ACLS Final Exam Version 2 2025 | Practice Test & Answer Key

Page 1 of 26


ACLS Pre-Course Self-Assessment Test; All Verified

100% (Latest 2025

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 38 mm 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 confirms a supraventricular tachycardia

with no evidence of ischemia or infarction. The heart rate has not

responded to vagal maneuvers. What is your next action?




Administer amiodarone 300 mg IV push

Administer adenosine 6 mg IV push

Perform synchronized cardioversion at 200 J

,Page 2 of 26


Perform synchronized cardioversion at 50 J

.....ANSWER.....Administer adenosine 6 mg IV push

You are caring for a 66-year-old man with a history of a large

intracerebral hemorrhage 2 months ago. He is being evaluated

for another acute stroke. The CT scan is negative for

hemorrhage. The patient is receiving oxygen via nasal cannula at

2 L/min, and an IV has been established. His blood pressure is

180/100 mm Hg. Which drug do you anticipate giving to this

patient?




Aspirin

rtPA

Glucose (D50)

Nicardipine

.....ANSWER.....Aspirin

, Page 3 of 26


A patient is in pulseless ventricular tachycardia. Two shocks and

1 dose of epinephrine have been given. Which drug should be

given next?




Epinephrine 3 mg

Lidocaine 0.5 mg/kg

Amiodarone 300 mg

Adenosine 6 mg

.....ANSWER.....Amiodarone 300 mg

A patient with possible STEMI has ongoing chest discomfort.

What is a contraindication to nitrate administration?




Heart rate less than 90/min

Use of a phosphodiesterase inhibitor within the previous 24 hours