ACLS PreTest questions with verified answers
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? Ans✓✓✓ Adenosine 6mg
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? Ans✓✓✓ Vagal maneuvers
A 45-year-old woman with a history of palpitations develops light-headedness
and palpitations. She has received adensoine 6mg IV for the rhythm shown here,
without conversion of the rhythm. She is now extremely apprehensive. Her blood
pressure si 128/70mm Hg. What is the next appropriate intervention? Ans✓✓✓
Administer adenosine 12 mg IV
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?
Ans✓✓✓ Perform electrical cordioversion
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? Ans✓✓✓ Hold aspirin for at least 24 hours if rtPA is
administered
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? Ans✓✓✓ Administer adenosine 6mg IV push
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 is in pace. Which
action do you take next? Ans✓✓✓ Start high-quality CPR
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? Ans✓✓✓ Seeking expert
consultation
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? Ans✓✓✓ Give an immediate unsynchronized high-energy shock
(defibrillation dose)
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? Ans✓✓✓ Epinephrine 2 to 10 mcg/min
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? Ans✓✓✓ Epinephrine 1mg IV/IO
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? Ans✓✓✓ Adenosine 6mg
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? Ans✓✓✓ Vagal maneuvers
A 45-year-old woman with a history of palpitations develops light-headedness
and palpitations. She has received adensoine 6mg IV for the rhythm shown here,
without conversion of the rhythm. She is now extremely apprehensive. Her blood
pressure si 128/70mm Hg. What is the next appropriate intervention? Ans✓✓✓
Administer adenosine 12 mg IV
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?
Ans✓✓✓ Perform electrical cordioversion
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? Ans✓✓✓ Hold aspirin for at least 24 hours if rtPA is
administered
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? Ans✓✓✓ Administer adenosine 6mg IV push
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 is in pace. Which
action do you take next? Ans✓✓✓ Start high-quality CPR
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? Ans✓✓✓ Seeking expert
consultation
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? Ans✓✓✓ Give an immediate unsynchronized high-energy shock
(defibrillation dose)
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? Ans✓✓✓ Epinephrine 2 to 10 mcg/min
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? Ans✓✓✓ Epinephrine 1mg IV/IO
