ACLS COMPLETE STUDY EXAM.
https://www.youtube.com/watch?v=qQT-
1. BEST PLAYLIST I'VE FOUND FOR ALL
pqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakr-
HEART.ORG ACLS CODES!
RQDKOkTZj
This is a good starting point for Jose (big
Megacode at end):
https://www.youtube.com/watch?v=8OB7OreU-
jy0 . Use the feedback after failing to get
closer and closer to passing!
Hypotension
2. In which situation does bradycardia re-
quire treatment?
Epinephrine
3. Which intervention is most appropriate
for the treatment of a patient in asystole?
Establish IV or IO access
4. You arrive on the scene with the code
team. High-quality CPR is in progress. An
AED has previousy advised "no shock in-
dicated." A rhythm check now finds asys-
tole. After resuming high-quality compres-
sions, which action do you take next?
Administer adenosine 6mg IV push
5. A monitored patient in the ICU developed
a sudden onset of narrow-complex tachy-
cardia at a rate of 220/min. The patient's
blood pressure is 128/58 mm Hg, the PET-
CO2 is 38mm Hg, and the pulse oxime-
try reading is 98%. There is vascular ac-
cess 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
, ACLS COMPLETE STUDY EXAM.
or infarction. The heart rate has not re-
sponded to vagal maneuvers. what is your
next action?
6. A patient has sinus bradycardia with a Epinephrine 2 to 10 mcg/min
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?
7. A patient is in cardiac arrest. Ventricular Epinephrine 1 mg IV/IO
fibrillation has been refractory to a sec-
ond shock. Which drug should be admin-
istered first?
8. A 62-year-old man suddenly experienced Hold aspirin for at least 24 hours if rtPA is
difficulty speaking and left-sided weak- administered
ness. He meets initial criteria for fibrinolyt-
ic therapy, and a CT scan of the brain si
ordered. Which best describes the guide-
lines for antiplatelet and fibrinolytic thera-
py?
9. A patient is in refractory ventricular fib- 150 mg IV push
rillation and has received multiple appro-
priate defribillation shocks, epinephrine 1
mg IV twice, and an initial dose of amio-
darone 300mg IV. The patient is intubat-
ed. Which best describe the recommend-
ed second does of amiodarone for this pa-
tient?
, ACLS COMPLETE STUDY EXAM.
10. A patient with sinus bradycardia and a 0.5mg
heart rate of 42/min has diaphoresis and
a blood pressure of 80/60mm Hg. What is
the initial does of atropine?
11. A 35-year-old woman has palpitations, Adenosine 6mg
light-headedness, and a stable tachycar-
dia. The monitor shows a regular nar-
row-complex QRS at a rate of 180/min. Va-
gal maneuvers have not been effective in
terminating the rhythm. An IV has been
established. Which drug should be admin-
istered?
12. A patient is in cardiac arrest. Ventricular IV or IO
fibrillation has been refractory to an initial
shock. If no pathway for medication ad-
ministration is in place, which method is
preferred?
13. What is the indication for the use of mag- Pulseless ventricular tachycardia-associated
nesium in cardiac arrest? torsades de pointes
14. A patient has a rapid irregular wide-com- Seeking expert consultation
plex tachycardia. The ventricular rate is
138/min. He is asymptomatic, with a blood
pressure of 110/70 mm Hg. He has a histo-
ry of angina. What action is recommended
next?
15. A patient is in cardiac arrest. High-quality Epinephrine 1mg IV/IO
chest compressions are being given. The
, ACLS COMPLETE STUDY EXAM.
patient is intubated, and an IV has been
started. The rhythm is asystole. What is
the first drug/dose to administer?
16. A patient is in refractory ventricular fib- Epinephrine 1 mg
rillation. High-quality CPR is in progress.
One does of epinephrine was given af-
ter the second shock. An antiarrhythmic
drug was given immediately after the third
shock. You are the team leader. Which
medication do you order next.
17. A patient with possible STEMI has ongoing Use of a phosphodiestrase inhibitor within
chest discomfort. What is a contraindica- the previous 24 hours
tion to nitrate administration?
18. A 57-year-old woman has palpitation, Perform electrical cordioversion
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/
Which action do you take next?
19. A patient with STEMI has ongoing chest Give aspirin 160-325 mg to chew
discomfort. Heparin 4000 units IV bolus
and a heparin infusion of 1000 units per
hour are being administered. The patient
did not take aspirin because he has a his-
tory of gastritis, with was treated 5 years
ago. What is your next action?
