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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.

Which of the following scenarios calls for synchronized cardioversion?

An unstable patient with polymorphic VT
An unstable patient with an unknown VT etiology
An unstable patient with monomorphic tachycardia
A patient without a pulse
2.

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

 
Ventricular tachycardia
Ventricular fibrillation
Asystole
Atrial flutter
3.

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
12 mg IVP followed by 12 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
4.

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

200 bpm
150 bpm
190 bpm
180 bpm
5.

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

 
4 mg
5 mg
2 mg
3 mg
6.

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

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

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

Antiarrhythmic medications
Synchronized cardioversion
IV fluids
Seek expert consultation
8.

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

Provide oxygen if hypoxemia is observed
Identify and treat reversible causes
Attempt vagal maneuvers
Monitor ECG, BP, and SpO2
9.

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

Epinephrine 1 mg IVP
Amiodarone 150 mg IVP
Adenosine 6 mg IVP
Atropine 0.5 mg IVP
10.

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

Adenosine
Atropine
Epinephrine
Amiodarone
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