ACLS Certification Pharmacology Practice Test Results

Question 1
62% answer correctly
A patient with a possible acute coronary syndrome has ongoing chest discomfort unresponsive to 3 sublingual nitroglycerine tablets. There are no contraindications and 4 mg of morphine sulfate was administered. Shortly, BP falls to 88/60 and the patient complains of increased chest discomfort. You would:
Give normal saline 250 mL to 500 mL fluid bolus
Give nitroglycerin 0.4 mg sublingually
Start dopamine at 2 ụg/kg per minute and titrate to BP 100 systolic.
Give an additional 2 mg of morphine sulfate
Question 2
71% answer correctly
Which of the following is most accurate regarding the administration of vasopressin during cardiac arrest?
Vasopressin can be administered twice during cardiac arrest
Vasopressin is recommended instead of epinephrine for the treatment of asystole
Vasopressin is indicated for VF and pulseless VT prior to the delivery of the first shock
The correct dose of Vasopressin is 40 U administered IV or IO
Question 3
61% answer correctly
A 57 year-old woman has palpitations, chest discomfort and tachycardia. The monitor shows a regular wide-complex QRS at a rate of 180.min. She becomes diaphoretic and BP is 80/60. The next action is to:
Establish IV and give sedation for electrical cardioversion
Give amiodarone 300 mg IV push
Perform immediate synchronized cardioversion
Obtain 12 lead ECG