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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.

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

Antiarrhythmic medications
Seek expert consultation
IV fluids
Synchronized cardioversion
2.

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

To prevent further deterioration of the arrhythmia
To identify and treat the underlying systemic causes
To provide continuous cardioversion
To prevent myocardial ischemia
3.

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

180 bpm
190 bpm
150 bpm
200 bpm
4.

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

 
Ventricular fibrillation
Ventricular tachycardia
Asystole
Atrial flutter
5.

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?

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

Which of the following scenarios calls for synchronized cardioversion?

An unstable patient with polymorphic VT
A patient without a pulse
An unstable patient with an unknown VT etiology
An unstable patient with monomorphic tachycardia
7.

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

Atropine
Epinephrine
Adenosine
Amiodarone
8.

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

Epinephrine 1 mg IVP
Atropine 0.5 mg IVP
Adenosine 6 mg IVP
Amiodarone 150 mg IVP
9.

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

 
2 mg
3 mg
5 mg
4 mg
10.

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

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