ACLS PHARMACOLOGY 2025
ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED
QUESTIONS AND STUDY
GUIDE\EXPERT VERIFIED
FOR GUARANTEED
PASS\ALREADY GRADED A+
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 mm Hg. Which therapy is now indicated?
A. atropine 1 mg
B. epinephrine 2 to 10 mcg/min
C. adenosine 6 mg
D. normal saline 250 ml to 500 ml bolus
B. epinephrine 2 to 10 mcg/min
a 57 year-old-woman has palpitations, chest discomfort, and tachycardia. The monitor show a regular
wide-complex QRS at a rate of 180/min. she becomes diaphoretic, and her blood pressure is 80/60
mm Hg. Which action do you take next?
A. establish IV access
B. obtain a 12-lead ECG
C. perform electrical cardioversion
D. seek expert consultation
C. perform electrical cardioversion
, 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?
A. central line
B. endotracheal tube
C. external jugular vein
D. IV or IO
D. IV or IO
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication to nitrate
administration?
A. anterior wall myocardial infarction
B. heart rate less than 90/min
C. systolic blood pressure greater that 180 mm Hg
D. use of a phosphodiesterase inhibitor within the previous
24 hours
D. use of a phosphodiesterase inhibitor within the
last 24 hours
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 describe the recommended second dose of amiodarone for this patient?
A. 1 mg/kg IV push
B. 1 to 2 mg/min infusion
C. 150 mg IV push
D. 300 mg IV push
C. 15o 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?
A. aspirin
B. glucose (D50)
C. nicardipine
D. rtPA
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?
ACCURATE ACTUAL EXAM
WITH FREQUENTLY TESTED
QUESTIONS AND STUDY
GUIDE\EXPERT VERIFIED
FOR GUARANTEED
PASS\ALREADY GRADED A+
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 mm Hg. Which therapy is now indicated?
A. atropine 1 mg
B. epinephrine 2 to 10 mcg/min
C. adenosine 6 mg
D. normal saline 250 ml to 500 ml bolus
B. epinephrine 2 to 10 mcg/min
a 57 year-old-woman has palpitations, chest discomfort, and tachycardia. The monitor show a regular
wide-complex QRS at a rate of 180/min. she becomes diaphoretic, and her blood pressure is 80/60
mm Hg. Which action do you take next?
A. establish IV access
B. obtain a 12-lead ECG
C. perform electrical cardioversion
D. seek expert consultation
C. perform electrical cardioversion
, 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?
A. central line
B. endotracheal tube
C. external jugular vein
D. IV or IO
D. IV or IO
A patient with possible STEMI has ongoing chest discomfort. What is a contraindication to nitrate
administration?
A. anterior wall myocardial infarction
B. heart rate less than 90/min
C. systolic blood pressure greater that 180 mm Hg
D. use of a phosphodiesterase inhibitor within the previous
24 hours
D. use of a phosphodiesterase inhibitor within the
last 24 hours
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 describe the recommended second dose of amiodarone for this patient?
A. 1 mg/kg IV push
B. 1 to 2 mg/min infusion
C. 150 mg IV push
D. 300 mg IV push
C. 15o 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?
A. aspirin
B. glucose (D50)
C. nicardipine
D. rtPA
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?
