ACLS pretest
Study online at https://quizlet.com/_1cxpzq
1. 3ÚAV block
p and qrs completely separate: Identify the rhythm.
2. Pulseless electrical activity (PEA): Identify the rhythm.
3. Coarse ventricular fibrillation: Identify the rhythm.
4. Reentry supraventricualr tachycardia (SVT): Identify the rhythm.
5. Sinus bradycardia: Identify the rhythm.
6. Polymorphic ventricular tachycardia: Identify the rhythm.
7. 3ÚAV block: Identify the rhythm.
8. Reentry Supraventricular tachycardia (SVT): Identify the rhythm.
9. 2ÚAV block (Mobitz type II)
no p-r prolonged, random drops: Identify the rhythm.
10. Sinus bradycardia: Identify the rhythm.
11. Atrial flutter: Identify the rhythm.
12. Reentry supraventricular tachycardia (SVT): Identify the rhythm.
13. 2ÚAV block
(Mobitz type I Wenckebach): Identify the rhythm.
14. Normal sinus rhythm: Identify the rhythm.
15. Sinus tachycardia: Identify the rhythm.
16. Atrial fibrillation
irreg, irreg: Identify the rhythm.
17. Fine ventricular fibrillation: Identify the rhythm.
18. 2ÚAV block
(Mobitz type I Wenchkebach): Identify the rhythm.
19. Agonal rhythm/asystole: Identify the rhythm.
20. Coarse ventricular fibrillation: Identify the rhythm.
21. Monomorphic Ventricular tachycardia: Identify the rhythm.
22. 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.
, ACLS pretest
Study online at https://quizlet.com/_1cxpzq
23. 1. Give aspirin 160 to 325 mg chewed immediately.: A patient with ST-seg-
ment 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.
24. 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.
25. 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.
26. 4. Use of a phosphodiesterase inhibitor within 12 hours: A patient with
possible ST-segment elevation MI has ongoing chest discomfort. Which of the
following would be a contraindication to the administration of nitrates?
1. Heart rate 90/min.
2. Left ventricular infarct with bilateral rales.
3. Blood pressure greater than 180 mm Hg.
4. Use of a phosphodiesterase inhibitor within 12 hours
27. 1. Epinephrine 1 mg: A patient is in cardiac arrest. Ventricular fibrillation has
been refractory to a second shock. Of the following, which drug and dose should be
administered first by the IV/IO route?
1. Epinephrine 1 mg
2. Vasopressin 20 units
Study online at https://quizlet.com/_1cxpzq
1. 3ÚAV block
p and qrs completely separate: Identify the rhythm.
2. Pulseless electrical activity (PEA): Identify the rhythm.
3. Coarse ventricular fibrillation: Identify the rhythm.
4. Reentry supraventricualr tachycardia (SVT): Identify the rhythm.
5. Sinus bradycardia: Identify the rhythm.
6. Polymorphic ventricular tachycardia: Identify the rhythm.
7. 3ÚAV block: Identify the rhythm.
8. Reentry Supraventricular tachycardia (SVT): Identify the rhythm.
9. 2ÚAV block (Mobitz type II)
no p-r prolonged, random drops: Identify the rhythm.
10. Sinus bradycardia: Identify the rhythm.
11. Atrial flutter: Identify the rhythm.
12. Reentry supraventricular tachycardia (SVT): Identify the rhythm.
13. 2ÚAV block
(Mobitz type I Wenckebach): Identify the rhythm.
14. Normal sinus rhythm: Identify the rhythm.
15. Sinus tachycardia: Identify the rhythm.
16. Atrial fibrillation
irreg, irreg: Identify the rhythm.
17. Fine ventricular fibrillation: Identify the rhythm.
18. 2ÚAV block
(Mobitz type I Wenchkebach): Identify the rhythm.
19. Agonal rhythm/asystole: Identify the rhythm.
20. Coarse ventricular fibrillation: Identify the rhythm.
21. Monomorphic Ventricular tachycardia: Identify the rhythm.
22. 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.
, ACLS pretest
Study online at https://quizlet.com/_1cxpzq
23. 1. Give aspirin 160 to 325 mg chewed immediately.: A patient with ST-seg-
ment 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.
24. 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.
25. 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.
26. 4. Use of a phosphodiesterase inhibitor within 12 hours: A patient with
possible ST-segment elevation MI has ongoing chest discomfort. Which of the
following would be a contraindication to the administration of nitrates?
1. Heart rate 90/min.
2. Left ventricular infarct with bilateral rales.
3. Blood pressure greater than 180 mm Hg.
4. Use of a phosphodiesterase inhibitor within 12 hours
27. 1. Epinephrine 1 mg: A patient is in cardiac arrest. Ventricular fibrillation has
been refractory to a second shock. Of the following, which drug and dose should be
administered first by the IV/IO route?
1. Epinephrine 1 mg
2. Vasopressin 20 units
