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ACLS Certification Practical Application Practice Test Results

Question 1

34% answer correctly

This patient has been resuscitated from cardiac arrest. During the resuscitation amiodarone 300 mg was administered. Now the patient develops severe chest discomfort, is diaphoretic, and has the above rhythm. BP is 80/60 mm Hg. What is the next indicated action:

	Perform synchronized cardioversion
	repeat amiodarone 300 mg IV.
	Give lidocaine 1-1.5 mg/kg IV
	Give immediate unsynchronized defibrillation
	Repeat amiodarone 150 mg IV

Question 2

90% answer correctly

A patient becomes unresponsive and you are uncertain if a faint pulse is present with the above rhythm. Your next action is:

	Start an IV and give epinephrine 1 mg IV
	consider causes for pulseless electrical activity.
	Order transcutaneous pacing
	Start an IV and give atropine 1 mg
	Begin CPR with high-quality chest compressions

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 lidocaine 1-1.5 mg IV, start lidocaine infusion
	seek expert consultation
	give amiodarone 300 mg IV, start infusion
	give magnesium sulfate 1-2 g over 20 minutes