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:
Substitute clopidogrel 300 mg loading dose
Give 325 mg enteric-coated aspiring rectally
Give 75 mg enteric-coated aspirin only
Give aspirin 160 – 325 mg chewed, immediately
Question 2
63% answer correctly
A bradycardia rhythm is treated when:
The patient has an MI on the 12-lead ECG
CP or shortness of breath is present
HR is < 60 with or without symptoms
BP < 100 systolic with out without symptoms
Question 3
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?
Seek expert consultation
Immediate synchronized cardioversion
Give lidocaine 1-1.5 mg IV bolus
Give adenosine 6 mg IV bolus