ACLS Certification Pharmacology Practice Test Results

Question 1
94% answer correctly
A patient is in cardiac arrest. VFib has been refractory to an initial shock. Of the following, which drug and dose should be administered first by IV/IO route?
Sodium bicarbonate 50 mEq
Atropine 1 mg
Vasopressin 20 U
Epinephrine 1 mg
Question 2
66% answer correctly
A 62 year-old man suddenly began to experience difficulty speaking and left-sided weakness. He is brought to the ER. He meets initial criteria for fibrinolytic therapy and a CT scan of the brain is ordered. Guidelines for antiplatelet and antothrombotic therapy are:
Administer heparin if CT scan is negative for hemorrhage
Administer aspirin 160-325 mg orally chewed, immediately
Do not give aspirin for at least 24 hours if tPA is administered\r\n
Give aspirin 160 mg and clopidogrel 75 mg orally
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 additional 1mg Atropine
Give NS bolus 250 mL-500mL
Start epinephrine 2-10 ụg/min
Start dopamine 10-20 ụg/kg per minute