ACLS RECERTIFICATION EXAM
Questions & Answers
1.A pt with STEMI has ongoing chest dicomfort. Heparin 4000 units IV
bolus and heparin infusion of 1000 units/hr are being administered. The pt
did not take ASA because he has a hx of gastritis, which was tx 5 years ago.
What is the next action?
A. Give ASA 160 to 325 mg to chew
B. Give clopidogrel 300 mg PO
C. Give enteric-coated ASA 75 mg PO
D. Give enteric-coated ASA 325 mg rectally
ANS A. Give ASA 160 to 325 mg to chew
2.A pt is in pulseless ventricular tachycardia. 2 shocks and 1 dose of
epineph- rine have been given. Which drug should be given next?
A. Adenosine 6 mg
B. Amiodarone 300 mg
C. Epinephrine 3 mg
D. Lidocaine 0.5 mg/kg
ANS B. Amiodarone 300 mg
3.A pt is in cardiac arrest. V fib has been refractory to an initial shock. If no
pathway for medication administration is in place, which method is
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, preferred
A. Central line
B. Endotracheal tube
C. External Jugular vein
D. IV or IO
ANS D. IV or IO
4.What is the indication for the use of Mg in cardiac arrest?
A. V tach associated with a normal QT interval
B. shock-refractory monomorphic v tach
C. Pulseless v tach-associated torsades de pointes
D. shock-refractory v fib
ANS C. Pulseless v tach-associated torsades de pointes
5.You arrive on the scene with the code team. CRP is in progess. An AED
previously advised "no shock indicated." A rhythm chec now finds
asystole. After resuming compressions, which action do you take next?
A. Call for a pulse check
B. establish IV or IO access
C. Insert a laryneal airway
D. Perform endotracheal intubation
ANS B. establish IV or IO access
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13
Questions & Answers
1.A pt with STEMI has ongoing chest dicomfort. Heparin 4000 units IV
bolus and heparin infusion of 1000 units/hr are being administered. The pt
did not take ASA because he has a hx of gastritis, which was tx 5 years ago.
What is the next action?
A. Give ASA 160 to 325 mg to chew
B. Give clopidogrel 300 mg PO
C. Give enteric-coated ASA 75 mg PO
D. Give enteric-coated ASA 325 mg rectally
ANS A. Give ASA 160 to 325 mg to chew
2.A pt is in pulseless ventricular tachycardia. 2 shocks and 1 dose of
epineph- rine have been given. Which drug should be given next?
A. Adenosine 6 mg
B. Amiodarone 300 mg
C. Epinephrine 3 mg
D. Lidocaine 0.5 mg/kg
ANS B. Amiodarone 300 mg
3.A pt is in cardiac arrest. V fib has been refractory to an initial shock. If no
pathway for medication administration is in place, which method is
1/
13
, preferred
A. Central line
B. Endotracheal tube
C. External Jugular vein
D. IV or IO
ANS D. IV or IO
4.What is the indication for the use of Mg in cardiac arrest?
A. V tach associated with a normal QT interval
B. shock-refractory monomorphic v tach
C. Pulseless v tach-associated torsades de pointes
D. shock-refractory v fib
ANS C. Pulseless v tach-associated torsades de pointes
5.You arrive on the scene with the code team. CRP is in progess. An AED
previously advised "no shock indicated." A rhythm chec now finds
asystole. After resuming compressions, which action do you take next?
A. Call for a pulse check
B. establish IV or IO access
C. Insert a laryneal airway
D. Perform endotracheal intubation
ANS B. establish IV or IO access
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13
