ACLS Certification Practical Application Practice Test Results

Question 1
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:
Nitroglycerin 0.4 mg SL
IV nitroglycerine initiated at 10 ụg/min and titrated
Morphine sulfate 2-4 mg IV
Amiodarone 150 mg IV
lidocaine 1 mg/kg and infusion 2 mg/min
Question 2
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 150 mg IV
Give lidocaine 1-1.5 mg/kg IV
Perform synchronized cardioversion
Give immediate unsynchronized defibrillation
repeat amiodarone 300 mg IV.
Question 3
60% answer correctly
You are evaluating a patient with a 15-minute duration of chest pain during transportation to the emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. He has no complaints but appears anxious. BP is 130/70 mm Hg. You observe the above rhythm on the monitor and your next action is:
administer nitroglycerine 0.4 mg SL
give atropine 0.5 mg IV
start epinephrine 2 to 10 ụg/kg per minute and titrate
continue monitoring patient, prepare for TCP
initiate transcutaneous pacing (TCP)