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:
give amiodarone 300 mg IV, start infusion
give lidocaine 1-1.5 mg IV, start lidocaine infusion
seek expert consultation
give magnesium sulfate 1-2 g over 20 minutes
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
Nitroglycerin 0.4 mg SL
Amiodarone 150 mg IV
Morphine sulfate 2-4 mg IV
IV nitroglycerine initiated at 10 ụg/min and titrated
Question 3
50% answer correctly

Which of the following identifies this ECG rhythm?

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