ACLS Certification Practical Application Practice Test Results

Question 1
76% answer correctly
Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. Your patient is stable and BP is 120/80 mm Hg. She is apprehensive but has no complaints other than palpitations. At this time you would:
give lidocaine 1-1.5 mg IV, start lidocaine infusion
give amiodarone 300 mg IV, start infusion
seek expert consultation
give magnesium sulfate 1-2 g over 20 minutes
Question 2
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 immediate unsynchronized defibrillation shock
administer amiodarone 150 mg over 10 minutes; seek expert consultation
give sedation and perform synchronized cardioversion
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
give immediate synchronized cardioversion
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:
start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
give atropine 0.5 mg IV
give atropine 1 mg IV
prepare for transcutaneous pacing (place pacing pads, do not pace yet)
administer sedation and begin immediate transcutaneous pacing at 80 beats/min