ACLS Certification Practical Application Practice Test Results

Question 1
59% answer correctly
A patient was in refractory VFib. A third shock has just been administered. Your immediate next order is:
perform endotracheal intubation
give epinephrine 1 mg IV
give atropine 1 mg IV
resume high-quality chest compressions
give amiodarone 300 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:
Give lidocaine 1-1.5 mg/kg IV
Repeat amiodarone 150 mg IV
Give immediate unsynchronized defibrillation
repeat amiodarone 300 mg IV.
Perform synchronized cardioversion
Question 3
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:
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
give immediate unsynchronized defibrillation shock
give immediate synchronized cardioversion
give sedation and perform synchronized cardioversion