ACLS Certification Pharmacology Practice Test Results

Question 1
63% answer correctly
A patient has a rapid irregular wide-complex tachycardia. The ventricular rate is 138. He is asymptomatic with a BP of 110/7-. He has a history of angina. Which of the following actions is recommended?
Give adenosine 6 mg IV bolus
Seek expert consultation
Immediate synchronized cardioversion
Give lidocaine 1-1.5 mg IV bolus
Question 2
63% answer correctly
A bradycardia rhythm is treated when:
CP or shortness of breath is present
The patient has an MI on the 12-lead ECG
HR is < 60 with or without symptoms
BP < 100 systolic with out without symptoms
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
Start dopamine at 2 ụg/kg per minute and titrate to BP 100 systolic.
Give an additional 2 mg of morphine sulfate
Give nitroglycerin 0.4 mg sublingually