ACLS Certification Practical Application Practice Test Results

Question 1
76% answer correctly
Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. Your patient is stable and BP is 120/80 mm Hg. She is apprehensive but has no complaints other than palpitations. At this time you would:
give lidocaine 1-1.5 mg IV, start lidocaine infusion
seek expert consultation
give amiodarone 300 mg IV, start infusion
give magnesium sulfate 1-2 g over 20 minutes
Question 2
48% answer correctly
You are monitoring a patient. Chest discomfort has been relieved with sublingual nitro and morphine sulfate 4 mg IV. He suddenly has the above persistent rhythm. You ask about symptoms and he reports mild palpitations, but otherwise he is clinically stable with unchanged vital signs. Your next action is:
administer amiodarone 150 mg over 10 minutes; seek expert consultation
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
give immediate synchronized cardioversion
give immediate unsynchronized defibrillation shock
give sedation and perform synchronized cardioversion
Question 3
86% answer correctly
You arrive on the scene to find CPR in progress. Nursing staff report that the patient was recovering from a pulmonary embolism and suddenly collapsed. There is no pulse or spontaneous respirations. High-quality CPR is in progress and effective ventilation is being provided with bag-mask. An IV has been initiated. You would now:
Give atropine 1 mg IV
Give epinephrine 1.0 mg IV
Initiate transcutaneous pacing
Order immediate endotracheal intubation
Give atropine 0.5 mg IV