ACLS - Healthcare Exam Questions |Latest
Update with complete solutions/100% Verified
Atropine 0.5 mg IV. - ✅✅You arrive on the scene to find a 56-year-old diabetic
woman with dizziness. She is pale and diaphoretic. Her blood pressure is 80/60
mm Hg. The cardiac monitor documents the rhythm below. She is receiving
oxygen at 4 L/min by nasal cannula and an IV has been established. Your next
order is:
Begin chest compression. - ✅✅An AED does not promptly analyze a rhythm.
What is your next step?
Atrial Flutter - ✅✅
Indication: life threatening arrhythmia such as VF, pulse-less VT, unresponsive to
shock delivery, CPR, and vasopressin Precaution: Rapid infusion can lead to
hypotension Route: IV. Dosage: 300 mg, second dose of 150 mg -
✅✅Amiodarone
Sinus Tachycardia - ✅✅A pt. with *regular* narrow-complex QRS at a rate
>150bpm in which vagal maneuvers are ineffective should be given 6mg
adenosine IV
Synchronized cardioversion is indicated if the pt. is hypotensive, AMS, shock,
ischemic CP, or acute HF. dx rhythm?
Responding to verbal commands - ✅✅Which condition is a contraindication to
therapeutic hypothermia during the post-cardiac arrest period for pt's who
achieve return of spontaneous circulation (ROSC)?
,Indication: Alternative use for amiodarone in cardiac arrest: VF/VT. Precaution:
discontinue if toxicity develop. Route: IV. Dosage: 1-1.5 mg max 3mg. -
✅✅Lidocaine
note: Lidocaine not a correct question choice on test
Sinus Bradycardia
Sinus bradycardia can be treated with atropine at an initial dose of 0.5mg
*Not ALL cases of sinus brady needed to be treated with atropine! If pt. is
symptomatic (chest pain, SOB) it requires treatment. - ✅✅dx rhythm?
Do not give aspirin for at least 24 hours if tPA is administered. - ✅✅A 62-year-
old man suddenly experienced difficulty speaking and left-side weakness. He was
brought to the emergency department. He meets initial criteria for fibrinolytic
therapy, and a CT scan of the brain is ordered. What are the guidelines for
antiplatelet and fibrinolytic therapy (ASA)?
Second Degree Heart Block (Mobitz II) - ✅✅
120 - 200 J biphasic OR 200 J monophasic - ✅✅energy shock for narrow
irregular QRS? (afib)
Divert the pt. to a hospital 15 min away with CT capabilities. - ✅✅You receiving
a radio report from an EMS team enroute with a pt. who may be having a stroke.
The hospital CT scanner is broken. What should you do?
, Fine Ventricular Fibrillation...
VFib should be treated with defibrillation followed by 1mg epi if necessary...and
of course CPR - ✅✅dx?
Obtain a 12 lead ECG. - ✅✅A 62 y/o male pt. in the ER says his heart is beating
fast. No chest pain or SOB. BP is 142/98, pulse rate is 200/min, reps rate is
14/min, O2 sats are 95 at room air. What should be the next evaluation?
Epinephrine 1 mg - ✅✅A patient is in cardiac arrest. Ventricular fibrillation has
been refractory to a second shock. Of the following, which drug and dose should
be administered first by the IV/IO route?
Agonal Rhythm/Asystole
Asystole is treated with high quality CPR and epi 1mg or vasopressin 40mg IV/IO -
✅✅dx?
Amiodarone 300 mg - ✅✅A patient is in pulseless ventricular tachycardia. Two
shocks and 1 dose of epinephrine have been given. Which is the next drug/dose
to anticipate to administer?
Prepare to give epinephrine 1 mg IV. - ✅✅Following initiation of CPR and 1
shock for VF, this rhythm is present on the next rhythm check. A second shock is
given and chest compressions are resumed immediately. An IV is in place and no
drugs have been given. Bag-mask ventilations are producing visible chest rise.
