Test Prep ACLS Online Practice Questions and Exam Preparation

Test Prep ACLS Online Questions & Answers

• Question 181:

  A patient with a possible ST-segment elevation Ml has ongoing chest discomfort. Which of the following would be a contraindication to the administration of nitrates?

  A. Use of phosphodiesterase inhibitor within 12 hours
  B. Left ventricular infarct with bilateral rates
  C. Blood pressure greater than 180 mmHg
  D. Heart rate 90 per minute
  B. Left ventricular infarct with bilateral rates

• Question 182:

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

  A. False
  B. True
  B. True

• Question 183:

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  In a patient with an acute myocardial infarction what drug is most commonly used to relieve pain?

  A. Morphine.

  A

• Question 184:

  T/F: Antishock garments should be used to treat acute cardiogenic pulmonary edema.

  A. True
  B. False
  B. False

• Question 185:

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  What are the indications for sodium bicarbonate in an acute cardiac arrest?

  A. Known acidosis, hyperkalemia, tricyclic overdose, long arrest (>10 minutes), and in hypoxic lactic acidosis.

  A

• Question 186:

  SIMULATION

  An 80-year-old complains of chest pain that began 1 hour ago. The patient is pale and diaphoretic. BP is 80/50 and respiratory rate is 24. The monitor shows the following rhythm. Treatment?

  

  A. Consider sedation and synchronized countershock with 100 J. (The rhythm above is ventricular tachycardia.)

  A

• Question 187:

  

  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
  H. Third-degree AV Block

• Question 188:

  

  This patient suddenly collapsed and is poorly responsive. The patient has a weak carotid pulse. A cardiac monitor, oxygen, and an intravenous line have been initiated. The code cart with all drugs and pF transcutaneous pacer is immediately available. Next you would

  A. Initiate dopamine at 10 to 20 ug/kg per minute and titrate heart rate
  B. Give atropine 1 mg IV up to a total dose of 3 mg
  C. Initiate epinephrine at 2 to 10 ug per minute and titrate heart rate
  D. Initiate dopamine at 2 to 10 ug/kg per minute and titrate heart rate
  E. Begin transcutaneous pacing
  E. Begin transcutaneous pacing

• Question 189:

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  After atropine, what is the next treatment for symptomatic bradycardia?

  A. External pacing, followed by transvenous pacing.

  A

• Question 190:

  A patient complains of shortness of breath and chest pain radiating to the neck. Blood pressure is 80/50 mm Hg and the respiratory rate is 40 per minute. Oxygen and an IV has been started. The monitor shows the following rhythm. What should the next treatment be?

  

  A. carotid massage
  B. lidocaine
  C. sedation, then synchronized cardioversion
  D. adenosine
  C. sedation, then synchronized cardioversion