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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 360 J
	give a single shock with 200 J
	Establish an IV and give epinephrine 1 mg IV
	intubate the patient and give epinephrine 2-4 mg via ET tube.
	Begin CPR with chest compressions for 2 mins or about 5 cycles.

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:

	start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
	give atropine 0.5 mg IV
	prepare for transcutaneous pacing (place pacing pads, do not pace yet)
	administer sedation and begin immediate transcutaneous pacing at 80 beats/min
	give atropine 1 mg IV

Question 3

41% answer correctly

The patient was admitted to the general medical unit with a history of alcoholism. A is in progress and he has recurrent episodes of this rhythm. You review his chart. Notes about the 12-lead ECG say that his baseline QT-interval is top normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far. For his next medication you would now order:

	give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 10 -20 mins.
	lidocaine 1 to 1.5 mg IV and start infusion 2 mg/minute
	repeat amiodarone 300 mg IV
	repeat amiodarone 150 mg IV
	give sodium bicarb 50 mEq IV