ACLS - Healthcare Exam Questions |Latest
Update with complete solutions/100% Verified
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to
capture. The patient is confused, and her blood pressure is 88/56 mmHg. Which
therapy is now indicated? - ✅✅Epinephrine 2-10 mcg/min
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an
initial shock. If no pathway for medication administration is in place, which
method is preferred? - ✅✅IV/IO
Which intervention is most appropriate for the treatment of a patient in asystole?
- ✅✅Epinephrine
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus
and heparin infusion of 1000 units per hour are being administered. The patient
did not take aspirin because of a history of gastritis, which was treated 5 years
ago. Which is your next action? - ✅✅Give aspirin 160 to 325 mg to chew.
A patient is in cardiac arrest. High-quality chest compressions are being given. The
patient is intubated, and an IV has been started. The rhythm is asystole. What is
the first drug/dose to administer? - ✅✅Epinephrine 1 mg IV/IO
A 35 year old woman has palpitations, lightheadedness., 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. Which drug should be administered? - ✅✅Adenosine 6 mg
, A patient is in refractory ventricular fibrillation and has received multiple
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of
amiodarone 300 mg IV. The patient is intubated. Which best describes the
recommended second dose of amiodarone for this patient? - ✅✅150 mg IV
push
A 62 year old man suddenly experienced difficulty speaking and left-sided
weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the
brain is ordered. Which best describes the guidelines for antiplatelet and
fibrinolytic therapy? - ✅✅Hold aspirin for at least 24 hours if rtPA is
administered.
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a
blood pressure of 80/60 mmHg. What is the initial dose of atropine? - ✅✅0.5
mg
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, which action do you take
next? - ✅✅Establish IV or IO access
In which situation does bradycardia require treatment? - ✅✅Hypotension
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 mmHg. He has a
history of angina. What action is recommended next? - ✅✅Seeking expert
consultation
Update with complete solutions/100% Verified
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to
capture. The patient is confused, and her blood pressure is 88/56 mmHg. Which
therapy is now indicated? - ✅✅Epinephrine 2-10 mcg/min
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an
initial shock. If no pathway for medication administration is in place, which
method is preferred? - ✅✅IV/IO
Which intervention is most appropriate for the treatment of a patient in asystole?
- ✅✅Epinephrine
A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus
and heparin infusion of 1000 units per hour are being administered. The patient
did not take aspirin because of a history of gastritis, which was treated 5 years
ago. Which is your next action? - ✅✅Give aspirin 160 to 325 mg to chew.
A patient is in cardiac arrest. High-quality chest compressions are being given. The
patient is intubated, and an IV has been started. The rhythm is asystole. What is
the first drug/dose to administer? - ✅✅Epinephrine 1 mg IV/IO
A 35 year old woman has palpitations, lightheadedness., 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. Which drug should be administered? - ✅✅Adenosine 6 mg
, A patient is in refractory ventricular fibrillation and has received multiple
appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of
amiodarone 300 mg IV. The patient is intubated. Which best describes the
recommended second dose of amiodarone for this patient? - ✅✅150 mg IV
push
A 62 year old man suddenly experienced difficulty speaking and left-sided
weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the
brain is ordered. Which best describes the guidelines for antiplatelet and
fibrinolytic therapy? - ✅✅Hold aspirin for at least 24 hours if rtPA is
administered.
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a
blood pressure of 80/60 mmHg. What is the initial dose of atropine? - ✅✅0.5
mg
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, which action do you take
next? - ✅✅Establish IV or IO access
In which situation does bradycardia require treatment? - ✅✅Hypotension
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 mmHg. He has a
history of angina. What action is recommended next? - ✅✅Seeking expert
consultation
