ACLS POST EXAM VERSION 1,2 & 3
ACLS POST EXAM VERSION1 ,2 & 3 AND EXAM
NEWEST 2025/2026 COMPLETE 500 TEST-BANK
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Version 1
Which statement accurately reflects the management of cardiac arrest in a pregnancy of 26
weeks' gestation?
Fetal monitoring should be immediately initiated after pulselessness is determined.
Resuscitative cesarean delivery (RCD) should be performed within 5 minutes from the time of
arrest.
Targeted temperature management (TTM) is contraindicated in the post-cardiac arrest
pregnant patient.
Intravenous access should be placed below the level of the diaphragm.
- Answer ✓✓Resuscitative cesarean delivery (RCD) should be performed within 5 minutes
from the time of arrest.
TEST BANK 1
, ACLS POST EXAM VERSION 1,2 & 3
Resuscitative cesarean delivery (RCD) should be performed within 5 minutes from the time of
arrest in a pregnant patient if the gestational age is known to be equal to or greater than 20
weeks or if the fundus is at or above the umbilicus. In a pregnant patient, intravenous access
should be obtained above, not below, the level of the diaphragm. To keep the focus on the
pregnant patient, during arrest fetal monitoring should be removed. Targeted temperature
management (TTM) is a viable consideration for post-cardiac arrest care in a pregnant patient.
A 28-year-old pregnant patient who resides in transitional housing presents to the emergency
department with complaints of feeling feverish and very faint. The patient tells the
emergency nurse that she does not know when she became pregnant. Upon palpation, the
fundus is not at or above the umbilicus. The patient's condition quickly deteriorates and she
goes into cardiac arrest. If available and able to be used without impeding or delaying the
resuscitation effort, what diagnostic tool could be used to guide decision-making in the care
of this patient?
Fetal echocardiogram
Abdominal radiograph
Point-of-care ultrasound
Fetal monitoring - Answer ✓✓Point-of-care ultrasound
Gestational age is an important consideration when determining the approach to a pregnant
patient in cardiac arrest. If the gestational age is not known and point-of-care ultrasound is
available and able to be performed without impeding or delaying the resuscitation effort, it
can be used to quickly estimate gestational age and guide decision-making.
What is the priority intervention for a patient with a narrow-complex tachycardia (160 bpm)
and a blood pressure of 72/48 mmHg?
Perform immediate synchronized cardioversion
Administer amiodarone, 150 mg IV over 10 minutes
TEST BANK 2
, ACLS POST EXAM VERSION 1,2 & 3
Administer adenosine, 6 mg via rapid IV push
Perform carotid massage - Answer ✓✓Perform immediate synchronized cardioversion
Immediate synchronized cardioversion is recommended for a patient with signs of
hemodynamic compromise and a supraventricular tachycardia. A vagal maneuver, such as
carotid massage, is recommended for a patient with a narrow-complex tachycardia if the
rhythm is regular and there are no signs of hemodynamic compromise. Adenosine may be
considered for this patient, but immediate cardioversion should be performed without delay.
Amiodarone may be considered if this patient's rhythm is refractory.
Cardiac monitoring reveals a tachyarrhythmia. The patient is hemodynamically stable and has
a regular heart rate ranging from 120 to 135 beats per minute. Which statements by the
patient could the team interpret as contributing to the tachyarrhythmia?
"I've had a terrible cold with a horrible cough for the past week and today I developed a
fever."
"I've been so anxious lately because I just lost my job."
"I had the first shot of the COVID-19 vaccine over a week ago."
"I've been vomiting for the past 2 days from a gastrointestinal bug." - Answer ✓✓"I've had a
terrible cold with a horrible cough for the past week and today I developed a fever."
"I've been so anxious lately because I just lost my job."
"I've been vomiting for the past 2 days from a gastrointestinal bug."
If the heart rate is between 100 and 150 beats per minute, the rhythm is likely sinus
tachycardia. The underlying cause is most likely a systemic one, such as anxiety, dehydration
or infection. That condition is treated first. If the heart rate is 150 beats per minute or more,
TEST BANK 3
, ACLS POST EXAM VERSION 1,2 & 3
the tachycardia is likely caused by a cardiac arrhythmia, rather than a systemic condition. If
vaccines cause fever, they usually do so in the first 1 to 3 days.
A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing
continuous high-quality CPR, what is the other priority intervention for this patient?
Administering epinephrine as early as possible
Inserting an advanced airway
Defibrillating with 360 joules when available
Administering amiodarone as early as possible - Answer ✓✓Administering epinephrine as
early as possible
For cardiac arrest with a nonshockable rhythm, epinephrine (1 mg IV/IO) should be
administered as early as possible and repeated every 3 to 5 minutes. Although inserting an
advanced airway may be considered for this patient, this is not a priority intervention.
Defibrillation and amiodarone are not appropriate interventions for asystole.
A 42-year-old woman presents to the emergency department with complaints of fatigue,
shortness of breath, back pain and nausea. A 12-lead ECG is obtained and shows ST-segment
depression in leads II, III, and aVF and intermittent runs of nonsustained ventricular
tachycardia. Cardiac serum markers are elevated. These findings suggest which condition?
High-risk non-ST-segment elevation ACS (NSTE-ACS)
Low-risk non-ST-segment elevation ACS (NSTE-ACS)
Intermittent-risk non-ST-segment elevation ACS (NSTE-ACS)
ST-segment elevation myocardial infarction (STEMI) - Answer ✓✓High-risk non-ST-segment
elevation ACS (NSTE-ACS)
TEST BANK 4
ACLS POST EXAM VERSION1 ,2 & 3 AND EXAM
NEWEST 2025/2026 COMPLETE 500 TEST-BANK
Verified Questions and Answers with Detailed
Rationales Graded A+ Guaranteed Pass – Ace
YOUR Exam
Pdf Download
Version 1
Which statement accurately reflects the management of cardiac arrest in a pregnancy of 26
weeks' gestation?
