ACLS Pre-Course Self-Assessment ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct
- A monitored patient in the ICU developed a sudden onset of narrow-com- plex 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 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 rt PA Glucose (D50) Nicardipine
Answer: Aspirin
- 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 Anterior wall myocardial infarction 1 / 2
Systolic blood pressure greater than 180 mm Hg
Answer: Use of a phosphodiesterase inhibitor within the previous 24 hours
- A patient is in cardiac arrest. High-quality chest compressions are being given. The patient
is intubated, and an IV has been started. The rhythm is asystole. What is the first drug/dose to administer?
Dopamine 2 to 20 mcg/kg per minute IV/IO Atropine 1 mg IV/IO Epinephrine 1 mg IV/IO Atropine 0.5 mg IV/IO
Answer: Epinephrine 1 mg IV/IO
- A patient is in refractory ventricular fibrillation. High-quality CPR is in progress. One
dose of epinephrine was given after the second shock. An antiarrhythmic drug was given immediately after the third shock. You are the team leader. Which medication do you order next?
Epinephrine 1 mg
A second dose of the antiarrhythmic drug Epinephrine 3 mg Sodium bicarbonate 50 mEq
Answer: Epinephrine 1 mg
- Which intervention is most appropriate for the treatment of a patient in asystole?
Atropine Transcutaneous pacing Defibrillation Epinephrine
Answer: Epinephrine
- A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood
pressure of 80/60 mm Hg. What is the initial dose of atropine?
0.1 mg
- mg
- mg
0.5 mg
Answer: 1 mg
- A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a
- / 2
heparin infusion of 1000 units per hour are being administered. The patient did not take aspirin because he has a history of gastritis, which was treated 5 years ago. What is your next