ACLS Certification Pharmacology Practice Test Results

Question 1
34% answer correctly
A patient with an ST-segment elevation MI has ongoing chest discomfort. Fibrinolytic therapy has been ordered. Heparin 4000 U IV bolus was administered and a heparin infusion 100 U per hour is being administered, and Aspirin was not taken by the patient because he had a history of gastritis treated 5 years ago. Your next action is to:
Give 325 mg enteric-coated aspiring rectally
Give aspirin 160 – 325 mg chewed, immediately
Substitute clopidogrel 300 mg loading dose
Give 75 mg enteric-coated aspirin only
Question 2
63% answer correctly
A bradycardia rhythm is treated when:
BP < 100 systolic with out without symptoms
HR is < 60 with or without symptoms
The patient has an MI on the 12-lead ECG
CP or shortness of breath is present
Question 3
54% answer correctly
A patient has sinus bradycardia with a rate of 36/min. Atropine has been administered to a total dose of 3 mg. TCP has failed to capture. The patient is confused and BP is 100/60. Which of the following is now indicated?
Give NS bolus 250 mL-500mL
Start dopamine 10-20 ụg/kg per minute
Give additional 1mg Atropine
Start epinephrine 2-10 ụg/min