ACLS PreTest- Pharmacology and Practical Application
(Latest 2023 - 2024) Actual Questions and Answers 100% Correct
1. A patient is in refractory ventricular fibrillation and has received multiple
appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial
dose of amiodarone 300mg IV. The patient is intubated. Which best describethe
recommended second does of amiodarone for this patient?
Answer: 150 mg IV amiodarone
2. A 35-year-old woman has palpitations, light-headedness, 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 terminating the rhythm.An
IV has been established. Which drug should be administered?
Answer: Adenosine6 mg
3. 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. What action is recommended next?
Answer: Seekingexpert consultation
4. A patient with possible STEMI has ongoing chest discomfort. What is a
contraindication to nitrate administration?
Answer: Use of a phosphodiestrase inhibitorwithin the previous 24 hours
5. How does complete chest recoil contribute to effective CPR?
Answer: Allows maximum blood return to the heart
6. A patient becomes unresponsive. You are uncertain if a faint pulse is
present. They rhythm shown here is seen on the cardiac monitor. An IV isin
, pace. Which action do you take next?
Answer: start high quality CPR
7. A patient has been resuscitated from cardiac arrest. During post-ROSC
treatment, the patient becomes unresponsive, with the rhythm shown here.
Which action is indicated next?
Answer: Give an immediate unsynchronized high-energy shock (defibrillation
dose)
8. You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The
CT scan is negative for hemorrhage. The patient is receiving oxygen vianasal
cannula at 2 L/min, and an IV has been established. His blood pressureis
180/100 mm Hg. Which drug do you anticipate giving to this patient?
Aspirin
Glucose (D50)
Nicardipiner
tPA
Answer: A
9. In which situation does bradycardia require treatment?
12-lead ECG showing a normal sinus rhythm
Hypotension
Diastolic blood pressure greater than 90 mm Hg
Systolic blood pressure greater than 100 mm Hg
Answer: B
(Latest 2023 - 2024) Actual Questions and Answers 100% Correct
1. A patient is in refractory ventricular fibrillation and has received multiple
appropriate defribillation shocks, epinephrine 1 mg IV twice, and an initial
dose of amiodarone 300mg IV. The patient is intubated. Which best describethe
recommended second does of amiodarone for this patient?
Answer: 150 mg IV amiodarone
2. A 35-year-old woman has palpitations, light-headedness, 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 terminating the rhythm.An
IV has been established. Which drug should be administered?
Answer: Adenosine6 mg
3. 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. What action is recommended next?
Answer: Seekingexpert consultation
4. A patient with possible STEMI has ongoing chest discomfort. What is a
contraindication to nitrate administration?
Answer: Use of a phosphodiestrase inhibitorwithin the previous 24 hours
5. How does complete chest recoil contribute to effective CPR?
Answer: Allows maximum blood return to the heart
6. A patient becomes unresponsive. You are uncertain if a faint pulse is
present. They rhythm shown here is seen on the cardiac monitor. An IV isin
, pace. Which action do you take next?
Answer: start high quality CPR
7. A patient has been resuscitated from cardiac arrest. During post-ROSC
treatment, the patient becomes unresponsive, with the rhythm shown here.
Which action is indicated next?
Answer: Give an immediate unsynchronized high-energy shock (defibrillation
dose)
8. You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The
CT scan is negative for hemorrhage. The patient is receiving oxygen vianasal
cannula at 2 L/min, and an IV has been established. His blood pressureis
180/100 mm Hg. Which drug do you anticipate giving to this patient?
Aspirin
Glucose (D50)
Nicardipiner
tPA
Answer: A
9. In which situation does bradycardia require treatment?
12-lead ECG showing a normal sinus rhythm
Hypotension
Diastolic blood pressure greater than 90 mm Hg
Systolic blood pressure greater than 100 mm Hg
Answer: B
