ACLS Certification Practical Application Practice Test Results

Question 1
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 immediate unsynchronized defibrillation
repeat amiodarone 300 mg IV.
Repeat amiodarone 150 mg IV
Give lidocaine 1-1.5 mg/kg IV
Perform synchronized cardioversion
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 metoprolol 5 mg IV and repeat if necessary
give adenosine 3 mg IV fast
give adenosine 12 mg IV slow push (over 1-2 mins)
perform vagal maneuvers
Question 3
80% answer correctly
A patient with an acute MI on a 12-lead ECG transmitted by the paramedics has the above findings on a rhythm strip when a monitor is placed in the ED. The patient had resolution of moderate (5/10) chest pain with three doses of sublingual nitroglycerine. BP is 104/70 mm Hg. Which intervention below is most important, reducing in-hospital and 30-day mortality?
atropine 0.5 mg IV, total dose 2 mg as needed
Temporary pacing
atropine 1 mg IV, total dose 3 mg as needed
intravenous nitroglycerin for 24 hours
reperfusion therapy