ACLS 2022
ACLS 2022 Study Guide Exam Questions
& Answers, A+ Score Solution Update
2023-2024.
ACLS Tachycardia with a Pulse Algorithm - Answer: Assess clinical condition
Look for signs of increased work of breathing
Look for signs of hypoxemia
ACLS Bradycardia with a Pulse Algorithm - Answer: Assess appropriateness for
clinical condition
Indentify and treat underlying cause.
If no symptoms, monitor and observe.
If symptoms, give Atropine
Transcutaneous pacing, Dopamine, or Epinephrine
, ACLS 2022
Consider expert consultation, transvenous pacing
Bradyarrhythmia is typically a rate of - Answer: less than 50 beats per minute
Symptoms that require treatment - Answer: Hypotension
Acute altered mental status
Signs of shock
Ischemic chest discomfort
Acute heart failure
Identify and treat underlying cause - Answer: Maintain patent airway; assist
breathing as necessary
If the patient is short of breath, administer oxygen
Oxygen as indicated
Cardiac monitor to ID rhythm; monitor BP and O2 sat
IV access
12-lead EKG if available; don't delay therapy
If persistent bradyarrhythmia is asymptomatic, what do you do? - Answer:
Monitor and observe
If persistent bradyarrythmia causing symptoms, what do you do? - Answer:
Atropine 1 mg IV dose every 3-5 minutes, max 3 doses
, ACLS 2022
What 3 options are there if Atropine is ineffective? - Answer: Transcutaneous
pacing OR
Dopamine IV infusion at 5-20 mcg/kg/minute OR
Epinephrine IV infusion at 2-10 mcg per minute
Longer, longer, longer, drop, then you have a - Answer: Wenkebach(2nd degree AV
block 1)
if some P's don't get through then you have - Answer: Mobitz II
if P's and Q's don't agree then you have - Answer: 3rd degree
The patient does not respond to treatments. The vital signs are HR 40/min with a
weak pulse, BP 66/43, RR 18/min, and SpO2 91%. The patient is responsive but
states feels tired. What should you consider? - Answer: Seek expert consultation
Rhythms for unstable tachycardia - Answer: Sinus tachycardia
Atrial fibrillation
Atrial flutter
SVT
Monomorphic VT
Polymorphic VT
Wide-complex tachycardia of uncertain type
Sinus Tachycardia - Answer:
ACLS 2022 Study Guide Exam Questions
& Answers, A+ Score Solution Update
2023-2024.
ACLS Tachycardia with a Pulse Algorithm - Answer: Assess clinical condition
Look for signs of increased work of breathing
Look for signs of hypoxemia
ACLS Bradycardia with a Pulse Algorithm - Answer: Assess appropriateness for
clinical condition
Indentify and treat underlying cause.
If no symptoms, monitor and observe.
If symptoms, give Atropine
Transcutaneous pacing, Dopamine, or Epinephrine
, ACLS 2022
Consider expert consultation, transvenous pacing
Bradyarrhythmia is typically a rate of - Answer: less than 50 beats per minute
Symptoms that require treatment - Answer: Hypotension
Acute altered mental status
Signs of shock
Ischemic chest discomfort
Acute heart failure
Identify and treat underlying cause - Answer: Maintain patent airway; assist
breathing as necessary
If the patient is short of breath, administer oxygen
Oxygen as indicated
Cardiac monitor to ID rhythm; monitor BP and O2 sat
IV access
12-lead EKG if available; don't delay therapy
If persistent bradyarrhythmia is asymptomatic, what do you do? - Answer:
Monitor and observe
If persistent bradyarrythmia causing symptoms, what do you do? - Answer:
Atropine 1 mg IV dose every 3-5 minutes, max 3 doses
, ACLS 2022
What 3 options are there if Atropine is ineffective? - Answer: Transcutaneous
pacing OR
Dopamine IV infusion at 5-20 mcg/kg/minute OR
Epinephrine IV infusion at 2-10 mcg per minute
Longer, longer, longer, drop, then you have a - Answer: Wenkebach(2nd degree AV
block 1)
if some P's don't get through then you have - Answer: Mobitz II
if P's and Q's don't agree then you have - Answer: 3rd degree
The patient does not respond to treatments. The vital signs are HR 40/min with a
weak pulse, BP 66/43, RR 18/min, and SpO2 91%. The patient is responsive but
states feels tired. What should you consider? - Answer: Seek expert consultation
Rhythms for unstable tachycardia - Answer: Sinus tachycardia
Atrial fibrillation
Atrial flutter
SVT
Monomorphic VT
Polymorphic VT
Wide-complex tachycardia of uncertain type
Sinus Tachycardia - Answer:
