ACLS ACTUAL EXAM REVIEW GUIDE

ACLS ACTUAL EXAM REVIEW GUIDE

FULLY SOLVED WITH KEY QUESTIONS AND

ANSWERS

⩥ 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? Answer: Aspirin

⩥ When is Magnesium used for Cardiac Arrest? Answer: Pulseless

Ventricular Tachycardia Associated Torsades de Pointes

⩥ 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? Answer:

Epinephrine 1 mg

⩥ 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. 1 / 3

The heart rate has no responded to vagal maneuvers. What is your next

action? Answer: ADENOSINE 6mg IV PUSH

⩥ A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone 300 mg IV. The patient is intubated.Which best describe the recommended second dose of amiodarone for

this patient? Answer: Amiodarone 150mg IV push

⩥ A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. If no pathway for medication

administration is in place, which method is preferred? Answer: IV or IO

⩥ A patient is in cardiac arrest. Ventricular fibrillation has been refractory to second shock. Which drug should be administered first?

Answer: EPI 1 mg IM/IO

⩥ When does bradycardia require treatment? Answer: Hypotension

⩥ 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? Answer:

EPI 1mg IM/IO

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⩥ A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have been given. Which drug should be given next?

Answer: AMIodarone 300mg IM/IO

⩥ 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, which action do you take next? Answer: Start IV/IO

⩥ 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? Answer: 1mg of ATROPINE

⩥ A patient with possible STEMI has ongoing chest discomfort. What is

a contraindication to nitrate administration? Answer: use of PDE

inihibitor in the last 24 hours

⩥ A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia. The monitor show a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been effective in terminating the rhythm. An IV has ben established. Which drug should be administered?

Answer: Adenosine 6mg IV

⩥ a 57 year-old-woman has palpitations, chest discomfort, and tachycardia. The monitor show a regular wide-complex QRS at a rate of

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