 12 mg IV slow push (over 1 to 2 minutes)
Metoprolol 5 mg IV and repeat if necessary
Vagal maneuvers. Answer: Vagal maneuvers
◉ A patient's 12-lead ECG is transmitted by the paramedics and
shows a stemi when the patient arrives in the emergency
department the rhythm ST elevation is seen on the cardiac monitor.
the patient has resolution of moderate 5/10 chest pain after 3 doses
of sublingual nitroglycerin. blood pressure is . Which
, intervention is most important in reducing this patients in hospital
and 30-day mortality rate?
Application of transcutaneous pacemaker
Atropine administration
Nitroglycerin administration
Reperfusion therapy. Answer: Reperfusion therapy
◉ You are the code team leader and arrive to find a patient with CPR
in progress. On the next rhythm check you see the rhythm normal
sinus rhythm. Team members tell you that the patient was well but
reported chest discomfort and then collapse. She has no pulse or
respirations. Bag mask ventilation are producing visible chest rise
and IO access has been established. Which intervention would be
your next action?
Atropine 1 mg
Dopamine at 10 to 20 mcg/kg per minute
Epinephrine 1 mg
