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 adenosine 3 mg IV fast
perform vagal maneuvers
give metoprolol 5 mg IV and repeat if necessary
give adenosine 12 mg IV slow push (over 1-2 mins)
Question 2
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:
Give atropine 0.5 mg IV
Give atropine 1 mg IV
Order immediate endotracheal intubation
Initiate transcutaneous pacing
Give epinephrine 1.0 mg IV
Question 3
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:
Amiodarone 150 mg IV
Nitroglycerin 0.4 mg SL
Morphine sulfate 2-4 mg IV
IV nitroglycerine initiated at 10 ụg/min and titrated
lidocaine 1 mg/kg and infusion 2 mg/min