ACLS Certification Practical Application Practice Test Results

Question 1
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?
intravenous nitroglycerin for 24 hours
atropine 1 mg IV, total dose 3 mg as needed
reperfusion therapy
atropine 0.5 mg IV, total dose 2 mg as needed
Temporary pacing
Question 2
60% answer correctly
You are evaluating a patient with a 15-minute duration of chest pain during transportation to the emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. He has no complaints but appears anxious. BP is 130/70 mm Hg. You observe the above rhythm on the monitor and your next action is:
continue monitoring patient, prepare for TCP
administer nitroglycerine 0.4 mg SL
initiate transcutaneous pacing (TCP)
start epinephrine 2 to 10 ụg/kg per minute and titrate
give atropine 0.5 mg IV
Question 3
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:
give atropine 1 mg IV
start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
prepare for transcutaneous pacing (place pacing pads, do not pace yet)
give atropine 0.5 mg IV
administer sedation and begin immediate transcutaneous pacing at 80 beats/min