1
AHA ACLS NGN-STYLE CASE STUDIES - ACTUAL
EXAM 2026/2027 | COMPLETE COURSE REVIEW |
10 VERIFIED Q&A | COMPLETE RATIONALES |
PASS GUARANTEED - A+ GRADED
CASE STUDY 1: The Cardiac Arrest
Scenario: A 62-year-old male collapses while shopping. Bystanders start CPR. The ambulance arrives
4 minutes later. The paramedics attach the monitor and find ventricular fibrillation (VF). The patient
has received 1 shock, CPR is ongoing, and an IV is in place.
QUESTION 1
What is the next immediate intervention?
A. Administer amiodarone 300 mg IV push
B. Resume CPR immediately for 2 minutes
C. Check the pulse
D. Administer epinephrine 1 mg IV push
Rationale: After defibrillation, CPR should be resumed immediately for 2 minutes before checking
the rhythm or pulse. This minimizes interruptions in chest compressions and maximizes coronary
perfusion pressure.
QUESTION 2
After 2 minutes of CPR, the rhythm check shows persistent VF. What should be done next?
A. Administer amiodarone 300 mg IV push
B. Defibrillate again at 120-200 J
C. Administer epinephrine 1 mg IV push
D. Check the pulse
Rationale: For persistent VF, defibrillation should be repeated immediately. If the patient has
received 2 shocks and VF persists, epinephrine should be administered. CPR should be resumed after
the shock.
QUESTION 3
The patient has received 2 shocks and 1 dose of epinephrine. VF persists. What is the next
medication?
A. Lidocaine 1-1.5 mg/kg IV push
B. Amiodarone 300 mg IV push
, 2
C. Vasopressin 40 units IV push
D. Atropine 1 mg IV push
Rationale: For refractory VF/pVT after 2 shocks and epinephrine, amiodarone 300 mg IV push is the
next medication. Amiodarone is the preferred antiarrhythmic for VF/pVT.
QUESTION 4
The patient receives amiodarone and another shock. The rhythm converts to sinus rhythm with a
pulse. What is the next priority?
A. Administer additional amiodarone
B. Begin post-cardiac arrest care
C. Perform a 12-lead ECG
D. Administer lidocaine
Rationale: After achieving ROSC, the priority is to begin post-cardiac arrest care. This includes
targeted temperature management, hemodynamic support, and identifying the cause of the arrest.
QUESTION 5
What is the target temperature for post-cardiac arrest care?
A. 32-36°C
B. 32-36°C
C. 37-38°C
D. 38-40°C
Rationale: Targeted temperature management (TTM) is recommended for patients who remain
comatose after ROSC. The target temperature is 32-36°C for at least 24 hours. TTM improves
neurological outcomes.
CASE STUDY 2: The STEMI
Scenario: A 55-year-old male presents to the emergency department with crushing chest pain
radiating to his left arm, diaphoresis, and nausea. ECG shows ST-segment elevation in leads V1-V4.
Blood pressure is 90/60 mmHg. Heart rate is 110 bpm.
QUESTION 6
What is the most appropriate immediate intervention?
A. Administer sublingual nitroglycerin 0.4 mg SL
B. Activate the STEMI protocol and prepare for emergent PCI
C. Administer morphine sulfate 4 mg IV push
D. Administer dopamine 5 mcg/kg/min IV infusion
AHA ACLS NGN-STYLE CASE STUDIES - ACTUAL
EXAM 2026/2027 | COMPLETE COURSE REVIEW |
10 VERIFIED Q&A | COMPLETE RATIONALES |
PASS GUARANTEED - A+ GRADED
CASE STUDY 1: The Cardiac Arrest
Scenario: A 62-year-old male collapses while shopping. Bystanders start CPR. The ambulance arrives
4 minutes later. The paramedics attach the monitor and find ventricular fibrillation (VF). The patient
has received 1 shock, CPR is ongoing, and an IV is in place.
QUESTION 1
What is the next immediate intervention?
A. Administer amiodarone 300 mg IV push
B. Resume CPR immediately for 2 minutes
C. Check the pulse
D. Administer epinephrine 1 mg IV push
Rationale: After defibrillation, CPR should be resumed immediately for 2 minutes before checking
the rhythm or pulse. This minimizes interruptions in chest compressions and maximizes coronary
perfusion pressure.
QUESTION 2
After 2 minutes of CPR, the rhythm check shows persistent VF. What should be done next?
A. Administer amiodarone 300 mg IV push
B. Defibrillate again at 120-200 J
C. Administer epinephrine 1 mg IV push
D. Check the pulse
Rationale: For persistent VF, defibrillation should be repeated immediately. If the patient has
received 2 shocks and VF persists, epinephrine should be administered. CPR should be resumed after
the shock.
QUESTION 3
The patient has received 2 shocks and 1 dose of epinephrine. VF persists. What is the next
medication?
A. Lidocaine 1-1.5 mg/kg IV push
B. Amiodarone 300 mg IV push
, 2
C. Vasopressin 40 units IV push
D. Atropine 1 mg IV push
Rationale: For refractory VF/pVT after 2 shocks and epinephrine, amiodarone 300 mg IV push is the
next medication. Amiodarone is the preferred antiarrhythmic for VF/pVT.
QUESTION 4
The patient receives amiodarone and another shock. The rhythm converts to sinus rhythm with a
pulse. What is the next priority?
A. Administer additional amiodarone
B. Begin post-cardiac arrest care
C. Perform a 12-lead ECG
D. Administer lidocaine
Rationale: After achieving ROSC, the priority is to begin post-cardiac arrest care. This includes
targeted temperature management, hemodynamic support, and identifying the cause of the arrest.
QUESTION 5
What is the target temperature for post-cardiac arrest care?
A. 32-36°C
B. 32-36°C
C. 37-38°C
D. 38-40°C
Rationale: Targeted temperature management (TTM) is recommended for patients who remain
comatose after ROSC. The target temperature is 32-36°C for at least 24 hours. TTM improves
neurological outcomes.
CASE STUDY 2: The STEMI
Scenario: A 55-year-old male presents to the emergency department with crushing chest pain
radiating to his left arm, diaphoresis, and nausea. ECG shows ST-segment elevation in leads V1-V4.
Blood pressure is 90/60 mmHg. Heart rate is 110 bpm.
QUESTION 6
What is the most appropriate immediate intervention?
A. Administer sublingual nitroglycerin 0.4 mg SL
B. Activate the STEMI protocol and prepare for emergent PCI
C. Administer morphine sulfate 4 mg IV push
D. Administer dopamine 5 mcg/kg/min IV infusion
