ACLS Pretest Exam Questions And 100% Correct
Answers |Graded A+ (2026/2027)
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
1|Page
, 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
2|Page
Answers |Graded A+ (2026/2027)
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
1|Page
, 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
2|Page
