ACLS PRE-COURSE SELF ASSESSMENT
QUESTIONS AND ANSWERS
1. A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV
bolus and a heparin infusion of 1000 units 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?
Give enteric-coated aspirin 325 mg rectally
Give aspirin 162 to 325 mg to chew
Give enteric-coated aspirin 75 mg orally
Give clopidogrel 300 mg orally
ANS Give aspirin 162 to 325 mg to chew
2. A 57-year-old woman has palpitations, chest discomfort, and
tachycardia. The monitor shows 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?
Seek expert consultation
Perform electrical
cardioversion Establish IV
access
Obtain a 12-lead ECG
ANS Perform electrical cardioversion
3. 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
1 to 2 mg/min infusion
300 mg IV push
1 mg/kg IV push
ANS 150 mg IV push
4. 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?
Adenosine 6 mg
Epinephrine 2 to 10 mcg/min
Normal saline 250 mL to 500 mL bolus
Atropine 1 mg
ANS Epinephrine 2 to 10 mcg/min
5. 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?
Endotracheal tube
Central line
External jugular vein
IV or IO
ANS IV or IO
6. A patient is in cardiac arrest. Ventricular fibrillation has been refractory
to a second shock. Which drug should be administered first?
Epinephrine 1 mg IV/IO
Lidocaine 1 mg/kg IV/IO
Atropine 1 mg IV/IO
, Sodium bicarbonate 50 mEq IV/IO
ANS Epinephrine 1 mg IV/IO
7. Identify The ECG Strip
ANS Atrial Flutter
8.Identify The ECG Strip bitz I
ANS Second-degree atrioventricular block (Mo bach) Wencke-
9. Identify The ECG Strip
ANS Ventricular fibrillation
10. Identify The ECG Strip
ANS Second-degree atrioventricular block (Mobitz I Wencke- bach)
11. Identify The ECG Strip
ANS Monomorphic ventricular tachycardia
12. Identify The ECG Strip obitz II
ANS Second-degree atrioventricular block (M block)
13. Identify The ECG Strip
ANS Ventricular fibrillation
14. Identify The ECG Strip
ANS Ventricular fibrillation
15. Identify The ECG Strip
ANS Atrial fibrillation
QUESTIONS AND ANSWERS
1. A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV
bolus and a heparin infusion of 1000 units 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?
Give enteric-coated aspirin 325 mg rectally
Give aspirin 162 to 325 mg to chew
Give enteric-coated aspirin 75 mg orally
Give clopidogrel 300 mg orally
ANS Give aspirin 162 to 325 mg to chew
2. A 57-year-old woman has palpitations, chest discomfort, and
tachycardia. The monitor shows 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?
Seek expert consultation
Perform electrical
cardioversion Establish IV
access
Obtain a 12-lead ECG
ANS Perform electrical cardioversion
3. 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
1 to 2 mg/min infusion
300 mg IV push
1 mg/kg IV push
ANS 150 mg IV push
4. 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?
Adenosine 6 mg
Epinephrine 2 to 10 mcg/min
Normal saline 250 mL to 500 mL bolus
Atropine 1 mg
ANS Epinephrine 2 to 10 mcg/min
5. 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?
Endotracheal tube
Central line
External jugular vein
IV or IO
ANS IV or IO
6. A patient is in cardiac arrest. Ventricular fibrillation has been refractory
to a second shock. Which drug should be administered first?
Epinephrine 1 mg IV/IO
Lidocaine 1 mg/kg IV/IO
Atropine 1 mg IV/IO
, Sodium bicarbonate 50 mEq IV/IO
ANS Epinephrine 1 mg IV/IO
7. Identify The ECG Strip
ANS Atrial Flutter
8.Identify The ECG Strip bitz I
ANS Second-degree atrioventricular block (Mo bach) Wencke-
9. Identify The ECG Strip
ANS Ventricular fibrillation
10. Identify The ECG Strip
ANS Second-degree atrioventricular block (Mobitz I Wencke- bach)
11. Identify The ECG Strip
ANS Monomorphic ventricular tachycardia
12. Identify The ECG Strip obitz II
ANS Second-degree atrioventricular block (M block)
13. Identify The ECG Strip
ANS Ventricular fibrillation
14. Identify The ECG Strip
ANS Ventricular fibrillation
15. Identify The ECG Strip
ANS Atrial fibrillation
