ACLS Recertification Test 2022
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: A. Give ASA 160 to 325 mg to chew
2. A pt is in pulseless ventricular tachycardia. 2 shocks and 1 dose of epinephrine 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: 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 preferred
A. Central line
B. Endotracheal tube
C. External Jugular vein
D. IV or IO: D. IV or IO
4. What is the indicatio 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: 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: B. establish IV or IO access
, 6. A pt is in cardiac arrest.V fib has been refractory to a second shock.Which drug should be
administered first?
A. Atropine 1 mg IV/IO
B. epinephrine 1 mg IV/IO C. Lidocaine 1 mg/kg IV/IO
D. Sodium bicarbonate 50 mEq IV/IO: B. epinephrine 1 mg IV/IO
7. A pt with sinus bradycardia and a HR of 42/min has diaphoresis and a BP
of 80/60 mg. What is the initial dose of atropine?
A. 0.1 mg B. 0.5 mg C. 1 mg
D. 3 mg: B. 0.5 mg
8. A pt is in refractory V fib. CRP is in progess. One dose of epinephrine was given after the
second shock. An antiarrhythimic drug was given immediate after the thirst shock.You are
the team leader. Which med do you order next?
A. Epinephrine 1 mg
B. epinephrine 3 mg
C. Sodium bicarbonate 50 mEq
D. a second dose of the antiarrhythmic drug: A. Epinephrine 1 mg
9. A monitored pt in the ICU developed a sudden onset of narrow-complex tachycardia at
220/min. The pt BP is 128/58. The PETCO2 is 38 mm Hg, and the puse Ox is 98%. There is a
vascular access in the L arm, and the pt has not been given any vasoactive drugs. An ECG
confirms supraventricular tachycardia with no evidence of ischemia or infarction. The HR
has not responsed to vagal maneuvers. What is the next action?
A. Administer adenosine 6 mg IV push
B. Administer amiodarone 300 mg IV push
C. perform synchronized cardioversion at 50 J
D. perform synchronized cardioversion at 200 J: A. Administer adenosine 6 mg
IV push
10. A pt has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min.
He is asx with a BP of 110/70. PMHx of angina. What action is recommended next?
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: A. Give ASA 160 to 325 mg to chew
2. A pt is in pulseless ventricular tachycardia. 2 shocks and 1 dose of epinephrine 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: 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 preferred
A. Central line
B. Endotracheal tube
C. External Jugular vein
D. IV or IO: D. IV or IO
4. What is the indicatio 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: 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: B. establish IV or IO access
, 6. A pt is in cardiac arrest.V fib has been refractory to a second shock.Which drug should be
administered first?
A. Atropine 1 mg IV/IO
B. epinephrine 1 mg IV/IO C. Lidocaine 1 mg/kg IV/IO
D. Sodium bicarbonate 50 mEq IV/IO: B. epinephrine 1 mg IV/IO
7. A pt with sinus bradycardia and a HR of 42/min has diaphoresis and a BP
of 80/60 mg. What is the initial dose of atropine?
A. 0.1 mg B. 0.5 mg C. 1 mg
D. 3 mg: B. 0.5 mg
8. A pt is in refractory V fib. CRP is in progess. One dose of epinephrine was given after the
second shock. An antiarrhythimic drug was given immediate after the thirst shock.You are
the team leader. Which med do you order next?
A. Epinephrine 1 mg
B. epinephrine 3 mg
C. Sodium bicarbonate 50 mEq
D. a second dose of the antiarrhythmic drug: A. Epinephrine 1 mg
9. A monitored pt in the ICU developed a sudden onset of narrow-complex tachycardia at
220/min. The pt BP is 128/58. The PETCO2 is 38 mm Hg, and the puse Ox is 98%. There is a
vascular access in the L arm, and the pt has not been given any vasoactive drugs. An ECG
confirms supraventricular tachycardia with no evidence of ischemia or infarction. The HR
has not responsed to vagal maneuvers. What is the next action?
A. Administer adenosine 6 mg IV push
B. Administer amiodarone 300 mg IV push
C. perform synchronized cardioversion at 50 J
D. perform synchronized cardioversion at 200 J: A. Administer adenosine 6 mg
IV push
10. A pt has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min.
He is asx with a BP of 110/70. PMHx of angina. What action is recommended next?
