ACLS Certification Practical Application Practice Test Results

Question 1
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 1 mg IV
Initiate transcutaneous pacing
Order immediate endotracheal intubation
Give atropine 0.5 mg IV
Give epinephrine 1.0 mg IV
Question 2
80% answer correctly
A patient presents with the above rhythm complaining of an irregular heart beat. She has no other complaints. Past medical history is significant for an MI 7 years ago. BP is 110/70. At this time you would:
administer lidocaine 1 mg/kg IV
continue monitoring and seek expert consultation
perform emergency synchronized cardioversion
administer nitroglycerine 0.4 mg sublinqual or spray
perform elective synchronized cardioversion with presedation
Question 3
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 12 mg IV slow push (over 1-2 mins)
give metoprolol 5 mg IV and repeat if necessary
perform vagal maneuvers
give adenosine 3 mg IV fast