ACLS- Medications Exam Prep Test

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ACLS- Medications Exam Prep Test - Quiz

When a medical practitioner has to deal with an urgent cardiac arrest, stroke, or a patient with a life-threatening cardiac emergency, they carry out clinical interventions designed to save the patient from succumbing to the medical emergency. This process involves giving them particular medication. Take up the test below and see how much you understand ACLS Medications in preparation for your exam.


Questions and Answers
  • 1. 

    The first drug and dosage for Ventricular Fibrillation (other than Oxygen) is what?

    • A.

      Epinephrine .5 mg Q 3-5 minutes

    • B.

      Epinephrine 1 mg Q 3-5 minutes

    • C.

      Lidocaine 1-1.5 mg/KG

    Correct Answer
    B. Epinephrine 1 mg Q 3-5 minutes
    Explanation
    Epinephrine is the first drug and dosage recommended for treating Ventricular Fibrillation, apart from administering oxygen. The correct dosage is 1 mg to be given every 3-5 minutes. Epinephrine is a medication that stimulates the heart and helps restore normal heart rhythm. It increases blood pressure and improves blood flow to the heart and brain, which is crucial in treating Ventricular Fibrillation. Lidocaine, on the other hand, is not the first-line treatment for Ventricular Fibrillation and is typically used for other cardiac arrhythmias.

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  • 2. 

    During VF, which drug and dosage may be used in place of Epinephrine?

    • A.

      Vasopressin 20 units

    • B.

      Vasopressin 40 units

    • C.

      Lodocaine 1-1.5 mg/KG

    Correct Answer
    B. Vasopressin 40 units
    Explanation
    During ventricular fibrillation (VF), the drug and dosage that may be used in place of Epinephrine is Vasopressin 40 units. Vasopressin is a medication that constricts blood vessels and increases blood pressure, which can help restore normal heart rhythm during VF. The higher dosage of 40 units may be necessary to achieve the desired effect.

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  • 3. 

    For significant adult bradycardia with poor perfusion,  which drugs would you use and in what doses?

    • A.

      Epi 0.01 mg/kg followed by Atropine 0.5 mg or Dopamine 5-10 mcg/kg/min

    • B.

      Atropine .5 mg followed by Dopamine 2-10 mcg/kg/min or Epi 2-10 mcg/min

    • C.

      Atropine 1 mg followed by Epi 0.01 mg/kg or Dopamine 5-10 mcg/kg/min

    Correct Answer
    B. Atropine .5 mg followed by Dopamine 2-10 mcg/kg/min or Epi 2-10 mcg/min
    Explanation
    The correct answer is Atropine .5 mg followed by Dopamine 2-10 mcg/kg/min or Epi 2-10 mcg/min. This combination of drugs is commonly used for significant adult bradycardia with poor perfusion. Atropine is a medication that increases heart rate by blocking the effects of the vagus nerve on the heart. Dopamine is a medication that increases heart rate and blood pressure by stimulating certain receptors in the body. Epi, or epinephrine, is a medication that constricts blood vessels and increases heart rate. The specific doses mentioned in the answer are within the recommended range for these medications.

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  • 4. 

    Which statement is true about Atropine when used for symptomatic bradycardia?

    • A.

      (Max 3 mg) (0.02 mg/KG)

    • B.

      (MAX 2 mg) (0.04 mg/kg)

    • C.

      (MAX 3 mg) (0.04 mg/kg)

    Correct Answer
    C. (MAX 3 mg) (0.04 mg/kg)
    Explanation
    Atropine is a medication commonly used to treat symptomatic bradycardia, a condition characterized by an abnormally slow heart rate. The correct answer, (MAX 3 mg) (0.04 mg/kg), suggests that the maximum dose of Atropine that can be administered is 3 mg, and the recommended dose per kilogram of body weight is 0.04 mg/kg. This means that the dosage should not exceed 3 mg regardless of the patient's weight, but the dosage per kilogram should be calculated based on the patient's weight, with 0.04 mg given for every kilogram of body weight.

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  • 5. 

    What is another treatment (in addition to Atropine) that might be used for symptomatic bradycardia?

    • A.

      Isoproterenol

    • B.

      TCP

    • C.

      Both Isoproterenol and TCP

    Correct Answer
    B. TCP
    Explanation
    TCP stands for transcutaneous pacing, which is a treatment option for symptomatic bradycardia. It involves the use of external electrodes placed on the patient's chest to deliver electrical impulses to the heart, which helps to increase the heart rate. Atropine is another treatment option for bradycardia, but if it is not effective, TCP may be used as an alternative. Isoproterenol is a medication that can also be used to increase heart rate, but it is not the correct answer in this case.

