ACLS Certification Practical Application Practice Test Results

Question 1
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 amiodarone 150 mg over 10 minutes; seek expert consultation
give immediate unsynchronized defibrillation shock
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
give sedation and 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 adenosine 3 mg IV fast
give metoprolol 5 mg IV and repeat if necessary
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 200J (biphasic defibrillator)
prepare to give epinephrine 1 mg IV
prepare to give amiodarone 300 mg IV
perform endotracheal intubation; administer 100 % oxygen
administer 3 sequential (stacked) shocks at 360J (monophasic defibrillator)