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 metoprolol 5 mg IV and repeat if necessary
give adenosine 12 mg IV slow push (over 1-2 mins)
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:
start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
give atropine 1 mg IV
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
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:
initiate transcutaneous pacing (TCP)
give atropine 0.5 mg IV
start epinephrine 2 to 10 ụg/kg per minute and titrate
continue monitoring patient, prepare for TCP
administer nitroglycerine 0.4 mg SL