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ACLS Certification Practical Application Practice Test Results

Question 1

38% answer correctly

You are monitoring a patient with chest discomfort who becomes suddenly unresponsive. You observe the above rhythm on the cardiac monitor. A monophasic defibrillator is present. What is your first action:

	give a single shock with 200 J
	Establish an IV and give epinephrine 1 mg IV
	give a single shock with 360 J
	intubate the patient and give epinephrine 2-4 mg via ET tube.
	Begin CPR with chest compressions for 2 mins or about 5 cycles.

Question 2

49% answer correctly

You are monitoring this patient after successful resuscitation. You note the above rhythm on the cardiac monitor and document a rhythm strip for the patient’s chart. She has no complaints and blood pressure is 110/70 mm Hg. Now you would:

	start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
	give atropine 1 mg IV
	administer sedation and begin immediate transcutaneous pacing at 80 beats/min
	prepare for transcutaneous pacing (place pacing pads, do not pace yet)
	give atropine 0.5 mg IV

Question 3

41% answer correctly

The patient was admitted to the general medical unit with a history of alcoholism. A is in progress and he has recurrent episodes of this rhythm. You review his chart. Notes about the 12-lead ECG say that his baseline QT-interval is top normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far. For his next medication you would now order:

	lidocaine 1 to 1.5 mg IV and start infusion 2 mg/minute
	give sodium bicarb 50 mEq IV
	give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 10 -20 mins.
	repeat amiodarone 300 mg IV
	repeat amiodarone 150 mg IV