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:
Give immediate unsynchronized defibrillation
Give lidocaine 1-1.5 mg/kg IV
repeat amiodarone 300 mg IV.
Repeat amiodarone 150 mg IV
Perform 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 metoprolol 5 mg IV and repeat if necessary
give adenosine 3 mg IV fast
Question 3
69% answer correctly
A 45 year-old woman with a history of palpitations develops lightheadedness and palpitations. She has received adenosine 6 mg IV for the rhythm shown above without conversion of the rhythm. She is now extremely apprehensive. BP is 108/70 mm Hg. The next appropriate intervention is:
sedate and synchronized cardiovert
Perform immediate unsynchronized defibrillation
perform vagal maneuvers and repeat adenosine 6 mg IV.
repeat adenosine 12 mg IV
repeat adenosine 3 mg IV