Page 1 of 26
ACLS Pre-Course Self-Assessment Test; All Verified
100% (Latest 2025
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
Administer adenosine 6 mg IV push
Perform synchronized cardioversion at 200 J
,Page 2 of 26
Perform synchronized cardioversion at 50 J
.....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
.....ANSWER.....Aspirin
, Page 3 of 26
A patient is in pulseless ventricular tachycardia. Two shocks and
1 dose of epinephrine have been given. Which drug should be
given next?
Epinephrine 3 mg
Lidocaine 0.5 mg/kg
Amiodarone 300 mg
Adenosine 6 mg
.....ANSWER.....Amiodarone 300 mg
A patient with possible STEMI has ongoing chest discomfort.
What is a contraindication to nitrate administration?
Heart rate less than 90/min
Use of a phosphodiesterase inhibitor within the previous 24 hours
ACLS Pre-Course Self-Assessment Test; All Verified
100% (Latest 2025
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
Administer adenosine 6 mg IV push
Perform synchronized cardioversion at 200 J
,Page 2 of 26
Perform synchronized cardioversion at 50 J
.....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
.....ANSWER.....Aspirin
, Page 3 of 26
A patient is in pulseless ventricular tachycardia. Two shocks and
1 dose of epinephrine have been given. Which drug should be
given next?
Epinephrine 3 mg
Lidocaine 0.5 mg/kg
Amiodarone 300 mg
Adenosine 6 mg
.....ANSWER.....Amiodarone 300 mg
A patient with possible STEMI has ongoing chest discomfort.
What is a contraindication to nitrate administration?
Heart rate less than 90/min
Use of a phosphodiesterase inhibitor within the previous 24 hours
