ACLS Pretest (Latest Updated Version 2025/2026-
Created by Experienced Nursing Tutor | Updated &
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2. Adenosine 6 mg - -<<answer>>--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.
What drug should be administered IV?
1. Lidocaine 1mg/kg
2. Adenosine 6 mg
3. Epinephrine 2 to 10 mcg/kg per minute
4. Atropine 0.5 mg
4. Dose of 0.5mg - -<<answer>>--A patient with sinus bradycardia and
heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm
Hg. What is the initial dose of atropine?
1. Dose of 0.1mg
2. Dose of 3 mg
3. Dose of 1 mg
4. Dose of 0.5mg
,5. 150 mg IV push. - -<<answer>>--A patient is in refractory ventricular
fibrillation and has received multiple appropriate defibrillation shocks,
epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV.
The patient is intubated. A second dose of amiodarone is now called for.
The recommended second dose of amiodarone is:
1. An endotracheal dose of 2 to 4 mg/kg.
2. 300 mg IV push.
3. 1 mg/kg IV push.
4. An infusion of 1 to 2 mg/min.
5. 150 mg IV push.
1. Give normal saline 250 mL to 500 mL fluid bolus. - -<<answer>>--A
patient with a possible acute coronary syndrome has ongoing chest
discomfort unresponsive to 3 sublingual nitroglycerin tablets. There are
no contraindications, and 4 mg of morphine sulfate was administered.
Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient
has increased chest discomfort. You should:
1. Give normal saline 250 mL to 500 mL fluid bolus.
2. Give an additional 2 mg of morphine sulfate.
3. Give sublingual nitroglycerin 0.4 mg.
4. Start dopamine at 2 mcg/kg per minute and titrate to a systolic blood
pressure reading of 100 mm Hg.
, 2. Seeking expert consultation. - -<<answer>>--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. Which of the following actions is recommended?
1. Giving adenosine 6 mg IV bolus.
2. Seeking expert consultation.
3. Giving lidocaine 1 to 1.5 mg IV bolus.
4. Immediate synchronized cardioversion.
1. Gain IV or IO access. - -<<answer>>--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, your next action is to:
1. Gain IV or IO access.
2. Place an esophageal-tracheal tube or laryngeal mask airway.
3. Attempt endotracheal intubation with minimal interruptions in CPR.
4. Call for a pulse check.
1. Amiodarone 300 mg - -<<answer>>--A patient is in pulseless ventricular
tachycardia. Two shocks and 1 dose of epinephrine have been given.
Which is the next drug/dose to anticipate to administer?
1. Amiodarone 300 mg
2. Amiodarone 150 mg
Created by Experienced Nursing Tutor | Updated &
Trusted Resource) All Answers Correct
2. Adenosine 6 mg - -<<answer>>--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.
What drug should be administered IV?
1. Lidocaine 1mg/kg
2. Adenosine 6 mg
3. Epinephrine 2 to 10 mcg/kg per minute
4. Atropine 0.5 mg
4. Dose of 0.5mg - -<<answer>>--A patient with sinus bradycardia and
heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm
Hg. What is the initial dose of atropine?
1. Dose of 0.1mg
2. Dose of 3 mg
3. Dose of 1 mg
4. Dose of 0.5mg
,5. 150 mg IV push. - -<<answer>>--A patient is in refractory ventricular
fibrillation and has received multiple appropriate defibrillation shocks,
epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV.
The patient is intubated. A second dose of amiodarone is now called for.
The recommended second dose of amiodarone is:
1. An endotracheal dose of 2 to 4 mg/kg.
2. 300 mg IV push.
3. 1 mg/kg IV push.
4. An infusion of 1 to 2 mg/min.
5. 150 mg IV push.
1. Give normal saline 250 mL to 500 mL fluid bolus. - -<<answer>>--A
patient with a possible acute coronary syndrome has ongoing chest
discomfort unresponsive to 3 sublingual nitroglycerin tablets. There are
no contraindications, and 4 mg of morphine sulfate was administered.
Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient
has increased chest discomfort. You should:
1. Give normal saline 250 mL to 500 mL fluid bolus.
2. Give an additional 2 mg of morphine sulfate.
3. Give sublingual nitroglycerin 0.4 mg.
4. Start dopamine at 2 mcg/kg per minute and titrate to a systolic blood
pressure reading of 100 mm Hg.
, 2. Seeking expert consultation. - -<<answer>>--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. Which of the following actions is recommended?
1. Giving adenosine 6 mg IV bolus.
2. Seeking expert consultation.
3. Giving lidocaine 1 to 1.5 mg IV bolus.
4. Immediate synchronized cardioversion.
1. Gain IV or IO access. - -<<answer>>--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, your next action is to:
1. Gain IV or IO access.
2. Place an esophageal-tracheal tube or laryngeal mask airway.
3. Attempt endotracheal intubation with minimal interruptions in CPR.
4. Call for a pulse check.
1. Amiodarone 300 mg - -<<answer>>--A patient is in pulseless ventricular
tachycardia. Two shocks and 1 dose of epinephrine have been given.
Which is the next drug/dose to anticipate to administer?
1. Amiodarone 300 mg
2. Amiodarone 150 mg