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:
repeat amiodarone 300 mg IV.
Repeat amiodarone 150 mg IV
Perform synchronized cardioversion
Give lidocaine 1-1.5 mg/kg IV
Give immediate unsynchronized defibrillation
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 12 mg IV slow push (over 1-2 mins)
give adenosine 3 mg IV fast
give metoprolol 5 mg IV and repeat if necessary
perform vagal maneuvers
Question 3
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?
Temporary pacing
atropine 0.5 mg IV, total dose 2 mg as needed
atropine 1 mg IV, total dose 3 mg as needed
reperfusion therapy
intravenous nitroglycerin for 24 hours