ACLS Certification Practical Application Practice Test Results

Question 1
80% answer correctly
A patient presents with the above rhythm complaining of an irregular heart beat. She has no other complaints. Past medical history is significant for an MI 7 years ago. BP is 110/70. At this time you would:
administer nitroglycerine 0.4 mg sublinqual or spray
administer lidocaine 1 mg/kg IV
perform elective synchronized cardioversion with presedation
continue monitoring and seek expert consultation
perform emergency synchronized cardioversion
Question 2
65% answer correctly
A patient in the ED develops recurrent chest discomfort (8/10) suspicious for ischemia. His monitored rhythm becomes irregular as seen above. Oxygen is being administered by NC at 4 L/min and an IV line is patent. Bp is 160/96. There are no allergies or contraindications to any meds. You would first order:
lidocaine 1 mg/kg and infusion 2 mg/min
Nitroglycerin 0.4 mg SL
IV nitroglycerine initiated at 10 ụg/min and titrated
Morphine sulfate 2-4 mg IV
Amiodarone 150 mg IV
Question 3
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?
perform vagal maneuvers
give adenosine 12 mg IV slow push (over 1-2 mins)
give adenosine 3 mg IV fast
give metoprolol 5 mg IV and repeat if necessary