Test Prep Test Prep Certifications ACLS Questions & Answers

• Question 211:

  I A 57-year-old woman has palpitations, chest discomfort and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180 per minute. She becomes diaphoretic and blood pressure is 80/60 mmHg. The next action is to:

  A. Establish IV and give sedation for electrical cardioversion

  B. Give amiodarone 300 mg IV push

  C. Obtain 12 lead electrocardiogram

  D. Perform immediate electrical cardioversion

  Correct Answer: D

• Question 212:

  A 62-year-old man suddenly began to experience difficulty speaking and left-sided weakness. He is brought to the emergency department. He meets initial criteria for fibrinolytic therapy and a CT scan of the brain is ordered. Guidelines for antiplatelet and antithrombotic therapy are:

  A. Administer aspirin 160-325 mg orally chewed, immediately

  B. Administer heparin if CT scan is negative for hemorrhage

  C. Do not give aspirin for at least 24 hours if tPA is administered

  D. Give aspirin 160 mg and clopidogrel 75 mg orally

  Correct Answer: C

• Question 213:

  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 antiarrhythmia drug was given

  immediately after the third shock.

  What drug should the team leader request be prepared for administration next?

  A. Sodium bicarbonate 50 mEq

  B. Escalating dose epinephrine 3 mg

  C. Repeat the antiarrhythmia drug

  D. Second dose of epinephrine 1 mg

  Correct Answer: D

• Question 214:

  A patient is in cardiac arrest. Ventricular fibrillation has been refractory to an initial shock. Two attempts at peripheral IV access have been unsuccessful. The next recommended access route of administration for the delivery of drugs during CPR is

  A. Intraosseous

  B. Femoral vein

  C. Endotracheal

  D. External jugular vein

  Correct Answer: A

• Question 215:

  A patient is in pulseless ventricular tachycardia. Two shocks and one dose of epinephrine have been given. The next drug/dose to anticipate to administer is

  A. Vasopressin 40 U

  B. Amiodarone 300 mg

  C. Amiodarone 150 mg

  D. Epinephrine 3 mg

  E. Lidocaine 0.5 mg/kg

  Correct Answer: B

• Question 216:

  A patient with a possible ST-segment elevation Ml has ongoing chest discomfort. Which of the following would be a contraindication to the administration of nitrates?

  A. Use of phosphodiesterase inhibitor within 12 hours

  B. Left ventricular infarct with bilateral rates

  C. Blood pressure greater than 180 mmHg

  D. Heart rate 90 per minute

  Correct Answer: B

• Question 217:

  A patient with possible ACS and a bradycardia of 42 per minute has ongoing chest discomfort. What is the initial dose of atropine?

  A. Atropine 0.5 mg

  B. Atropine 1 mg

  C. Atropine 0.1 mg

  D. Atropine 3 mg

  Correct Answer: A

• Question 218:

  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, blood pressure falls to 88/60 mmHg and the patient complains of increased chest discomfort. You would:

  A. Give nitroglycerin 0.4 mg sublingually

  B. Give normal saline 250 ml_ to 500 ml_ fluid bolus

  C. Start dopamine at 2 ug/kg per minute and titrate to BP 100 mmHg systolic

  D. Give an additional 2 mg of morphine sulfate

  Correct Answer: B

• Question 219:

  A patient is in refractory ventricular fibrillation and has received multiple appropriate defibrillations. Epinephrine 1 mg IV twice and an initial dose of lidocaine IV. The patient is incubated. A second dose of lidocaine is now called for. The recommended second dose of lidocaine is

  A. 0.5 to 0.75 mg/kg IV push

  B. 2 to 3 mg/kg IV push

  C. Start infusion 1 to 2 mg/min

  D. Give endotracheal dose 2 to 4 mg/kg

  E. 1 mg/kg IV push

  Correct Answer: A

• Question 220:

  Which of the following statements about the use of magnesium in cardiac arrest is most accurate?

  A. Magnesium is indicated for shock-refractory monomorphic VT

  B. Magnesium is indicated in VF/pulseless VT associated with torsades de pointes

  C. Magnesium is contraindicated in VT associated with a normal QT interval

  D. Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine

  Correct Answer: B