ACLS Practice Exam 2 Latest -

ACLS Practice Exam 2 (Latest -

Actual Questions and Answers 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 super ventricular tachycardia with no evidence of ischemia or infarction. The heart rate has not responded to vagal maneuvers. What is your next action?

a) Administer adenosine 6 mg IV push

b) Administer adenosine 300 mg IV push

c) Perform synchronized cardioversion at 50 J

d) Perform synchronized cardioversion at 200 J

Answer: a) Administer adenosine 6 mg IV push

• A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of

epinephrine have been given. Which drug should be given next?

a) Adenosine 6 mg

b) Amiodarone 300 mg

c) Epinephrine 3 mg

d) Lidocaine 0.5 mg/kg

Answer: b) Amiodarone 300 mg

• Which intervention is more appropriate for the treatment of a patient in

asystole?

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a) Atropine

b) Defibrillation

c) Epinephrine

d) Transcutaneous pacing

Answer: c) Epinephrine

• A 35-year-old woman has palpitations, light-headedness, and a stable

tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. Which drug should be administered?

a) Adenosine 6 mg

b) Atropine 0.5 mg

c) Epinephrine 2 to 10 mcg/kg per minute

d) Lidocaine 1 mg/kg

Answer: a) Adenosine 6 mg

• 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?

a) Call for a pulse check

b) Establish IV or IO access

c) Insert a laryngeal airway

d) Perform endotracheal intubation

Answer: b) Establish IV or IO access

• What is the indication for the use of magnesium in cardiac arrest?

a) Ventricular tachycardia associated with a normal QT interval

b) Shock-refractory monomorphic ventricular tachycardia

c) Pulseless ventricular tachycardia-associated torsades de pointes 2 / 4

d) Shock-refractory ventricular fibrillation

Answer: c) Pulseless ventricular tachycardia-associated torsades de pointes

• A 62-year-old man suddenly experienced difficulty speaking and left-sided

weakness. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. Which best describes the guidelines for antiplatelet and fibrinolytic therapy?

a) Give asprin 160 to 325 mg to be chewed immediately

b) Give asprin 160 mg and clopidogrel 75 mg orally

c) Give heprin if the CT scan is negative for hemorrhage

d) Hold asprin for at least 24 hours if rtPA is administered:

Answer d) Hold asprin for at least 24 hours if rtPA is administered

• In which situation does bradycardia require treatment?

• 12-lead ECG showing a normal sinus rhythm

b) Hypertension

c) Diastolic blood pressure greater than 90 mm Hg

d) Systolic blood pressure greater than 100 mm Hg

Answer: b) Hypertension

• A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The

monitor shows a regular wide-complex QRS at a rate of 100/min. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. Which action do you take next?

a) Establish IV access

b) Obtain a 12-lead ECG

c) Perform electrical cardioversion

d) Seek expert consultation

Answer: c) Perform electrical cardioversion

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• A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV

bolus and a heparin infusion of 1000 units per hour are being administered. The patient did not take asprin because he has a history of gastritis, which was treated 5 years ago. What is your next action?

a) Give asprin 160 to 325 mg to chew

b) Give clopidogrel 300 mg orally

c) Give enteric-coated asprin 75 mg orally

d) Give enteric-coated asprin 325 mg rectally

Answer: a) Give asprin 160 to 325 mg to chew

• 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?

a) Epinephrine 1 mg

b) Epinephrine 3 mg

c) Sodium bicarbinate 50 mEq

d) A second dose of the antiarrhythmic drug

Answer: a) Epinephrine 1 mg

• A patient has sinus bradycardia with a heart rate of 36/min. Atropine has

been administered to a total dose of 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused, and her blood pressure is 88/56 mm Hg. Which therapy is now indicated?

a) Atropine 1 mg

b) Epinephrine 2 to 10 mcg/min

c) Adenosine 6 mg

d) Normal saline 250 mL to 500 mL bolus

Answer: b) Epinephrine 2 to 10 mcg/min

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