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ACLS Pre-test

Total questions: 20

Worksheet time: 20mins

Name
Class
Date
1.

Identify the rhythm by selecting the single best answer

a)

Atrial flutter

b)

Monomorphic ventricular tachycardia

c)

Ventricular fibrillation

d)

Supraventricular tachycardia

2.

Which is the recommended next step after a defibrillation attempt?

a)

Open the patient's airway

b)

Check the EKG for evidence of a rhythm

c)

Resume CPR, starting with chest compression

d)

Determine if a carotid pulse is present

3.

Patient had no pulse with this rhythm.

Identify the rhythm by selecting the single best answer

a)

Normal sinus rhythm

b)

Sinus bradycardia

c)

Sinus tachycardia

d)

Pulseless electrical activity

4.

Identify the rhythm by selecting the single best answer

a)

Polymorphic ventricular tachycardia

b)

Monomorphic ventricular tachycardia

c)

Ventricular fibrillation

d)

Supraventricular tachycardia

5.

Identify the rhythm by selecting the single best answer

a)

First-degree AV block

b)

Second-degree AV block (Mobitz I)

c)

Second-degree AV block (Mobitz II)

d)

Third-degree AV block

6.

Identify the rhythm by selecting the single best answer

a)

Ventricular fibrillation

b)

Monomorphic ventricular tachycardia

c)

Pulseless electrical activity

d)

Asystole

7.

Identify the rhythm by selecting the single best answer

a)

First-degree AV block

b)

Second-degree AV block (Mobitz I)

c)

Second-degree AV block (Mobitz II)

d)

Third-degree AV block

8.

Identify the rhythm by selecting the single best answer

a)

Polymorphic ventricular tachycardia

b)

Monomorphic ventricular tachycardia

c)

Supraventricular tachycardia

d)

Atrial Fibrillation

9.

Identify the rhythm by selecting the single best answer

a)

Polymorphic ventricular tachycardia

b)

Monomorphic ventricular tachycardia

c)

Supraventricular tachycardia

d)

Atrial Fibrillation

10.

A patient in cardiac arrest. Ventricular fibrillation has been refractory to a second shock.

Which drug should be administered first?

a)

Lidocaine 1 mg/kg IV/IO

b)

Amiodarone 150 mg IV/IO

c)

Atropine 1 mg IV/IO

d)

Epinephrine 1 mg IV/IO

11.

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 IV has been established.

Which drug should be administered?

a)

Atropine 1 mg

b)

Epinephrine 2 to 10 mcg/kg/min

c)

Adenosine 6 mg

d)

Lidocaine 1 mg/kg

12.

A patient is in a pulseless ventricular tachycardia. Two shock and 1 dose of epinephrine have been given. Which drug should be given?

a)

Adenosine 6 mg

b)

Amiodarone 300 mg

c)

Lidocaine 0.5 mg/kg

d)

Epinephrine 3 mg

13.

A patient has sinus bradycardia with a heart rate of 36/min. Atropine has been administered to a total dose 3 mg. A transcutaneous pacemaker has failed to capture. The patient is confused, and her blood pressure is 88/56 mmHg.

Which therapy is now indicated?

a)

Atropine 1 mg

b)

Epinephrine 2 to 10 mcg/min

c)

Adenosine 6 mg

d)

Normal saline 250 ml to 500 ml bolus

14.

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 mmHg. He has history of angina. What action is recommended next?

a)

Giving adenosine 6 mg IV bolus

b)

Performing synchronized cardioversion

c)

Giving lidocaine 1 to 1.5 mg IV bolus

d)

Seeking expert consultation

15.

A 57-year-old woman has palpitations, chest discomfort, and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180/min. She becomes diaphoresis, and her blood pressure is 80/60 mmHg.

Which action do you take next?

a)

Perform electrical cardioversion

b)

Defibrillation

c)

Adenosine 6 mg IV

d)

Seek expert consultation

16.

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?

a)

Epinephrine 3 mg

b)

A second dose of the antiarrhythmic drug

c)

Epinephrine 1 mg

d)

Sodium bicarbonate 50 mEq

17.

You are providing bag-mask ventilations to a patient in respiratory arrest. How often should you provide ventilations?

a)

Every 14 seconds

b)

Every 12 seconds

c)

Every 10 seconds

d)

Every 6 seconds

18.

A patient has been resuscitated from cardiac arrest. During post-ROSC treatment, the patient becomes unresponsive (pulseless) , with the rhythm shown here.

Which action is indicated next

a)

Give immediate defibrillation

b)

Perform synchronized cardioversion

c)

Repeat amiodarone 300 mg IV

d)

Give lidocaine 1 to 1.5 mg/kg IV

19.

What is the recommended depth of chest compressions for an adult victim?

a)

At least 2 inches

b)

At least 2.5 inches

c)

At least 3 inches

d)

At least 1.5 inches

20.

Which action should you take immediately after provide an AED shock?

a)

Start rescue breathing

b)

Check the pulse rate

c)

Prepare to deliver a second shock

d)

Resume chest compressions