ACLSCOMPLETEEXAM |QUESTIONS& 100
p p p p p p
% CORRECTANSWERS (VERIFIED) | LATE
p p p p p
ST UPDATE | GRADEA+p p p p
BESTpPLAYLISTpI'VEpFOUNDpFORpALLpHEART.ORGpACLSpCODES!
Inpwhichpsituationpdoespbradycardiaprequireptreatment?
CorrectpAnswer:p p Hypotension
Whichpinterventionpispmostpappropriatepforptheptreatmentpofpappatientpinpasystole?
CorrectpAnswer:p p Epinephrine
Youparriveponpthepscenepwithpthepcodepteam.pHigh-
qualitypCPRpispinpprogress.pAnpAEDphasppreviousypadvisedp"nopshockpindicated."pAprhyt
hmpcheckpnowpfindspasystole.pAfterpresumingphigh-
qualitypcompressions,pwhichpactionpdopyouptakepnext?
CorrectpAnswer:p p EstablishpIVporpIOpaccess
ApmonitoredppatientpinpthepICUpdevelopedpapsuddenponsetpofpnarrow-
complexptachycardiapatpapratepofp220/min.pTheppatient'spbloodppressurepisp128/58pmmpHg,p
thepPETCO2pisp38mmpHg,pandptheppulsepoximetrypreadingpisp98%.pTherepispvascularpacce
sspinpthepleftparm,pandptheppatientphaspnotpbeenpgivenpanypvasoactivepdrugs.pAp12-
leadpECG
1
,confirmpapsupraventricularptachycardiapwithpnopevidencepofpischemiaporpinfarction.pThephea
rtpratephaspnotprespondedptopvagalpmaneuvers.pwhatpispyourpnextpaction?
CorrectpAnswer:p p Administerpadenosinep6mgpIVppush
Appatientphaspsinuspbradycardiapwithpapheartpratepofp36/min.pAtropinephaspbeenpadminister
edptopaptoalpdoespofp3pmg.pAptranscutaneousppacemakerphaspfailedptopcapture.pTheppatientpi
spconfused,pandpherpbloodppressurepisp88/56pmmpHg.pWhichptherapypispnowpindicated?
CorrectpAnswer:p p Epinephrinep2ptop10pmcg/min
Appatientpispinpcardiacparrest.pVentricularpfibrillationphaspbeenprefractoryptopapsecondpshock.
Whichpdrugpshouldpbepadministeredpfirst?
p
CorrectpAnswer:p p Epinephrinep1pmgpIV/IO
Ap62-year-oldpmanpsuddenlypexperiencedpdifficultypspeakingpandpleft-
sidedpweakness.pHepmeetspinitialpcriteriapforpfibrinolyticptherapy,pandpapCTpscanpofpthepbra
inpsipordered.pWhichpbestpdescribespthepguidelinespforpantiplateletpandpfibrinolyticptherapy
?
CorrectpAnswer:p p Holdpaspirinpforpatpleastp24phourspifprtPApispadministered
Appatientpispinprefractorypventricularpfibrillationpandphaspreceivedpmultiplepappropriatepdefri
billationpshocks,pepinephrinep1pmgpIVptwice,pandpanpinitialpdosepofpamiodaronep300mgpIV.p
Theppatientpispintubated.pWhichpbestpdescribeptheprecommendedpsecondpdoespofpamioda
ronepforpthisppatient?
2
,CorrectpAnswer:p p 150pmgpIVppush
Appatientpwithpsinuspbradycardiapandpapheartpratepofp42/minphaspdiaphoresispandpapbloodppress
urepofp80/60mmpHg.pWhatpispthepinitialpdoespofpatropine?
CorrectpAnswer:p p 0.5mg
Ap35-year-oldpwomanphasppalpitations,plight-
headedness,pandpapstableptachycardia.pThepmonitorpshowspapregularpnarrow-
complexpQRSpatpapratepofp180/min.pVagalpmaneuversphavepnotpbeenpeffectivepinpterminati
ngptheprhythm.pAnpIVphaspbeenpestablished.pWhichpdrugpshouldpbepadministered?
CorrectpAnswer:p p Adenosinep6mg
Appatientpispinpcardiacparrest.pVentricularpfibrillationphaspbeenprefractoryptopanpinitialpshock.
