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ACLS Pretest 2025 EXAM
LATEST UPDATED PAPER
VERIFIED QUESTIONS + ANSWERS
GUARANTEED PASS|GRADED A+
Sinus Bradycardia - ✔✔✔Please identify the rhythm by selecting the best single answer. Reentry supraventricular tachycardia - ✔✔✔Please identify the rhythm by selecting the best single answer. Second-degree AV block (Mobitz II block) - ✔✔✔Please identify the rhythm by selecting the best single answer. Agonal rhythm/asystole - ✔✔✔Please identify the rhythm by selecting the best single answer. Third-Degree AV block - ✔✔✔Please identify the rhythm by selecting the best single answer. Monomorphic Ventricular Tachycardia - ✔✔✔Please identify the rhythm by selecting the best single answer. Sinus Tachycardia - ✔✔✔Please identify the rhythm by selecting the best single answer. Sinus Bradycardia - ✔✔✔Please identify the rhythm by selecting the best single answer. Atrial Fibrillation - ✔✔✔Please identify the rhythm by selecting the best single answer. Course Ventricular Fibrillation - ✔✔✔Please identify the rhythm by selecting the best single answer. Polymorphic Ventricular Tachycardia - ✔✔✔Please identify the rhythm by selecting the best single answer.
Second-degree AV block (Mobitz I Wenchebach) - ✔✔✔Please identify the rhythm by selecting the best single answer. Normal Sinus Rhythm - ✔✔✔Please identify the rhythm by selecting the best single answer. Pulseless electrical activity - ✔✔✔Please identify the rhythm by selecting the best single answer. Course Ventricular Fibrillation - ✔✔✔Please identify the rhythm by selecting the best single answer. Reentry supraventricular tachycardia - ✔✔✔Please identify the rhythm by selecting the best single answer. Fine Ventricular Fibrillation - ✔✔✔Please identify the rhythm by selecting the best single answer. Atrial Flutter - ✔✔✔Please identify the rhythm by selecting the best single answer. Second-degree AV block (Mobitz II block) - ✔✔✔Please identify the rhythm by selecting the best single answer. Reentry supraventricular tachycardia - ✔✔✔Please identify the rhythm by selecting the best single answer. Perform immediate electrical cardioversion - ✔✔✔A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide- complex QRS at a rate of 180/min. She becomes diaphoretic, and her blood pressure is 80/60 mm Hg. The next action is to: Give normal Saline 250 mL to 500 ml fluid bolus - ✔✔✔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: Amiodarone 300 mg - ✔✔✔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 administering?
Magnesium is indicated for VF/pulseless VT associated with torsades de pointes. - ✔✔✔Which of the following statements about the use of magnesium in cardiac arrest is most accurate? Epinephrine 1 mg or vasopressin 40 units IV or IO - ✔✔✔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. Which is the first drug/dose to administer? 0.5 mg - ✔✔✔A patient has sinus bradycardia with a heart rate of 42/min has diaphoresis and a blood pressure of 80/60 mm Hg. What is the initial dose of atropine? Second dose of epinephrine 1 mg - ✔✔✔A patient is in refractory ventricular fibrillation. High-quality CPR is in progress, and shocks have been given. One dose 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? Do not give aspirin for at least 24 hours if rtPA is administered - ✔✔✔A 62- year-old man suddenly experienced difficulty speaking and left-sided weakness. He was brought to the emergency department. He meets initial criteria for fibrinolytic therapy, and a CT scan of the brain is ordered. What are the guidelines for antiplatelet and fibrinolytic therapy? The correct dose of vasopressin is 40 units administered IV or IO. - ✔✔✔Which of the following statements is most accurate regarding the administration of vasopressin during cardiac arrest? IV or IO - ✔✔✔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? Lidocaine, epinephrine, vasopressin - ✔✔✔Your patient has been intubated. IV/IO access is not available. Which combination of drugs can be administered by the endotracheal route? Give atropine 0.5 mg IV. - ✔✔✔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 a transcutaneous pacer are immediately available. Next you would?
Give epinephrine 1 mg IV. - ✔✔✔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? Seek expert consultation - ✔✔✔Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. Your patient is stable, and blood pressure is 120/80 mg Hg. She is apprehensive but has no symptoms other than palpitations. At this time you would? Prepare to give epinephrine 1 mg IV. - ✔✔✔Following imitation of CPR and 1 shock for VF, this rhythm is present on the next rhythm check. A second shock is give, and chest compressions are resumed immediately. An IV is in place, and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next order? Continue monitoring and seek expert consultation. - ✔✔✔A patient presents with the above rhythm 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 Give a single shock. - ✔✔✔You are monitoring a patient with chest discomfort who suddenly becomes unresponsive. You observe the following rhythm on the cardiac monitor. A defibrillator is present. What is your first action? 1 to 2 L of normal saline - ✔✔✔A patient has been resuscitated from cardiac arrest and is being prepared for transport. She is intubated and is receiving 100% oxygen. Blood pressure is 80/60 mm Hg. During the resuscitation, she received 2 doses of epinephrine 1 mg and 1 dose of aminodarone 300 mg IV. You now observe the above rhythm on the cardiac monitor. The rhythm abnormality is becoming more frequent and increasing in number. You should order: Atropine 0.5 mg IV - ✔✔✔You arrive on the scene to find a 56-year-old diabetic woman with dizziness. She is pale and diaphoretic. Her blood pressure is 80/60 mm Hg. The cardiac monitor documents the rhythm above. She is receiving oxygen at 4 L/min by nasal cannula, and an IV has been established. Your next order is: Continue monitoring the patient and seek expert consultation. - ✔✔✔You are evaluating a patient with chest discomfort lasting 15 minutes during transportation to the emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. He reports no other symptoms but appears
Begin CPR, starting with high-quality chest compressions. - ✔✔✔A patient becomes unresponsive. You are uncertain if a faint pulse is present with the above rhythm. What is your next action? Administer epinephrine 1 mg. - ✔✔✔You are the code team leader and arrive to find a patient with the 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? Give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes. - ✔✔✔A patient was admitted to the general medical ward with a history of alcoholism. A code in progress, and he has recurrent episodes of the 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 aminodarone 300 mg IV so far. What would you order for his next medication? Give atropine 0.5 mg IV - ✔✔✔You are monitoring the patient and note the above rhythm 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?
