ACLS PROMED ANSWERS AND QUESTIONS SET A+
✔✔Amiodarone 300 mg - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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. - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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. - ✔✔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 - ✔✔Bradycardia requires treatment
when:
✔✔Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. -
✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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. - ✔✔Which of the
following statements is most accurate regarding the administration of vasopressin
during cardiac arrest?
✔✔IV or IO - ✔✔A patient is in cardiac arrest. Ventricular fibrillation has been refractory
to an initial shock. What is the recommended route for drug administration during CPR?
✔✔Amiodarone 300 mg - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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. - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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. - ✔✔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 - ✔✔Bradycardia requires treatment
when:
✔✔Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. -
✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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. - ✔✔Which of the
following statements is most accurate regarding the administration of vasopressin
during cardiac arrest?
✔✔IV or IO - ✔✔A patient is in cardiac arrest. Ventricular fibrillation has been refractory
to an initial shock. What is the recommended route for drug administration during CPR?
