ACLS Pretest Exam Questions With 100% Correct Answers | Updated & Verified 2023, Exams of Advanced Education

Download ACLS Pretest Exam Questions With 100% Correct Answers | Updated & Verified 2023 and more Exams Advanced Education in PDF only on Docsity! ACLS Pretest Exam Questions With 100% Correct Answers | Updated & Verified 2023 3˚ AV block p and qrs completely separate - Correct Answer-Identify the rhythm. Pulseless electrical activity (PEA) - Correct Answer-Identify the rhythm. Coarse ventricular fibrillation - Correct Answer-Identify the rhythm. Reentry supraventricualr tachycardia (SVT) - Correct Answer-Identify the rhythm. Sinus bradycardia - Correct Answer-Identify the rhythm. Polymorphic ventricular tachycardia - Correct Answer-Identify the rhythm. 3˚ AV block - Correct Answer-Identify the rhythm. Reentry Supraventricular tachycardia (SVT) - Correct Answer-Identify the rhythm. 2˚ AV block (Mobitz type II) no p-r prolonged, random drops - Correct Answer-Identify the rhythm. Sinus bradycardia - Correct Answer-Identify the rhythm. Atrial flutter - Correct Answer-Identify the rhythm. Reentry supraventricular tachycardia (SVT) - Correct Answer-Identify the rhythm. 2˚ AV block (Mobitz type I Wenckebach) - Correct Answer-Identify the rhythm. Normal sinus rhythm - Correct Answer-Identify the rhythm. Sinus tachycardia - Correct Answer-Identify the rhythm. Atrial fibrillation irreg, irreg - Correct Answer-Identify the rhythm. Sinus tachycardia - Correct Answer-Identify the rhythm. Fine ventricular fibrillation - Correct Answer-Identify the rhythm. 2˚ AV block (Mobitz type I Wenchkebach) - Correct Answer-Identify the rhythm. Agonal rhythm/asystole - Correct Answer-Identify the rhythm. Coarse ventricular fibrillation - Correct Answer-Identify the rhythm. Monomorphic Ventricular tachycardia - Correct Answer-Identify the rhythm. 3. Dose of 1 mg 4. Dose of 0.5mg 5. 150 mg IV push. - Correct Answer-A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of 300 mg amiodarone IV. The patient is intubated. A second dose of amiodarone is now called for. The recommended second dose of amiodarone is: 1. An endotracheal dose of 2 to 4 mg/kg. 2. 300 mg IV push. 3. 1 mg/kg IV push. 4. An infusion of 1 to 2 mg/min. 5. 150 mg IV push. 1. Give normal saline 250 mL to 500 mL fluid bolus. - Correct Answer-A patient with a possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerin tablets. There are no contraindications, and 4 mg of morphine sulfate was administered. Shortly afterward, blood pressure falls to 88/60 mm Hg, and the patient has increased chest discomfort. You should: 1. Give normal saline 250 mL to 500 mL fluid bolus. 2. Give an additional 2 mg of morphine sulfate. 3. Give sublingual nitroglycerin 0.4 mg. 4. Start dopamine at 2 mcg/kg per minute and titrate to a systolic blood pressure reading of 100 mm Hg. 2. Seeking expert consultation. - Correct Answer-A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a history of angina. Which of the following actions is recommended? 1. Giving adenosine 6 mg IV bolus. 2. Seeking expert consultation. 3. Giving lidocaine 1 to 1.5 mg IV bolus. 4. Immediate synchronized cardioversion. 1. Gain IV or IO access. - Correct Answer-You arrive on the scene with the code team. High-quality CPR is in progress. An AED has previously advised "no shock indicated." A rhythm check now finds asystole. After resuming high-quality compressions, your next action is to: 1. Gain IV or IO access. 2. Place an esophageal-tracheal tube or laryngeal mask airway. 3. Attempt endotracheal intubation with minimal interruptions in CPR. 4. Call for a pulse check. 1. Amiodarone 300 mg - Correct Answer-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? 1. Amiodarone 300 mg 2. Amiodarone 150 mg 3. Vasopressin 40 units 4. Epinephrine 3 mg 5. Lidocaine 0.5 mg/kg 4. Lidocaine, epinephrine, vasopressin - Correct Answer-Your patient has been intubated. IV/IO access is not available. Which combination of drugs can be administered by the endotracheal route? 1. Vasopressin, amiodarone, lidocaine 2. Amiodarone, lidocaine, epinephrine 3. Epinephrine, vasopressin, amiodarone 4. Lidocaine, epinephrine, vasopressin 2. IV or IO - Correct Answer-A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. What is the recommended route for drug administration during CPR? 1. Femoral vein 2. IV or IO 3. Central line 4. Endotracheal 5. External jugular vein 2. Second dose of epinephrine 1 mg - Correct Answer-A patient is in refractory ventricular fibrillation. High-quality CPR is in progress, and shocks have been given. One does of epinephrine was given after the second shock. An antiarrhythmic drug was given immediately after the third shock. What drug should the team leader request to be prepared for administration next? 1. Escalating dose of epinephrine 3 mg. 2. Second dose of epinephrine 1 mg 3. Repeat the antiarrhythmic drug 4. Sodium bicarbonate 50 mEq 2. Perform immediate electrical cardioversion. - Correct Answer-A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex ORS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. The next action is to: 1. Give amiodarone 300 mg IV push. 2. Perform immediate electrical cardioversion. 3. Establish IV access. 4. Obtain a 12-lead ECG. 4. Chest pain or shortness of breath is present. - Correct Answer-Bradycardia requires treatment when: 1. The blood pressure is less than 100 mm Hg systolic with or without symptoms. 2. The heart rate is less than 60/min with or without symptoms. 3. The patient's 12-lead ECG show an MI. 4. Chest pain or shortness of breath is present. 