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:
Perform synchronized cardioversion
Repeat amiodarone 150 mg IV
Give immediate unsynchronized defibrillation
Give lidocaine 1-1.5 mg/kg IV
repeat amiodarone 300 mg IV.
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 metoprolol 5 mg IV and repeat if necessary
give adenosine 3 mg IV fast
perform vagal maneuvers
give adenosine 12 mg IV slow push (over 1-2 mins)
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:
Initiate transcutaneous pacing
Give epinephrine 1.0 mg IV
Give atropine 0.5 mg IV
Order immediate endotracheal intubation
Give atropine 1 mg IV