20. You are caring for a 66-year-old man with Aspirin
a history of a large intracerebral hemor-
https://www.youtube.com/watch?v=qQT-
1. BEST PLAYLIST I'VE FOUND FOR ALL
pqjvvduI&list=PLy60DSDPg9urf_l5ss1FLakr-
HEART.ORG ACLS CODES!
RQDKOkTZj
This is a good starting point for Jose (big
Megacode at end):
https://www.youtube.com/watch?v=8OB7OreU-
jy0 . Use the feedback after failing to get
closer and closer to passing!
Hypotension
2. In which situation does bradycardia re-
quire treatment?
Epinephrine
3. Which intervention is most appropriate
for the treatment of a patient in asystole?
Establish IV or IO access
4. You arrive on the scene with the code
team. High-quality CPR is in progress. An
AED has previousy advised "no shock in-
dicated." A rhythm check now finds asys-
tole. After resuming high-quality compres-
sions, which action do you take next?
Administer adenosine 6mg IV push
5. A monitored patient in the ICU developed
a sudden onset of narrow-complex tachy-
cardia at a rate of 220/min. The patient's
blood pressure is 128/58 mm Hg, the PET-
CO2 is 38mm Hg, and the pulse oxime-
try reading is 98%. There is vascular ac-
cess 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
, ACLS COMPLETE STUDY EXAM.
or infarction. The heart rate has not re-
sponded to vagal maneuvers. what is your
next action?
6. A patient has sinus bradycardia with a Epinephrine 2 to 10 mcg/min
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?
7. A patient is in cardiac arrest. Ventricular Epinephrine 1 mg IV/IO
fibrillation has been refractory to a sec-
ond shock. Which drug should be admin-
istered first?
8. A 62-year-old man suddenly experienced Hold aspirin for at least 24 hours if rtPA is
difficulty speaking and left-sided weak- administered
ness. He meets initial criteria for fibrinolyt-
ic therapy, and a CT scan of the brain si
ordered. Which best describes the guide-
lines for antiplatelet and fibrinolytic thera-
py?
9. A patient is in refractory ventricular fib- 150 mg IV push
rillation and has received multiple appro-
priate defribillation shocks, epinephrine 1
mg IV twice, and an initial dose of amio-
darone 300mg IV. The patient is intubat-
ed. Which best describe the recommend-
ed second does of amiodarone for this pa-
tient?
, ACLS COMPLETE STUDY EXAM.
10. A patient with sinus bradycardia and a 0.5mg
heart rate of 42/min has diaphoresis and
a blood pressure of 80/60mm Hg. What is
the initial does of atropine?
11. A 35-year-old woman has palpitations, Adenosine 6mg
light-headedness, and a stable tachycar-
dia. The monitor shows a regular nar-
row-complex QRS at a rate of 180/min. Va-
gal maneuvers have not been effective in
terminating the rhythm. An IV has been
established. Which drug should be admin-
istered?
12. A patient is in cardiac arrest. Ventricular IV or IO
fibrillation has been refractory to an initial
shock. If no pathway for medication ad-
ministration is in place, which method is
preferred?
13. What is the indication for the use of mag- Pulseless ventricular tachycardia-associated
nesium in cardiac arrest? torsades de pointes
14. A patient has a rapid irregular wide-com- Seeking expert consultation
plex tachycardia. The ventricular rate is
138/min. He is asymptomatic, with a blood
pressure of 110/70 mm Hg. He has a histo-
ry of angina. What action is recommended
next?
15. A patient is in cardiac arrest. High-quality Epinephrine 1mg IV/IO
chest compressions are being given. The
, ACLS COMPLETE STUDY EXAM.
patient is intubated, and an IV has been
started. The rhythm is asystole. What is
the first drug/dose to administer?
16. A patient is in refractory ventricular fib- Epinephrine 1 mg
rillation. High-quality CPR is in progress.
One does of epinephrine was given af-
ter the second shock. An antiarrhythmic
drug was given immediately after the third
shock. You are the team leader. Which
medication do you order next.
17. A patient with possible STEMI has ongoing Use of a phosphodiestrase inhibitor within
chest discomfort. What is a contraindica- the previous 24 hours
tion to nitrate administration?
18. A 57-year-old woman has palpitation, Perform electrical cordioversion
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/
Which action do you take next?
19. A patient with STEMI has ongoing chest Give aspirin 160-325 mg to chew
discomfort. Heparin 4000 units IV bolus
and a heparin infusion of 1000 units per
hour are being administered. The patient
did not take aspirin because he has a his-
tory of gastritis, with was treated 5 years
ago. What is your next action?
20. You are caring for a 66-year-old man with Aspirin
a history of a large intracerebral hemor-
