ACLS Certification Practical Application Practice Test Results

Question 1
41% answer correctly
The patient was admitted to the general medical unit with a history of alcoholism. A is in progress and he has recurrent episodes of this rhythm. You review his chart. Notes about the 12-lead ECG say that his baseline QT-interval is top normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far. For his next medication you would now order:
lidocaine 1 to 1.5 mg IV and start infusion 2 mg/minute
repeat amiodarone 150 mg IV
give sodium bicarb 50 mEq IV
repeat amiodarone 300 mg IV
give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 10 -20 mins.
Question 2
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?
perform endotracheal intubation; administer 100 % oxygen
prepare to give epinephrine 1 mg IV
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
Question 3
58% answer correctly
You arrive on-scene and find a 56 year-old diabetic woman complaining of chest discomfort. She is pale and diaphoretic, complaining of lightheadedness. Her BP is 80/60 mm Hg. The cardiac monitor documents the rhythm above. She is receiving oxygen at 4 L/min by Nasal Cannula, and an IV has been established. Transcutaneous Pacing has been requested but is not yet available. Your next order is:
give atropine 0.5 mg IV
give atropine 1 mg IV
give nitroglycerine 0.4 mg SL
give morphine sulfate 4 mg IV
start dopamine 2 to 10 ụg/kg per minute