ACLS Certification Practical Application Practice Test Results

Question 1
47% answer correctly
This patient suddenly collapsed and is poorly responsive. The patient has a weak carotid pulse. A cardiac monitor, oxygen, and an IV line have been initiated. The code cart with all drugs and TCP is immediately available. Next you would:
begin TCP
initiate dopamine 10 to 20 ụg/kg per minute and titrate heart rate
initiate epinephrine 2 to 10 ụg per minute and titrate heart rate
give atropine 1 mg IV up to a total dose of 3 mg.
initiate dopamine 2 to 10 ụg/kg per minute and titrate heart rate
Question 2
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
give magnesium sulfate 1-2 g over 20 minutes
seek expert consultation
give amiodarone 300 mg IV, start infusion
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 sodium bicarb 50 mEq IV
repeat amiodarone 150 mg IV
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