ACLS – Pharmacology Exam 2026
Questions and Answers
You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT
scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula
at 2 L/min, and an IV has been established. His blood pressure is 180/100 mm Hg.
Which drug do you anticipate giving to this patient?
A. aspirin
B. glucose (D50)
C. nicardipine
D. rtPA - Correct answer-A. aspirin
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a
blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
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, A. 0.1 mg
B. 0.5 mg
C. 1 mg
D. 3 mg - Correct answer-B. 0.5 mg
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus
and a heparin infusion of 1000 unit per hour are being administered. The patient
did not take aspirin because he has a history of gastritis, which was treated 5 years
ago. What is your next action?
A. give aspirin 160 to 325 mg to chew
B. give clopidogrel 300 mg orally
C. give enteric-coated aspirin 75 mg orally
D. give enteric-coated aspirin 325 mg rectally - Correct answer-A. give aspirin 160
to 325 mg to chew
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which drug should be given next?
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Questions and Answers
You are caring for a 66-year-old man with a history of a large intracerebral
hemorrhage 2 months ago. He is being evaluated for another acute stroke. The CT
scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula
at 2 L/min, and an IV has been established. His blood pressure is 180/100 mm Hg.
Which drug do you anticipate giving to this patient?
A. aspirin
B. glucose (D50)
C. nicardipine
D. rtPA - Correct answer-A. aspirin
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a
blood pressure of 80/60 mm Hg. What is the initial dose of atropine?
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, A. 0.1 mg
B. 0.5 mg
C. 1 mg
D. 3 mg - Correct answer-B. 0.5 mg
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus
and a heparin infusion of 1000 unit per hour are being administered. The patient
did not take aspirin because he has a history of gastritis, which was treated 5 years
ago. What is your next action?
A. give aspirin 160 to 325 mg to chew
B. give clopidogrel 300 mg orally
C. give enteric-coated aspirin 75 mg orally
D. give enteric-coated aspirin 325 mg rectally - Correct answer-A. give aspirin 160
to 325 mg to chew
A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of
epinephrine have been given. Which drug should be given next?
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
