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 immediate unsynchronized defibrillation shock
give immediate synchronized cardioversion
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
give sedation and perform synchronized cardioversion
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 metoprolol 5 mg IV and repeat if necessary
give adenosine 12 mg IV slow push (over 1-2 mins)
perform vagal maneuvers
give adenosine 3 mg IV fast
Question 3
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:
consider causes for pulseless electrical activity.
Order transcutaneous pacing
Begin CPR with high-quality chest compressions
Start an IV and give atropine 1 mg
Start an IV and give epinephrine 1 mg IV