ACLS Certification Practical Application Practice Test Results

Question 1
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 2
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:
prepare for transcutaneous pacing (place pacing pads, do not pace yet)
give atropine 0.5 mg IV
administer sedation and begin immediate transcutaneous pacing at 80 beats/min
give atropine 1 mg IV
start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
Question 3
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:
give atropine 0.5 mg IV
start epinephrine 2 to 10 ụg/kg per minute and titrate
administer nitroglycerine 0.4 mg SL
initiate transcutaneous pacing (TCP)
continue monitoring patient, prepare for TCP