ACLS Pre-Course Exam
A 37 year old woman is experiencing SVT with a rate of 190. She is complaining of dizziness and
shortness of breath. Her blood pressure is 80/48. After an IV is started, what should you do first? -
ANSWER✅✅✅Synchronized cardioversion
A 39 year old presented in asystole. Following 2 minutes of CPR, you note the rhythm above on the
monitor. A pulse check reveals "no pulse", the most appropriate action is: -
ANSWER✅✅✅Defibrillate at 120-200 joules (depending on your machine)
A 49 year old male calls 911 for substernal chest pain that radiates to this left jaw and arm. Which of the
following drug & dosage combinations might you expect to see administered in this patient? -
ANSWER✅✅✅Oral aspirin 160-325 mg
A 67 year old woman presents to the emergency room with chest pressure, diaphoresis and nausea. A
12 lead EKG shows evidence of an acute inferior wall MI. Which of the following is the suggested
maximum time frame for percutaneous coronary intervention (PCI) once the patient has arrived to the
emergency dept? - ANSWER✅✅✅90 minutes
A 69 year old male has presented to the ER with chest pain that started 45 minutes ago. His heart rate is
90, BP 170/94, Resp 16 with an oxygen sat of 95%. He rates the pain as a 7, on a 1-10 scale. What should
this patient receive next? - ANSWER✅✅✅12 lead EKG
A confused, dizzy, diaphoretic 66 year old female complains of "not feeling right" for the past 2 hours.
Part of your assessment reveals the EKG above. You diagnose the patient's condition as: -
ANSWER✅✅✅Symptomatic Complete Heart Block
A coworker is not holding the bag valve mask device correctly and is therefore not getting a good seal
around the mouth area during CPR. You quickly reposition their hands so that the device becomes
effective as CPR continues. This is an example of: - ANSWER✅✅✅Constructive intervention
A patient complaining of dizziness has a heart rate of 44 and a blood pressure of 84/50. The monitor
shows a 2nd degree type 2 heart block. Atropine was attempted and was unsuccessful. What is your
next action? - ANSWER✅✅✅Apply a transcutaneous pacemaker
ACLS Pre-Course Exam
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, ACLS Pre-Course Exam
A patient complains of several near syncopal episodes. All of his vital signs are within normal limits and
tests normal. He suddenly becomes pale and dizzy. You note his EKG has changed to the strip below,
which you diagnose as? - ANSWER✅✅✅Second Degree Heart Block, Mobitz II
A patient has been resuscitated from cardiac arrest. Currently he is breathing on his own with a
saturation of 95% CO2, 38 mmHg B/P 105/70 EKG is sinus at 60/min. Which of the following is
appropriate? - ANSWER✅✅✅Perform a 12 lead ECG to look for STEMI
A stable patient had chest pain 30 minutes ago which was relieved with SL nitroglycerine x 1. He is
currently asymptomatic, you note the following EKG, which you diagnose as: - ANSWER✅✅✅Second
Degree Heart Block, Mobitz I, (Wencheback)
According to the latest guidelines, patients with Acute Coronary Syndromes should be given oxygen? -
ANSWER✅✅✅When their oxygen saturation falls below 90%
An elderly trauma patient is receiving CPR. Defibrillation is indicated for his pulseless V-tach. What
action should be taken immediately following each defibrillation? - ANSWER✅✅✅Resume chest
compressions
An elderly woman collapses in church. The paramedics arrive to discover fine VF on the monitor. What is
the next course of action? - ANSWER✅✅✅Initiate CPR while setting up the defibrillator
An individual in stable SVT fails to respond to Adenosine 6mg IVP. What should the next step be
assuming the patient is still stable? - ANSWER✅✅✅Adenosine 12mg IV
An individual is intubated and CPR is in progress. What is a good indicator that proper CPR is being
performed? - ANSWER✅✅✅PETCO2 reading of 15-18mmHg
CPR is in progress and the team leader requests that Epi 1 mg be administered to a patient who is in
PEA. The individual who is accessing the medication states: "I am going to administer 1mg of
Epinephrine IVP now." This is an example of: - ANSWER✅✅✅Closed loop communication
ACLS Pre-Course Exam
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