ACLS SCENARIOS QUESTIONS AND
ANSWERS 2025
In,your,code,testing,,what,must,you,remember,to,verbalize,after,arriving,at,the,scene,but,prior,t
o,approaching,the,patient?,-
,ANSWER,must,verbalize,using,"universal,precautions",,aka,gloves,,etc
In,your,code,testing,,you,should,start,every,protocol,by,verbalizing,what,THREE,commands?,-
,ANSWER,that,you,want:
1.,Oxygen,placed,on,the,patient
2.,Monitors,placed
3.,An,IV,placed
What,are,the,TEN,possible,ACLS,Scenarios,that,we,need,to,prepare,for?,-
,ANSWER,1.,Respiratory,Arrest
2.,Bradycardia
-Sinus,Bradycardia,,escape,ventricular,rhythm,,2nd,&,3rd,AV,blocks
3.,Supraventricular,tachycardia
-"Regular",rhythms
-SVT,,sinus,tachycardia,,junctional,tachycardia,,atrial,flutter
-Irregular,rhythms
-Afib,,atrial,flutter
4.,Monomorphic,Vtach
4a.,With,pulse
4b.,Without,pulse
5.,Vfib
-Same,algorithm,as,for,pulseless,Vtach
6.,Polymorphic,Vtach
-(Torsades,de,Pointes)
,7.,Asystole,&,PEA
8.,Acute,Coronary,Syndrome,(ACS)
9.,Acute,Stroke
10.,ROSC
What,are,the,FOUR,steps,in,the,ACLS,Breathing,Protocol,,for,a,patient,in,Respiratory,Arrest?,-
,ANSWER,1.,R,(Check,Responsiveness)
-Patient,is,unresponsive
2.,A,(Activate,EMS)/call,for,help
3.,C,(Circulation;,check,pulse,and,breathing)
-No,more,than,5-10,seconds;,recheck,every,2,minutes
4a.,If,there,is,no,pulse,,or,you,are,unsure,of,whether,or,not,there,is,a,pulse,,begin,compressions
4b.,If,there,is,no,breathing,but,there,is,a,pulse,(or,you,are,unsure,of,whether,or,not,there,is,a,pul
se),,give,2,rescue,breaths
-Each,breath,over,1,second
What,are,the,FIVE,steps,in,the,Respiratory,Arrest,Protocol?,-
,ANSWER,1.,R,(check,Responsiveness)
-Patient,is,not,responding
2.,A,(Activate,EMS/call,for,help)
3.,C,(Circulation;,check,pulse,and,breathing)
Patient,has,pulse,,but,is,not,breathing
4.,Give,2,rescue,breaths,before,starting,CPR,,and,continue,giving,10-
12,rescue,breaths,per,minute
(1,breath,every,5-6,seconds)
5.,Re-check,pulse,every,2,minutes
What,is,the,Narcan,Protocol,for,suspected,opioid,intoxication?,What,is,the,ACLS,IM,and,Intranas
al,dose,for,Narcan?,How,often,can,you,repeated,administration?,-
,,ANSWER,1.,"In,situations,where,the,patient,has,a,pulse,but,is,not,breathing,normally,or,is,only,g
asping,,the,AHA,considers,the,intramuscular,or,intranasal,administration,of,naloxone,to,be,reaso
nable,when,the,EMS,provider,suspects,opioid,intoxication.,If,the,suspected,opioid,overdose,pati
ent,is,in,cardiac,arrest,,EMS,providers,can,also,administer,the,medication,after,initiating,CPR."
