ACLS Certification Practical Application Practice Test Results

Question 1
48% answer correctly
You are monitoring a patient. Chest discomfort has been relieved with sublingual nitro and morphine sulfate 4 mg IV. He suddenly has the above persistent rhythm. You ask about symptoms and he reports mild palpitations, but otherwise he is clinically stable with unchanged vital signs. Your next action is:
give sedation and perform synchronized cardioversion
give immediate unsynchronized defibrillation shock
give immediate synchronized cardioversion
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
administer amiodarone 150 mg over 10 minutes; seek expert consultation
Question 2
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 3
83% answer correctly
Following initiation of CPR and one shock for VF, this rhythm is present on the next rhythm check. A second shock is given and chest compressions are immediately resumed. An IV is in place and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next order?
administer 3 sequential (stacked) shocks at 200J (biphasic defibrillator)
administer 3 sequential (stacked) shocks at 360J (monophasic defibrillator)
prepare to give amiodarone 300 mg IV
perform endotracheal intubation; administer 100 % oxygen
prepare to give epinephrine 1 mg IV