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:
administer amiodarone 150 mg over 10 minutes; seek expert consultation
give sedation and perform synchronized cardioversion
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
give immediate unsynchronized defibrillation shock
give immediate synchronized cardioversion
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?
perform vagal maneuvers
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
Question 3
27% answer correctly
A patient has been resuscitated from cardiac arrest and is being prepared for transport. She is intubated and is receiving 100% oxygen. During the resuscitation she received 2 doses of epinephrine 1 mg, atropine 1 mg, and lidocaine 100 mg IV. You now observe the above rhythm on the cardiac monitor. The rhythm abnormally is becoming more frequent and increasing in number. You should order:
give amiodarone 150 mg IV, start infusion
repeat epinephrine 1 mg IV
give amiodarone 300 mg IV, start infusion
give lidocaine 1- 1.5 mg IV
give lidocaine 0.5-0.75 mg/kg IV, start lidocaine infusion