ACLS Certification Practical Application Practice Test Results

Question 1
41% answer correctly
The patient was admitted to the general medical unit with a history of alcoholism. A is in progress and he has recurrent episodes of this rhythm. You review his chart. Notes about the 12-lead ECG say that his baseline QT-interval is top normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far. For his next medication you would now order:
repeat amiodarone 300 mg IV
give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 10 -20 mins.
lidocaine 1 to 1.5 mg IV and start infusion 2 mg/minute
give sodium bicarb 50 mEq IV
repeat amiodarone 150 mg IV
Question 2
41% answer correctly
The patient was admitted to the general medical unit with a history of alcoholism. A is in progress and he has recurrent episodes of this rhythm. You review his chart. Notes about the 12-lead ECG say that his baseline QT-interval is top normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far. For his next medication you would now order:
give sodium bicarb 50 mEq IV
repeat amiodarone 150 mg IV
give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 10 -20 mins.
repeat amiodarone 300 mg IV
lidocaine 1 to 1.5 mg IV and start infusion 2 mg/minute
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:
perform vagal maneuvers and repeat adenosine 6 mg IV.
repeat adenosine 12 mg IV
sedate and synchronized cardiovert
repeat adenosine 3 mg IV
Perform immediate unsynchronized defibrillation