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?
perform vagal maneuvers
give adenosine 12 mg IV slow push (over 1-2 mins)
give metoprolol 5 mg IV and repeat if necessary
give adenosine 3 mg IV fast
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:
intubate the patient and give epinephrine 2-4 mg via ET tube.
Establish an IV and give epinephrine 1 mg IV
give a single shock with 360 J
Begin CPR with chest compressions for 2 mins or about 5 cycles.
give a single shock with 200 J
Question 3
27% answer correctly
A patient has been resuscitated from cardiac arrest and is being prepared for transport. She is intubated and is receiving 100% oxygen. During the resuscitation she received 2 doses of epinephrine 1 mg, atropine 1 mg, and lidocaine 100 mg IV. You now observe the above rhythm on the cardiac monitor. The rhythm abnormally is becoming more frequent and increasing in number. You should order:
give lidocaine 1- 1.5 mg IV
repeat epinephrine 1 mg IV
give lidocaine 0.5-0.75 mg/kg IV, start lidocaine infusion
give amiodarone 300 mg IV, start infusion
give amiodarone 150 mg IV, start infusion