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:
seek expert consultation
give lidocaine 1-1.5 mg IV, start lidocaine infusion
give magnesium sulfate 1-2 g over 20 minutes
give amiodarone 300 mg IV, start infusion
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:
Nitroglycerin 0.4 mg SL
IV nitroglycerine initiated at 10 ụg/min and titrated
Amiodarone 150 mg IV
lidocaine 1 mg/kg and infusion 2 mg/min
Morphine sulfate 2-4 mg IV
Question 3
38% answer correctly
You are monitoring a patient with chest discomfort who becomes suddenly unresponsive. You observe the above rhythm on the cardiac monitor. A monophasic defibrillator is present. What is your first action:
give a single shock with 200 J
give a single shock with 360 J
intubate the patient and give epinephrine 2-4 mg via ET tube.
Establish an IV and give epinephrine 1 mg IV
Begin CPR with chest compressions for 2 mins or about 5 cycles.