ACLS Pre-Course Self-Assessment questions with complete answers

ACLS kkPre-Course kkSelf-
Assessment
1. kkIdentify kkThe kkECG kkStrip: kkAtrial kkFlutter
2.Identify kkThe kkECG kkStrip: kkSecond-degree kkatrioventricular bitz kkI
kkblock kk(Mo kkbach) kkWencke-

3. Identify kkThe kkECG kkStrip: kkVentricular kkfibrillation kk
4.Identify kkThe kkECG kkStrip: kkSecond-degree kkatrioventricular kkblock
kk(Mobitz kkI kkWencke- kkbach)

5.Identify kkThe kkECG kkStrip: kkMonomorphic kkventricular kktachycardia
6.Identify kkThe kkECG kkStrip: kkSecond-degree kkatrioventricular kkobitz kkII
block kk(M

7.Identify kkThe kkECG kkStrip: kkVentricular kkfibrillation kkblock)


8.Identify kkThe kkECG kkStrip: kkVentricular kkfibrillation
9.Identify kkThe kkECG kkStrip: kkAtrial kkfibrillation
10.Identify kkThe kkECG kkStrip: kkPulseless kkelectrical kkactivity
11.Identify kkThe kkECG kkStrip: kkSinus kkBradycardia
12.Identify kkThe kkECG kkStrip: kkSupraventricular kkTachycardia
13.Identify kkThe kkECG kkStrip: kkSinus kkTachycardia
14.Identify kkThe kkECG kkStrip: kkThird-degree kkAtrioventricular kkblock
15.Identify kkThe kkECG kkStrip: kkNormal kkSinus kkRhythm
16.Identify kkThe kkECG kkStrip: kkPolymorphic kkVentricular kkTachycardia
17.Identify kkThe kkECG kkStrip: kkAgonal kkRhythm/Asystole
18.Identify kkThe kkECG kkStrip: kkSecond-degree kkAtrioventricularMobitz kkII
kkBlock kk(

19.Identify kkThe kkECG kkStrip: kkSinus kkBradycardia kkBlock)

20.Identify kkThe kkECG kkStrip: kkSupraventricular kkTachycardia
21.A kkmonitored kkpatient kkin kkthe kkICU kkdeveloped kka kksudden kkonset kkof
kknarrow-com- kkplex kktachycardia kkat kka kkrate kkof kk220/min. kkThe kkpatient's

kkblood kkpressure kkis kk128/58 kkmm kkHg, kkthe kkPETCO2 kkis kk38 kkmm kkHg, kkand

kkthe kkpulse kkoximetry kkreading kkis kk98%. kkThere kkis kkvascular kkaccess kkin

kkthe kkleft kkarm, kkand kkthe kkpatient kkhas kknot kkbeen kkgiven kkany kkvasoactive

kkdrugs. kkA kk12-lead kkECG kkconfirms kka kksupraventricular kktachycardia kkwith

kkno kkevidence kkof kkischemia kkor kkinfarction. kkThe kkheart kkrate kkhas kknot

kkresponded kkto kkvagal kkmaneuvers. kkWhat kkis kkyour kknext kkaction?



Administer kkamiodarone kk300 kkmg kkIV
kkpush kkAdminister kkadenosine kk6 kkmg kkIV

kkpush

Perform kksynchronized kkcardioversion kkat kk200 kkJ
1 kk/
kk19

, ACLS kkPre-Course kkSelf-
Assessment
Perform kksynchronized kkcardioversion kkat kk50 kkJ: kkAdminister kkadenosine kk6
kkmg kkIV kkpush




2 kk/
kk19

, ACLS kkPre-Course kkSelf-
Assessment
22.You kkare kkcaring kkfor kka kk66-year-old kkman kkwith kka kkhistory kkof kka kklarge
kkintracerebral kkhemorrhage kk2 kkmonths kkago. kkHe kkis kkbeing kkevaluated kkfor

kkanother kkacute kkstroke. kkThe kkCT kkscan kkis kknegative kkfor kkhemorrhage. kkThe

kkpatient kkis kkreceiving kkoxygen kkvia kknasal kkcannula kkat kk2 kkL/min, kkand kkan

kkIV kkhas kkbeen kkestablished. kkHis kkblood kkpressure kkis kk180/100 kkmm kkHg.

kkWhich kkdrug kkdo kkyou kkanticipate kkgiving kkto kkthis kkpatient?



Aspirin
kkrtPA

Glucose kk(D50)
kkNicardipine: kkAspirin

23.A kkpatient kkis kkin kkpulseless kkventricular kktachycardia. kkTwo kkshocks kkand kk1
kkdose kkof kkepinephrine kkhave kkbeen kkgiven. kkWhich kkdrug kkshould kkbe kkgiven

kknext?



Epinephrine kk3 kkmg
Lidocaine kk0.5 kkmg/kg
Amiodarone kk300 kkmg
Adenosine kk6 kkmg: kkAmiodarone kk300 kkmg
24.A kkpatient kkwith kkpossible kkSTEMI kkhas kkongoing kkchest kkdiscomfort.
kkWhat kkis kka kkcontraindication kkto kknitrate kkadministration?



Heart kkrate kkless kkthan kk90/min
Use kkof kka kkphosphodiesterase kkinhibitor kkwithin kkthe kkprevious kk24 kkhours
kkAnterior kkwall kkmyocardial kkinfarction

Systolic kkblood kkpressure kkgreater kkthan kk180 kkmm kkHg: kkUse kkof kka
kkphosphodiesterase kkinhibitor kkwithin kkthe kkprevious kk24 kkhours

25.A kkpatient kkis kkin kkcardiac kkarrest. kkHigh-quality kkchest kkcompressions
kkare kkbeing kkgiven. kkThe kkpatient kkis kkintubated, kkand kkan kkIV kkhas kkbeen

kkstarted. kkThe kkrhythm kkis kkasystole. kkWhat kkis kkthe kkfirst kkdrug/dose kkto

kkadminister?



Dopamine kk2 kkto kk20 kkmcg/kg kkper kkminute
kkIV/IO kkAtropine kk1 kkmg kkIV/IO

Epinephrine kk1 kkmg kkIV/IO
Atropine kk0.5 kkmg kkIV/IO: kkEpinephrine kk1 kkmg kkIV/IO
26.A kkpatient kkis kkin kkrefractory kkventricular kkfibrillation. kkHigh-quality kkCPR
kkis kkin kkprogress. kkOne kkdose kkof kkepinephrine kkwas kkgiven kkafter kkthe

kksecond kkshock. kkAn kkantiarrhythmic kkdrug kkwas kkgiven kkimmediately kkafter


3 kk/
kk19