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 150 mg IV
Give lidocaine 1-1.5 mg/kg IV
Perform synchronized cardioversion
repeat amiodarone 300 mg 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 presents with the above rhythm complaining of an irregular heart beat. She has no other complaints. Past medical history is significant for an MI 7 years ago. BP is 110/70. At this time you would:
administer nitroglycerine 0.4 mg sublinqual or spray
perform elective synchronized cardioversion with presedation
administer lidocaine 1 mg/kg IV
continue monitoring and seek expert consultation
perform emergency synchronized cardioversion