ACLS PreTest LATEST VERSION
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 now 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 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? - (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,
and 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 ordered. 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
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? - (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 rhythm. An IV has been established. Which drug should be
administered? - (ANSWER)Adenosine 6mg
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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 now 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 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? - (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,
and 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 ordered. 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
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? - (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 rhythm. An IV has been established. Which drug should be
administered? - (ANSWER)Adenosine 6mg
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