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