ACLS Certification Practice Test Results
Question
1
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 | |
| perform endotracheal intubation; administer 100 % oxygen | |
| administer 3 sequential (stacked) shocks at 360J (monophasic defibrillator) | |
| prepare to give epinephrine 1 mg IV | |
| administer 3 sequential (stacked) shocks at 200J (biphasic defibrillator) |
Question
2
Which of the following identifies this ECG rhythm?
| Normal Sinus Rhythm (NSR) | |
| Monomorphic VTach | |
| 2nd Degree Type I Block | |
| Sinus Bradycardia | |
| Polymorphic VTach (Torsades) | |
| Sinus Tachycardia | |
| Atrial Flutter | |
| Coarse Ventricular Fibrillation | |
| Asystole | |
| Fine Ventricular Fibrillation | |
| 2nd Degree Type II Block | |
| Atrial Fibrillation | |
| 3rd Degree Block | |
| Supraventricular Tachycardia (SVT) |
Question
3
You are monitoring a patient. Chest discomfort has been relieved with sublingual nitro and morphine sulfate 4 mg IV. He suddenly has the above persistent rhythm. You ask about symptoms and he reports mild palpitations, but otherwise he is clinically stable with unchanged vital signs. Your next action is:
| give immediate synchronized cardioversion | |
| give sedation and perform synchronized cardioversion | |
| administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes | |
| give immediate unsynchronized defibrillation shock | |
| administer amiodarone 150 mg over 10 minutes; seek expert consultation |