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
seek expert consultation
give magnesium sulfate 1-2 g over 20 minutes
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:
Amiodarone 150 mg IV
Nitroglycerin 0.4 mg SL
IV nitroglycerine initiated at 10 ụg/min and titrated
Morphine sulfate 2-4 mg IV
lidocaine 1 mg/kg and infusion 2 mg/min
Question 3
50% answer correctly

Which of the following identifies this ECG rhythm?

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