ACLS Recertification Test
A pt with STEMI has ongoing chest dicomfort. Heparin 4000 units IV bolus and heparin
infusion of 1000 units/hr are being administered. The pt did not take ASA because he has
a hx of gastritis, which was tx 5 years ago. What is the next action?
A. Give ASA 160 to 325 mg to chew
B. Give clopidogrel 300 mg PO
C. Give enteric-coated ASA 75 mg PO
D. Give enteric-coated ASA 325 mg rectally - A. Give ASA 160 to 325 mg to chew
A pt is in pulseless ventricular tachycardia. 2 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 - B. Amiodarone 300 mg
A pt is in cardiac arrest. V fib has been refractory to an initial shock. If no pathway for
medication administration is in place, which method is preferred
A. Central line
B. Endotracheal tube
C. External Jugular vein
D. IV or IO - D. IV or IO
What is the indicatio for the use of Mg in cardiac arrest?
A. V tach associated with a normal QT interval
B. shock-refractory monomorphic v tach
C. Pulseless v tach-associated torsades de pointes
D. shock-refractory v fib - C. Pulseless v tach-associated torsades de pointes
You arrive on the scene with the code team. CRP is in progess. An AED previously
advised "no shock indicated." A rhythm chec now finds asystole. After resuming
compressions, which action do you take next?
A. Call for a pulse check
B. establish IV or IO access
C. Insert a laryneal airway
D. Perform endotracheal intubation - B. establish IV or IO access
