ACLS Certification Practical Application Practice Test Results

Question 1
41% answer correctly
The patient was admitted to the general medical unit with a history of alcoholism. A is in progress and he has recurrent episodes of this rhythm. You review his chart. Notes about the 12-lead ECG say that his baseline QT-interval is top normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far. For his next medication you would now order:
repeat amiodarone 150 mg IV
repeat amiodarone 300 mg IV
lidocaine 1 to 1.5 mg IV and start infusion 2 mg/minute
give sodium bicarb 50 mEq IV
give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 10 -20 mins.
Question 2
41% answer correctly
The patient was admitted to the general medical unit with a history of alcoholism. A is in progress and he has recurrent episodes of this rhythm. You review his chart. Notes about the 12-lead ECG say that his baseline QT-interval is top normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far. For his next medication you would now order:
lidocaine 1 to 1.5 mg IV and start infusion 2 mg/minute
give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 10 -20 mins.
give sodium bicarb 50 mEq IV
repeat amiodarone 150 mg IV
repeat amiodarone 300 mg IV
Question 3
38% answer correctly
You are monitoring a patient with chest discomfort who becomes suddenly unresponsive. You observe the above rhythm on the cardiac monitor. A monophasic defibrillator is present. What is your first action:
Begin CPR with chest compressions for 2 mins or about 5 cycles.
intubate the patient and give epinephrine 2-4 mg via ET tube.
give a single shock with 360 J
Establish an IV and give epinephrine 1 mg IV
give a single shock with 200 J