ACLS Certification Practical Application Practice Test Results

Question 1
76% answer correctly
Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. Your patient is stable and BP is 120/80 mm Hg. She is apprehensive but has no complaints other than palpitations. At this time you would:
give lidocaine 1-1.5 mg IV, start lidocaine infusion
give magnesium sulfate 1-2 g over 20 minutes
give amiodarone 300 mg IV, start infusion
seek expert consultation
Question 2
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:
give immediate synchronized cardioversion
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
administer amiodarone 150 mg over 10 minutes; seek expert consultation
give immediate unsynchronized defibrillation shock
give sedation and perform synchronized cardioversion
Question 3
83% answer correctly
Following initiation of CPR and one shock for VF, this rhythm is present on the next rhythm check. A second shock is given and chest compressions are immediately resumed. An IV is in place and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next order?
administer 3 sequential (stacked) shocks at 360J (monophasic defibrillator)
perform endotracheal intubation; administer 100 % oxygen
prepare to give epinephrine 1 mg IV
prepare to give amiodarone 300 mg IV
administer 3 sequential (stacked) shocks at 200J (biphasic defibrillator)