ACLS HEARTCODE EXAM (UPDATED 2025)
QUESTIONS & ANSWERS LATEST ALREADY
GRADED A+ UPDATE 2025 2026
1. in cardiac arrest when do you first introduce medical intervention? which
drug?
Answer√√ after 2 rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
2. when do you introduce amiodarone during cardiac arrest?
Answer√√ after the 3rd shock give 300 mg bolus of amiodarone
if second dose is needed give 150mg as second dose
3. what rhythms are shockable in cardiac arrest
Answer√√ VF VT
4. what rhythms are not shockable in cardiac arrest
Answer√√ asystole PEA
5. if you are in an unshockable rhythm arrest when do you give epi
Answer√√ 1mg epi every 3-5 minutes after 1st round of CPR
6. what do you do after return of spontaneous circulation
Answer√√ maintain O2 sat at 94% treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
, ACLS HEARTCODE EXAM (UPDATED 2025)
QUESTIONS & ANSWERS LATEST ALREADY
GRADED A+ UPDATE 2025 2026
if not in coma and ekg shows STEMI or AMI consider re-perfusion
7. what are the 5 h's and 5 t's
Answer√√ hypovolemia hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
8. how do you treat non-symptomatic bradycardia
Answer√√ monitor and observe
9. what constitutes symptomatic bradycardia
Answer√√ hypotension altered mental status
, ACLS HEARTCODE EXAM (UPDATED 2025)
QUESTIONS & ANSWERS LATEST ALREADY
GRADED A+ UPDATE 2025 2026
signs of shock
chest pain
acute heart failure
10. how do you treat symptomatic bradycardia
Answer√√ 1. give 0.5mg atropine every 3-5 mins to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
11. what is considered a tachycardia requiring treatment
Answer√√ over 150 per minute
12. when do you consider cardioversion
Answer√√ if persistent tachycardia is causing: hypotension
altered mental status
signs of shock
chest pain
, ACLS HEARTCODE EXAM (UPDATED 2025)
QUESTIONS & ANSWERS LATEST ALREADY
GRADED A+ UPDATE 2025 2026
acute heart failure
13. if persistent tachycardia does not present with symptoms what do you need
to consider
Answer√√ wide QRS?
greater than 0.12 seconds
14. If persistent tachycardia without symptoms DOES have a wide QRS what to
do you do?
Answer√√ IV access and 12 lead if available
6mg adenosine followed by NS flush only IF regular and monomorphic
consider anti-arrhythmic infusion
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 minutes
- 100mg sotalol over 5 minutes
QUESTIONS & ANSWERS LATEST ALREADY
GRADED A+ UPDATE 2025 2026
1. in cardiac arrest when do you first introduce medical intervention? which
drug?
Answer√√ after 2 rounds of CPR/shock
after 2nd shock give 1 mg epinephrine every 3-5 minutes
2. when do you introduce amiodarone during cardiac arrest?
Answer√√ after the 3rd shock give 300 mg bolus of amiodarone
if second dose is needed give 150mg as second dose
3. what rhythms are shockable in cardiac arrest
Answer√√ VF VT
4. what rhythms are not shockable in cardiac arrest
Answer√√ asystole PEA
5. if you are in an unshockable rhythm arrest when do you give epi
Answer√√ 1mg epi every 3-5 minutes after 1st round of CPR
6. what do you do after return of spontaneous circulation
Answer√√ maintain O2 sat at 94% treat hypotension (fluids vasopressor)
12 lead EKG
if in coma consider hypothermia
, ACLS HEARTCODE EXAM (UPDATED 2025)
QUESTIONS & ANSWERS LATEST ALREADY
GRADED A+ UPDATE 2025 2026
if not in coma and ekg shows STEMI or AMI consider re-perfusion
7. what are the 5 h's and 5 t's
Answer√√ hypovolemia hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
8. how do you treat non-symptomatic bradycardia
Answer√√ monitor and observe
9. what constitutes symptomatic bradycardia
Answer√√ hypotension altered mental status
, ACLS HEARTCODE EXAM (UPDATED 2025)
QUESTIONS & ANSWERS LATEST ALREADY
GRADED A+ UPDATE 2025 2026
signs of shock
chest pain
acute heart failure
10. how do you treat symptomatic bradycardia
Answer√√ 1. give 0.5mg atropine every 3-5 mins to max of 3mg
if that doesn't work try one of the following:
transcutaneous pacing
2-10mcg/kg / minute dopamine infusion
2-10mcg/minute epinephrine infusion
11. what is considered a tachycardia requiring treatment
Answer√√ over 150 per minute
12. when do you consider cardioversion
Answer√√ if persistent tachycardia is causing: hypotension
altered mental status
signs of shock
chest pain
, ACLS HEARTCODE EXAM (UPDATED 2025)
QUESTIONS & ANSWERS LATEST ALREADY
GRADED A+ UPDATE 2025 2026
acute heart failure
13. if persistent tachycardia does not present with symptoms what do you need
to consider
Answer√√ wide QRS?
greater than 0.12 seconds
14. If persistent tachycardia without symptoms DOES have a wide QRS what to
do you do?
Answer√√ IV access and 12 lead if available
6mg adenosine followed by NS flush only IF regular and monomorphic
consider anti-arrhythmic infusion
- 20-50mg/min procainamide (max 17mg/kg)
- 150mg amiodarone over 10 minutes
- 100mg sotalol over 5 minutes
