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:
give immediate synchronized cardioversion
give immediate unsynchronized defibrillation shock
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
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?
administer 3 sequential (stacked) shocks at 200J (biphasic defibrillator)
prepare to give amiodarone 300 mg IV
administer 3 sequential (stacked) shocks at 360J (monophasic defibrillator)
perform endotracheal intubation; administer 100 % oxygen
prepare to give epinephrine 1 mg IV
Question 3
60% answer correctly
You are evaluating a patient with a 15-minute duration of chest pain during transportation to the emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. He has no complaints but appears anxious. BP is 130/70 mm Hg. You observe the above rhythm on the monitor and your next action is:
continue monitoring patient, prepare for TCP
administer nitroglycerine 0.4 mg SL
initiate transcutaneous pacing (TCP)
give atropine 0.5 mg IV
start epinephrine 2 to 10 ụg/kg per minute and titrate