ACLS Pretest Ques & Ans
1.3ÚAV block
p and qrs completely separate: Identify the rhythm.
2.Pulseless electrical activity (PEA): Identify the rhythm.
3.Coarse ventricular fibrillation: Identify the rhythm.
hm
4.Reentry supraventricualr tachycardia (SVT): Identify the rhyt
.
5.Sinus bradycardia: Identify the rhythm.
6.Polymorphic ventricular tachycardia: Identify the rhythm.
7.3 ÚAV block: Identify the rhythm.
hm
8.Reentry Supraventricular tachycardia (SVT): Identify the rhyt
.
9.2 ÚAV block (Mobitz type II)
no p-r prolonged, random drops: Identify the rhythm.
10.Sinus bradycardia: Identify the rhythm.
11.Atrial flutter: Identify the rhythm.
12.Reentry supraventricular tachycardia (SVT): Identify the rhyt
hm
.
13.2ÚAV block
(Mobitz type I Wenckebach): Identify the rhythm.
14.Normal sinus rhythm: Identify the rhythm.
15.Sinus tachycardia: Identify the rhythm.
16.Atrial fibrillation
,irreg, irreg: Identify the rhythm.
17.Fine ventricular fibrillation: Identify the rhythm.
18.2ÚAV block
(Mobitz type I Wenchkebach): Identify the rhythm.
19.Agonal rhythm/asystole: Identify the rhythm.
20.Coarse ventricular fibrillation: Identify the rhythm.
21.Monomorphic Ventricular tachycardia: Identify the rhythm.
22.2. Magnesium is indicated for VF/pulseless VT associated with torsades
de pointes.: Which of the following statements about the use of
magnesium in cardiac arrest is most accurate?
1.Magnesium is indicated for shock-refractory monomorphic VT.
2.Magnesium is indicated for VF/pulseless VT associated with torsades d
pointes.
3.Magnesium is contraindicated for VT associated with a normal QT
interval.
4.Magnesium is indicated for VF refractory to shock and amiodarone or
lidocaine.
23.1. Give aspirin 160 to 325 mg chewed immediately.: A patient with ST-
seg- ment elevation MI has ongoing chest discomfort. Fibrinolytic
therapy has been ordered. Heparin 4000 units IV bolus was
administered, and a heparin infusion of 1000 units per hour is being
administered. Aspirin was not taken by the patient because he had a
history of gastritis treated 5 years ago. Your next action is to:
, 1.Give aspirin 160 to 325 mg chewed immediately.
2.Give 75 mg enteric-coated aspirin orally.
3. Give 325 mg enteric-coated aspirin rectally.
4.Substitute clopidogrel 300 mg loading dose.
24.4. Start epinephrine 2 to 10 mcg/min.: A patient has sinus bradycardia
with a heart rate of 36/min. Atropine has been administered to a total
of 3 mg. A transcutaneous pacemaker has failed to capture. The
patient is confused, and her blood pressure is 110/60 mm Hg. Which of
the following is now indicated?
1.Give additional 1 mg atropine.
2.Start dopamine 10 to 20 mcg/kg per minute.
3.Give normal saline bolus 250 mL to 500 mL.
4.Start epinephrine 2 to 10 mcg/min.
25.1. Do not give aspirin for at least 24 hours if rtPA is administered.: A
62-year-old man suddenly experienced difficulty speaking and left-side
weakness. He was brought to the emergency department. He meets
initial criteria for fibrinolytic therapy, and a CT scan of the brain is
ordered. What are the guidelines for antiplatelet and fibrinolytic therapy?
1.Do not give aspirin for at least 24 hours if rtPA is administered.
2.Give aspirin 160 mg and clopidogrel 75 mg orally.
3.Administer heparin if CT scan is negative for hemorrhage.
4.Administer aspirin 160 to 325 mg chewed immediately.
26.4. Use of a phosphodiesterase inhibitor within 12 hours: A patient
with possible ST-segment elevation MI has ongoing chest
discomfort. Which of the following would be a contraindication to
1.3ÚAV block
p and qrs completely separate: Identify the rhythm.