Ifpnoppathwaypforpmedicationpadministrationpispinpplace,pwhichpmethodpisppreferred?
p
CorrectpAnswer:p p IVporpIO
Whatpispthepindicationpforpthepusepofpmagnesiumpinpcardiacparrest?
CorrectpAnswer:p p Pulselesspventricularptachycardia-associatedptorsadespdeppointes
Appatientphaspaprapidpirregularpwide-
complexptachycardia.pThepventricularpratepisp138/min.pHepispasymptomatic,pwithpapbloodpp
ressurepofp110/70pmmpHg.pHephaspaphistorypofpangina.pWhatpactionpisprecommendedpnext
?
3
, CorrectpAnswer:p p Seekingpexpertpconsultation
Appatientpispinpcardiacparrest.pHigh-
qualitypchestpcompressionsparepbeingpgiven.pTheppatientpispintubated,pandpanpIVphaspbeenp
started.pTheprhythmpispasystole.pWhatpispthepfirstpdrug/doseptopadminister?
CorrectpAnswer:p p Epinephrinep1mgpIV/IO
Appatientpispinprefractorypventricularpfibrillation.pHigh-
qualitypCPRpispinpprogress.pOnepdoespofpepinephrinepwaspgivenpafterpthepsecondpshock.p
Anpantiarrhythmicpdrugpwaspgivenpimmediatelypafterpthepthirdpshock.pYouparepthepteamplea
der.pWhichpmedicationpdopyouporderpnext.
CorrectpAnswer:p p Epinephrinep1pmg
AppatientpwithppossiblepSTEMIphaspongoingpchestpdiscomfort.pWhatpispapcontraindicationpto
nitratepadministration?
p
CorrectpAnswer:p p Usepofpapphosphodiestrasepinhibitorpwithinptheppreviousp24phours
Ap57-year-
oldpwomanphasppalpitation,pchestpdiscomfort,pandptachycardia.pThepmonitorpshowspapregul
arpwide-
QRSpatpapratepofp180/min.pShepbecomespdiaphoretic,pandpherpbloodppressurepisp80/60pmm
HG/pWhichpactionpdopyouptakepnext?
p
CorrectpAnswer:p p Performpelectricalpcordioversion
4
p p p p p p
% CORRECTANSWERS (VERIFIED) | LATE
p p p p p
ST UPDATE | GRADEA+p p p p
BESTpPLAYLISTpI'VEpFOUNDpFORpALLpHEART.ORGpACLSpCODES!
Inpwhichpsituationpdoespbradycardiaprequireptreatment?
CorrectpAnswer:p p Hypotension
Whichpinterventionpispmostpappropriatepforptheptreatmentpofpappatientpinpasystole?
CorrectpAnswer:p p Epinephrine
Youparriveponpthepscenepwithpthepcodepteam.pHigh-
qualitypCPRpispinpprogress.pAnpAEDphasppreviousypadvisedp"nopshockpindicated."pAprhyt
hmpcheckpnowpfindspasystole.pAfterpresumingphigh-
qualitypcompressions,pwhichpactionpdopyouptakepnext?
CorrectpAnswer:p p EstablishpIVporpIOpaccess
ApmonitoredppatientpinpthepICUpdevelopedpapsuddenponsetpofpnarrow-
complexptachycardiapatpapratepofp220/min.pTheppatient'spbloodppressurepisp128/58pmmpHg,p
thepPETCO2pisp38mmpHg,pandptheppulsepoximetrypreadingpisp98%.pTherepispvascularpacce
sspinpthepleftparm,pandptheppatientphaspnotpbeenpgivenpanypvasoactivepdrugs.pAp12-
leadpECG
1
,confirmpapsupraventricularptachycardiapwithpnopevidencepofpischemiaporpinfarction.pThephea
rtpratephaspnotprespondedptopvagalpmaneuvers.pwhatpispyourpnextpaction?
CorrectpAnswer:p p Administerpadenosinep6mgpIVppush
Appatientphaspsinuspbradycardiapwithpapheartpratepofp36/min.pAtropinephaspbeenpadminister
edptopaptoalpdoespofp3pmg.pAptranscutaneousppacemakerphaspfailedptopcapture.pTheppatientpi
spconfused,pandpherpbloodppressurepisp88/56pmmpHg.pWhichptherapypispnowpindicated?
