ACLS Certification Practical Application Practice Test Results

Question 1
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
reperfusion therapy
atropine 0.5 mg IV, total dose 2 mg as needed
atropine 1 mg IV, total dose 3 mg as needed
Temporary pacing
Question 2
60% answer correctly
You are evaluating a patient with a 15-minute duration of chest pain during transportation to the emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. He has no complaints but appears anxious. BP is 130/70 mm Hg. You observe the above rhythm on the monitor and your next action is:
start epinephrine 2 to 10 ụg/kg per minute and titrate
continue monitoring patient, prepare for TCP
administer nitroglycerine 0.4 mg SL
initiate transcutaneous pacing (TCP)
give atropine 0.5 mg IV
Question 3
83% answer correctly
Following initiation of CPR and one shock for VF, this rhythm is present on the next rhythm check. A second shock is given and chest compressions are immediately resumed. An IV is in place and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next order?
prepare to give amiodarone 300 mg IV
perform endotracheal intubation; administer 100 % oxygen
prepare to give epinephrine 1 mg IV
administer 3 sequential (stacked) shocks at 360J (monophasic defibrillator)
administer 3 sequential (stacked) shocks at 200J (biphasic defibrillator)