ACLS Certification Practical Application Practice Test Results

Question 1
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:
give a single shock with 360 J
give a single shock with 200 J
intubate the patient and give epinephrine 2-4 mg via ET tube.
Begin CPR with chest compressions for 2 mins or about 5 cycles.
Establish an IV and give epinephrine 1 mg IV
Question 2
49% answer correctly
You are monitoring this patient after successful resuscitation. You note the above rhythm on the cardiac monitor and document a rhythm strip for the patient’s chart. She has no complaints and blood pressure is 110/70 mm Hg. Now you would:
prepare for transcutaneous pacing (place pacing pads, do not pace yet)
give atropine 0.5 mg IV
start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
give atropine 1 mg IV
administer sedation and begin immediate transcutaneous pacing at 80 beats/min
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:
give immediate synchronized cardioversion
give immediate unsynchronized defibrillation shock
administer amiodarone 150 mg over 10 minutes; seek expert consultation
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
give sedation and perform synchronized cardioversion