ACLS HEALTHCARE PROVIDER TEST
PAPER FULL SOLUTION QUESTIONS AND
CORRECT ANSWERS GRADED A+
●● What medication is administered during compressions in the
PVT/VF algorithm?
Answer: 1 mg of 1:10,000 epinephrine.
●● What is the shock energy for the second shock in the PVT/VF
algorithm?
Answer: 300 joules.
●● What is the purpose of the pulse check/rhythm check in the PVT/VF
algorithm?
Answer: To assess the heart's rhythm and determine if a shock is needed.
●● What is the shock energy for the third shock in the PVT/VF
algorithm?
Answer: 360 joules.
●● What is the first step in the PEA/Asystole algorithm?
Answer: Compressions.
,●● What should be done immediately after establishing an IV in the
PEA/Asystole algorithm?
Answer: Push 1 mg of 1:10,000 epinephrine during compressions.
●● What are the H's and T's in the PEA/Asystole algorithm?
Answer: Treat conditions such as Hypothermia, Hypoxia, Hypovolemia,
Hydrogen ions, hyper/hypokalemia, Tension pneumothorax, Tamponade,
Toxins, Thrombosis (coronary and pulmonary).
●● ROSC protocol
Answer: new 12 lead and vitals, TTM between 32-36 degrees celsius
●● What is the first action for adult bradycardia if the patient is
asymptomatic?
Answer: Monitor and transport.
●● What medication is given for symptomatic adult bradycardia?
Answer: Atropine.
●● What is the pacing rate for adult bradycardia?
Answer: 80/20/20.
, ●● What is the first step in the adult tachycardia algorithm if the patient
is symptomatic?
Answer: Cardiovert (narrow-50 joules, wide-100 joules).
●● What should be done if the adult tachycardia patient is asymptomatic
and has a wide QRS?
Answer: adenosine 6mg/12mg
amio infusion 150mg over 10 mins
●● What should be done if the adult tachycardia patient is asymptomatic
and has a narrow QRS?
Answer: Vagal maneuvers
Adenosine 6mg/12mg
Metoprolol 5mg OR verapamil 5mg
●● When should a tourniquet be applied?
Answer: When there is excessive bleeding that cannot be controlled by
direct pressure.
●● What is the initial step in the acute coronary syndrome algorithm?
Answer: Obtain a 12 lead ECG and vitals.
●● What is the dose of aspirin acute coronary syndrome algorithm?
PAPER FULL SOLUTION QUESTIONS AND
CORRECT ANSWERS GRADED A+
●● What medication is administered during compressions in the
PVT/VF algorithm?
Answer: 1 mg of 1:10,000 epinephrine.
●● What is the shock energy for the second shock in the PVT/VF
algorithm?
Answer: 300 joules.
●● What is the purpose of the pulse check/rhythm check in the PVT/VF
algorithm?
Answer: To assess the heart's rhythm and determine if a shock is needed.
●● What is the shock energy for the third shock in the PVT/VF
algorithm?
Answer: 360 joules.
●● What is the first step in the PEA/Asystole algorithm?
Answer: Compressions.
,●● What should be done immediately after establishing an IV in the
PEA/Asystole algorithm?
Answer: Push 1 mg of 1:10,000 epinephrine during compressions.
●● What are the H's and T's in the PEA/Asystole algorithm?
Answer: Treat conditions such as Hypothermia, Hypoxia, Hypovolemia,
Hydrogen ions, hyper/hypokalemia, Tension pneumothorax, Tamponade,
Toxins, Thrombosis (coronary and pulmonary).
●● ROSC protocol
Answer: new 12 lead and vitals, TTM between 32-36 degrees celsius
●● What is the first action for adult bradycardia if the patient is
asymptomatic?
Answer: Monitor and transport.
●● What medication is given for symptomatic adult bradycardia?
Answer: Atropine.
●● What is the pacing rate for adult bradycardia?
Answer: 80/20/20.
, ●● What is the first step in the adult tachycardia algorithm if the patient
is symptomatic?
Answer: Cardiovert (narrow-50 joules, wide-100 joules).
●● What should be done if the adult tachycardia patient is asymptomatic
and has a wide QRS?
Answer: adenosine 6mg/12mg
amio infusion 150mg over 10 mins
●● What should be done if the adult tachycardia patient is asymptomatic
and has a narrow QRS?
Answer: Vagal maneuvers
Adenosine 6mg/12mg
Metoprolol 5mg OR verapamil 5mg
●● When should a tourniquet be applied?
Answer: When there is excessive bleeding that cannot be controlled by
direct pressure.
●● What is the initial step in the acute coronary syndrome algorithm?
Answer: Obtain a 12 lead ECG and vitals.
●● What is the dose of aspirin acute coronary syndrome algorithm?
