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ACLS Tachycardia Quiz

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This ACLS quiz covers general information that may be found on the ACLS written test.

 
1.

Two rounds of adenosine can be administered to attempt to convert a tachyarrhythmia to sinus rhythm. What is the recommended dosing of adenosine in such a scenario?

6 mg IVP followed by 6 mg IVP if no conversion
12 mg IVP followed by 12 mg IVP if no conversion
6 mg IVP followed by 12 mg IVP if no conversion
12 mg IVP followed by 6 mg IVP if no conversion
2.

Tachycardia does not usually cause serious signs or symptoms below what heart rate?*

180 bpm
200 bpm
150 bpm
190 bpm
3.

What is the goal of ACLS intervention in patients with sinus tachycardia?*

To prevent further deterioration of the arrhythmia
To provide continuous cardioversion
To prevent myocardial ischemia
To identify and treat the underlying systemic causes
4.

Which of the following scenarios calls for synchronized cardioversion?

An unstable patient with monomorphic tachycardia
A patient without a pulse
An unstable patient with an unknown VT etiology
An unstable patient with polymorphic VT
5.

If a patient is taking dipyridamole or carbamazepine, the initial dose of adenosine should be reduced to how many mg?*

 
3 mg
4 mg
5 mg
2 mg
6.

Which of the following antiarrhythmic medications should be considered alongside vagal maneuvers for regular narrow-complex tachyarrhythmias?*

Atropine
Epinephrine
Amiodarone
Adenosine
7.

 If a patient experiencing a tachyarrhythmia becomes unstable, what is the most important intervention to consider?

Synchronized cardioversion
Antiarrhythmic medications
IV fluids
Seek expert consultation
8.

Low-energy shocks are always delivered synchronously because if delivered asynchronously, they have the potential to produce which of the following rhythms?*

 
Ventricular fibrillation
Asystole
Atrial flutter
Ventricular tachycardia
9.

Which of the following is not an appropriate initial intervention when caring for a patient presenting with primary tachycardia with a pulse?

Monitor ECG, BP, and SpO2
Provide oxygen if hypoxemia is observed
Attempt vagal maneuvers
Identify and treat reversible causes
10.

Unstable patients with regular narrow-complex supraventricular tachycardia can be given what medication as synchronized cardioversion is being prepared?

Amiodarone 150 mg IVP
Adenosine 6 mg IVP
Epinephrine 1 mg IVP
Atropine 0.5 mg IVP
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author avatar
Gyath