ACLS Pre-Course Self-Assessment – Questions and Answers (A+ Grade)

ACLS PRE-COURSE SELF-ASSESSMENT GRADED A+

1. Identify The ECG Strip: Atrial Flutter
2. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz I Wenckebach
Ch)
3. Identify The ECG Strip: Ventricular fibrillation
4. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz I Wenckebach
Ch)
5. Identify The ECG Strip: Monomorphic ventricular tachycardia
6. Identify The ECG Strip: Second-degree atrioventricular block (Mobitz II block)
7. Identify The ECG Strip: Ventricular fibrillation
8. Identify The ECG Strip: Ventricular fibrillation
9. Identify The ECG Strip: Atrial fibrillation
10. Identify The ECG Strip: Pulseless electrical activity
11. Identify The ECG Strip: Sinus Bradycardia
12. Identify The ECG Strip: Supraventricular Tachycardia
13. Identify The ECG Strip: Sinus Tachycardia
14. Identify The ECG Strip: Third-degree Atrioventricular block
15. Identify The ECG Strip: Normal Sinus Rhythm
16. Identify The ECG Strip: Polymorphic Ventricular Tachycardia
17. Identify The ECG Strip: Agonal Rhythm/Asystole
18. Identify The ECG Strip: Second-degree Atrioventricular Block (Mobitz II Block)
19. Identify The ECG Strip: Sinus Bradycardia
20. Identify The ECG Strip: Supraventricular Tachycardia
21. A monitored patient in the ICU developed a sudden onset of narrow-com-
plex 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
Perform synchronized cardioversion at 50 J: Administer adenosine 6 mg IV push
22. 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 tap
Glucose (D50)
Nicardipine: Aspirin
23. 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: Amiodarone 300 mg
24. 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
Anterior wall myocardial infarction
Systolic blood pressure greater than 180 mm Hg: Use of a phosphodiesterase inhibitor
within the previous 24 hours
25. A patient is in cardiac arrest. High-quality chest compressions are being
given. The patient is intubated, and an IV has been started. The rhythm is