3. The correct dose of vasopressin is 40 units administered by IV or IO. - Correct Answer-Which of the following statements is most accurate regarding the administration of vasopressin during cardiac arrest? 1. Vasopressin can be administered twice during cardiac arrest. 2. Vasopressin is indicated for VF and pulseless VT before delivery of the first shock. 3. The correct dose of vasopressin is 40 units administered by IV or IO. 4. Vasopressin is recommended instead of epinephrine for the treatment of asystole. 2. Repeat amiodarone 150 mg IV. 3. Give an immediate unsynchronized high-energy shock (defibrillation dose). 4. Repeat amiodarone 300 mg IV. 5. Give lidocaine 1 to 1.5 mg/kg IV. 3. Give atropine 0.5 mg IV . - Correct Answer-You are monitoring the patient and note the rhythm below on the cardiac monitor. She has dizziness and her blood pressure is 80/40 mm Hg. She has an IV in place. What is your next action? 1. Start transcutaneous pacing. 2. Give atropine 1 mg IV. 3. Give atropine 0.5 mg IV . 4. Administer sedation and begin immediate transcutaneous pacing at 80/min. 5. Start dopamine at 2 to 10 mcg/kg per minute and titrate to patient response. 4. Give epinephrine 1 mg IV . - Correct Answer-You arrive on the scene to find CPR in progress. Nursing staff report that the patient was recovering from a pulmonary embolism and suddenly collapsed. There is no pulse or spontaneous respirations. High-quality CPR and effective bag-mask ventilation are being provided. An IV has been initiated. What would you do now? 1. Give atropine 1 mg IV. 2. Give atropine 0.5 mg IV 3. Order immediate endotracheal intubation. 4. Give epinephrine 1 mg IV . 5. Initiate transcutaneous pacing. 1. Perform vagal maneuvers. - Correct Answer-A 35-year-old woman presents to the emergency department with a chief compliant of palpitations. She has no chest discomfort, shortness of breath, or light-headedness. Which of the following is indicated first? 1. Perform vagal maneuvers. 2. Give adenosine 12 mg IV slow push (over 1 to 2 minutes). 3. Give metoprolol 5 mg IV and repeat if necessary. 4. Give adenosine 3 mg IV bolus. 5. Administer adenosine 6 mg; seek expert consultation. - Correct Answer-You are monitoring a patient. He suddenly has the persistent rhythm shown below. You ask about symptoms and he reports that he has mild palpitations, but otherwise he is clinically stable with unchanged vital signs. What is your next action? 1. Give an immediate synchronized shock. 2. Give sedation and perform synchronized cardioversion. 3. Administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. 4. Give an immediate unsynchronized shock. 5. Administer adenosine 6 mg; seek expert consultation. 4. Give atropine 0.5 mg IV . - Correct Answer-The patient suddenly becomes unconscious and has a weak carotid pulse. Cardiac monitoring, supplementary oxygen, and an IV have been initiated. The code cart with all the drugs and transcutaneous pacer are immediately available. Next you would: 1. Begin transcutaneous pacing. 2. Initiate dopamine at 10 to 20 mcg/kg per minute and to patient response. 3. Initiate dopamine at 2 to 10 mcg/kg per minute and titrate to patient response. 4. Give atropine 0.5 mg IV . 5. Initiate epinephrine at 2 to 10 mcg/kg per minute. 1. Reperfusion therapy. - Correct Answer-A patient's 12-lead ECG was transmitted by the paramedics and showed an acute MI. The above findings are seen on rhythm strip when a monitor is placed in emergency department. The patient had resolution of moderate (5.10) chest pain with 3 doses of sublingual nitroglycerin. Blood pressure is 104/70 mm Hg. Which intervention below is most important, reducing in-hospital and 30-day mortality? 1. Reperfusion therapy. 2. IV nitroglycerin for 24 hours. 3. Temporary pacing. 4. Atropine 0.5 mg IV, total dose 2 mg as needed. 5. Atropine 1 mg IV, total dose 3 mg as needed. 5. Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes - Correct Answer- This patient was admitted to the general medical ward with a history of alcoholism. A code is in progress and he has recurrent episodes of this rhythm. You review his chart. Notes about the 12-lead ECG say that his baseline QT interval is high normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far. What would you order for his next medication? 1. Lidocaine 1 to 1.5 mg IV and start infusion 2 mg/min. 2. Repeat amiodarone 300 mg IV. 3. Repeat amiodarone 150 mg IV. 4. Give sodium bicarbonate 50 mEq IV. 5. Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes 4. Administer epinephrine 1 mg. - Correct Answer-You are the code team leader and arrive to find a patient with above rhythm and CPR in progress. Team members report that the patient was well but reported chest pain and then collapsed. She has no pulse or respirations. Bag-mask ventilations are producing visible chest rise, high-quality CPR is in progress, and an IV has been established. What would be your next order? 1. Administer atropine 1 mg. 2. Perform endotracheal intubation. 3. Start dopamine at 10 to 20 mcg/kg per minute. 4. Administer epinephrine 1 mg. 5. Administer amiodarone 300 mg. 2. Continue monitoring and seek expert consultation. - Correct Answer-A patient presents with the rhythm below and reports an irregular heartbeat. She has no other symptoms. Her medical history is significant for a myocardial infarction 7 years ago. Blood pressure is 110/70 mm Hg. What would you do at this time? 1. Perform elective synchronized cardioversion with presedation. 2. Continue monitoring and seek expert consultation. 3. Administer nitroglycerin 0.4 sublingual or spray. 4. Administer lidocaine 1mg/kg IV. 5. Perform emergency synchronized cardioversion