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 magnesium sulfate 1-2 g over 20 minutes
seek expert consultation
give amiodarone 300 mg IV, start infusion
give lidocaine 1-1.5 mg IV, start lidocaine 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
Morphine sulfate 2-4 mg IV
lidocaine 1 mg/kg and infusion 2 mg/min
IV nitroglycerine initiated at 10 ụg/min and titrated
Amiodarone 150 mg IV
Question 3
83% answer correctly
Following initiation of CPR and one shock for VF, this rhythm is present on the next rhythm check. A second shock is given and chest compressions are immediately resumed. An IV is in place and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next order?
prepare to give amiodarone 300 mg IV
administer 3 sequential (stacked) shocks at 360J (monophasic defibrillator)
administer 3 sequential (stacked) shocks at 200J (biphasic defibrillator)
perform endotracheal intubation; administer 100 % oxygen
prepare to give epinephrine 1 mg IV