ACLS Certification Practice Test Results

Question 1
61% answer correctly
A 57 year-old woman has palpitations, chest discomfort and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180.min. She becomes diaphoretic and BP is 80/60. The next action is to:
Perform immediate synchronized cardioversion
Obtain 12 lead ECG
Give amiodarone 300 mg IV push
Establish IV and give sedation for electrical cardioversion
Question 2
34% answer correctly
A patient with an ST-segment elevation MI has ongoing chest discomfort. Fibrinolytic therapy has been ordered. Heparin 4000 U IV bolus was administered and a heparin infusion 100 U per hour is being administered, and Aspirin was not taken by the patient because he had a history of gastritis treated 5 years ago. Your next action is to:
Give aspirin 160 – 325 mg chewed, immediately
Substitute clopidogrel 300 mg loading dose
Give 325 mg enteric-coated aspiring rectally
Give 75 mg enteric-coated aspirin only
Question 3
83% answer correctly

Which of the following identifies this ECG rhythm?

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