Complete Questions Answers Solved 100 Correct

ACLS Pharmacology ( Updated 2024 ) Complete Questions & Answers (Solved) 100% Correct

• You are caring for a 66-year-old man with a history of a large intracerebral hemorrhage 2

months ago. He is being evaluated for another acute stroke. The CT scan is negative for hemorrhage. The patient is receiving oxygen via nasal cannula at 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)
• nicardipine
• rtPA

Answer: A. aspirin

• A patient with sinus bradycardia and a heart rate of 42/min has diaphoresis and 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

Answer: B. 0.5 mg

• A patient with STEMI has ongoing chest discomfort. Heparin 4000 units IV bolus and a

heparin infusion of 1000 unit per hour are being administered. The patient did not take aspirin because he has a history of gastritis, which was treated 5 years ago. What is your next action?

• give aspirin 160 to 325 mg to chew
• give clopidogrel 300 mg orally
• give enteric-coated aspirin 75 mg orally
• give enteric-coated aspirin 325 mg rectally

Answer: A. give aspirin 160 to 325 mg to chew

• A patient is in pulseless ventricular tachycardia. Two shocks and 1 dose of epinephrine have

been given. Which drug should be given next?

• adenosine 6 mg
• amiodarone 300 mg
• epinephrine 3 mg
• lidocaine 0.5 mg/kg

Answer: B. amiodarone 300 mg 1 / 2

• What is the indication for the us of magnesium in cardiac arrest?

• ventricular tachycardia associated with a normal QT interval
• shock-refractory monomorphic ventricular tachycardia

• pulseless ventricular tachycardia-associated torsades de pointes
• shock-refractory ventricular fibrillation

Answer: C. pulseless ventricular tachycardia-associated torsades de pointes

• In which situation does bradycardia require treatment?
• 12-lead ECG showing a normal sinus rhythm
• hypotension
• diastolic blood pressure greater than 90 mm Hg
• systolic blood pressure greater than 100 mm Hg

Answer: B. hypotension

• 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?

• call for a pulse check
• establish IV or IO access
• insert a laryngeal airway
• perform endotracheal intubation

Answer: B. establish IV or IO access

• 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 recommended next?

• giving adenosine 6 mg IV bolus
• giving lidocaine 1 to 1.5 mg IV bolus
• performing synchronized cardioversion
• seeking expert consultation

Answer: D. seeking expert consultation

• 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
• / 2