ACLS Pre-Course Self-Assessment Exam
2026 Questions and Answers
Atrial Flutter - Correct answer-
Second-degree atrioventricular block (Mobitz I Wenckebach) - Correct answer-
Ventricular fibrillation - Correct answer-
Second-degree atrioventricular block (Mobitz I Wenckebach) - Correct answer-
Monomorphic ventricular tachycardia - Correct answer-
Second-degree atrioventricular block (Mobitz II block) - Correct answer-
Ventricular fibrillation - Correct answer-
Ventricular fibrillation - Correct answer-
Atrial fibrillation - Correct answer-
Pulseless electrical activity - Correct answer-
Sinus Bradycardia - Correct answer-
Supraventricular Tachycardia - Correct answer-
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,Third-degree Atrioventricular block - Correct answer-
Sinus Tachycardia - Correct answer-
Normal Sinus Rhythm - Correct answer-
Polymorphic Ventricular Tachycardia - Correct answer-
Agonal Rhythm/Asystole - Correct answer-
Second-degree Atrioventricular Block (Mobitz II Block) - Correct answer-
Sinus Bradycardia - Correct answer-
Supraventricular Tachycardia - Correct answer-
A monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the
PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular
access in the left arm, and the patient has not been given any vasoactive drugs. A
12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia
or infarction. The heart rate has not responded to vagal maneuvers. What is your
next action?
Administer amiodarone 300 mg IV push
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, Administer adenosine 6 mg IV push
Perform synchronized cardioversion at 200 J
Perform synchronized cardioversion at 50 J - Correct answer-Administer adenosine
6 mg IV push
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?
Aspirin
rtPA
Glucose (D50)
Nicardipine - Correct answer-Aspirin
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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2026 Questions and Answers
Atrial Flutter - Correct answer-
Second-degree atrioventricular block (Mobitz I Wenckebach) - Correct answer-
Ventricular fibrillation - Correct answer-
Second-degree atrioventricular block (Mobitz I Wenckebach) - Correct answer-
Monomorphic ventricular tachycardia - Correct answer-
Second-degree atrioventricular block (Mobitz II block) - Correct answer-
Ventricular fibrillation - Correct answer-
Ventricular fibrillation - Correct answer-
Atrial fibrillation - Correct answer-
Pulseless electrical activity - Correct answer-
Sinus Bradycardia - Correct answer-
Supraventricular Tachycardia - Correct answer-
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Third-degree Atrioventricular block - Correct answer-
Sinus Tachycardia - Correct answer-
Normal Sinus Rhythm - Correct answer-
Polymorphic Ventricular Tachycardia - Correct answer-
Agonal Rhythm/Asystole - Correct answer-
Second-degree Atrioventricular Block (Mobitz II Block) - Correct answer-
Sinus Bradycardia - Correct answer-
Supraventricular Tachycardia - Correct answer-
A monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the
PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular
access in the left arm, and the patient has not been given any vasoactive drugs. A
12-lead ECG confirms a supraventricular tachycardia with no evidence of ischemia
or infarction. The heart rate has not responded to vagal maneuvers. What is your
next action?
Administer amiodarone 300 mg IV push
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, Administer adenosine 6 mg IV push
Perform synchronized cardioversion at 200 J
Perform synchronized cardioversion at 50 J - Correct answer-Administer adenosine
6 mg IV push
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?
Aspirin
rtPA
Glucose (D50)
Nicardipine - Correct answer-Aspirin
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 3