Page 1 of 81
AHA ACLS POST QUESTION BANK EXAM ALL
380 QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
Question: What tests should be performed for a patient with a suspected stroke within 2 hours
of arrival? - CORRECT ANSWER✔✔non contrast CT scan of the head
Question: SVT types - CORRECT ANSWER✔✔1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White syndrome;
Question: The patient is in *cardiac arrest*.
High-quality chest compressions are being given.
The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer? - CORRECT ANSWER✔✔*Epinephrine 1 mg IV/IO*
, Page 2 of 81
Question: *Transcutaneous Pacing* - CORRECT ANSWER✔✔Aka external pacing: is a temporary
means of pacing a patient's heart during a medical emergency.
It is accomplished by *gradually delivering pulses* of electric current (*50-100 mA*) through
the patient's chest until capture is reached (usually at a selected rate of 70), which stimulates
the *heart to contract* at a regular pace.
Question: Which intervention is most appropriate for the treatment of a patient in *asystole*? -
CORRECT ANSWER✔✔*Epinephrine*
Question: A patient with sinus *bradycardia* and a heart rate of 42/min is diaphoretic and with
a blood pressure of 80/60 mm Hg.
What is the *initial dose of atropine*? - CORRECT ANSWER✔✔*0.5 mg* of *Atropine*
Question: A patient has sinus *bradycardia* with a heart rate of 36/min. *Atropine* has been
administered to a total dose of 3 mg. A *transcutaneous pacing* has failed to capture. The
patient is confused, and her BP is *88/56 mmHg*. Which therapy is now indicated? - CORRECT
ANSWER✔✔*Epinephrine infusion: 2-10 mcg/min*.
Question: A monitored patient in the ICU developed a sudden onset of *regular narrow-
complex tachycardia* at a rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is
98%.
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There is a vascular (IV) access in the left arm, and the patient has not been given any basic
active drugs.
A 12-lead ECG confirms *SVT* with no evidence of ischemia or infraction.
The HR has not responded to vagal maneuvers.
What is your next action? - CORRECT ANSWER✔✔Administer *adenosine 6 mg* IV push
Question: A patient with possible STEMI has ongoing chest discomfort. What is a
*contraindication to nitrate* administration? - CORRECT ANSWER✔✔Use of a
*phosphodiesterase inhibitors* (eg. Viagra) within the previous 24 hours
Question: A patient is in *pulseless V-tach* (PEA). 2 shocks and 1 dose of epinephrine have
been given.
Which drug should be given next? - CORRECT ANSWER✔✔*Amiodarone 300 mg* (first dose)
Question: What is the indication for the use of *magnesium* in cardiac arrest? - CORRECT
ANSWER✔✔Pulseless V-tach associated with *Torsades des pointes*
Question: Which is one way to minimize interruptions in chest compressions during CPR? -
CORRECT ANSWER✔✔Continue CPR while the defibrillator charges
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Question: A 35-years-old woman has palpitations, light-headedness, and a stable
*tachycardia*.
The monitor shows a *regular-narrow-monomorphic-complex QRS* at a rate of 180/minutes.
Vagal maneuvers have not been effective in terminating the rhythm.
An IV has been established.
Which drug should be administered? - CORRECT ANSWER✔✔*Adenosine 6 mg* (first dose)
Question: Antiarrhythmic *Infusion* for Stable Wide-QRS Tachycardia: - CORRECT
ANSWER✔✔1) Procainamide IV: 20 (max 50) mg/min;
2) Amiodarone IV: 150mg/10 min.;
3) Sotalol IV: 100 mg/5 min.;
Question: A 57-years-old woman has palpitations, chest discomfort, and *tachycardia*. The
monitor shows a *regular wide-complex QRS* at a rate of 180/min.
She becomes diaphoretic, and her BP is 80/60 mm Hg.
Which action do you take next? - CORRECT ANSWER✔✔Perform *Synchronized Cardioversion*
at 100J
Question: ROSC - CORRECT ANSWER✔✔Return to spontaneous circulation after BLS.
