ACLS Pretest Questions | 100% Verified
Answers | Complete Revision Resource | A+
• Which intervention is most appropriate for the treatment of a patient
in asystole? -✓✓Epinephrine
• You arrive on the scene with the code team. High-quality CPR is in
progress. An AED has previousy advised "no shock indicated." A rhythm
check now finds asystole. After resuming high-quality compressions,
which action do you take next? -✓✓Establish IV or IO access
• A monitored patient in the ICU developed a sudden onset of narrow-
complex tachycardia at a rate of 220/min. The patient's blood pressure
is 128/58 mm Hg, the PETCO2 is 38mm 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 confirm 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 adenosine 6mg IV push
• A patient has sinus bradycardia with a heart rate of 36/min. Atropine
has been administered to a toal does 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? -
✓✓Epinephrine 2 to 10 mcg/min
, • 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
• A 62-year-old man suddenly experienced difficulty speaking and left-
sided weakness. He meets initial criteria for fibrinolytic therapy, and a
CT scan of the brain si ordered. Which best describes the guidelines for
antiplatelet and fibrinolytic therapy? -✓✓Hold aspirin for at least 24
hours if rtPA is administered
• A patient is in refractory ventricular fibrillation and has received
multiple appropriate defribillation shocks, epinephrine 1 mg IV twice,
and an initial dose of amiodarone 300mg IV. The patient is intubated.
Which best describe the recommended second does of amiodarone for
this patient? -✓✓150 mg IV push
• A patient with sinus bradycardia and a heart rate of 42/min has
diaphoresis and a blood pressure of 80/60mm Hg. What is the initial
does of atropine? -✓✓0.5mg
• 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. Which drug should
be administered? -✓✓Adenosine 6mg
Answers | Complete Revision Resource | A+
• Which intervention is most appropriate for the treatment of a patient
in asystole? -✓✓Epinephrine
• You arrive on the scene with the code team. High-quality CPR is in
progress. An AED has previousy advised "no shock indicated." A rhythm
check now finds asystole. After resuming high-quality compressions,
which action do you take next? -✓✓Establish IV or IO access
• A monitored patient in the ICU developed a sudden onset of narrow-
complex tachycardia at a rate of 220/min. The patient's blood pressure
is 128/58 mm Hg, the PETCO2 is 38mm 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 confirm 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 adenosine 6mg IV push
• A patient has sinus bradycardia with a heart rate of 36/min. Atropine
has been administered to a toal does 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? -
✓✓Epinephrine 2 to 10 mcg/min
, • 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
• A 62-year-old man suddenly experienced difficulty speaking and left-
sided weakness. He meets initial criteria for fibrinolytic therapy, and a
CT scan of the brain si ordered. Which best describes the guidelines for
antiplatelet and fibrinolytic therapy? -✓✓Hold aspirin for at least 24
hours if rtPA is administered
• A patient is in refractory ventricular fibrillation and has received
multiple appropriate defribillation shocks, epinephrine 1 mg IV twice,
and an initial dose of amiodarone 300mg IV. The patient is intubated.
Which best describe the recommended second does of amiodarone for
this patient? -✓✓150 mg IV push
• A patient with sinus bradycardia and a heart rate of 42/min has
diaphoresis and a blood pressure of 80/60mm Hg. What is the initial
does of atropine? -✓✓0.5mg
• 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. Which drug should
be administered? -✓✓Adenosine 6mg
