ACLS Certification Pharmacology Practice Test Results

Question 1
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 an additional 2 mg of morphine sulfate
Give normal saline 250 mL to 500 mL fluid bolus
Give nitroglycerin 0.4 mg sublingually
Start dopamine at 2 ụg/kg per minute and titrate to BP 100 systolic.
Question 2
71% answer correctly
Which of the following is most accurate regarding the administration of vasopressin during cardiac arrest?
The correct dose of Vasopressin is 40 U administered IV or IO
Vasopressin is indicated for VF and pulseless VT prior to the delivery of the first shock
Vasopressin is recommended instead of epinephrine for the treatment of asystole
Vasopressin can be administered twice during cardiac arrest
Question 3
56% answer correctly
A patient is in refractory VFib and has received multiple appropriate defibrillations, epinephrine 1 mg IV twice, and an initial dose of lidocaine IV. The patient is intubated. A second dose of lidocaine is now called for. The recommended second dose of lidocaine is:
1 mg/kg IV push
Give endotracheal dose 2-4 mg/kg
0.5-0.75 mg/kg IV push
2-3 mg/kg IV push
Start infusion 1-2 mg/min