ACLS COMPLETE QUESTIONS AND 100%
CORRECT ANSWERS 2025
BEST,PLAYLIST,I'VE,FOUND,FOR,ALL,HEART.ORG,ACLS,CODES!,-
,ANSWER,https://www.youtube.com/watch?v=qQTpqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakrR
QDKOkTZj
This,is,a,good,starting,point,for,Jose,(big,Megacode,at,end):,https://www.youtube.com/watch?v
=8OB7OreUjy0,.,Use,the,feedback,after,failing,to,get,closer,and,closer,to,passing!
In,which,situation,does,bradycardia,require,treatment?,-,ANSWER,Hypotension
Which,intervention,is,most,appropriate,for,the,treatment,of,a,patient,in,asystole?,-
,ANSWER,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,n
ow,finds,asystole.,After,resuming,high-quality,compressions,,which,action,do,you,take,next?,-
,ANSWER,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,PE
TCO2,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?,-
,ANSWER,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,,a
nd,her,blood,pressure,is,88/56,mm,Hg.,Which,therapy,is,now,indicated?,-
,ANSWER,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?,-,ANSWER,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,ord
ered.,Which,best,describes,the,guidelines,for,antiplatelet,and,fibrinolytic,therapy?,-
,ANSWER,Hold,aspirin,for,at,least,24,hours,if,rtPA,is,administered
A,patient,is,in,refractory,ventricular,fibrillation,and,has,received,multiple,appropriate,defribillati
on,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?,-
,ANSWER,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?,-,ANSWER,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,r
hythm.,An,IV,has,been,established.,Which,drug,should,be,administered?,-
,ANSWER,Adenosine,6mg
A,patient,is,in,cardiac,arrest.,Ventricular,fibrillation,has,been,refractory,to,an,initial,shock.,If,no,p
athway,for,medication,administration,is,in,place,,which,method,is,preferred?,-,ANSWER,IV,or,IO
What,is,the,indication,for,the,use,of,magnesium,in,cardiac,arrest?,-
,ANSWER,Pulseless,ventricular,tachycardia-associated,torsades,de,pointes
A,patient,has,a,rapid,irregular,wide-
complex,tachycardia.,The,ventricular,rate,is,138/min.,He,is,asymptomatic,,with,a,blood,pressure,
of,110/70,mm,Hg.,He,has,a,history,of,angina.,What,action,is,recommended,next?,-
,ANSWER,Seeking,expert,consultation
,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,asystole.,What,is,the,first,drug/dose,to,administer?,-
,ANSWER,Epinephrine,1mg,IV/IO
A,patient,is,in,refractory,ventricular,fibrillation.,High-
quality,CPR,is,in,progress.,One,does,of,epinephrine,was,given,after,the,second,shock.,An,antiarr
hythmic,drug,was,given,immediately,after,the,third,shock.,You,are,the,team,leader.,Which,medic
ation,do,you,order,next.,-,ANSWER,Epinephrine,1,mg
A,patient,with,possible,STEMI,has,ongoing,chest,discomfort.,What,is,a,contraindication,to,nitrate
,administration?,-,ANSWER,Use,of,a,phosphodiestrase,inhibitor,within,the,previous,24,hours
A,57-year-
old,woman,has,palpitation,,chest,discomfort,,and,tachycardia.,The,monitor,shows,a,regular,wide
-
QRS,at,a,rate,of,180/min.,She,becomes,diaphoretic,,and,her,blood,pressure,is,80/60,mm,HG/,W
hich,action,do,you,take,next?,-,ANSWER,Perform,electrical,cordioversion
A,patient,with,STEMI,has,ongoing,chest,discomfort.,Heparin,4000,units,IV,bolus,and,a,heparin,in
fusion,of,1000,units,per,hour,are,being,administered.,The,patient,did,not,take,aspirin,because,h
e,has,a,history,of,gastritis,,with,was,treated,5,years,ago.,What,is,your,next,action?,-
,ANSWER,Give,aspirin,160-325,mg,to,chew
You,are,caring,for,a,66-year-
old,man,with,a,history,of,a,large,intracerebral,hemorrhage,2,months,ago.,He,is,being,evaluated,f
or,another,acute,stroke.,The,CT,scan,is,negative,for,hemorrhage.,The,patient,is,receiving,oxygen,
via,nasal,cannula,at,2L/min,,and,an,IV,has,been,established.,His,blood,pressure,is,180/100mm,H
