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 adenosine 3 mg IV fast
give metoprolol 5 mg IV and repeat if necessary
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:
continue monitoring and seek expert consultation
administer lidocaine 1 mg/kg IV
perform elective synchronized cardioversion with presedation
perform emergency synchronized cardioversion
administer nitroglycerine 0.4 mg sublinqual or spray
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:
Begin CPR with high-quality chest compressions
Start an IV and give atropine 1 mg
Start an IV and give epinephrine 1 mg IV
Order transcutaneous pacing
consider causes for pulseless electrical activity.