ACLS Certification Practical Application Practice Test Results

Question 1
48% answer correctly
You are monitoring a patient. Chest discomfort has been relieved with sublingual nitro and morphine sulfate 4 mg IV. He suddenly has the above persistent rhythm. You ask about symptoms and he reports mild palpitations, but otherwise he is clinically stable with unchanged vital signs. Your next action is:
give immediate unsynchronized defibrillation shock
give sedation and perform synchronized cardioversion
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
give immediate synchronized cardioversion
administer amiodarone 150 mg over 10 minutes; seek expert consultation
Question 2
83% answer correctly
Following initiation of CPR and one shock for VF, this rhythm is present on the next rhythm check. A second shock is given and chest compressions are immediately resumed. An IV is in place and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next order?
administer 3 sequential (stacked) shocks at 360J (monophasic defibrillator)
prepare to give amiodarone 300 mg IV
administer 3 sequential (stacked) shocks at 200J (biphasic defibrillator)
prepare to give epinephrine 1 mg IV
perform endotracheal intubation; administer 100 % oxygen
Question 3
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:
Establish an IV and give epinephrine 1 mg IV
intubate the patient and give epinephrine 2-4 mg via ET tube.
give a single shock with 200 J
Begin CPR with chest compressions for 2 mins or about 5 cycles.
give a single shock with 360 J