ACLS COURSE QUESTIONS AND
VERIFIED ANSWERS|100%
CORRECT|GRADE A+ 2024
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 pt is confused and her blood
pressure is 88/56 mm hg. which therapy is now indicated? - ANSWER Epinephrine 2-10 mcg/min
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication to nitrate
administration? - ANSWER Use of a phosphodiesterase inhibitor within the previous 24 hours
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 via NC @ 2L/min, and an IV has been established. His blood pressure is 180/100 mmHg.
Which drug do you anticipate giving to this patient? - ANSWER Aspirin
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One dose of epinephrine
was given after the second shock. An anti-arrhythmic drug was given immediately after the third shock.
You are the team leader. Which medication do you order next? - ANSWER Epinephrine 1 mg
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. Which action do you take next? - ANSWER Perform electrical cardioversion
In which situation does bradycardia require treatment? - ANSWER • Hypotension
• Acutely altered mental status
• Signs of shock
• Ischemic chest discomfort
• Acute heart failure
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, which action do you take next? - ANSWER Establish IV or IO access
, 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
Adenosine 6 mg
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. If no pathway
for medication administration is in place, which method is preferred? - ANSWER IV or IO
A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation
shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300 mg IV. The patient is intubated.
Which best describes the recommended second dose of amiodarone for this patient? - ANSWER 150 mg
IV push
A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. He meets initial
criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best describes the guidelines
for antiplatelet and fibrinolytic therapy? - ANSWER Hold aspirin for at least 24 hrs if rTPA is administered
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given.
Which drug should be given next? - ANSWER Amiodarone 300 mg
Which intervention is most appropriate for the treatment of a patient in asystole? - ANSWER
Epinephrine
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 Seeking expert consultation
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of
80/60 mm Hg. What is the initial dose of atropine? - ANSWER 1 mg
A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of
220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse
oximetry reading is 98%. There is vascular access in the left arm, and the patient has not been given any
vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or
VERIFIED ANSWERS|100%
CORRECT|GRADE A+ 2024
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 pt is confused and her blood
pressure is 88/56 mm hg. which therapy is now indicated? - ANSWER Epinephrine 2-10 mcg/min
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication to nitrate
administration? - ANSWER Use of a phosphodiesterase inhibitor within the previous 24 hours
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 via NC @ 2L/min, and an IV has been established. His blood pressure is 180/100 mmHg.
Which drug do you anticipate giving to this patient? - ANSWER Aspirin
A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One dose of epinephrine
was given after the second shock. An anti-arrhythmic drug was given immediately after the third shock.
You are the team leader. Which medication do you order next? - ANSWER Epinephrine 1 mg
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. Which action do you take next? - ANSWER Perform electrical cardioversion
In which situation does bradycardia require treatment? - ANSWER • Hypotension
• Acutely altered mental status
• Signs of shock
• Ischemic chest discomfort
• Acute heart failure
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, which action do you take next? - ANSWER Establish IV or IO access
, 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
Adenosine 6 mg
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. If no pathway
for medication administration is in place, which method is preferred? - ANSWER IV or IO
A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation
shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300 mg IV. The patient is intubated.
Which best describes the recommended second dose of amiodarone for this patient? - ANSWER 150 mg
IV push
A 62-year-old man suddenly experienced difficulty speaking and left-sided weakness. He meets initial
criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best describes the guidelines
for antiplatelet and fibrinolytic therapy? - ANSWER Hold aspirin for at least 24 hrs if rTPA is administered
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given.
Which drug should be given next? - ANSWER Amiodarone 300 mg
Which intervention is most appropriate for the treatment of a patient in asystole? - ANSWER
Epinephrine
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 Seeking expert consultation
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood pressure of
80/60 mm Hg. What is the initial dose of atropine? - ANSWER 1 mg
A monitored patient in the ICU developed a sudden onset of narrow-complex tachycardia at a rate of
220/min. The patient's blood pressure is 128/58 mm Hg, the PETCO2 is 38 mm Hg, and the pulse
oximetry reading is 98%. There is vascular access in the left arm, and the patient has not been given any
vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia or
