ACLS Certification Practical Application Practice Test Results

Question 1
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:
Morphine sulfate 2-4 mg IV
lidocaine 1 mg/kg and infusion 2 mg/min
IV nitroglycerine initiated at 10 ụg/min and titrated
Nitroglycerin 0.4 mg SL
Amiodarone 150 mg IV
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 immediate unsynchronized defibrillation
Perform synchronized cardioversion
repeat amiodarone 300 mg IV.
Give lidocaine 1-1.5 mg/kg IV
Repeat 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