g.,Which,drug,do,you,anticipate,giving,to,this,patient?,-,ANSWER,Aspirin
A,patient,is,in,pulseless,ventricular,tachycardia.,Two,shocks,and,1,dose,of,epinephrine,have,bee
n,given.,Which,drug,should,be,given,next?,-,ANSWER,Amiodarone,300mg
, What,is,the,maximum,interval,for,pausing,chest,compressions?,-,ANSWER,10,seconds
Your,patient,is,a,56-year-
old,woman,with,a,history,of,type,2,diabetes,who,reports,feeling,dizzy.,She,is,pale,and,diaphoreti
c.,Her,blood,pressure,is,80/66mm,Hg.,The,cardiac,monitor,documents,the,rhythm,shown,here.,S
he,is,receiving,oxygen,at,4L/min,by,nasal,cannula,,and,an,Iv,has,been,established.,What,do,you,a
dminister,next?,-,ANSWER,Atropine,0.5mg,IV
A,35-year-
old,woman,presents,with,a,chief,complaint,of,palpitations.,She,has,no,chest,discomfort,,shortne
ss,of,breath,,or,light-
headedness.,Her,blood,pressure,is,120/78mm,Hg.,Which,intervention,is,indicated,first?,-
,ANSWER,Vagal,maneuvers
Which,action,should,you,take,immediately,after,providing,an,AED,shock?,-
,ANSWER,Resume,chest,compressions
What,action,minimizes,the,risk,of,air,entering,the,victim's,stomach,during-
bag,mask,ventilation?,-,ANSWER,Ventilating,until,you,see,the,chest,rise
You,are,providing,bag-
mask,ventilations,to,a,patient,in,respiratory,arrest.,How,often,should,you,provide,ventilation?,-
,ANSWER,About,every,5-6,seconds
After,initiation,of,CPR,and,1,shock,for,ventricular,fibrillation,,this,rhythm,is,present,on,the,next,r
hythm,check.,A,second,shock,is,given,,and,chest,compressions,are,resumed,immediately.,An,IV,i
s,in,place,,and,no,drugs,have,been,given.,Bag-
mask,ventilations,are,producing,visible,chest,rise.,What,is,your,next,intervention?,-
,ANSWER,Give,epinephrine,1mg,IV/IO
A,patient's,12-
lead,ECG,is,transmitted,by,the,paramedics,and,shows,a,STEMI.,When,the,patient,arrives,in,the,e
mergency,department,,the,rhythm,shown,here,is,seen,on,the,cardiac,monitor.,The,patient,has,re
CORRECT ANSWERS 2025
BEST,PLAYLIST,I'VE,FOUND,FOR,ALL,HEART.ORG,ACLS,CODES!,-
,ANSWER,https://www.youtube.com/watch?v=qQTpqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakrR
QDKOkTZj
This,is,a,good,starting,point,for,Jose,(big,Megacode,at,end):,https://www.youtube.com/watch?v
=8OB7OreUjy0,.,Use,the,feedback,after,failing,to,get,closer,and,closer,to,passing!
In,which,situation,does,bradycardia,require,treatment?,-,ANSWER,Hypotension
Which,intervention,is,most,appropriate,for,the,treatment,of,a,patient,in,asystole?,-
,ANSWER,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,n
ow,finds,asystole.,After,resuming,high-quality,compressions,,which,action,do,you,take,next?,-
,ANSWER,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,PE
TCO2,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?,-
,ANSWER,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,,a
nd,her,blood,pressure,is,88/56,mm,Hg.,Which,therapy,is,now,indicated?,-
,ANSWER,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?,-,ANSWER,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,ord
ered.,Which,best,describes,the,guidelines,for,antiplatelet,and,fibrinolytic,therapy?,-
,ANSWER,Hold,aspirin,for,at,least,24,hours,if,rtPA,is,administered
A,patient,is,in,refractory,ventricular,fibrillation,and,has,received,multiple,appropriate,defribillati
on,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?,-
,ANSWER,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?,-,ANSWER,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,r
hythm.,An,IV,has,been,established.,Which,drug,should,be,administered?,-
,ANSWER,Adenosine,6mg
A,patient,is,in,cardiac,arrest.,Ventricular,fibrillation,has,been,refractory,to,an,initial,shock.,If,no,p
athway,for,medication,administration,is,in,place,,which,method,is,preferred?,-,ANSWER,IV,or,IO
What,is,the,indication,for,the,use,of,magnesium,in,cardiac,arrest?,-