2.Pulseless electrical activity (PEA): Identify the rhythm.
3.Coarse ventricular fibrillation: Identify the rhythm.
hm
4.Reentry supraventricualr tachycardia (SVT): Identify the rhyt
.
5.Sinus bradycardia: Identify the rhythm.
6.Polymorphic ventricular tachycardia: Identify the rhythm.
7.3 ÚAV block: Identify the rhythm.
hm
8.Reentry Supraventricular tachycardia (SVT): Identify the rhyt
.
9.2 ÚAV block (Mobitz type II)
no p-r prolonged, random drops: Identify the rhythm.
10.Sinus bradycardia: Identify the rhythm.
11.Atrial flutter: Identify the rhythm.
12.Reentry supraventricular tachycardia (SVT): Identify the rhyt
hm
.
13.2ÚAV block
(Mobitz type I Wenckebach): Identify the rhythm.
14.Normal sinus rhythm: Identify the rhythm.
15.Sinus tachycardia: Identify the rhythm.
16.Atrial fibrillation
,irreg, irreg: Identify the rhythm.
17.Fine ventricular fibrillation: Identify the rhythm.
18.2ÚAV block
(Mobitz type I Wenchkebach): Identify the rhythm.
19.Agonal rhythm/asystole: Identify the rhythm.
20.Coarse ventricular fibrillation: Identify the rhythm.
21.Monomorphic Ventricular tachycardia: Identify the rhythm.
22.2. Magnesium is indicated for VF/pulseless VT associated with torsades
de pointes.: Which of the following statements about the use of
magnesium in cardiac arrest is most accurate?
1.Magnesium is indicated for shock-refractory monomorphic VT.
2.Magnesium is indicated for VF/pulseless VT associated with torsades d
pointes.
3.Magnesium is contraindicated for VT associated with a normal QT
interval.
4.Magnesium is indicated for VF refractory to shock and amiodarone or
lidocaine.
23.1. Give aspirin 160 to 325 mg chewed immediately.: A patient with ST-
seg- ment elevation MI has ongoing chest discomfort. Fibrinolytic
therapy has been ordered. Heparin 4000 units IV bolus was
administered, and a heparin infusion of 1000 units per hour is being
administered. Aspirin was not taken by the patient because he had a
history of gastritis treated 5 years ago. Your next action is to:
, 1.Give aspirin 160 to 325 mg chewed immediately.
2.Give 75 mg enteric-coated aspirin orally.
3. Give 325 mg enteric-coated aspirin rectally.
4.Substitute clopidogrel 300 mg loading dose.
24.4. Start epinephrine 2 to 10 mcg/min.: A patient has sinus bradycardia
with a heart rate of 36/min. Atropine has been administered to a total
of 3 mg. A transcutaneous pacemaker has failed to capture. The
patient is confused, and her blood pressure is 110/60 mm Hg. Which of
the following is now indicated?
1.Give additional 1 mg atropine.
2.Start dopamine 10 to 20 mcg/kg per minute.
3.Give normal saline bolus 250 mL to 500 mL.
4.Start epinephrine 2 to 10 mcg/min.
25.1. Do not give aspirin for at least 24 hours if rtPA is administered.: A
62-year-old man suddenly experienced difficulty speaking and left-side
weakness. He was brought to the emergency department. He meets
initial criteria for fibrinolytic therapy, and a CT scan of the brain is
ordered. What are the guidelines for antiplatelet and fibrinolytic therapy?
1.Do not give aspirin for at least 24 hours if rtPA is administered.
2.Give aspirin 160 mg and clopidogrel 75 mg orally.
3.Administer heparin if CT scan is negative for hemorrhage.
4.Administer aspirin 160 to 325 mg chewed immediately.
26.4. Use of a phosphodiesterase inhibitor within 12 hours: A patient
with possible ST-segment elevation MI has ongoing chest
discomfort. Which of the following would be a contraindication to