AHA ACLS POST QUESTION BANK EXAM ALL
380 QUESTIONS AND CORRECT DETAILED
SOLUTIONS JUST RELEASED THIS YEAR
Question: What tests should be performed for a patient with a suspected stroke within 2 hours
of arrival? - CORRECT ANSWER✔✔non contrast CT scan of the head
Question: SVT types - CORRECT ANSWER✔✔1) Atrial fibrillation (A-fib);
2) Paroxysmal Supraventricular Tachycardia (PSVT):
3) Atrial Flutter (A-flutter);
4) Wolff-Parkinson-White syndrome;
Question: The patient is in *cardiac arrest*.
High-quality chest compressions are being given.
The patient is intubated, and an IV is being started.
The rhythm is *asystole*.
What is the first drug/dose to administer? - CORRECT ANSWER✔✔*Epinephrine 1 mg IV/IO*
, Page 2 of 81
Question: *Transcutaneous Pacing* - CORRECT ANSWER✔✔Aka external pacing: is a temporary
means of pacing a patient's heart during a medical emergency.
It is accomplished by *gradually delivering pulses* of electric current (*50-100 mA*) through
the patient's chest until capture is reached (usually at a selected rate of 70), which stimulates
the *heart to contract* at a regular pace.
Question: Which intervention is most appropriate for the treatment of a patient in *asystole*? -
CORRECT ANSWER✔✔*Epinephrine*
Question: A patient with sinus *bradycardia* and a heart rate of 42/min is diaphoretic and with
a blood pressure of 80/60 mm Hg.
What is the *initial dose of atropine*? - CORRECT ANSWER✔✔*0.5 mg* of *Atropine*
Question: A patient has sinus *bradycardia* with a heart rate of 36/min. *Atropine* has been
administered to a total dose of 3 mg. A *transcutaneous pacing* has failed to capture. The
patient is confused, and her BP is *88/56 mmHg*. Which therapy is now indicated? - CORRECT
ANSWER✔✔*Epinephrine infusion: 2-10 mcg/min*.
Question: A monitored patient in the ICU developed a sudden onset of *regular narrow-
complex tachycardia* at a rate of 220/min.
The patient's BP is 128/88 mm Hg, the PETCO2 is 38 mm Hg, and the pulse oximetry reading is
98%.
, Page 3 of 81
There is a vascular (IV) access in the left arm, and the patient has not been given any basic
active drugs.
A 12-lead ECG confirms *SVT* with no evidence of ischemia or infraction.
The HR has not responded to vagal maneuvers.
What is your next action? - CORRECT ANSWER✔✔Administer *adenosine 6 mg* IV push
Question: A patient with possible STEMI has ongoing chest discomfort. What is a
*contraindication to nitrate* administration? - CORRECT ANSWER✔✔Use of a
*phosphodiesterase inhibitors* (eg. Viagra) within the previous 24 hours
Question: A patient is in *pulseless V-tach* (PEA). 2 shocks and 1 dose of epinephrine have
been given.
Which drug should be given next? - CORRECT ANSWER✔✔*Amiodarone 300 mg* (first dose)
Question: What is the indication for the use of *magnesium* in cardiac arrest? - CORRECT
ANSWER✔✔Pulseless V-tach associated with *Torsades des pointes*
Question: Which is one way to minimize interruptions in chest compressions during CPR? -
CORRECT ANSWER✔✔Continue CPR while the defibrillator charges
, Page 4 of 81
Question: A 35-years-old woman has palpitations, light-headedness, and a stable
*tachycardia*.
The monitor shows a *regular-narrow-monomorphic-complex QRS* at a rate of 180/minutes.
Vagal maneuvers have not been effective in terminating the rhythm.
An IV has been established.
Which drug should be administered? - CORRECT ANSWER✔✔*Adenosine 6 mg* (first dose)
Question: Antiarrhythmic *Infusion* for Stable Wide-QRS Tachycardia: - CORRECT
ANSWER✔✔1) Procainamide IV: 20 (max 50) mg/min;
2) Amiodarone IV: 150mg/10 min.;
3) Sotalol IV: 100 mg/5 min.;
Question: A 57-years-old woman has palpitations, chest discomfort, and *tachycardia*. The
monitor shows a *regular wide-complex QRS* at a rate of 180/min.
She becomes diaphoretic, and her BP is 80/60 mm Hg.
Which action do you take next? - CORRECT ANSWER✔✔Perform *Synchronized Cardioversion*
at 100J
Question: ROSC - CORRECT ANSWER✔✔Return to spontaneous circulation after BLS.
