ACLS Pretest BOMAexam questions with 60- correct
answers
Give atropine 0.5 mg IV. - ✔✔ANSW✔✔..The patient suddenly becomes unconscious
and has a weak carotid pulse. Cardiac monitoring, supplementary oxygen, and an IV
have been initiated. The code cart with all the drugs and a transcutaneous pacer are
immediately available. Next you would?
Give epinephrine 1 mg IV. - ✔✔ANSW✔✔..You arrive on the scene to find CPR in
progress. Nursing staff report that the patient was recovering from a pulmonary
embolism and suddenly collapsed. There is no pulse or spontaneous respirations. High-
quality CPR and effective bag-mask ventilation are being provided. An IV has been
initiated. What would you do now?
Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. -
✔✔ANSW✔✔..A patient was admitted to the general medical ward with a history of
alcoholism. A code in progress, and he has recurrent episodes of the rhythm. You
review his chart. Notes about the 12-lead ECG say that his baseline QT interval is high
normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose
of aminodarone 300 mg IV so far. What would you order for his next medication?
Give normal Saline 250 mL to 500 ml fluid bolus - ✔✔ANSW✔✔..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:
IV or IO - ✔✔ANSW✔✔..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?
, Lidocaine, epinephrine, vasopressin - ✔✔ANSW✔✔..Your patient has been intubated.
IV/IO access is not available. Which combination of drugs can be administered by the
endotracheal route?
Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. -
✔✔ANSW✔✔..Which of the following statements about the use of magnesium in
cardiac arrest is most accurate?
Monomorphic Ventricular Tachycardia - ✔✔ANSW✔✔..Please identify the rhythm by
selecting the best single answer.
Normal Sinus Rhythm - ✔✔ANSW✔✔..Please identify the rhythm by selecting the best
single answer.
Perform immediate electrical cardioversion - ✔✔ANSW✔✔..A 57-year-old woman has
palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-
complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is
80/60 mm Hg. The next action is to:
Perform vagal maneuvers - ✔✔ANSW✔✔..A 35-year-old woman presents to the
emergency department with a chief complaint of palpations. She has no chest
discomfort, shortness of breath, or light-headedness. Which of the following is indicated
first?
Polymorphic Ventricular Tachycardia - ✔✔ANSW✔✔..Please identify the rhythm by
selecting the best single answer.
0.5 mg - ✔✔ANSW✔✔..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?
1 to 2 L of normal saline - ✔✔ANSW✔✔..A patient has been resuscitated from cardiac
arrest and is being prepared for transport. She is intubated and is receiving 100%
oxygen. Blood pressure is 80/60 mm Hg. During the resuscitation, she received 2 doses
of epinephrine 1 mg and 1 dose of aminodarone 300 mg IV. You now observe the
above rhythm on the cardiac monitor. The rhythm abnormality is becoming more
frequent and increasing in number. You should order:
150 mg IV push - ✔✔ANSW✔✔..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
answers
Give atropine 0.5 mg IV. - ✔✔ANSW✔✔..The patient suddenly becomes unconscious
and has a weak carotid pulse. Cardiac monitoring, supplementary oxygen, and an IV
have been initiated. The code cart with all the drugs and a transcutaneous pacer are
immediately available. Next you would?
Give epinephrine 1 mg IV. - ✔✔ANSW✔✔..You arrive on the scene to find CPR in
progress. Nursing staff report that the patient was recovering from a pulmonary
embolism and suddenly collapsed. There is no pulse or spontaneous respirations. High-
quality CPR and effective bag-mask ventilation are being provided. An IV has been
initiated. What would you do now?
Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. -
✔✔ANSW✔✔..A patient was admitted to the general medical ward with a history of
alcoholism. A code in progress, and he has recurrent episodes of the rhythm. You
review his chart. Notes about the 12-lead ECG say that his baseline QT interval is high
normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose
of aminodarone 300 mg IV so far. What would you order for his next medication?
Give normal Saline 250 mL to 500 ml fluid bolus - ✔✔ANSW✔✔..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:
IV or IO - ✔✔ANSW✔✔..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?
, Lidocaine, epinephrine, vasopressin - ✔✔ANSW✔✔..Your patient has been intubated.
IV/IO access is not available. Which combination of drugs can be administered by the
endotracheal route?
Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. -
✔✔ANSW✔✔..Which of the following statements about the use of magnesium in
cardiac arrest is most accurate?
Monomorphic Ventricular Tachycardia - ✔✔ANSW✔✔..Please identify the rhythm by
selecting the best single answer.
Normal Sinus Rhythm - ✔✔ANSW✔✔..Please identify the rhythm by selecting the best
single answer.
Perform immediate electrical cardioversion - ✔✔ANSW✔✔..A 57-year-old woman has
palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-
complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is
80/60 mm Hg. The next action is to:
Perform vagal maneuvers - ✔✔ANSW✔✔..A 35-year-old woman presents to the
emergency department with a chief complaint of palpations. She has no chest
discomfort, shortness of breath, or light-headedness. Which of the following is indicated
first?
Polymorphic Ventricular Tachycardia - ✔✔ANSW✔✔..Please identify the rhythm by
selecting the best single answer.
0.5 mg - ✔✔ANSW✔✔..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?
1 to 2 L of normal saline - ✔✔ANSW✔✔..A patient has been resuscitated from cardiac
arrest and is being prepared for transport. She is intubated and is receiving 100%
oxygen. Blood pressure is 80/60 mm Hg. During the resuscitation, she received 2 doses
of epinephrine 1 mg and 1 dose of aminodarone 300 mg IV. You now observe the
above rhythm on the cardiac monitor. The rhythm abnormality is becoming more
frequent and increasing in number. You should order:
150 mg IV push - ✔✔ANSW✔✔..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
