ACLS pretest overview

The quiz
This is an introduction to content further reviewed in other quizzes. The quiz contains a variety of questions from different cases.


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

Question 2 of 10

You have been doing compressions on the above patient for about a minute when the clerk arrives with the AED. You should

Question 3 of 10

You have turned the AED on and placed the electrodes. The AED fails to analyze the rhythm. You should

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

Question 5 of 10

Because this patient has an organized rhythm on the monitor but remains pulseless, we call this rhythm

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?

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

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

Question 9 of 10

The antiarrhythmic drug that would be utilized if the patient remained in ventricular fibrillation would be

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?

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The quiz

Correct answers

  • Start compressions at least 100 per minute but no more than 120 per minute.
  • 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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