LATEST NR 325 ADULT HEALTH II:
ADVANCED CARDIAC LIFE SUPPORT
EXAM| COMPLETE QUESTION BANK WITH
CORRECT ANSWERS WITH RATIONALES
1. A 55-year-old man collapses in the hospital
corridor. He is unresponsive, apneic, and pulseless.
What is the most appropriate immediate action?
A) Begin chest compressions
B) Check for a pulse
C) Establish an airway
D) Apply an automated external defibrillator (AED)
Answer: A
Rationale: In a pulseless, apneic patient, high-quality
chest compressions should be initiated immediately.
The sequence is compressions, airway, breathing (C-
A-B) per current ACLS guidelines.
2. A patient is in pulseless ventricular tachycardia
(VT). The defibrillator is charged to 200 J biphasic.
What is the most appropriate next step?
A) Administer epinephrine
B) Perform synchronized cardioversion
,C) Defibrillate immediately
D) Administer amiodarone
Answer: C
Rationale: Pulseless VT is a shockable rhythm. The
first priority is immediate defibrillation.
3. A patient has a witnessed cardiac arrest due to
ventricular fibrillation (VF). The first shock is
delivered, and CPR is resumed for 2 minutes. After 2
minutes of CPR, the rhythm check shows persistent
VF. What is the most appropriate next step?
A) Administer epinephrine 1 mg IV push
B) Administer amiodarone 300 mg IV push
C) Defibrillate with a second shock
D) Perform synchronized cardioversion
Answer: C
Rationale: For persistent VF/pulseless VT,
defibrillation should be repeated after 2 minutes of
CPR. Epinephrine and amiodarone are given after the
second defibrillation.
4. A patient is in cardiac arrest. CPR is in progress.
The rhythm is asystole. What is the most appropriate
medication to administer?
,A) Amiodarone
B) Lidocaine
C) Epinephrine
D) Atropine
Answer: C
Rationale: Epinephrine (1 mg IV/IO every 3-5 minutes)
is the first-line medication for asystole and pulseless
electrical activity (PEA).
5. A patient presents with a narrow-complex
tachycardia at a rate of 180 bpm. The patient is
unstable with hypotension and altered mental status.
What is the most appropriate immediate intervention?
A) Administer adenosine 6 mg IV push
B) Perform synchronized cardioversion
C) Administer amiodarone 150 mg IV
D) Defibrillate
Answer: B
Rationale: Unstable tachycardia with signs of shock
(hypotension, altered mental status) requires
immediate synchronized cardioversion.
, 6. A patient has a regular, narrow-complex
tachycardia at 160 bpm. The patient is stable. Vagal
maneuvers are unsuccessful. What is the most
appropriate next step?
A) Administer adenosine 6 mg IV push
B) Perform synchronized cardioversion
C) Administer amiodarone 150 mg IV
D) Administer diltiazem
Answer: A
Rationale: For stable, regular, narrow-complex
tachycardia, adenosine 6 mg IV push is the first-line
medication. If ineffective, a 12 mg dose may be given.
7. A patient presents with a wide-complex
tachycardia. The patient is stable. What is the most
appropriate initial treatment?
A) Administer adenosine 6 mg IV push
B) Perform synchronized cardioversion
C) Administer amiodarone 150 mg IV
D) Defibrillate
Answer: C
Rationale: For stable, wide-complex tachycardia,
amiodarone 150 mg IV over 10 minutes is the
ADVANCED CARDIAC LIFE SUPPORT
EXAM| COMPLETE QUESTION BANK WITH
CORRECT ANSWERS WITH RATIONALES
1. A 55-year-old man collapses in the hospital
corridor. He is unresponsive, apneic, and pulseless.
What is the most appropriate immediate action?
A) Begin chest compressions
B) Check for a pulse
C) Establish an airway
D) Apply an automated external defibrillator (AED)
Answer: A
Rationale: In a pulseless, apneic patient, high-quality
chest compressions should be initiated immediately.
The sequence is compressions, airway, breathing (C-
A-B) per current ACLS guidelines.
2. A patient is in pulseless ventricular tachycardia
(VT). The defibrillator is charged to 200 J biphasic.
What is the most appropriate next step?
A) Administer epinephrine
B) Perform synchronized cardioversion
,C) Defibrillate immediately
D) Administer amiodarone
Answer: C
Rationale: Pulseless VT is a shockable rhythm. The
first priority is immediate defibrillation.
3. A patient has a witnessed cardiac arrest due to
ventricular fibrillation (VF). The first shock is
delivered, and CPR is resumed for 2 minutes. After 2
minutes of CPR, the rhythm check shows persistent
VF. What is the most appropriate next step?
A) Administer epinephrine 1 mg IV push
B) Administer amiodarone 300 mg IV push
C) Defibrillate with a second shock
D) Perform synchronized cardioversion
Answer: C
Rationale: For persistent VF/pulseless VT,
defibrillation should be repeated after 2 minutes of
CPR. Epinephrine and amiodarone are given after the
second defibrillation.
4. A patient is in cardiac arrest. CPR is in progress.
The rhythm is asystole. What is the most appropriate
medication to administer?
,A) Amiodarone
B) Lidocaine
C) Epinephrine
D) Atropine
Answer: C
Rationale: Epinephrine (1 mg IV/IO every 3-5 minutes)
is the first-line medication for asystole and pulseless
electrical activity (PEA).
5. A patient presents with a narrow-complex
tachycardia at a rate of 180 bpm. The patient is
unstable with hypotension and altered mental status.
What is the most appropriate immediate intervention?
A) Administer adenosine 6 mg IV push
B) Perform synchronized cardioversion
C) Administer amiodarone 150 mg IV
D) Defibrillate
Answer: B
Rationale: Unstable tachycardia with signs of shock
(hypotension, altered mental status) requires
immediate synchronized cardioversion.
, 6. A patient has a regular, narrow-complex
tachycardia at 160 bpm. The patient is stable. Vagal
maneuvers are unsuccessful. What is the most
appropriate next step?
A) Administer adenosine 6 mg IV push
B) Perform synchronized cardioversion
C) Administer amiodarone 150 mg IV
D) Administer diltiazem
Answer: A
Rationale: For stable, regular, narrow-complex
tachycardia, adenosine 6 mg IV push is the first-line
medication. If ineffective, a 12 mg dose may be given.
7. A patient presents with a wide-complex
tachycardia. The patient is stable. What is the most
appropriate initial treatment?
A) Administer adenosine 6 mg IV push
B) Perform synchronized cardioversion
C) Administer amiodarone 150 mg IV
D) Defibrillate
Answer: C
Rationale: For stable, wide-complex tachycardia,
amiodarone 150 mg IV over 10 minutes is the
