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:
Obtain 12 lead ECG
Give amiodarone 300 mg IV push
Perform immediate synchronized cardioversion
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 325 mg enteric-coated aspiring rectally
Give 75 mg enteric-coated aspirin only
Give aspirin 160 – 325 mg chewed, immediately
Substitute clopidogrel 300 mg loading dose
Question 3
52% answer correctly

Which of the following identifies this ECG rhythm?

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