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:
intubate the patient and give epinephrine 2-4 mg via ET tube.
give a single shock with 200 J
Establish an IV and give epinephrine 1 mg IV
Begin CPR with chest compressions for 2 mins or about 5 cycles.
give a single shock with 360 J
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:
give atropine 1 mg IV
prepare for transcutaneous pacing (place pacing pads, do not pace yet)
start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
administer sedation and begin immediate transcutaneous pacing at 80 beats/min
give atropine 0.5 mg IV
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 epinephrine 1 mg IV
Start an IV and give atropine 1 mg
consider causes for pulseless electrical activity.
Order transcutaneous pacing