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
give metoprolol 5 mg IV and repeat if necessary
give adenosine 12 mg IV slow push (over 1-2 mins)
perform vagal maneuvers
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:
administer sedation and begin immediate transcutaneous pacing at 80 beats/min
prepare for transcutaneous pacing (place pacing pads, do not pace yet)
give atropine 1 mg IV
start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
give atropine 0.5 mg IV
Question 3
76% answer correctly
Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. Your patient is stable and BP is 120/80 mm Hg. She is apprehensive but has no complaints other than palpitations. At this time you would:
give magnesium sulfate 1-2 g over 20 minutes
give amiodarone 300 mg IV, start infusion
seek expert consultation
give lidocaine 1-1.5 mg IV, start lidocaine infusion