ACLS PRE-TEST EXAM 2026 LATEST UPDATE
QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
Give normal Saline 250 mL to 500 ml fluid bolus - ANS-A patient with a possible
acute coronary syndrome has ongoing chest discomfort unresponsive to 3
sublingual nitroglycerin tablets. There are no contraindications, and 4 mg of
morphine sulfate was administered. Shortly afterward, blood pressure falls to
88/60 mm Hg, and the patient has increased chest discomfort. You should:
Amiodarone 300 mg - ANS-A patient is in pulseless ventricular tachycardia. Two
shocks and 1 dose of epinephrine have been given. Which is the next drug/dose
to anticipate administering?
150 mg IV push - ANS-A patient is in refractory ventricular fibrillation and has
received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice,
and an initial dose of 300 mg amidarone IV. The patient is intubated. A second
does of amiodarone is now called for. The recommended second dose of
amiodarone is
Adenosine 6 mg - ANS-A 35-year-old woman has palpitations, light-headiness, and
a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate
of 180/min. Vagal maneuvers have not been effective in terminated the rhythm. An
IV has been established. What drug should be administered IV?
Seeking expert consultation - ANS-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. Which of the following
actions is recommended?
Use of phosphodiesterase inhibitor within 12 hours. - ANS-A patient with possible ST-
segment elevation MI has ongoing chest discomfort. Which of the following
would be a contraindication to the administration of nitrates?
Start epinephrine 2 to 10 mcg/min - ANS-A patient has sinus bradycardia with a
heart rate of 36/min. Atropine has been administered to a total dose of 3 mg. A
transcutaneous pacemaker has failed to capture. The patient is confused, and her
blood pressure is 100/60 mm Hg. Which of the following is now indicated?
Epinephrine 1 mg - ANS-A patient is in cardiac arrest. Ventricular fibrillation has
been refractory to a second shock. Of the following, which drug and dose should
be administered first by the IV/IO route?
, Gain IV or IO access - ANS-You arrive on the scene with the code team. High-
quality CPR is in progress. An AED has previously advised, "no shock indicated."
A rhythm check now finds asystole. After resuming high-quality compressions,
your next action is to:
Give Aspirin 160 to 325 mg chewed immediately. - ANS-A patient with ST-segment
elevation MI has ongoing chest discomfort. Fibrinolytic therapy has been
ordered. Heparin 4000 units IV bolus was administered, and a heparin infusion of
1000 units per hour is being administered. Aspirin was taken by the patient
because he had a history of gastritis treated 5 years ago. Your next action is?
Chest pain or shortness of breath is present - ANS-Bradycardia requires treatment
when:
Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. -
ANS-Which of the following statements about the use of magnesium in cardiac
arrest is most accurate?
Epinephrine 1 mg or vasopressin 40 units IV or IO - ANS-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. Which is the first drug/dose
to administer?
0.5 mg - ANS-A patient has sinus bradycardia with a heart rate of 42/min has
diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial dose of
atropine?
Second dose of epinephrine 1 mg - ANS-A patient is in refractory ventricular
fibrillation. High-quality CPR is in progress, and shocks have been given. One
dose of epinephrine was given after the second shock. An antiarrhythmic drug
was given immediately after the third shock. What drug should the team leader
request to be prepared for administration next?
Do not give aspirin for at least 24 hours if rtPA is administered - ANS-A 62-year-old
man suddenly experienced difficulty speaking and left-sided weakness. He was
brought to the emergency department. He meets initial criteria for fibrinolytic
therapy, and a CT scan of the brain is ordered. What are the guidelines for
antiplatelet and fibrinolytic therapy?
The correct dose of vasopressin is 40 units administered IV or IO. - ANS-Which of the
following statements is most accurate regarding the administration of
vasopressin during cardiac arrest?
QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
Give normal Saline 250 mL to 500 ml fluid bolus - ANS-A patient with a possible
acute coronary syndrome has ongoing chest discomfort unresponsive to 3
sublingual nitroglycerin tablets. There are no contraindications, and 4 mg of
morphine sulfate was administered. Shortly afterward, blood pressure falls to
88/60 mm Hg, and the patient has increased chest discomfort. You should:
Amiodarone 300 mg - ANS-A patient is in pulseless ventricular tachycardia. Two
shocks and 1 dose of epinephrine have been given. Which is the next drug/dose
to anticipate administering?
150 mg IV push - ANS-A patient is in refractory ventricular fibrillation and has
received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice,
and an initial dose of 300 mg amidarone IV. The patient is intubated. A second
does of amiodarone is now called for. The recommended second dose of
amiodarone is
Adenosine 6 mg - ANS-A 35-year-old woman has palpitations, light-headiness, and
a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate
of 180/min. Vagal maneuvers have not been effective in terminated the rhythm. An
IV has been established. What drug should be administered IV?
Seeking expert consultation - ANS-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. Which of the following
actions is recommended?
Use of phosphodiesterase inhibitor within 12 hours. - ANS-A patient with possible ST-
segment elevation MI has ongoing chest discomfort. Which of the following
would be a contraindication to the administration of nitrates?
Start epinephrine 2 to 10 mcg/min - ANS-A patient has sinus bradycardia with a
heart rate of 36/min. Atropine has been administered to a total dose of 3 mg. A
transcutaneous pacemaker has failed to capture. The patient is confused, and her
blood pressure is 100/60 mm Hg. Which of the following is now indicated?
Epinephrine 1 mg - ANS-A patient is in cardiac arrest. Ventricular fibrillation has
been refractory to a second shock. Of the following, which drug and dose should
be administered first by the IV/IO route?
, Gain IV or IO access - ANS-You arrive on the scene with the code team. High-
quality CPR is in progress. An AED has previously advised, "no shock indicated."
A rhythm check now finds asystole. After resuming high-quality compressions,
your next action is to:
Give Aspirin 160 to 325 mg chewed immediately. - ANS-A patient with ST-segment
elevation MI has ongoing chest discomfort. Fibrinolytic therapy has been
ordered. Heparin 4000 units IV bolus was administered, and a heparin infusion of
1000 units per hour is being administered. Aspirin was taken by the patient
because he had a history of gastritis treated 5 years ago. Your next action is?
Chest pain or shortness of breath is present - ANS-Bradycardia requires treatment
when:
Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. -
ANS-Which of the following statements about the use of magnesium in cardiac
arrest is most accurate?
Epinephrine 1 mg or vasopressin 40 units IV or IO - ANS-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. Which is the first drug/dose
to administer?
0.5 mg - ANS-A patient has sinus bradycardia with a heart rate of 42/min has
diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial dose of
atropine?
Second dose of epinephrine 1 mg - ANS-A patient is in refractory ventricular
fibrillation. High-quality CPR is in progress, and shocks have been given. One
dose of epinephrine was given after the second shock. An antiarrhythmic drug
was given immediately after the third shock. What drug should the team leader
request to be prepared for administration next?
Do not give aspirin for at least 24 hours if rtPA is administered - ANS-A 62-year-old
man suddenly experienced difficulty speaking and left-sided weakness. He was
brought to the emergency department. He meets initial criteria for fibrinolytic
therapy, and a CT scan of the brain is ordered. What are the guidelines for
antiplatelet and fibrinolytic therapy?
The correct dose of vasopressin is 40 units administered IV or IO. - ANS-Which of the
following statements is most accurate regarding the administration of
vasopressin during cardiac arrest?
