ACLS & AHA EXAM QUESTIONS WITH 100% ACCURATE
SOLUTIONS
1) A 35 y/o female is unresponsive after having ROSC. BP is 96/50, HR 66 bpm,
respirations assisted, BGL 40 mg/dL. What should you do?
A) obtain a 12-lead ECG
B) administer 25 g of dextrose
C) administer 5 mcg/kg of dopamine
D) suction the ET tube -- Correct Answer ✔✔ B) administer 25 g of
dextrose
2) A 9 month old, 8 kg male remains in V-fib after 5 mins of ACLS care. You are
preparing to initiate a second defibrillation. What should you change your cardiac
monitor to?
A) 32 J
B) 38 J
C) 24 J
D) 16 J -- Correct Answer ✔✔ A) 32 J
The recommended joules for a second defibrillation is 32 J. For each kg, the
joules increase by 4.
3) While transporting a 44 y/o female, her HR suddenly rises to 200 bpm. She is talking
in full sentences and denies chest pain. What should you do?
A) administer adenosine
, B) attempt vagal maneuvers
C) perform synchronized cardioversion
D) prepare to sedate the patient -- Correct Answer ✔✔ B) attempt vagal
maneuvers
4) A 74 y/o female complains of a headache and blurred vision. She is non-compliant
with her BP and cardiac meds. BP is 220/114, HR 92 bpm and irregular, RR 18/min.
What should you suspect?
A) hemorrhagic stroke
B) cor pulmonale
C) diabetes
D) right-sided heart failure -- Correct Answer ✔✔ A) hemorrhagic stroke
5) A 56 y/o male had a syncopal episode. He is hypotensive and responsive to verbal
stimulus only. The ECG shows a third-degree heart block with a rate of 32 bpm.
What should you do?
A) administer atropine 0.5 mg
B) provide a fluid bolus
C) administer epinephrine 5 mcg/min
D) initiate TCP -- Correct Answer ✔✔ D) initiate TCP
6) A 76 y/o male is in cardiac arrest. EMRs have been performing high-quality CPR for 6
mins. The ECG monitor shows monomorphic VT. What should you do?
A) perform ET intubation
B) administer a round of epinephrine
C) administer amiodarone 300 mg
D) deliver an unsynchronized shock at 200 J -- Correct Answer ✔✔ D)
deliver an unsynchronized shock at 200 J
7) An 82 y/o male is in V-fib. What should you administer?
A) amiodarone 300 mg
SOLUTIONS
1) A 35 y/o female is unresponsive after having ROSC. BP is 96/50, HR 66 bpm,
respirations assisted, BGL 40 mg/dL. What should you do?
A) obtain a 12-lead ECG
B) administer 25 g of dextrose
C) administer 5 mcg/kg of dopamine
D) suction the ET tube -- Correct Answer ✔✔ B) administer 25 g of
dextrose
2) A 9 month old, 8 kg male remains in V-fib after 5 mins of ACLS care. You are
preparing to initiate a second defibrillation. What should you change your cardiac
monitor to?
A) 32 J
B) 38 J
C) 24 J
D) 16 J -- Correct Answer ✔✔ A) 32 J
The recommended joules for a second defibrillation is 32 J. For each kg, the
joules increase by 4.
3) While transporting a 44 y/o female, her HR suddenly rises to 200 bpm. She is talking
in full sentences and denies chest pain. What should you do?
A) administer adenosine
, B) attempt vagal maneuvers
C) perform synchronized cardioversion
D) prepare to sedate the patient -- Correct Answer ✔✔ B) attempt vagal
maneuvers
4) A 74 y/o female complains of a headache and blurred vision. She is non-compliant
with her BP and cardiac meds. BP is 220/114, HR 92 bpm and irregular, RR 18/min.
What should you suspect?
A) hemorrhagic stroke
B) cor pulmonale
C) diabetes
D) right-sided heart failure -- Correct Answer ✔✔ A) hemorrhagic stroke
5) A 56 y/o male had a syncopal episode. He is hypotensive and responsive to verbal
stimulus only. The ECG shows a third-degree heart block with a rate of 32 bpm.
What should you do?
A) administer atropine 0.5 mg
B) provide a fluid bolus
C) administer epinephrine 5 mcg/min
D) initiate TCP -- Correct Answer ✔✔ D) initiate TCP
6) A 76 y/o male is in cardiac arrest. EMRs have been performing high-quality CPR for 6
mins. The ECG monitor shows monomorphic VT. What should you do?
A) perform ET intubation
B) administer a round of epinephrine
C) administer amiodarone 300 mg
D) deliver an unsynchronized shock at 200 J -- Correct Answer ✔✔ D)
deliver an unsynchronized shock at 200 J
7) An 82 y/o male is in V-fib. What should you administer?
A) amiodarone 300 mg