2.,
2a.,IM,dose,=,0.4mg,
2b.,Intranasal,dose,=,2mg
3.,Can,repeat,the,doses,after,4,minutes
What,are,the,FIVE,rhythms,that,fall,under,the,Bradycardia,Algorithm?,-
,ANSWER,1.,Sinus,bradycardia
2.,Mobitz,Type,I,&,II,block
3.,Complete,(3rd,degree),heart,block
4.,Afib,with,slow,ventricular,response
5.,Ventricular,or,junctional,escape,rhythm
When,dealing,with,a,Respiratory,Arrest,Scenario,,what,are,the,FOUR(ish),steps,for,the,Breathing,
Protocol?,-,ANSWER,1.,R,(Check,Responsiveness)
-Patient,is,unresponsive
2.,A,(Activate,EMS)/call,for,help
3.,C,(Circulation;,check,pulse,and,breathing)
-No,more,than,5-10,seconds;,recheck,every,2,minutes
4a.,If,there,is,no,pulse,,or,you,are,unsure,of,whether,or,not,there,is,a,pulse,,begin,compressions
4b.,If,there,is,no,breathing,but,there,is,a,pulse,(or,you,are,unsure,of,whether,or,not,there,is,a,pul
se),,give,2,rescue,breaths
-Each,breath,over,1,second
****Review,the,Notes,i,made,in,the,powerpoint,because,there,are,a,few,scenarios/possible,test
/quiz,questions,I,wrote,down,that,he,talked,about,in,class****,-,ANSWER,
, What,are,the,THREE,Bradycardia,Therapies,(general,,not,specific)?,-,ANSWER,1.,Drugs
2.,Transcutaneous,Pacing
3.,Transvenous,Pacing
What,THREE,ACLS,drugs,can,be,used,to,treat,Bradycardia?,-,ANSWER,1.,Epinephrine
2.,Atropine
3.,Dopamine
What,is,the,Preferred,method,of,pacing,in,Emergent,Unstable,Bradycardia?,Explain,why,,and,the
,pro's,and,con's,of,this,technique?,-,ANSWER,1.,Transcutaneous,pacing,is,the,preferred,method
2.,It,is,the,easiest,and,quickest,form,of,pacing,to,initiate
3.,This,doesn't,produce,as,effective,capture,as,transvenous,pacing,,but,it,can,be,initiated,within,s
econds,by,any,ACLS,provider
What,pacing,method,would,you,utilize,in,a,patient,with,Stable,Bradycardia?,Why?,-
,ANSWER,1.,Transvenous,pacing,is,preferred,in,Stable,Bradycardia,patients
2.,This,technique,is,used,only,for,stable,bradycardia,because,it,takes,longer,to,initiate,,and,requir
es,expert,placement,with,fluoroscopy,,but,it,produces,more,effective,capture
3.,So,basically,this,is,impractical,for,an,emergency,(it's,only,an,option,for,stable,bradycardia)
What,pacing,method,would,you,utilize,in,a,patient,with,Unstable,Bradycardia?,Why?,-
,ANSWER,1.,Transcutaneous,pacing,is,the,preferred,method
2.,It,is,the,easiest,and,quickest,form,of,pacing,to,initiate
What,are,the,FIVE,steps,to,performing,Transcutaneous,Pacing?,-
,ANSWER,1.,Place,the,pad,on,the,patient,,preferably,in,a,posterior,,left,anterior,fashion
2.,Turn,the,knob,to,"Pacer"
3.,Select,the,HR,you,want,to,pace,with
ANSWERS 2025
In,your,code,testing,,what,must,you,remember,to,verbalize,after,arriving,at,the,scene,but,prior,t
o,approaching,the,patient?,-
,ANSWER,must,verbalize,using,"universal,precautions",,aka,gloves,,etc
In,your,code,testing,,you,should,start,every,protocol,by,verbalizing,what,THREE,commands?,-
,ANSWER,that,you,want:
1.,Oxygen,placed,on,the,patient
2.,Monitors,placed
3.,An,IV,placed
What,are,the,TEN,possible,ACLS,Scenarios,that,we,need,to,prepare,for?,-
,ANSWER,1.,Respiratory,Arrest
2.,Bradycardia
-Sinus,Bradycardia,,escape,ventricular,rhythm,,2nd,&,3rd,AV,blocks
3.,Supraventricular,tachycardia
-"Regular",rhythms
-SVT,,sinus,tachycardia,,junctional,tachycardia,,atrial,flutter
-Irregular,rhythms
-Afib,,atrial,flutter
4.,Monomorphic,Vtach
4a.,With,pulse
4b.,Without,pulse
5.,Vfib
-Same,algorithm,as,for,pulseless,Vtach
6.,Polymorphic,Vtach
-(Torsades,de,Pointes)
,7.,Asystole,&,PEA
8.,Acute,Coronary,Syndrome,(ACS)
9.,Acute,Stroke
10.,ROSC
What,are,the,FOUR,steps,in,the,ACLS,Breathing,Protocol,,for,a,patient,in,Respiratory,Arrest?,-
,ANSWER,1.,R,(Check,Responsiveness)
-Patient,is,unresponsive
2.,A,(Activate,EMS)/call,for,help
3.,C,(Circulation;,check,pulse,and,breathing)
-No,more,than,5-10,seconds;,recheck,every,2,minutes
4a.,If,there,is,no,pulse,,or,you,are,unsure,of,whether,or,not,there,is,a,pulse,,begin,compressions
4b.,If,there,is,no,breathing,but,there,is,a,pulse,(or,you,are,unsure,of,whether,or,not,there,is,a,pul
se),,give,2,rescue,breaths
-Each,breath,over,1,second
What,are,the,FIVE,steps,in,the,Respiratory,Arrest,Protocol?,-
,ANSWER,1.,R,(check,Responsiveness)
-Patient,is,not,responding
2.,A,(Activate,EMS/call,for,help)
3.,C,(Circulation;,check,pulse,and,breathing)
Patient,has,pulse,,but,is,not,breathing
4.,Give,2,rescue,breaths,before,starting,CPR,,and,continue,giving,10-
12,rescue,breaths,per,minute
(1,breath,every,5-6,seconds)
5.,Re-check,pulse,every,2,minutes
What,is,the,Narcan,Protocol,for,suspected,opioid,intoxication?,What,is,the,ACLS,IM,and,Intranas
al,dose,for,Narcan?,How,often,can,you,repeated,administration?,-
,,ANSWER,1.,"In,situations,where,the,patient,has,a,pulse,but,is,not,breathing,normally,or,is,only,g
asping,,the,AHA,considers,the,intramuscular,or,intranasal,administration,of,naloxone,to,be,reaso
nable,when,the,EMS,provider,suspects,opioid,intoxication.,If,the,suspected,opioid,overdose,pati
ent,is,in,cardiac,arrest,,EMS,providers,can,also,administer,the,medication,after,initiating,CPR."
