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

 
5 mg
4 mg
3 mg
2 mg
2.

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

Attempt vagal maneuvers
Provide oxygen if hypoxemia is observed
Identify and treat reversible causes
Monitor ECG, BP, and SpO2
3.

Which of the following scenarios calls for synchronized cardioversion?

An unstable patient with an unknown VT etiology
A patient without a pulse
An unstable patient with monomorphic tachycardia
An unstable patient with polymorphic VT
4.

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

Atropine 0.5 mg IVP
Epinephrine 1 mg IVP
Amiodarone 150 mg IVP
Adenosine 6 mg IVP
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 12 mg IVP if no conversion
6 mg IVP followed by 6 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
6.

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

To prevent myocardial ischemia
To identify and treat the underlying systemic causes
To provide continuous cardioversion
To prevent further deterioration of the arrhythmia
7.

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

 
Atrial flutter
Asystole
Ventricular tachycardia
Ventricular fibrillation
8.

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

IV fluids
Seek expert consultation
Antiarrhythmic medications
Synchronized cardioversion
9.

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

Amiodarone
Atropine
Epinephrine
Adenosine
10.

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

180 bpm
200 bpm
150 bpm
190 bpm
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