CorrectpAnswer:p p Epinephrinep2ptop10pmcg/min
Appatientpispinpcardiacparrest.pVentricularpfibrillationphaspbeenprefractoryptopapsecondpshock.
Whichpdrugpshouldpbepadministeredpfirst?
p
CorrectpAnswer:p p Epinephrinep1pmgpIV/IO
Ap62-year-oldpmanpsuddenlypexperiencedpdifficultypspeakingpandpleft-
sidedpweakness.pHepmeetspinitialpcriteriapforpfibrinolyticptherapy,pandpapCTpscanpofpthepbra
inpsipordered.pWhichpbestpdescribespthepguidelinespforpantiplateletpandpfibrinolyticptherapy
?
CorrectpAnswer:p p Holdpaspirinpforpatpleastp24phourspifprtPApispadministered
Appatientpispinprefractorypventricularpfibrillationpandphaspreceivedpmultiplepappropriatepdefri
billationpshocks,pepinephrinep1pmgpIVptwice,pandpanpinitialpdosepofpamiodaronep300mgpIV.p
Theppatientpispintubated.pWhichpbestpdescribeptheprecommendedpsecondpdoespofpamioda
ronepforpthisppatient?
2
,CorrectpAnswer:p p 150pmgpIVppush
Appatientpwithpsinuspbradycardiapandpapheartpratepofp42/minphaspdiaphoresispandpapbloodppress
urepofp80/60mmpHg.pWhatpispthepinitialpdoespofpatropine?
CorrectpAnswer:p p 0.5mg
Ap35-year-oldpwomanphasppalpitations,plight-
headedness,pandpapstableptachycardia.pThepmonitorpshowspapregularpnarrow-
complexpQRSpatpapratepofp180/min.pVagalpmaneuversphavepnotpbeenpeffectivepinpterminati
ngptheprhythm.pAnpIVphaspbeenpestablished.pWhichpdrugpshouldpbepadministered?
CorrectpAnswer:p p Adenosinep6mg
Appatientpispinpcardiacparrest.pVentricularpfibrillationphaspbeenprefractoryptopanpinitialpshock.
Ifpnoppathwaypforpmedicationpadministrationpispinpplace,pwhichpmethodpisppreferred?
p
CorrectpAnswer:p p IVporpIO
Whatpispthepindicationpforpthepusepofpmagnesiumpinpcardiacparrest?
CorrectpAnswer:p p Pulselesspventricularptachycardia-associatedptorsadespdeppointes
Appatientphaspaprapidpirregularpwide-
complexptachycardia.pThepventricularpratepisp138/min.pHepispasymptomatic,pwithpapbloodpp
ressurepofp110/70pmmpHg.pHephaspaphistorypofpangina.pWhatpactionpisprecommendedpnext
?
3
, CorrectpAnswer:p p Seekingpexpertpconsultation
Appatientpispinpcardiacparrest.pHigh-
qualitypchestpcompressionsparepbeingpgiven.pTheppatientpispintubated,pandpanpIVphaspbeenp
started.pTheprhythmpispasystole.pWhatpispthepfirstpdrug/doseptopadminister?
CorrectpAnswer:p p Epinephrinep1mgpIV/IO
Appatientpispinprefractorypventricularpfibrillation.pHigh-
qualitypCPRpispinpprogress.pOnepdoespofpepinephrinepwaspgivenpafterpthepsecondpshock.p
Anpantiarrhythmicpdrugpwaspgivenpimmediatelypafterpthepthirdpshock.pYouparepthepteamplea
der.pWhichpmedicationpdopyouporderpnext.
CorrectpAnswer:p p Epinephrinep1pmg
AppatientpwithppossiblepSTEMIphaspongoingpchestpdiscomfort.pWhatpispapcontraindicationpto
nitratepadministration?
p
CorrectpAnswer:p p Usepofpapphosphodiestrasepinhibitorpwithinptheppreviousp24phours
Ap57-year-
oldpwomanphasppalpitation,pchestpdiscomfort,pandptachycardia.pThepmonitorpshowspapregul
arpwide-
QRSpatpapratepofp180/min.pShepbecomespdiaphoretic,pandpherpbloodppressurepisp80/60pmm
HG/pWhichpactionpdopyouptakepnext?
p
CorrectpAnswer:p p Performpelectricalpcordioversion
4