,ANSWER,Pulseless,ventricular,tachycardia-associated,torsades,de,pointes
A,patient,has,a,rapid,irregular,wide-
complex,tachycardia.,The,ventricular,rate,is,138/min.,He,is,asymptomatic,,with,a,blood,pressure,
of,110/70,mm,Hg.,He,has,a,history,of,angina.,What,action,is,recommended,next?,-
,ANSWER,Seeking,expert,consultation
,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,asystole.,What,is,the,first,drug/dose,to,administer?,-
,ANSWER,Epinephrine,1mg,IV/IO
A,patient,is,in,refractory,ventricular,fibrillation.,High-
quality,CPR,is,in,progress.,One,does,of,epinephrine,was,given,after,the,second,shock.,An,antiarr
hythmic,drug,was,given,immediately,after,the,third,shock.,You,are,the,team,leader.,Which,medic
ation,do,you,order,next.,-,ANSWER,Epinephrine,1,mg
A,patient,with,possible,STEMI,has,ongoing,chest,discomfort.,What,is,a,contraindication,to,nitrate
,administration?,-,ANSWER,Use,of,a,phosphodiestrase,inhibitor,within,the,previous,24,hours
A,57-year-
old,woman,has,palpitation,,chest,discomfort,,and,tachycardia.,The,monitor,shows,a,regular,wide
-
QRS,at,a,rate,of,180/min.,She,becomes,diaphoretic,,and,her,blood,pressure,is,80/60,mm,HG/,W
hich,action,do,you,take,next?,-,ANSWER,Perform,electrical,cordioversion
A,patient,with,STEMI,has,ongoing,chest,discomfort.,Heparin,4000,units,IV,bolus,and,a,heparin,in
fusion,of,1000,units,per,hour,are,being,administered.,The,patient,did,not,take,aspirin,because,h
e,has,a,history,of,gastritis,,with,was,treated,5,years,ago.,What,is,your,next,action?,-
,ANSWER,Give,aspirin,160-325,mg,to,chew
You,are,caring,for,a,66-year-
old,man,with,a,history,of,a,large,intracerebral,hemorrhage,2,months,ago.,He,is,being,evaluated,f
or,another,acute,stroke.,The,CT,scan,is,negative,for,hemorrhage.,The,patient,is,receiving,oxygen,
via,nasal,cannula,at,2L/min,,and,an,IV,has,been,established.,His,blood,pressure,is,180/100mm,H
g.,Which,drug,do,you,anticipate,giving,to,this,patient?,-,ANSWER,Aspirin
A,patient,is,in,pulseless,ventricular,tachycardia.,Two,shocks,and,1,dose,of,epinephrine,have,bee
n,given.,Which,drug,should,be,given,next?,-,ANSWER,Amiodarone,300mg
, What,is,the,maximum,interval,for,pausing,chest,compressions?,-,ANSWER,10,seconds
Your,patient,is,a,56-year-
old,woman,with,a,history,of,type,2,diabetes,who,reports,feeling,dizzy.,She,is,pale,and,diaphoreti
c.,Her,blood,pressure,is,80/66mm,Hg.,The,cardiac,monitor,documents,the,rhythm,shown,here.,S
he,is,receiving,oxygen,at,4L/min,by,nasal,cannula,,and,an,Iv,has,been,established.,What,do,you,a
dminister,next?,-,ANSWER,Atropine,0.5mg,IV
A,35-year-
old,woman,presents,with,a,chief,complaint,of,palpitations.,She,has,no,chest,discomfort,,shortne
ss,of,breath,,or,light-
headedness.,Her,blood,pressure,is,120/78mm,Hg.,Which,intervention,is,indicated,first?,-
,ANSWER,Vagal,maneuvers
Which,action,should,you,take,immediately,after,providing,an,AED,shock?,-
,ANSWER,Resume,chest,compressions
What,action,minimizes,the,risk,of,air,entering,the,victim's,stomach,during-
bag,mask,ventilation?,-,ANSWER,Ventilating,until,you,see,the,chest,rise
You,are,providing,bag-
mask,ventilations,to,a,patient,in,respiratory,arrest.,How,often,should,you,provide,ventilation?,-
,ANSWER,About,every,5-6,seconds
After,initiation,of,CPR,and,1,shock,for,ventricular,fibrillation,,this,rhythm,is,present,on,the,next,r
hythm,check.,A,second,shock,is,given,,and,chest,compressions,are,resumed,immediately.,An,IV,i
s,in,place,,and,no,drugs,have,been,given.,Bag-
mask,ventilations,are,producing,visible,chest,rise.,What,is,your,next,intervention?,-
,ANSWER,Give,epinephrine,1mg,IV/IO
A,patient's,12-
lead,ECG,is,transmitted,by,the,paramedics,and,shows,a,STEMI.,When,the,patient,arrives,in,the,e
mergency,department,,the,rhythm,shown,here,is,seen,on,the,cardiac,monitor.,The,patient,has,re
