ACLS EXAMINATION TEST 2026 COMPLETE
QUESTIONS AND CORRECT ANSWERS
◉ A patient with ST-segment 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: Answer: Give aspirin 160 to 325 mg chewed
immediately.
◉ 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? Answer:
Start epinephrine 2 to 10 mcg/min.
◉ 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. Answer: Do not give aspirin for at least 24 hours if rtPA is
administered
◉ A patient with possible ST-segment elevation MI has ongoing chest
discomfort. Which of the
following would be a contraindication to the administration of nitrates?
Answer: Use of a phosphodiesterase inhibitor within 12 hours
◉ A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Of the
following, which drug and dose should be administered first by the
IV/IO route? Answer: Epinephrine 1 mg
◉ : A 35-year-old woman has palpitations, light-headedness, and a
stable tachycardia. The monitor
shows a regular narrow-complex QRS at a rate of 180/min. Vagal
maneuvers have not been effective in
terminating the rhythm. An IV has been established. What drug should
be administered IV? Answer: Adenosine 6 mg
◉ A patient with sinus bradycardia and heart rate of 42/min has
diaphoresis and a blood pressure of
80/60 mm Hg. What is the initial dose of atropine? Answer: 0.5 mg
QUESTIONS AND CORRECT ANSWERS
◉ A patient with ST-segment 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: Answer: Give aspirin 160 to 325 mg chewed
immediately.
◉ 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? Answer:
Start epinephrine 2 to 10 mcg/min.
◉ 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. Answer: Do not give aspirin for at least 24 hours if rtPA is
administered
◉ A patient with possible ST-segment elevation MI has ongoing chest
discomfort. Which of the
following would be a contraindication to the administration of nitrates?
Answer: Use of a phosphodiesterase inhibitor within 12 hours
◉ A patient is in cardiac arrest. Ventricular fibrillation has been
refractory to a second shock. Of the
following, which drug and dose should be administered first by the
IV/IO route? Answer: Epinephrine 1 mg
◉ : A 35-year-old woman has palpitations, light-headedness, and a
stable tachycardia. The monitor
shows a regular narrow-complex QRS at a rate of 180/min. Vagal
maneuvers have not been effective in
terminating the rhythm. An IV has been established. What drug should
be administered IV? Answer: Adenosine 6 mg
◉ A patient with sinus bradycardia and heart rate of 42/min has
diaphoresis and a blood pressure of
80/60 mm Hg. What is the initial dose of atropine? Answer: 0.5 mg
