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:
IV nitroglycerine initiated at 10 ụg/min and titrated
Morphine sulfate 2-4 mg IV
Nitroglycerin 0.4 mg SL
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:
Perform synchronized cardioversion
Give immediate unsynchronized defibrillation
Repeat amiodarone 150 mg IV
repeat amiodarone 300 mg IV.
Give lidocaine 1-1.5 mg/kg IV
Question 3
86% answer correctly
You arrive on the scene to find CPR in progress. Nursing staff report that the patient was recovering from a pulmonary embolism and suddenly collapsed. There is no pulse or spontaneous respirations. High-quality CPR is in progress and effective ventilation is being provided with bag-mask. An IV has been initiated. You would now:
Order immediate endotracheal intubation
Give atropine 0.5 mg IV
Give epinephrine 1.0 mg IV
Initiate transcutaneous pacing
Give atropine 1 mg IV