ACLS Certification Practical Application Practice Test Results

Question 1
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 sedation and perform synchronized cardioversion
give immediate synchronized cardioversion
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
give immediate unsynchronized defibrillation shock
administer amiodarone 150 mg over 10 minutes; seek expert consultation
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 adenosine 3 mg IV fast
give adenosine 12 mg IV slow push (over 1-2 mins)
perform vagal maneuvers
give metoprolol 5 mg IV and repeat if necessary
Question 3
27% answer correctly
A patient has been resuscitated from cardiac arrest and is being prepared for transport. She is intubated and is receiving 100% oxygen. During the resuscitation she received 2 doses of epinephrine 1 mg, atropine 1 mg, and lidocaine 100 mg IV. You now observe the above rhythm on the cardiac monitor. The rhythm abnormally is becoming more frequent and increasing in number. You should order:
give amiodarone 150 mg IV, start infusion
give lidocaine 1- 1.5 mg IV
give amiodarone 300 mg IV, start infusion
give lidocaine 0.5-0.75 mg/kg IV, start lidocaine infusion
repeat epinephrine 1 mg IV