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 300 mg IV
give sodium bicarb 50 mEq IV
repeat amiodarone 150 mg IV
give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 10 -20 mins.
Question 2
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:
repeat amiodarone 150 mg IV
give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 10 -20 mins.
repeat amiodarone 300 mg IV
lidocaine 1 to 1.5 mg IV and start infusion 2 mg/minute
give sodium bicarb 50 mEq IV
Question 3
65% answer correctly
A patient in the ED develops recurrent chest discomfort (8/10) suspicious for ischemia. His monitored rhythm becomes irregular as seen above. Oxygen is being administered by NC at 4 L/min and an IV line is patent. Bp is 160/96. There are no allergies or contraindications to any meds. You would first order:
lidocaine 1 mg/kg and infusion 2 mg/min
Morphine sulfate 2-4 mg IV
Amiodarone 150 mg IV
IV nitroglycerine initiated at 10 ụg/min and titrated
Nitroglycerin 0.4 mg SL