ACLS Certification Practical Application Practice Test Results

Question 1
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 sedation and perform synchronized cardioversion
administer magnesium sulfate 1 to 2 g IV diluted in 10 mL D5W over 5-20 minutes
give immediate unsynchronized defibrillation shock
give immediate synchronized cardioversion
Question 2
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 adenosine 12 mg IV slow push (over 1-2 mins)
perform vagal maneuvers
give metoprolol 5 mg IV and repeat if necessary
Question 3
91% answer correctly
You are the code team leader and arrive finding the above rhythm with CPR in progress. Team members report that the patient was well but complained of chest pain and collapsed. She has no pulse or respirations. Bag- mask ventilations are producing visible chest rise, high-quality CPR is in progress, and an IV has been established. Your next order would be:
administer amiodarone 300 mg
perform endotracheal intubation
administer epinephrine 1 mg
administer atropine 1 mg
start dopamine at 2 to 10 ụg/kg per minute