ACLS Certification Practical Application Practice Test Results

Question 1
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 3 mg IV fast
give adenosine 12 mg IV slow push (over 1-2 mins)
perform vagal maneuvers
Question 2
38% answer correctly
You are monitoring a patient with chest discomfort who becomes suddenly unresponsive. You observe the above rhythm on the cardiac monitor. A monophasic defibrillator is present. What is your first action:
Begin CPR with chest compressions for 2 mins or about 5 cycles.
give a single shock with 360 J
Establish an IV and give epinephrine 1 mg IV
intubate the patient and give epinephrine 2-4 mg via ET tube.
give a single shock with 200 J
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:
Begin CPR with high-quality chest compressions
Order transcutaneous pacing
Start an IV and give atropine 1 mg
Start an IV and give epinephrine 1 mg IV
consider causes for pulseless electrical activity.