ACLS FINAL EXAM COMPLETE VERSION WITH
MORE THAN 150 QUESTIONS WITH 100%
VERIFIED ANSWERS 2025
In |which |situation |does |bradycardia |require |treatment? |- |ANSWER |Hypotension
Which |intervention |is |most |appropriate |for |the |treatment |of |a |patient |in |asystole? |-
|ANSWER |Epinephrine
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 |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
|38mm |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 |confirm |a
|supraventricular |tachycardia |with |no |evidence |of |ischemia |or |infarction. |The |heart |rate
|has |not |responded |to |vagal |maneuvers. |what |is |your |next |action? |- |ANSWER |Administer
|adenosine |6mg |IV |push
A |patient |has |sinus |bradycardia |with |a |heart |rate |of |36/min. |Atropine |has |been
|administered |to |a |toal |does |of |3 |mg. |A |transcutaneous |pacemaker |has |failed |to |capture.
|The |patient |is |confused, |and |her |blood |pressure |is |88/56 |mm |Hg. |Which |therapy |is |now
|indicated? |- |ANSWER |Epinephrine |2 |to |10 |mcg/min
A |patient |is |in |cardiac |arrest. |Ventricular |fibrillation |has |been |refractory |to |a |second |shock.
|Which |drug |should |be |administered |first? |- |ANSWER |Epinephrine |1 |mg |IV/IO
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 |si |ordered.
|Which |best |describes |the |guidelines |for |antiplatelet |and |fibrinolytic |therapy? |- |ANSWER
|Hold |aspirin |for |at |least |24 |hours |if |rtPA |is |administered
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 |describe |the |recommended |second |does
|of |amiodarone |for |this |patient? |- |ANSWER |150 |mg |IV |push
A |patient |with |sinus |bradycardia |and |a |heart |rate |of |42/min |has |diaphoresis |and |a |blood
,| pressure |of |80/60mm |Hg. |What |is |the |initial |does |of |atropine? |- |ANSWER |0.5mg
,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 |6mg
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
What |is |the |indication |for |the |use |of |magnesium |in |cardiac |arrest? |- |ANSWER |Pulseless
|ventricular |tachycardia-associated |torsades |de |pointes
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 |is |in |cardiac |arrest. |High-quality |chest |compressions |are |being |given. |The
|patient |is |intubated, |and |an |IV |has |been |started. |The |rhythm |is |asystole. |What |is |the |first
|drug/dose |to |administer? |- |ANSWER |Epinephrine |1mg |IV/IO
A |patient |is |in |refractory |ventricular |fibrillation. |High-quality |CPR |is |in |progress. |One |does
|of |epinephrine |was |given |after |the |second |shock. |An |antiarrhythmic |drug |was |given
|immediately |after |the |third |shock. |You |are |the |team |leader. |Which |medication |do |you
|order |next. |- |ANSWER |Epinephrine |1 |mg
A |patient |with |possible |STEMI |has |ongoing |chest |discomfort. |What |is |a |contraindication |to
|nitrate |administration? |- |ANSWER |Use |of |a |phosphodiestrase |inhibitor |within |the
|previous |24 |hours
A |57-year-old |woman |has |palpitation, |chest |discomfort, |and |tachycardia. |The |monitor
|shows |a |regular |wide-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
|cordioversion
A |patient |with |STEMI |has |ongoing |chest |discomfort. |Heparin |4000 |units |IV |bolus |and |a
|heparin |infusion |of |1000 |units |per |hour |are |being |administered. |The |patient |did |not |take
|aspirin |because |he |has |a |history |of |gastritis, |with |was |treated |5 |years |ago. |What |is |your
|next |action? |- |ANSWER |Give |aspirin |160-325 |mg |to |chew
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 |nasal |cannula |at |2L/min, |and |an | IV
, has |been |established. |His |blood |pressure |is |180/100mm |Hg. |Which |drug |do |you |anticipate
|giving |to |this |patient? |- |ANSWER |Aspirin
