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
Amiodarone 150 mg IV
Morphine sulfate 2-4 mg IV
IV nitroglycerine initiated at 10 ụg/min and titrated
Nitroglycerin 0.4 mg SL
Question 3
50% answer correctly

Which of the following identifies this ECG rhythm?

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