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 lidocaine 1-1.5 mg IV, start lidocaine infusion
give amiodarone 300 mg IV, start 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
Morphine sulfate 2-4 mg IV
Amiodarone 150 mg IV
Nitroglycerin 0.4 mg SL
IV nitroglycerine initiated at 10 ụg/min and titrated
Question 3
55% answer correctly

Which of the following identifies this ECG rhythm?

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