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:
initiate epinephrine 2 to 10 ụg per minute and titrate heart rate
initiate dopamine 10 to 20 ụg/kg per minute and titrate heart rate
begin TCP
initiate dopamine 2 to 10 ụg/kg per minute and titrate heart rate
give atropine 1 mg IV up to a total dose of 3 mg.
Question 2
34% answer correctly
This patient has been resuscitated from cardiac arrest. During the resuscitation amiodarone 300 mg was administered. Now the patient develops severe chest discomfort, is diaphoretic, and has the above rhythm. BP is 80/60 mm Hg. What is the next indicated action:
Give lidocaine 1-1.5 mg/kg IV
Repeat amiodarone 150 mg IV
Give immediate unsynchronized defibrillation
Perform synchronized cardioversion
repeat amiodarone 300 mg IV.
Question 3
80% answer correctly
A patient with an acute MI on a 12-lead ECG transmitted by the paramedics has the above findings on a rhythm strip when a monitor is placed in the ED. The patient had resolution of moderate (5/10) chest pain with three doses of sublingual nitroglycerine. BP is 104/70 mm Hg. Which intervention below is most important, reducing in-hospital and 30-day mortality?
intravenous nitroglycerin for 24 hours
atropine 0.5 mg IV, total dose 2 mg as needed
atropine 1 mg IV, total dose 3 mg as needed
reperfusion therapy
Temporary pacing