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?
give adenosine 3 mg IV fast
perform vagal maneuvers
give adenosine 12 mg IV slow push (over 1-2 mins)
give metoprolol 5 mg IV and repeat if necessary
Question 2
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 360 J
Establish an IV and give epinephrine 1 mg IV
Begin CPR with chest compressions for 2 mins or about 5 cycles.
intubate the patient and give epinephrine 2-4 mg via ET tube.
give a single shock with 200 J
Question 3
34% answer correctly
This patient has been resuscitated from cardiac arrest. During the resuscitation amiodarone 300 mg was administered. Now the patient develops severe chest discomfort, is diaphoretic, and has the above rhythm. BP is 80/60 mm Hg. What is the next indicated action:
Repeat amiodarone 150 mg IV
Give lidocaine 1-1.5 mg/kg IV
repeat amiodarone 300 mg IV.
Perform synchronized cardioversion
Give immediate unsynchronized defibrillation