ACLS Online Practice Questions and Answers

In therapeutic doses, which drug depresses the pumping function of the heart muscle?

A. atropine

B. epinephrine

C. propanolol

D. isoproterenol

T/F: Hypothermia reduces the effect of most drugs.

A. False

B. True

A 35-year-old woman presents to the emergency department with a chief complaint of palpitations. She has no chest discomfort, shortness of breath, or lightheadedness. Which of the following is indicated first?

A. Give adenosine 3 mg IV bolus

B. Give adenosine 12 mg IV slow push (over 1 to 2 minutes)

C. Perform vagal maneuvers

D. Give metoprolol 5 mg IV and repeat if necessary

You are monitoring a patient. Chest discomfort has been relieved with sublingual nitrates and morphine sulfate 4 mg IV. He suddenly has the above persistent rhythm. You ask about symptoms and he reports mild palpitations, but otherwise he is clinically stable with unchanged vital signs. Your next action is:

A. Give sedation and perform synchronized cardioversion

B. Administer amiodarone 150 mg over 10 minutes; seek expert consultation

C. Give immediate synchronized shock

D. Give immediate unsynchronized shock

E. Administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 5 to 20 minutes

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

T/F: Epinephrine increases cerebral and myocardial blood flow during CPR.

A. False

B. True

Identify the rhythm by selecting the best single answer:

A. Normal sinus rhythm

B. Sinus tachycardia

C. Sinus bradycardia

D. Reentry supraventricular tachycardia E. First-degree AV Block

F. Second-degree AV Block (Mobitz 1 Wenckebach)

G. Second-degree AV Block (Mobitz II Block)

H. Third-degree AV Block

I. Atrial fibrillation

J. Atrial flutter

K. Monomorphic ventricular tachycardia

L. Polymorphic ventricular tachycardia

M. Coarse ventricular fibrillation

N. Fine ventricular fibrillation

O. Agonal rhythm/asystole

P. Pulseless electrical activity

Identify the rhythm by selecting the best single answer:

A. Normal sinus rhythm

B. Sinus tachycardia

C. Sinus bradycardia

D. Reentry supraventricular tachycardia

E. First-degree AV Block

F. Second-degree AV Block (Mobitz 1 Wenckebach)

G. Second-degree AV Block (Mobitz II Block)

H. Third-degree AV Block

I. Atrial fibrillation

J. Atrial flutter

K. Monomorphic ventricular tachycardia

L. Polymorphic ventricular tachycardia

M. Coarse ventricular fibrillation

N. Fine ventricular fibrillation

O. Agonal rhythm/asystole

P. Pulseless electrical activity

Identify the rhythm by selecting the best single answer:

A. Normal sinus rhythm

B. Sinus tachycardia

C. Sinus bradycardia

D. Reentry supraventricular tachycardia

E. First-degree AV Block

F. Second-degree AV Block (Mobitz 1 Wenckebach)

G. Second-degree AV Block (Mobitz II Block)

H. Third-degree AV Block

I. Atrial fibrillation

J. Atrial flutter

K. Monomorphic ventricular tachycardia

L. Polymorphic ventricular tachycardia

M. Coarse ventricular fibrillation

N. Fine ventricular fibrillation

O. Agonal rhythm/asystole

P. Pulseless electrical activity

Identify the rhythm by selecting the best single answer:

A. Normal sinus rhythm

B. Sinus tachycardia

C. Sinus bradycardia D. Reentry supraventricular tachycardia

E. First-degree AV Block

F. Second-degree AV Block (Mobitz 1 Wenckebach)

G. Second-degree AV Block (Mobitz II Block)

H. Third-degree AV Block

I. Atrial fibrillation

J. Atrial flutter

K. Monomorphic ventricular tachycardia

L. Polymorphic ventricular tachycardia

M. Coarse ventricular fibrillation

N. Fine ventricular fibrillation

O. Agonal rhythm/asystole

P. Pulseless electrical activity

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After the child is removed from the water, what is the top priority in near drowning cases?

A. Artificial ventilation

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Following successful resuscitation from ventricular fibrillation, patients should be treated with:

A. oxygen, lidocaine

SIMULATION

Describe the proper technique for assessing circulation in infants and children.

A. When assessing the circulatory status of a child, the following need to be examined: the brachial or femoral pulse, peripheral pulses, capillary refill, skin color, and temperature. Blood pressure should be assessed in children over the age of 3.

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What is the legal term for unlawfully touching a patient without his or her consent?

A. Battery

SIMULATION Define negligence.

A. Negligence is the deviation from the accepted standard of care resulting in further injury to the patient.