ACLS Certification Practical Application Practice Test Results

Question 1
80% answer correctly
A patient with an acute MI on a 12-lead ECG transmitted by the paramedics has the above findings on a rhythm strip when a monitor is placed in the ED. The patient had resolution of moderate (5/10) chest pain with three doses of sublingual nitroglycerine. BP is 104/70 mm Hg. Which intervention below is most important, reducing in-hospital and 30-day mortality?
Temporary pacing
atropine 0.5 mg IV, total dose 2 mg as needed
intravenous nitroglycerin for 24 hours
atropine 1 mg IV, total dose 3 mg as needed
reperfusion therapy
Question 2
60% answer correctly
You are evaluating a patient with a 15-minute duration of chest pain during transportation to the emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. He has no complaints but appears anxious. BP is 130/70 mm Hg. You observe the above rhythm on the monitor and your next action is:
start epinephrine 2 to 10 ụg/kg per minute and titrate
give atropine 0.5 mg IV
administer nitroglycerine 0.4 mg SL
continue monitoring patient, prepare for TCP
initiate transcutaneous pacing (TCP)
Question 3
49% answer correctly
You are monitoring this patient after successful resuscitation. You note the above rhythm on the cardiac monitor and document a rhythm strip for the patient’s chart. She has no complaints and blood pressure is 110/70 mm Hg. Now you would:
start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
administer sedation and begin immediate transcutaneous pacing at 80 beats/min
prepare for transcutaneous pacing (place pacing pads, do not pace yet)
give atropine 0.5 mg IV
give atropine 1 mg IV