2.,
2a.,IM,dose,=,0.4mg,
2b.,Intranasal,dose,=,2mg
3.,Can,repeat,the,doses,after,4,minutes
What,are,the,FIVE,rhythms,that,fall,under,the,Bradycardia,Algorithm?,-
,ANSWER,1.,Sinus,bradycardia
2.,Mobitz,Type,I,&,II,block
3.,Complete,(3rd,degree),heart,block
4.,Afib,with,slow,ventricular,response
5.,Ventricular,or,junctional,escape,rhythm
When,dealing,with,a,Respiratory,Arrest,Scenario,,what,are,the,FOUR(ish),steps,for,the,Breathing,
Protocol?,-,ANSWER,1.,R,(Check,Responsiveness)
-Patient,is,unresponsive
2.,A,(Activate,EMS)/call,for,help
3.,C,(Circulation;,check,pulse,and,breathing)
-No,more,than,5-10,seconds;,recheck,every,2,minutes
4a.,If,there,is,no,pulse,,or,you,are,unsure,of,whether,or,not,there,is,a,pulse,,begin,compressions
4b.,If,there,is,no,breathing,but,there,is,a,pulse,(or,you,are,unsure,of,whether,or,not,there,is,a,pul
se),,give,2,rescue,breaths
-Each,breath,over,1,second
****Review,the,Notes,i,made,in,the,powerpoint,because,there,are,a,few,scenarios/possible,test
/quiz,questions,I,wrote,down,that,he,talked,about,in,class****,-,ANSWER,
, What,are,the,THREE,Bradycardia,Therapies,(general,,not,specific)?,-,ANSWER,1.,Drugs
2.,Transcutaneous,Pacing
3.,Transvenous,Pacing
What,THREE,ACLS,drugs,can,be,used,to,treat,Bradycardia?,-,ANSWER,1.,Epinephrine
2.,Atropine
3.,Dopamine
What,is,the,Preferred,method,of,pacing,in,Emergent,Unstable,Bradycardia?,Explain,why,,and,the
,pro's,and,con's,of,this,technique?,-,ANSWER,1.,Transcutaneous,pacing,is,the,preferred,method
2.,It,is,the,easiest,and,quickest,form,of,pacing,to,initiate
3.,This,doesn't,produce,as,effective,capture,as,transvenous,pacing,,but,it,can,be,initiated,within,s
econds,by,any,ACLS,provider
What,pacing,method,would,you,utilize,in,a,patient,with,Stable,Bradycardia?,Why?,-
,ANSWER,1.,Transvenous,pacing,is,preferred,in,Stable,Bradycardia,patients
2.,This,technique,is,used,only,for,stable,bradycardia,because,it,takes,longer,to,initiate,,and,requir
es,expert,placement,with,fluoroscopy,,but,it,produces,more,effective,capture
3.,So,basically,this,is,impractical,for,an,emergency,(it's,only,an,option,for,stable,bradycardia)
What,pacing,method,would,you,utilize,in,a,patient,with,Unstable,Bradycardia?,Why?,-
,ANSWER,1.,Transcutaneous,pacing,is,the,preferred,method
2.,It,is,the,easiest,and,quickest,form,of,pacing,to,initiate
What,are,the,FIVE,steps,to,performing,Transcutaneous,Pacing?,-
,ANSWER,1.,Place,the,pad,on,the,patient,,preferably,in,a,posterior,,left,anterior,fashion
2.,Turn,the,knob,to,"Pacer"
3.,Select,the,HR,you,want,to,pace,with