Fetal monitoring should be immediately initiated after pulselessness is determined.
Resuscitative cesarean delivery (RCD) should be performed within 5 minutes from the time of
arrest.
Targeted temperature management (TTM) is contraindicated in the post-cardiac arrest
pregnant patient.
Intravenous access should be placed below the level of the diaphragm.
- Answer ✓✓Resuscitative cesarean delivery (RCD) should be performed within 5 minutes
from the time of arrest.
TEST BANK 1
, ACLS POST EXAM VERSION 1,2 & 3
Resuscitative cesarean delivery (RCD) should be performed within 5 minutes from the time of
arrest in a pregnant patient if the gestational age is known to be equal to or greater than 20
weeks or if the fundus is at or above the umbilicus. In a pregnant patient, intravenous access
should be obtained above, not below, the level of the diaphragm. To keep the focus on the
pregnant patient, during arrest fetal monitoring should be removed. Targeted temperature
management (TTM) is a viable consideration for post-cardiac arrest care in a pregnant patient.
A 28-year-old pregnant patient who resides in transitional housing presents to the emergency
department with complaints of feeling feverish and very faint. The patient tells the
emergency nurse that she does not know when she became pregnant. Upon palpation, the
fundus is not at or above the umbilicus. The patient's condition quickly deteriorates and she
goes into cardiac arrest. If available and able to be used without impeding or delaying the
resuscitation effort, what diagnostic tool could be used to guide decision-making in the care
of this patient?
Fetal echocardiogram
Abdominal radiograph
Point-of-care ultrasound
Fetal monitoring - Answer ✓✓Point-of-care ultrasound
Gestational age is an important consideration when determining the approach to a pregnant
patient in cardiac arrest. If the gestational age is not known and point-of-care ultrasound is
available and able to be performed without impeding or delaying the resuscitation effort, it
can be used to quickly estimate gestational age and guide decision-making.
What is the priority intervention for a patient with a narrow-complex tachycardia (160 bpm)
and a blood pressure of 72/48 mmHg?
Perform immediate synchronized cardioversion
Administer amiodarone, 150 mg IV over 10 minutes
TEST BANK 2
, ACLS POST EXAM VERSION 1,2 & 3
Administer adenosine, 6 mg via rapid IV push
Perform carotid massage - Answer ✓✓Perform immediate synchronized cardioversion
Immediate synchronized cardioversion is recommended for a patient with signs of
hemodynamic compromise and a supraventricular tachycardia. A vagal maneuver, such as
carotid massage, is recommended for a patient with a narrow-complex tachycardia if the
rhythm is regular and there are no signs of hemodynamic compromise. Adenosine may be
considered for this patient, but immediate cardioversion should be performed without delay.
Amiodarone may be considered if this patient's rhythm is refractory.
Cardiac monitoring reveals a tachyarrhythmia. The patient is hemodynamically stable and has
a regular heart rate ranging from 120 to 135 beats per minute. Which statements by the
patient could the team interpret as contributing to the tachyarrhythmia?
"I've had a terrible cold with a horrible cough for the past week and today I developed a
fever."
"I've been so anxious lately because I just lost my job."
"I had the first shot of the COVID-19 vaccine over a week ago."
"I've been vomiting for the past 2 days from a gastrointestinal bug." - Answer ✓✓"I've had a
terrible cold with a horrible cough for the past week and today I developed a fever."
"I've been so anxious lately because I just lost my job."
"I've been vomiting for the past 2 days from a gastrointestinal bug."
If the heart rate is between 100 and 150 beats per minute, the rhythm is likely sinus
tachycardia. The underlying cause is most likely a systemic one, such as anxiety, dehydration
or infection. That condition is treated first. If the heart rate is 150 beats per minute or more,
TEST BANK 3
, ACLS POST EXAM VERSION 1,2 & 3
the tachycardia is likely caused by a cardiac arrhythmia, rather than a systemic condition. If
vaccines cause fever, they usually do so in the first 1 to 3 days.
A patient is in cardiac arrest. The cardiac monitor shows asystole. In addition to providing
continuous high-quality CPR, what is the other priority intervention for this patient?
Administering epinephrine as early as possible
Inserting an advanced airway
Defibrillating with 360 joules when available
Administering amiodarone as early as possible - Answer ✓✓Administering epinephrine as
early as possible
For cardiac arrest with a nonshockable rhythm, epinephrine (1 mg IV/IO) should be
administered as early as possible and repeated every 3 to 5 minutes. Although inserting an
advanced airway may be considered for this patient, this is not a priority intervention.
Defibrillation and amiodarone are not appropriate interventions for asystole.
A 42-year-old woman presents to the emergency department with complaints of fatigue,
shortness of breath, back pain and nausea. A 12-lead ECG is obtained and shows ST-segment
depression in leads II, III, and aVF and intermittent runs of nonsustained ventricular
tachycardia. Cardiac serum markers are elevated. These findings suggest which condition?
High-risk non-ST-segment elevation ACS (NSTE-ACS)
Low-risk non-ST-segment elevation ACS (NSTE-ACS)
Intermittent-risk non-ST-segment elevation ACS (NSTE-ACS)
ST-segment elevation myocardial infarction (STEMI) - Answer ✓✓High-risk non-ST-segment
elevation ACS (NSTE-ACS)
TEST BANK 4
