ACLS Certification Practical Application Practice Test Results

Question 1
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:
perform emergency synchronized cardioversion
perform elective synchronized cardioversion with presedation
administer lidocaine 1 mg/kg IV
administer nitroglycerine 0.4 mg sublinqual or spray
continue monitoring and seek expert consultation
Question 2
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:
IV nitroglycerine initiated at 10 ụg/min and titrated
Amiodarone 150 mg IV
Nitroglycerin 0.4 mg SL
Morphine sulfate 2-4 mg IV
lidocaine 1 mg/kg and infusion 2 mg/min
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 metoprolol 5 mg IV and repeat if necessary
give adenosine 3 mg IV fast
give adenosine 12 mg IV slow push (over 1-2 mins)