What is your next order?
Update with complete solutions/100% Verified
Atropine 0.5 mg IV. - ✅✅You arrive on the scene to find a 56-year-old diabetic
woman with dizziness. She is pale and diaphoretic. Her blood pressure is 80/60
mm Hg. The cardiac monitor documents the rhythm below. She is receiving
oxygen at 4 L/min by nasal cannula and an IV has been established. Your next
order is:
Begin chest compression. - ✅✅An AED does not promptly analyze a rhythm.
What is your next step?
Atrial Flutter - ✅✅
Indication: life threatening arrhythmia such as VF, pulse-less VT, unresponsive to
shock delivery, CPR, and vasopressin Precaution: Rapid infusion can lead to
hypotension Route: IV. Dosage: 300 mg, second dose of 150 mg -
✅✅Amiodarone
Sinus Tachycardia - ✅✅A pt. with *regular* narrow-complex QRS at a rate
>150bpm in which vagal maneuvers are ineffective should be given 6mg
adenosine IV
Synchronized cardioversion is indicated if the pt. is hypotensive, AMS, shock,
ischemic CP, or acute HF. dx rhythm?
Responding to verbal commands - ✅✅Which condition is a contraindication to
therapeutic hypothermia during the post-cardiac arrest period for pt's who
achieve return of spontaneous circulation (ROSC)?
,Indication: Alternative use for amiodarone in cardiac arrest: VF/VT. Precaution:
discontinue if toxicity develop. Route: IV. Dosage: 1-1.5 mg max 3mg. -
✅✅Lidocaine
note: Lidocaine not a correct question choice on test
Sinus Bradycardia
Sinus bradycardia can be treated with atropine at an initial dose of 0.5mg
*Not ALL cases of sinus brady needed to be treated with atropine! If pt. is
symptomatic (chest pain, SOB) it requires treatment. - ✅✅dx rhythm?
Do not give aspirin for at least 24 hours if tPA is administered. - ✅✅A 62-year-
old man suddenly experienced difficulty speaking and left-side weakness. He was
brought to the emergency department. He meets initial criteria for fibrinolytic
therapy, and a CT scan of the brain is ordered. What are the guidelines for
antiplatelet and fibrinolytic therapy (ASA)?
Second Degree Heart Block (Mobitz II) - ✅✅
120 - 200 J biphasic OR 200 J monophasic - ✅✅energy shock for narrow
irregular QRS? (afib)
Divert the pt. to a hospital 15 min away with CT capabilities. - ✅✅You receiving
a radio report from an EMS team enroute with a pt. who may be having a stroke.
The hospital CT scanner is broken. What should you do?
, Fine Ventricular Fibrillation...
VFib should be treated with defibrillation followed by 1mg epi if necessary...and
of course CPR - ✅✅dx?
Obtain a 12 lead ECG. - ✅✅A 62 y/o male pt. in the ER says his heart is beating
fast. No chest pain or SOB. BP is 142/98, pulse rate is 200/min, reps rate is
14/min, O2 sats are 95 at room air. What should be the next evaluation?
Epinephrine 1 mg - ✅✅A patient is in cardiac arrest. Ventricular fibrillation has
been refractory to a second shock. Of the following, which drug and dose should
be administered first by the IV/IO route?
Agonal Rhythm/Asystole
Asystole is treated with high quality CPR and epi 1mg or vasopressin 40mg IV/IO -
✅✅dx?
Amiodarone 300 mg - ✅✅A patient is in pulseless ventricular tachycardia. Two
shocks and 1 dose of epinephrine have been given. Which is the next drug/dose
to anticipate to administer?
Prepare to give epinephrine 1 mg IV. - ✅✅Following initiation of CPR and 1
shock for VF, this rhythm is present on the next rhythm check. A second shock is
given and chest compressions are resumed immediately. An IV is in place and no
drugs have been given. Bag-mask ventilations are producing visible chest rise.
What is your next order?
