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:
lidocaine 1 mg/kg and infusion 2 mg/min
Morphine sulfate 2-4 mg IV
Nitroglycerin 0.4 mg SL
IV nitroglycerine initiated at 10 ụg/min and titrated
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:
repeat amiodarone 300 mg IV.
Give immediate unsynchronized defibrillation
Give lidocaine 1-1.5 mg/kg IV
Perform synchronized cardioversion
Repeat amiodarone 150 mg IV
Question 3
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:
Perform synchronized cardioversion
Repeat amiodarone 150 mg IV
repeat amiodarone 300 mg IV.
Give immediate unsynchronized defibrillation
Give lidocaine 1-1.5 mg/kg IV