ACLS Certification Practical Application Practice Test Results

Question 1
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 amiodarone 300 mg IV, start infusion
give lidocaine 1-1.5 mg IV, start lidocaine infusion
seek expert consultation
give magnesium sulfate 1-2 g over 20 minutes
Question 2
48% answer correctly
You are monitoring a patient. Chest discomfort has been relieved with sublingual nitro and morphine sulfate 4 mg IV. He suddenly has the above persistent rhythm. You ask about symptoms and he reports mild palpitations, but otherwise he is clinically stable with unchanged vital signs. Your next action is:
administer amiodarone 150 mg over 10 minutes; seek expert consultation
give immediate unsynchronized defibrillation shock
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
give sedation and perform synchronized cardioversion
give immediate synchronized cardioversion
Question 3
59% answer correctly
A patient was in refractory VFib. A third shock has just been administered. Your immediate next order is:
give atropine 1 mg IV
give epinephrine 1 mg IV
resume high-quality chest compressions
perform endotracheal intubation
give amiodarone 300 mg IV