ACLS Certification Pharmacology Practice Test Results

Question 1
85% answer correctly
Which of the following statements about the use of magnesium in cardiac arrest is most accurate?
Magnesium is contraindicated in VT associated with a normal QT interval
Magnesium is indicated for VF/pulseless VT associated with torsades de pointes
Magnesium is indicated for shock-refractory monomorphic VT
Magnesium is indicated for VF refractory to shock and amiodarone or lidocaine.
Question 2
83% answer correctly
A patient is in refractory VFib. High quality CPR is in progress and shocks have been given. One dose of epinephrine was given after the second shock. An antiarrhythmia drug was given immediately after the third shock. What drug should the team leader request to be prepared for administration?
Sodium bicarbonate 50 mEq
Escalating dose epinephrine 3 mg
Second dose of epinephrine 1 mg
Repeat the antiarrhythmic
Question 3
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 an additional 2 mg of morphine sulfate
Start dopamine at 2 ụg/kg per minute and titrate to BP 100 systolic.
Give nitroglycerin 0.4 mg sublingually