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 sedation and perform synchronized cardioversion
administer amiodarone 150 mg over 10 minutes; seek expert consultation
give immediate synchronized cardioversion
give immediate unsynchronized defibrillation shock
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?
prepare to give amiodarone 300 mg IV
administer 3 sequential (stacked) shocks at 200J (biphasic defibrillator)
prepare to give epinephrine 1 mg IV
perform endotracheal intubation; administer 100 % oxygen
administer 3 sequential (stacked) shocks at 360J (monophasic defibrillator)
Question 3
65% answer correctly
A patient in the ED develops recurrent chest discomfort (8/10) suspicious for ischemia. His monitored rhythm becomes irregular as seen above. Oxygen is being administered by NC at 4 L/min and an IV line is patent. Bp is 160/96. There are no allergies or contraindications to any meds. You would first order:
Nitroglycerin 0.4 mg SL
Morphine sulfate 2-4 mg IV
IV nitroglycerine initiated at 10 ụg/min and titrated
lidocaine 1 mg/kg and infusion 2 mg/min
Amiodarone 150 mg IV