ACLS Certification Practice Test Results

Question 1
76% answer correctly
Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. Your patient is stable and BP is 120/80 mm Hg. She is apprehensive but has no complaints other than palpitations. At this time you would:
seek expert consultation
give magnesium sulfate 1-2 g over 20 minutes
give lidocaine 1-1.5 mg IV, start lidocaine infusion
give amiodarone 300 mg IV, start infusion
Question 2
65% answer correctly
A patient in the ED develops recurrent chest discomfort (8/10) suspicious for ischemia. His monitored rhythm becomes irregular as seen above. Oxygen is being administered by NC at 4 L/min and an IV line is patent. Bp is 160/96. There are no allergies or contraindications to any meds. You would first order:
lidocaine 1 mg/kg and infusion 2 mg/min
Morphine sulfate 2-4 mg IV
Nitroglycerin 0.4 mg SL
Amiodarone 150 mg IV
IV nitroglycerine initiated at 10 ụg/min and titrated
Question 3
55% answer correctly

Which of the following identifies this ECG rhythm?

Polymorphic VTach (Torsades)
3rd Degree Block
Atrial Flutter
Sinus Bradycardia
Sinus Tachycardia
Coarse Ventricular Fibrillation
Fine Ventricular Fibrillation
Supraventricular Tachycardia (SVT)
Atrial Fibrillation
2nd Degree Type I Block
Monomorphic VTach
Normal Sinus Rhythm (NSR)
2nd Degree Type II Block
Asystole