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  • 6. 

    What drugs might be used with PEA?

    • A.

      EPINEPHRINE 1 mg IV PUSH Q 3-5 MIN

    • B.

      Lidocaine .5 mg/kg/min

    • C.

      Atropine .2mg IVP, repeat Q 3-5

    Correct Answer
    A. EPINEPHRINE 1 mg IV PUSH Q 3-5 MIN
    Explanation
    PEA stands for Pulseless Electrical Activity, which is a life-threatening condition characterized by the absence of a palpable pulse despite the presence of electrical activity in the heart. Epinephrine is a medication commonly used in the management of PEA. It acts as a vasoconstrictor, increasing blood pressure and coronary perfusion, which can potentially restore a palpable pulse. The recommended dose of epinephrine for PEA is 1 mg, administered intravenously as a push every 3-5 minutes. Therefore, in the given options, epinephrine is the most appropriate drug to be used with PEA.

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  • 7. 

    A useful acronym for handling asystole is what?

    • A.

      TAE, Transcutaneous Pacing, Atropine, Epinephrine

    • B.

      ATE, Atropine, Transcutaneous Pacing, Epinephrine

    • C.

      TEA, Transcutaneous Pacing, Epinephrine, Atropine

    Correct Answer
    C. TEA, Transcutaneous Pacing, Epinephrine, Atropine
    Explanation
    The correct answer is TEA, Transcutaneous Pacing, Epinephrine, Atropine. This acronym represents the recommended sequence of interventions for handling asystole, which is the absence of any electrical activity in the heart. Transcutaneous pacing is used to deliver electrical stimulation to the heart, Epinephrine is a medication that stimulates the heart and increases blood pressure, and Atropine is a medication that increases heart rate. This sequence of interventions aims to restore electrical activity and improve cardiac function in a patient with asystole.

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  • 8. 

    What is a useful acronym in remembering the drugs that may be administered down an ET tube?

    • A.

      MAN - Magnesium, Atropine, Naloxone

    • B.

      SAN - Sodium Bicarbonate, Atropine, Naloxone

    • C.

      LEAN - Lidocaine, Epinephrine, Atropine, Naloxone

    Correct Answer
    C. LEAN - Lidocaine, Epinephrine, Atropine, Naloxone
    Explanation
    The acronym LEAN is a useful tool for remembering the drugs that may be administered down an ET tube. The drugs included in this acronym are Lidocaine, Epinephrine, Atropine, and Naloxone. These drugs are commonly used in emergency situations and can be administered directly into the endotracheal tube to quickly deliver medication to the patient's lungs. Remembering the acronym LEAN can help medical professionals recall the specific drugs that may be needed in these critical situations.

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  • 9. 

    Doses administered down an ET tube should be cut in half.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    They should be doubled.

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  • 10. 

    Which drug should not be administered as a bolus (i.e., continuous infusion only)?

    • A.

      Procainamide

    • B.

      Amiodarone

    • C.

      Lidocaine

    Correct Answer
    A. Procainamide
    Explanation
    Procainamide should not be administered as a bolus because it has a high risk of causing hypotension and other adverse effects when given rapidly. Instead, it is recommended to administer procainamide as a continuous infusion to ensure a more controlled and gradual delivery of the medication. This approach helps to minimize the potential for serious side effects and allows for better monitoring and adjustment of the dosage as needed.

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  • 11. 

    A drug that might be used in place of Epi when dealing with VF is what?

    • A.

      Atropine .5 mg Q 3-5 min

    • B.

      Lidocaine 1-1.5 mg/kg

    • C.

      Vasopressin 40 Units IVP

    Correct Answer
    C. Vasopressin 40 Units IVP
    Explanation
    Vasopressin is the correct answer because it can be used as an alternative to epinephrine (Epi) in the treatment of ventricular fibrillation (VF). Vasopressin is a hormone that helps to increase blood pressure and promote vasoconstriction, which can be beneficial in restoring a normal heart rhythm in VF. Atropine is typically used for other cardiac conditions, such as bradycardia, and lidocaine is commonly used for ventricular arrhythmias but not specifically for VF. Therefore, vasopressin is the most appropriate drug to consider as a replacement for Epi in dealing with VF.

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  • 12. 

    Vasopressin may only be administered once.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Vasopressin is a hormone that helps regulate water balance and blood pressure in the body. It is typically administered in emergency situations such as cardiac arrest or severe bleeding. Vasopressin has a long duration of action, which means that a single dose can last for several hours. Therefore, it is generally not necessary to administer multiple doses of vasopressin. This statement is true because vasopressin may only be administered once.

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  • 13. 

