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?
give adenosine 3 mg IV fast
perform vagal maneuvers
give metoprolol 5 mg IV and repeat if necessary
give adenosine 12 mg IV slow push (over 1-2 mins)
Question 2
86% answer correctly
You arrive on the scene to find CPR in progress. Nursing staff report that the patient was recovering from a pulmonary embolism and suddenly collapsed. There is no pulse or spontaneous respirations. High-quality CPR is in progress and effective ventilation is being provided with bag-mask. An IV has been initiated. You would now:
Give epinephrine 1.0 mg IV
Give atropine 1 mg IV
Give atropine 0.5 mg IV
Initiate transcutaneous pacing
Order immediate endotracheal intubation
Question 3
58% answer correctly
You arrive on-scene and find a 56 year-old diabetic woman complaining of chest discomfort. She is pale and diaphoretic, complaining of lightheadedness. Her BP is 80/60 mm Hg. The cardiac monitor documents the rhythm above. She is receiving oxygen at 4 L/min by Nasal Cannula, and an IV has been established. Transcutaneous Pacing has been requested but is not yet available. Your next order is:
give atropine 1 mg IV
start dopamine 2 to 10 ụg/kg per minute
give morphine sulfate 4 mg IV
give atropine 0.5 mg IV
give nitroglycerine 0.4 mg SL