ACLS - Advanced Cardiovascular Life Support ACLS Emergency Pharmacology Questions and Answers

Question 1

A 58-year-old male presents with symptomatic bradycardia with a heart rate of 38 bpm.
Initial intervention with atropine has been ineffective.
Which of the following medication infusions is an appropriate next step according to ACLS guidelines?

Accepted Answer

Epinephrine 2-10 mcg/min

Answer

Amiodarone 1 mg/min

Answer

Adenosine 6 mg IV push

Answer

Lidocaine 1 mg/min

Question 2

A patient in cardiac arrest is in ventricular fibrillation (VF) and has been defibrillated three times. High-quality CPR is ongoing. Which of the following is the correct initial drug and dose to administer?

Accepted Answer

Amiodarone 300 mg IV/IO

Answer

Epinephrine 1 mg IV/IO

Answer

Lidocaine 0.5 mg/kg IV/IO

Answer

Magnesium Sulfate 1-2 g IV/IO

Question 3

A 45-year-old patient presents with a regular, narrow-complex supraventricular tachycardia (SVT) and is hemodynamically stable. Vagal maneuvers have failed. What is the recommended initial dose of Adenosine?

Accepted Answer

6 mg rapid IV push

Answer

3 mg rapid IV push

Answer

12 mg rapid IV push

Answer

0.5 mg IV push

Question 4

During a cardiac arrest scenario with a non-shockable rhythm (Asystole/PEA), what is the correct timing and dosage for Epinephrine administration?

Accepted Answer

As soon as possible, 1 mg every 3-5 minutes

Answer

After the second shock, 1 mg every 3-5 minutes

Answer

As soon as possible, 0.5 mg every 3-5 minutes

Answer

After 5 cycles of CPR, 2 mg every 10 minutes

Question 5

Which of the following is the correct second dose of Amiodarone for a patient who remains in refractory ventricular fibrillation after an initial bolus and further defibrillation?

Accepted Answer

150 mg IV/IO

Answer

300 mg IV/IO

Answer

1 mg/kg IV/IO

Answer

75 mg IV/IO

Question 6

A patient is being treated for symptomatic bradycardia. The provider administers 1 mg of Atropine IV every 3 minutes. What is the maximum total dose of Atropine that can be given?

Accepted Answer

3 mg

Answer

1 mg

Answer

6 mg

Answer

0.5 mg

A 58-year-old male presents with symptomatic bradycardia with a heart rate of 38 bpm.Initial intervention with atropine has been ineffective.Which of the following medication infusions is an appropriate next step according to ACLS guidelines?

A 58-year-old male presents with symptomatic bradycardia with a heart rate of 38 bpm.
Initial intervention with atropine has been ineffective.
Which of the following medication infusions is an appropriate next step according to ACLS guidelines?