ACLS Certification Pharmacology Practice Test Results

Question 1
90% answer correctly
A 35-year old woman has palpitations, lightheadedness, and a stable tachycardia. The monitor shows a regular narrow-complex QRS at a rate of 180/min. Vagal maneuvers have not been effective in terminating the rhythm. An IV has been established. What drug should be administered IV?
Atropine 0.5 mg
Adenosine 6 mg
Epinephrine 2-10 ụg/kg per minute
Lidocaine 1 mg/kg
Question 2
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?
Start dopamine 10-20 ụg/kg per minute
Start epinephrine 2-10 ụg/min
Give NS bolus 250 mL-500mL
Give additional 1mg Atropine
Question 3
85% answer correctly
A patient with a possible ST-segment elevation MI has ongoing chest discomfort. Which of the following would be a contraindication for administration of nitrates?
Use of phosphodiesterase inhibitor within 12 hours
BP > 180 systolic
HR of 90/min
Left ventricular infarct with bilateral rales