ACLS pretest QUESTIONS AND ANSWERS 100% ACCURATE.
3˚ AV block
p and qrs completely separate - Identify the rhythm.
Pulseless electrical activity (PEA) - Identify the rhythm.
Coarse ventricular fibrillation - Identify the rhythm.
Reentry supraventricualr tachycardia (SVT) - Identify the rhythm.
Sinus bradycardia - Identify the rhythm.
Polymorphic ventricular tachycardia - Identify the rhythm.
3˚ AV block - Identify the rhythm.
Reentry Supraventricular tachycardia (SVT) - Identify the rhythm.
2˚ AV block (Mobitz type II)
no p-r prolonged, random drops - Identify the rhythm.
Sinus bradycardia - Identify the rhythm.
Atrial flutter - Identify the rhythm.
Reentry supraventricular tachycardia (SVT) - Identify the rhythm.
2˚ AV block
(Mobitz type I Wenckebach) - Identify the rhythm.
Normal sinus rhythm - Identify the rhythm.
Sinus tachycardia - Identify the rhythm.
Atrial fibrillation
irreg, irreg - Identify the rhythm.
Sinus tachycardia - Identify the rhythm.
Fine ventricular fibrillation - Identify the rhythm.
, 2˚ AV block
(Mobitz type I Wenchkebach) - Identify the rhythm.
Agonal rhythm/asystole - Identify the rhythm.
Coarse ventricular fibrillation - Identify the rhythm.
Monomorphic Ventricular tachycardia - Identify the rhythm.
2. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. - Which of
the following statements about the use of magnesium in cardiac arrest is most accurate?
1. Magnesium is indicated for shock-refractory monomorphic VT.
2. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes.
3. Magnesium is contraindicated for VT associated with a normal QT interval.
4. Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine.
1. Give aspirin 160 to 325 mg chewed immediately. - A patient with ST-segment elevation MI
has ongoing chest discomfort. Fibrinolytic therapy has been ordered. Heparin 4000 units IV
bolus was administered, and a heparin infusion of 1000 units per hour is being administered.
Aspirin was not taken by the patient because he had a history of gastritis treated 5 years ago.
Your next action is to:
1. Give aspirin 160 to 325 mg chewed immediately.
2. Give 75 mg enteric-coated aspirin orally.
3.Give 325 mg enteric-coated aspirin rectally.
4. Substitute clopidogrel 300 mg loading dose.
4. Start epinephrine 2 to 10 mcg/min. - A patient has sinus bradycardia with a heart rate of
36/min. Atropine has been administered to a total of 3 mg. A transcutaneous pacemaker has
failed to capture. The patient is confused, and her blood pressure is 110/60 mm Hg. Which of the
following is now indicated?
1. Give additional 1 mg atropine.
2. Start dopamine 10 to 20 mcg/kg per minute.
3. Give normal saline bolus 250 mL to 500 mL.
4. Start epinephrine 2 to 10 mcg/min.
1. Do not give aspirin for at least 24 hours if rtPA is administered. - A 62-year-old man suddenly
experienced difficulty speaking and left-side weakness. He was brought to the emergency
department. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is
ordered. What are the guidelines for antiplatelet and fibrinolytic therapy?
1. Do not give aspirin for at least 24 hours if rtPA is administered.
2. Give aspirin 160 mg and clopidogrel 75 mg orally.
3. Administer heparin if CT scan is negative for hemorrhage.
4. Administer aspirin 160 to 325 mg chewed immediately.
3˚ AV block
p and qrs completely separate - Identify the rhythm.
Pulseless electrical activity (PEA) - Identify the rhythm.
Coarse ventricular fibrillation - Identify the rhythm.
Reentry supraventricualr tachycardia (SVT) - Identify the rhythm.
Sinus bradycardia - Identify the rhythm.
Polymorphic ventricular tachycardia - Identify the rhythm.
3˚ AV block - Identify the rhythm.
Reentry Supraventricular tachycardia (SVT) - Identify the rhythm.
2˚ AV block (Mobitz type II)
no p-r prolonged, random drops - Identify the rhythm.
Sinus bradycardia - Identify the rhythm.
Atrial flutter - Identify the rhythm.
Reentry supraventricular tachycardia (SVT) - Identify the rhythm.
2˚ AV block
(Mobitz type I Wenckebach) - Identify the rhythm.
Normal sinus rhythm - Identify the rhythm.
Sinus tachycardia - Identify the rhythm.
Atrial fibrillation
irreg, irreg - Identify the rhythm.
Sinus tachycardia - Identify the rhythm.
Fine ventricular fibrillation - Identify the rhythm.
, 2˚ AV block
(Mobitz type I Wenchkebach) - Identify the rhythm.
Agonal rhythm/asystole - Identify the rhythm.
Coarse ventricular fibrillation - Identify the rhythm.
Monomorphic Ventricular tachycardia - Identify the rhythm.
2. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. - Which of
the following statements about the use of magnesium in cardiac arrest is most accurate?
1. Magnesium is indicated for shock-refractory monomorphic VT.
2. Magnesium is indicated for VF/pulseless VT associated with torsades de pointes.
3. Magnesium is contraindicated for VT associated with a normal QT interval.
4. Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine.
1. Give aspirin 160 to 325 mg chewed immediately. - A patient with ST-segment elevation MI
has ongoing chest discomfort. Fibrinolytic therapy has been ordered. Heparin 4000 units IV
bolus was administered, and a heparin infusion of 1000 units per hour is being administered.
Aspirin was not taken by the patient because he had a history of gastritis treated 5 years ago.
Your next action is to:
1. Give aspirin 160 to 325 mg chewed immediately.
2. Give 75 mg enteric-coated aspirin orally.
3.Give 325 mg enteric-coated aspirin rectally.
4. Substitute clopidogrel 300 mg loading dose.
4. Start epinephrine 2 to 10 mcg/min. - A patient has sinus bradycardia with a heart rate of
36/min. Atropine has been administered to a total of 3 mg. A transcutaneous pacemaker has
failed to capture. The patient is confused, and her blood pressure is 110/60 mm Hg. Which of the
following is now indicated?
1. Give additional 1 mg atropine.
2. Start dopamine 10 to 20 mcg/kg per minute.
3. Give normal saline bolus 250 mL to 500 mL.
4. Start epinephrine 2 to 10 mcg/min.
1. Do not give aspirin for at least 24 hours if rtPA is administered. - A 62-year-old man suddenly
experienced difficulty speaking and left-side weakness. He was brought to the emergency
department. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is
ordered. What are the guidelines for antiplatelet and fibrinolytic therapy?
1. Do not give aspirin for at least 24 hours if rtPA is administered.
2. Give aspirin 160 mg and clopidogrel 75 mg orally.
3. Administer heparin if CT scan is negative for hemorrhage.
4. Administer aspirin 160 to 325 mg chewed immediately.
