ACLS Pretest Overview

A variety of questions from different cases. This is an introduction to content

further reviewed in other quizzes.
Start the Quiz About 3-5 minutes
Question 1 of 10

You are in the library when a gentleman who was standing at the desk collapses. He falls to
the ground and does not appear to be breathing. You send the clerk to call 911 and to get the
AED. Because he is not responding and doesn't appear to be breathing normally you should
immediately
Deliver 2 breaths followed by 15 compressions.
Open the airway, deliver 4 breaths and await the arrival of the AED.
Start Compressions at least 100 per minute (Push Fast, Push Hard).
Do nothing until the AED arrives.

Question 2 of 10

You have been doing compressions on the above patient for about a minute when the clerk
arrives with AED. You should
Ventilate the patient twice immediately prior to defibrillation.
Continue CPR and await EMS to defibrillate the patient.
Immediately utilize the AED.
Continue compressions for at least 5 minutes.

Question 3 of 10

You have turned the AED on and placed the electrodes. The AED fails to analyze the rhythm.
You should
Put the AED aside and continue with compressions.
Use the second set of pads located in the case.
Turn it off and back on again.
Call the manufacturer (listed on the back) to talk you to fix it.

Question 4 of 10

You are responding on an ambulance to a wedding where the elderly father of the bride has
collapsed while dancing. Bystanders say he was complaining of chest pain earlier but didn't
want to mess up the celebration by going to the hospital. He was dancing when he suddenly
lost consciousness and fell to the ground. Bystanders have started CPR. You arrived and
placed the patient on the monitor. It shows Sinus Bradycardia but the patient has no palpable
pulse. CPR continues with high quality compressions and ventilation. You have established
IV access. The only drug appropriate in this scenario would be
Epinephrine.
Atropine.
Lidocaine.
Amiodarone.

Question 5 of 10

Because this patient has an organized rhythm on the monitor but remains pulseless, we call
this rhythm
Ventricular Fibrillation.
Sinus Bradycardia.
Ventricular Tachycardia.
Pulseless Electrical Activity (PEA).

Question 6 of 10

The above patient has had high quality CPR for 30 minutes. He has received multiple doses
of Epinephrine and the monitor now shows Asystole. What would be appropriate at this
point?
Ask the family what they would like you to do
Continue CPR for an additional 10 minutes
Load the patient in the ambulance with CPR in progress and transport to the nearest trauma
center
Contact a medical command physician for possible termination orders

Question 7 of 10

You are working in an Emergency Department. Your patient is a 69 year old male who is
being treated for chest pain. He has an IV in place and is on a bedside monitor. Diagnostic
tests are complete and he is awaiting the arrival of the cardiac catheterization team. You go
into his room to check on him and he suddenly loses consciousness. You look up at the
monitor and see ventricular fibrillation. You are not sure whether you feel a pulse or not. You
should immediately
Defibrillate at 200 joules, or manufacturer guidelines.
Ventilate using a BVM.
Precordial Thump.
Have another nurse to double check the presence of a pulse.

Question 8 of 10

Once the patient is defibrillated and high quality CPR is in progress, the first drug you would
expect to give would be
Morphine.
Lidocaine.
Magnesium Sulfate.
Epinephrine.

Question 9 of 10

The antiarrhythmic drug that would be utilized if the patient remained in ventricular
fibrillation would be
Cardizem.
Adenosine.
Epinephrine.
Amiodarone.

Question 10 of 10

You are on your way home when you are called to a wedding reception at a local hotel. The
82-year-old grandfather of the bride collapsed while standing in the reception line. He was
discussing his latest project when he started sweating and then lost consciousness. A family
friend started CPR. His son immediately called 911. You quickly perform the BLS Primary
Survey. You immediately ask for a defibrillator. If the first shock is unsuccessful and the
patient is still unresponsive, which drug should be administered first?
Epinephrine
Epinephrine or lidocaine
Amiodarone, vasopressin, and epinephrine
Magnesium sulfate, epinephrine, and amiodarone

You scored 100%

Correct answers
Start Compressions at least 100 per minute (Push Fast, Push Hard).
Immediately utilize the AED.
Put the AED aside and continue with compressions.
Epinephrine.
Pulseless Electrical Activity (PEA).
Contact a medical command physician for possible termination orders
Defibrillate at 200 joules, or manufacturer guidelines.
Epinephrine.
Amiodarone.
Epinephrine
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Bradycardia - In Hospital
You scored 100%

Correct answers

Third degree AV block.

Immediately going to the patients room to assess for serious signs and symptoms.
Atropine 05mg IV.
Transcutaneous pacemaker
A permanent pacemaker

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