    Vasopressin and Epi may be administered simultaneously when dealing with VF.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    One replaces the other.

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  • 14. 

    A useful drug in dealing with persistent tachyarrhythmia causing hypotension is what?

    • A.

      Adenosine

    • B.

      Bretillium

    • C.

      Narcan

    Correct Answer
    A. Adenosine
    Explanation
    Adenosine is a useful drug in dealing with persistent tachyarrhythmia causing hypotension. Adenosine is a medication that works by slowing down the electrical conduction in the heart, helping to restore a normal heart rhythm. It is particularly effective in treating supraventricular tachycardia, a type of rapid heart rate that originates in the upper chambers of the heart. By slowing down the heart rate, adenosine can help to improve blood flow and alleviate symptoms of hypotension, which is low blood pressure.

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  • 15. 

    Adenosine IV initial dosage is 6 mg.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The correct answer is true because the initial dosage of Adenosine IV is indeed 6 mg. This dosage is commonly used for the treatment of supraventricular tachycardia (SVT) in adults. Adenosine is administered rapidly through an intravenous line, typically followed by a saline flush to ensure the medication reaches the heart quickly. It works by slowing down the electrical conduction in the heart, which can help restore a normal heart rhythm in cases of SVT.

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  • 16. 

    Which statement about Adenosine is true?

    • A.

      Rapid push is indicated

    • B.

      Second dose is 12 mg (if required)

    • C.

      Both rapid push and 12 mg (second dose) are indicated

    Correct Answer
    C. Both rapid push and 12 mg (second dose) are indicated
    Explanation
    Both rapid push and 12 mg (second dose) are indicated for Adenosine. Adenosine is a medication used to treat certain types of irregular heartbeats. It is administered by rapid push, meaning it is given quickly through a vein. If the initial dose of Adenosine does not restore a normal heart rhythm, a second dose of 12 mg may be given. Therefore, both rapid push and 12 mg (second dose) are indicated for Adenosine administration.

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  • 17. 

    Which statement is true concerning synchronized cardioversion?

    • A.

      Narrow regular: 50-100J, Wide regular: 100 J

    • B.

      Narrow regular: 100J, Wide regular: 50-100 J

    • C.

      Narrow irregular: 200 biphasic or 300J monophasic

    Correct Answer
    A. Narrow regular: 50-100J, Wide regular: 100 J
    Explanation
    In synchronized cardioversion, the correct energy levels for different types of rhythms are as follows: for narrow regular rhythms, the energy range is 50-100J, and for wide regular rhythms, the energy level is 100J. This means that when performing synchronized cardioversion, if the patient has a narrow regular rhythm, the energy delivered should be between 50-100J, while for a wide regular rhythm, the energy should be set at 100J.

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  • 18. 

    What is the normal dose of Amiodarone?

    • A.

      6 mg initial followed by 12 mg in five minutes

    • B.

      300 mg IV initially, followed by second dose of 150 mg IV in five minutes

    • C.

      1-1.5 mg/kg/min

    Correct Answer
    B. 300 mg IV initially, followed by second dose of 150 mg IV in five minutes
    Explanation
    The normal dose of Amiodarone is 300 mg IV initially, followed by a second dose of 150 mg IV in five minutes. This dosing regimen is commonly used for the treatment of ventricular arrhythmias. Amiodarone is an antiarrhythmic medication that is given intravenously to rapidly control abnormal heart rhythms. The initial dose of 300 mg helps to quickly achieve therapeutic levels in the body, while the second dose of 150 mg helps to maintain the desired effect.

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  • 19. 

    Amiodarine is used in pulseless VF.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Amiodarone is a medication commonly used in the treatment of pulseless ventricular fibrillation (VF). Ventricular fibrillation is a life-threatening cardiac rhythm disturbance characterized by rapid and chaotic electrical activity in the heart. Amiodarone works by stabilizing the electrical activity of the heart, helping to restore a normal heart rhythm. Therefore, it is true that amiodarone is used in the management of pulseless VF.

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  • 20. 

    The first drug normally used in cardiac arrest is what?

    • A.

      Atropine

    • B.

      Lidocaine

    • C.

      Epinephrine

    Correct Answer
    C. Epinephrine
    Explanation
    Epinephrine is the first drug normally used in cardiac arrest because it helps to stimulate the heart and increase blood flow to vital organs. It acts as a vasoconstrictor, narrowing blood vessels to increase blood pressure and improve blood flow. Epinephrine also stimulates the heart to beat more forcefully, which can help restore normal cardiac rhythm. Additionally, it has bronchodilator effects, which can improve oxygenation. Overall, epinephrine is an important medication in cardiac arrest situations to enhance the chances of successful resuscitation.

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