Get ACLS Certified Today

ACLS Certification

ACLS Recertification

ACLS Megacode Scenario 3

By Mark Dzwonkiewicz, FP-C, LI | Medically reviewed by Lisa Wright, MHA, RRT-NPS on October 22, 2024

Time limit: 0

Quiz Summary

0 of 13 questions completed

Questions:

The results of your practice test are waiting! Just fill in your email address in the box below, and we will share your results. You’ll only need to enter your email one time. After taking your next practice exam, you’ll receive your results as soon as you click on “Submit.”

Once you pass five practice tests, a 20% discount coupon will immediately be sent to the email address you provided.

You have already completed the quiz before. Hence you can not start it again.

Quiz is loading…

You must sign in or sign up to start the quiz.

You must first complete the following:

Results

Quiz complete. Results are being recorded.

Time has elapsed

Congratulations! You Passed.
You got 0 out of 0 correct and scored 0.

Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)

Earn a 20% Discount on Your Next Certification Course!

ACLScertification.org is proud to offer a 20% discount to students who successfully pass 5 of our practice tests in one sitting. Currently, you have passed 0 of the 5 required tests. Start testing your skills and earning your discount now in our Practice Exam Section.

0% Complete

Answered
Review

Question 1 of 13

1. Question
An unconscious 80-year-old female is brought to the emergency department by the emergency response team.

The patient has an intravenous line, and she is connected to a monitor on a biphasic defibrillator. You are told that she was found unconscious in bed by her family.

You quickly obtain vital signs: HR 42 bpm, RR 25 breaths per minute, BP 80/60 mmHg, temperature 36.8°C.

You note the following ECG tracing:

1. What is the ECG finding?
- a. Normal sinus rhythm
- b. Premature junctional beat
- c. Idioventricular rhythm
- d. Sinus bradycardia
Correct

Incorrect
Question 2 of 13

2. Question
2. What should you do next?
- a. Administer amiodarone 150 mg intravenous infusion over 10 minutes
- b. Administer atropine 0.5 mg intravenous bolus
- c. Defibrillate
- d. Administer adenosine 6 mg intravenous followed by a 20 ml saline flush
Correct

Incorrect
Question 3 of 13

3. Question
After your initial management, you check the patient’s vital signs again.

You cannot feel a pulse, blood pressure cannot be measured, and there is no spontaneous breathing. You check the ECG monitor and find the following tracing:

3. What is the ECG finding?
- a. Atrial flutter
- b. Ventricular tachycardia
- c. Idioventricular rhythm
- d. Ventricular fibrillation
Correct

Incorrect
Question 4 of 13

4. Question
4. What is the next most appropriate action?
- a. Provide high-quality CPR for 2 minutes and administer epinephrine 1 mg IV bolus followed by a 20 ml saline flush
- b. Insert an advanced airway with waveform capnography
- c. Defibrillate
- d. Deliver atropine 0.5 mg IV bolus
Correct

Incorrect
Question 5 of 13

5. Question
5. What is the next most appropriate action?
- a. Provide high-quality CPR for 2 minutes
- b. Administer epinephrine 1 mg IV bolus followed by a 20 ml saline flush
- c. Repeat defibrillation
- d. A Intravenous administration of atropine 0.5 mg bolus
Correct

Incorrect
Question 6 of 13

6. Question
After two minutes, you observe the following rhythm:

6. What is now the most appropriate action?
- a. Defibrillate
- b. Administer atropine 0.5 mg intravenous bolus
- c. Administer transcutaneous pacing
- d. Check for a palpable pulse and check other vital signs
Correct

Incorrect
Question 7 of 13

7. Question
You quickly assess the patient, and you do not feel a pulse.

Blood pressure cannot be measured, and there is no spontaneous breathing. You again check the cardiac monitor:

7. What is your assessment?
- a. Agonal rhythm
- b. Premature atrial beat
- c. Idioventricular rhythm
- d. Pulseless electrical activity
Correct

Incorrect
Question 8 of 13

8. Question
8. What is your next appropriate action?
- a. Continue CPR for 2 minutes, followed by epinephrine 1 mg intravenous bolus every 3 to 5 minutes
- b. Defibrillate
- c. Set up a transcutaneous pacemaker
- d. Administer atropine 0.5 mg intravenous bolus
Correct

Incorrect
Question 9 of 13

9. Question
After 2 minutes, there is still no change in the condition of the patient, and you still have the following ECG finding:

9. What should you be considering during this time?
- a. Halt resuscitative efforts and declare the patient deceased
- b. Seek expert help immediately
- c. Defibrillate
- d. Continue CPR, insert an advanced airway, monitor waveform capnography, and administer another dose of IV epinephrine
Correct

Incorrect
Question 10 of 13

10. Question
After performing the previous management, you observe the following rhythm:

10. What is your next appropriate action?
- a. Continue CPR for 2 minutes, followed by epinephrine 1 mg intravenous bolus
- b. Give lidocaine IV
- c. Defibrillate
- d. Synchronized cardioversion
Correct

Incorrect
Question 11 of 13

11. Question
After your previous intervention, the patient has a palpable pulse. You check the ECG monitor and see the following:

11. What is your interpretation of this ECG finding?
- a. Ventricular fibrillation converting to ventricular tachycardia
- b. Ventricular fibrillation converting to supraventricular tachycardia
- c. Ventricular fibrillation converting to atrial fibrillation
- d. Ventricular fibrillation converting to sinus tachycardia
Correct

Incorrect
Question 12 of 13

12. Question
12. What is your next course of action?
- a. Defibrillate
- b. Administer atropine 0.5 mg intravenous bolus
- c. Seek expert consultation
- d. Set up for transcutaneous pacing
- e. Check vital signs
Correct

Incorrect
Question 13 of 13

13. Question
You check the patient’s vital signs: HR 140 bpm, BP 80/60 mmHg, RR 12 breaths per minute, temperature 36.1°C.

The patient is still incoherent. You prepare to transfer the patient to the ICU.

13. According to the American Heart Association guidelines, what have you achieved at this time?
- a. Successful resuscitation
- b. Return of spontaneous circulation
- c. Cardiac revival
- d. Resumption of sustained cardiac function
Correct

Incorrect