ACLS Certification Practical Application Practice Test Results

Question 1
80% answer correctly
A patient presents with the above rhythm complaining of an irregular heart beat. She has no other complaints. Past medical history is significant for an MI 7 years ago. BP is 110/70. At this time you would:
perform emergency synchronized cardioversion
perform elective synchronized cardioversion with presedation
administer lidocaine 1 mg/kg IV
continue monitoring and seek expert consultation
administer nitroglycerine 0.4 mg sublinqual or spray
Question 2
65% answer correctly
A patient in the ED develops recurrent chest discomfort (8/10) suspicious for ischemia. His monitored rhythm becomes irregular as seen above. Oxygen is being administered by NC at 4 L/min and an IV line is patent. Bp is 160/96. There are no allergies or contraindications to any meds. You would first order:
IV nitroglycerine initiated at 10 ụg/min and titrated
Morphine sulfate 2-4 mg IV
Nitroglycerin 0.4 mg SL
lidocaine 1 mg/kg and infusion 2 mg/min
Amiodarone 150 mg IV
Question 3
27% answer correctly
A patient has been resuscitated from cardiac arrest and is being prepared for transport. She is intubated and is receiving 100% oxygen. During the resuscitation she received 2 doses of epinephrine 1 mg, atropine 1 mg, and lidocaine 100 mg IV. You now observe the above rhythm on the cardiac monitor. The rhythm abnormally is becoming more frequent and increasing in number. You should order:
give lidocaine 0.5-0.75 mg/kg IV, start lidocaine infusion
repeat epinephrine 1 mg IV
give lidocaine 1- 1.5 mg IV
give amiodarone 150 mg IV, start infusion
give amiodarone 300 mg IV, start infusion