ACLS Certification Practical Application Practice Test Results

Question 1
34% answer correctly
This patient has been resuscitated from cardiac arrest. During the resuscitation amiodarone 300 mg was administered. Now the patient develops severe chest discomfort, is diaphoretic, and has the above rhythm. BP is 80/60 mm Hg. What is the next indicated action:
Give lidocaine 1-1.5 mg/kg IV
Perform synchronized cardioversion
Repeat amiodarone 150 mg IV
repeat amiodarone 300 mg IV.
Give immediate unsynchronized defibrillation
Question 2
90% answer correctly
A patient becomes unresponsive and you are uncertain if a faint pulse is present with the above rhythm. Your next action is:
Start an IV and give epinephrine 1 mg IV
Start an IV and give atropine 1 mg
Order transcutaneous pacing
Begin CPR with high-quality chest compressions
consider causes for pulseless electrical activity.
Question 3
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 amiodarone 150 mg over 10 minutes; seek expert consultation
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
give immediate unsynchronized defibrillation shock