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:
Repeat amiodarone 150 mg IV
Give immediate unsynchronized defibrillation
Perform synchronized cardioversion
Give lidocaine 1-1.5 mg/kg IV
repeat amiodarone 300 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:
Order transcutaneous pacing
Begin CPR with high-quality chest compressions
Start an IV and give epinephrine 1 mg IV
consider causes for pulseless electrical activity.
Start an IV and give atropine 1 mg
Question 3
69% answer correctly
A 45 year-old woman with a history of palpitations develops lightheadedness and palpitations. She has received adenosine 6 mg IV for the rhythm shown above without conversion of the rhythm. She is now extremely apprehensive. BP is 108/70 mm Hg. The next appropriate intervention is:
repeat adenosine 12 mg IV
repeat adenosine 3 mg IV
perform vagal maneuvers and repeat adenosine 6 mg IV.
Perform immediate unsynchronized defibrillation
sedate and synchronized cardiovert