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?
give adenosine 3 mg IV fast
perform vagal maneuvers
give adenosine 12 mg IV slow push (over 1-2 mins)
give metoprolol 5 mg IV and repeat if necessary
Question 2
80% answer correctly
A patient presents with the above rhythm complaining of an irregular heart beat. She has no other complaints. Past medical history is significant for an MI 7 years ago. BP is 110/70. At this time you would:
administer nitroglycerine 0.4 mg sublinqual or spray
continue monitoring and seek expert consultation
perform emergency synchronized cardioversion
administer lidocaine 1 mg/kg IV
perform elective synchronized cardioversion with presedation
Question 3
90% answer correctly
A patient becomes unresponsive and you are uncertain if a faint pulse is present with the above rhythm. Your next action is:
Start an IV and give epinephrine 1 mg IV
Begin CPR with high-quality chest compressions
Start an IV and give atropine 1 mg
Order transcutaneous pacing
consider causes for pulseless electrical activity.