ACLS Certification Practical Application Practice Test Results

Question 1
93% answer correctly
A 35 year-old woman presents the ED with a chief complaint of palpitations. She has no chest discomfort, shortness of breath, or lightheadedness. Which of the following is indicated first?
perform vagal maneuvers
give adenosine 12 mg IV slow push (over 1-2 mins)
give metoprolol 5 mg IV and repeat if necessary
give adenosine 3 mg IV fast
Question 2
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
administer nitroglycerine 0.4 mg sublinqual or spray
continue monitoring and seek expert consultation
Question 3
90% answer correctly
A patient becomes unresponsive and you are uncertain if a faint pulse is present with the above rhythm. Your next action is:
Order transcutaneous pacing
Begin CPR with high-quality chest compressions
Start an IV and give epinephrine 1 mg IV
Start an IV and give atropine 1 mg
consider causes for pulseless electrical activity.