ACLS Final Exam Latest Update 150 Questions and Answers

In which situation does bradycardia require treatment? - ANSWER Hypotension
Which intervention is most appropriate for the treatment of a patient in asystole? -
ANSWER Epinephrine
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
Establish IV or IO access
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 38mm 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
confirm a supraventricular tachycardia with no evidence of ischemia or infarction. The
heart rate has not responded to vagal maneuvers. what is your next action? - ANSWER
Administer adenosine 6mg IV push
A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been
administered to a toal does 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? - ANSWER Epinephrine 2 to 10 mcg/min
A patient is in cardiac arrest. Ventricular fibrillation has been refractory to a second
shock. Which drug should be administered first? - ANSWER Epinephrine 1 mg IV/IO
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 si ordered.
Which best describes the guidelines for antiplatelet and fibrinolytic therapy? - ANSWER
Hold aspirin for at least 24 hours if rtPA is administered
A patient is in refractory ventricular fibrillation and has received multiple appropriate
defribillation shocks, epinephrine 1 mg IV twice, and an initial dose of amiodarone
300mg IV. The patient is intubated. Which best describe the recommended second
does of amiodarone for this patient? - ANSWER 150 mg IV push
A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and a blood
pressure of 80/60mm Hg. What is the initial does of atropine? - ANSWER 0.5mg