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 |300mg
What |is |the |maximum |interval |for |pausing |chest |compressions? |- |ANSWER |10 |seconds
Your |patient |is |a |56-year-old |woman |with |a |history |of |type |2 |diabetes |who |reports |feeling
|dizzy. |She |is |pale |and |diaphoretic. |Her |blood |pressure |is |80/66mm |Hg. |The |cardiac
|monitor |documents |the |rhythm |shown |here. |She |is |receiving |oxygen |at |4L/min |by |nasal
|cannula, |and |an |Iv |has |been |established. |What |do |you |administer |next? |- |ANSWER
|Atropine |0.5mg |IV
A |35-year-old |woman |presents |with |a |chief |complaint |of |palpitations. |She |has |no |chest
|discomfort, |shortness |of |breath, |or |light-headedness. |Her |blood |pressure |is |120/78mm
|Hg. |Which |intervention |is |indicated |first? |- |ANSWER |Vagal |maneuvers
Which |action |should |you |take |immediately |after |providing |an |AED |shock? |- |ANSWER
|Resume |chest |compressions
What |action |minimizes |the |risk |of |air |entering |the |victim's |stomach |during-bag |mask
|ventilation? |- |ANSWER |Ventilating |until |you |see |the |chest |rise
You |are |providing |bag-mask |ventilations |to |a |patient |in |respiratory |arrest. |How |often
|should |you |provide |ventilation? |- |ANSWER |About |every |5-6 |seconds
After |initiation |of |CPR |and |1 |shock |for |ventricular |fibrillation, |this |rhythm |is |present |on |the
|next |rhythm |check. |A |second |shock |is |given, |and |chest |compressions |are |resumed
|immediately. |An |IV |is |in |place, |and |no |drugs |have |been |given. |Bag-mask |ventilations |are
|producing |visible |chest |rise. |What |is |your |next |intervention? |- |ANSWER |Give
|epinephrine |1mg |IV/IO
A |patient's |12-lead |ECG |is |transmitted |by |the |paramedics |and |shows |a |STEMI. |When |the
|patient |arrives |in |the |emergency |department, |the |rhythm |shown |here |is |seen |on |the
|cardiac |monitor. |The |patient |has |resolution |of |moderate |(5/10) |chest |pain |after |3 |doses |of
|sublingual |nitroglycerin. |Blood |pressure |is |104/70mm |Hg. |Which |intervention |is |most
|important |in |reducing |this |patient's |in-hospital |and |30-day |mortality |rate? |- |ANSWER
|Repersfusion |therapy
A |patient |was |in |refractory |ventricular |fibrillation. |A |thrid |shock |has |just |been
|administered. |Your |team |looks |to |you |for |instructions. |W hat |is |your |next |action? |-
|ANSWER |Resume |high |quality |chest |compressions
MORE THAN 150 QUESTIONS WITH 100%
VERIFIED ANSWERS 2025
In |which |situation |does |bradycardia |require |treatment? |- |ANSWER |Hypotension
Which |intervention |is |most |appropriate |for |the |treatment |of |a |patient |in |asystole? |-
|ANSWER |Epinephrine
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 |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
|38mm |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 |confirm |a
|supraventricular |tachycardia |with |no |evidence |of |ischemia |or |infarction. |The |heart |rate
|has |not |responded |to |vagal |maneuvers. |what |is |your |next |action? |- |ANSWER |Administer
|adenosine |6mg |IV |push
A |patient |has |sinus |bradycardia |with |a |heart |rate |of |36/min. |Atropine |has |been
|administered |to |a |toal |does |of |3 |mg. |A |transcutaneous |pacemaker |has |failed |to |capture.
|The |patient |is |confused, |and |her |blood |pressure |is |88/56 |mm |Hg. |Which |therapy |is |now
|indicated? |- |ANSWER |Epinephrine |2 |to |10 |mcg/min
A |patient |is |in |cardiac |arrest. |Ventricular |fibrillation |has |been |refractory |to |a |second |shock.
|Which |drug |should |be |administered |first? |- |ANSWER |Epinephrine |1 |mg |IV/IO
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 |si |ordered.
