UPDATED 2024/2025 ACLS PRETEST PHARMACOLOGY AND PRACTICAL APPLICATION 2024 QUESTIONS WITH COMPLETE ANSWERS GRADED A+
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1. 150 mg IV amiodarone: 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 fo...
ACLS PRETEST PHARMACOLOGY AND PRACTICAL
APPLICATION 2024 QUESTIONS WITH COMPLETE ANSWERS
GRADED A+
1. 150 mg IV amiodarone: 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 describethe recommended second does of amiodarone for this
patient?
2. Adenosine 6 mg: A 35-year-old woman has palpitations, light-headedness, and a stable tachycardia.
The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been
effective in terminating the rhythm. An IVhas been established. Which drug should be administered?
3. Seeking expert consultation: A patient has a rapid irregular wide-complex tachycardia. The
ventricular rate is 138/min. He is asymptomatic, with a blood pressure of 110/70 mm Hg. He has a history
of angina. What action is recommendednext?
4. Use of a phosphodiestrase inhibitor within the previous 24 hours: A patientwith possible STEMI
has ongoing chest discomfort. What is a contraindication to nitrate administration?
5. Allows maximum blood return to the heart: How does complete chest recoilcontribute to
effective CPR?
6. start high quality CPR: A patient becomes unresponsive. You are uncertain if afaint pulse is
monitor. An
present. They rhythm shown here is seen on the cardiac
IV is in pace. Which action do you take next?
7. Give an immediate unsynchronized high-energy shock (defibrillation dose)-
: A patient has been resuscitated from cardiac arrest. During post-ROSC treatment,the patient becomes
unresponsive, with the rhythm shown here. Which action is indicated next?
8. A: You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2 months
,ACLS PRETEST PHARMACOLOGY AND PRACTICAL
APPLICATION 2024 QUESTIONS WITH COMPLETE ANSWERS
GRADED A+
ago. He is being evaluated for another acute stroke. The CTscan is negative for hemorrhage. The patient
is receiving oxygen via nasal cannulaat 2 L/min, and an IV has been established. His blood pressure is
180/100 mm Hg.Which drug do you anticipate giving to this patient?
Aspirin Glucose
(D50)
Nicardipiner tPA
9. B: In which situation does bradycardia require treatment?
12-lead ECG showing a normal sinus rhythm
Hypotension
Diastolic blood pressure greater than 90 mm HgSystolic
blood pressure greater than 100 mm Hg
10. C: Which intervention is most appropriate for the treatment of a patient inasystole?
Atropine
Defibrillation
Epinephrine
Transcutaneous pacing
11. A: A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a heparin
infusion of 1000 units per hour are being administered. The patient did not take aspirin because he has a
history of gastritis, which was treated5 years ago. What is your next action?
, ACLS PRETEST PHARMACOLOGY AND PRACTICAL
APPLICATION 2024 QUESTIONS WITH COMPLETE ANSWERS
GRADED A+
Give aspirin 160 to 325 mg to chewGive
clopidogrel 300 mg orally
Give enteric-coated aspirin 75 mg orally Give enteric-
coated aspirin 325 mg rectally
12. A: A patient is in refractory ventricular fibrillation. High-quality CPR is in progress.One dose of
epinephrine was given after the second shock. An antiarrhythmic drug was given immediately after the
third shock. You are the team leader. Which medication do you order next?
Epinephrine 1 mg
Epinephrine 3 mg
Sodium bicarbonate 50 mEq
A second dose of the antiarrhythmic drug
13. C: A patient with sinus bradycardia and a heart rate of 42/min has diaphoresisand a blood
pressure of 80/60 mm Hg. What is the initial dose of atropine?
0.1 mg
0.5 mg
1 mg
3 mg
14. A: A monitored patient in the ICU developed a sudden onset of narrow-complextachycardia at a rate
of 220/min. The patient's blood pressure is 128/58 mm Hg, thePETCO2 is 38 mm Hg, and the pulse
oximetry reading is 98%. There is vascular access in the left arm, and the patient has not been given
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