ACLS Heartcode EXAM (updated 2026) Questions & Answers | Latest
Already Graded A+ UPDATE 2025|2026
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
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
what rhythms are shockable in cardiac arrest - (ANSWER)VF
VT
what rhythms are not shockable in cardiac arrest - (ANSWER)asystole
PEA
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
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
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's - (ANSWER)hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
,ACLS Heartcode EXAM (updated 2026) Questions & Answers | Latest
Already Graded A+ UPDATE 2025|2026
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia - (ANSWER)monitor and observe
what constitutes symptomatic bradycardia - (ANSWER)hypotension
altered mental status
signs of shock
chest pain
acute heart failure
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
what is considered a tachycardia requiring treatment - (ANSWER)over 150 per minute
, ACLS Heartcode EXAM (updated 2026) Questions & Answers | Latest
Already Graded A+ UPDATE 2025|2026
when do you consider cardioversion - (ANSWER)if persistent tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present with symptoms what do you need to consider - (ANSWER)wide
QRS?
greater than 0.12 seconds
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
which anti-arrhythmic drugs can be used if prolonged QT - (ANSWER)only amiodarone
150mg over 10 minutes, repeat if VT occurs
follow by maintenance infusion 1mg/min for first 6 hours
if persistent tachycardia without symptoms and without wide QRS what do you do - (ANSWER)IV access
and 12 lead EKG if available
Already Graded A+ UPDATE 2025|2026
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
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
what rhythms are shockable in cardiac arrest - (ANSWER)VF
VT
what rhythms are not shockable in cardiac arrest - (ANSWER)asystole
PEA
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
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
if not in coma and ekg shows STEMI or AMI consider re-perfusion
what are the 5 h's and 5 t's - (ANSWER)hypovolemia
hypoxia
hydrogen ion (acidosis)
hypo/hyperkalemia
,ACLS Heartcode EXAM (updated 2026) Questions & Answers | Latest
Already Graded A+ UPDATE 2025|2026
hypothermia
tension pneumothorax
tamponade, cardiac
toxins
thrombosis, pulmonary
thrombosis, coronary
how do you treat non-symptomatic bradycardia - (ANSWER)monitor and observe
what constitutes symptomatic bradycardia - (ANSWER)hypotension
altered mental status
signs of shock
chest pain
acute heart failure
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
what is considered a tachycardia requiring treatment - (ANSWER)over 150 per minute
, ACLS Heartcode EXAM (updated 2026) Questions & Answers | Latest
Already Graded A+ UPDATE 2025|2026
when do you consider cardioversion - (ANSWER)if persistent tachycardia is causing:
hypotension
altered mental status
signs of shock
chest pain
acute heart failure
if persistent tachycardia does not present with symptoms what do you need to consider - (ANSWER)wide
QRS?
greater than 0.12 seconds
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
which anti-arrhythmic drugs can be used if prolonged QT - (ANSWER)only amiodarone
150mg over 10 minutes, repeat if VT occurs
follow by maintenance infusion 1mg/min for first 6 hours
if persistent tachycardia without symptoms and without wide QRS what do you do - (ANSWER)IV access
and 12 lead EKG if available
