ACLS Certification Practical Application Practice Test Results

Question 1
41% answer correctly
The patient was admitted to the general medical unit with a history of alcoholism. A is in progress and he has recurrent episodes of this rhythm. You review his chart. Notes about the 12-lead ECG say that his baseline QT-interval is top normal to slightly prolonged. He has received 2 doses of epinephrine 1 mg and 1 dose of amiodarone 300 mg IV so far. For his next medication you would now order:
give magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W given over 10 -20 mins.
repeat amiodarone 150 mg IV
lidocaine 1 to 1.5 mg IV and start infusion 2 mg/minute
give sodium bicarb 50 mEq IV
repeat amiodarone 300 mg IV
Question 2
83% answer correctly
Following initiation of CPR and one shock for VF, this rhythm is present on the next rhythm check. A second shock is given and chest compressions are immediately resumed. An IV is in place and no drugs have been given. Bag-mask ventilations are producing visible chest rise. What is your next order?
prepare to give amiodarone 300 mg IV
administer 3 sequential (stacked) shocks at 200J (biphasic defibrillator)
prepare to give epinephrine 1 mg IV
administer 3 sequential (stacked) shocks at 360J (monophasic defibrillator)
perform endotracheal intubation; administer 100 % oxygen
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 amiodarone 300 mg IV, start infusion
seek expert consultation
give lidocaine 1-1.5 mg IV, start lidocaine infusion
give magnesium sulfate 1-2 g over 20 minutes