|Which |best |describes |the |guidelines |for |antiplatelet |and |fibrinolytic |therapy? |- |ANSWER
|Hold |aspirin |for |at |least |24 |hours |if |rtPA |is |administered
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 |describe |the |recommended |second |does
|of |amiodarone |for |this |patient? |- |ANSWER |150 |mg |IV |push
A |patient |with |sinus |bradycardia |and |a |heart |rate |of |42/min |has |diaphoresis |and |a |blood
,| pressure |of |80/60mm |Hg. |What |is |the |initial |does |of |atropine? |- |ANSWER |0.5mg
,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 |6mg
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
What |is |the |indication |for |the |use |of |magnesium |in |cardiac |arrest? |- |ANSWER |Pulseless
|ventricular |tachycardia-associated |torsades |de |pointes
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 |is |in |cardiac |arrest. |High-quality |chest |compressions |are |being |given. |The
|patient |is |intubated, |and |an |IV |has |been |started. |The |rhythm |is |asystole. |What |is |the |first
|drug/dose |to |administer? |- |ANSWER |Epinephrine |1mg |IV/IO
A |patient |is |in |refractory |ventricular |fibrillation. |High-quality |CPR |is |in |progress. |One |does
|of |epinephrine |was |given |after |the |second |shock. |An |antiarrhythmic |drug |was |given
|immediately |after |the |third |shock. |You |are |the |team |leader. |Which |medication |do |you
|order |next. |- |ANSWER |Epinephrine |1 |mg
A |patient |with |possible |STEMI |has |ongoing |chest |discomfort. |What |is |a |contraindication |to
|nitrate |administration? |- |ANSWER |Use |of |a |phosphodiestrase |inhibitor |within |the
|previous |24 |hours
A |57-year-old |woman |has |palpitation, |chest |discomfort, |and |tachycardia. |The |monitor
|shows |a |regular |wide-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
|cordioversion
A |patient |with |STEMI |has |ongoing |chest |discomfort. |Heparin |4000 |units |IV |bolus |and |a
|heparin |infusion |of |1000 |units |per |hour |are |being |administered. |The |patient |did |not |take
|aspirin |because |he |has |a |history |of |gastritis, |with |was |treated |5 |years |ago. |What |is |your
|next |action? |- |ANSWER |Give |aspirin |160-325 |mg |to |chew
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 |nasal |cannula |at |2L/min, |and |an | IV
, has |been |established. |His |blood |pressure |is |180/100mm |Hg. |Which |drug |do |you |anticipate
|giving |to |this |patient? |- |ANSWER |Aspirin
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 |300mg
What |is |the |maximum |interval |for |pausing |chest |compressions? |- |ANSWER |10 |seconds
Your |patient |is |a |56-year-old |woman |with |a |history |of |type |2 |diabetes |who |reports |feeling
|dizzy. |She |is |pale |and |diaphoretic. |Her |blood |pressure |is |80/66mm |Hg. |The |cardiac
|monitor |documents |the |rhythm |shown |here. |She |is |receiving |oxygen |at |4L/min |by |nasal
|cannula, |and |an |Iv |has |been |established. |What |do |you |administer |next? |- |ANSWER
|Atropine |0.5mg |IV
A |35-year-old |woman |presents |with |a |chief |complaint |of |palpitations. |She |has |no |chest
|discomfort, |shortness |of |breath, |or |light-headedness. |Her |blood |pressure |is |120/78mm
|Hg. |Which |intervention |is |indicated |first? |- |ANSWER |Vagal |maneuvers
Which |action |should |you |take |immediately |after |providing |an |AED |shock? |- |ANSWER
|Resume |chest |compressions
What |action |minimizes |the |risk |of |air |entering |the |victim's |stomach |during-bag |mask
|ventilation? |- |ANSWER |Ventilating |until |you |see |the |chest |rise
You |are |providing |bag-mask |ventilations |to |a |patient |in |respiratory |arrest. |How |often
|should |you |provide |ventilation? |- |ANSWER |About |every |5-6 |seconds
After |initiation |of |CPR |and |1 |shock |for |ventricular |fibrillation, |this |rhythm |is |present |on |the
|next |rhythm |check. |A |second |shock |is |given, |and |chest |compressions |are |resumed
|immediately. |An |IV |is |in |place, |and |no |drugs |have |been |given. |Bag-mask |ventilations |are
|producing |visible |chest |rise. |What |is |your |next |intervention? |- |ANSWER |Give
|epinephrine |1mg |IV/IO
A |patient's |12-lead |ECG |is |transmitted |by |the |paramedics |and |shows |a |STEMI. |When |the
|patient |arrives |in |the |emergency |department, |the |rhythm |shown |here |is |seen |on |the
|cardiac |monitor. |The |patient |has |resolution |of |moderate |(5/10) |chest |pain |after |3 |doses |of
|sublingual |nitroglycerin. |Blood |pressure |is |104/70mm |Hg. |Which |intervention |is |most
|important |in |reducing |this |patient's |in-hospital |and |30-day |mortality |rate? |- |ANSWER
|Repersfusion |therapy
A |patient |was |in |refractory |ventricular |fibrillation. |A |thrid |shock |has |just |been
|administered. |Your |team |looks |to |you |for |instructions. |W hat |is |your |next |action? |-
|ANSWER |Resume |high |quality |chest |compressions
