ACLS Certification Practical Application Practice Test Results

Question 1
59% answer correctly
A patient was in refractory VFib. A third shock has just been administered. Your immediate next order is:
give epinephrine 1 mg IV
perform endotracheal intubation
resume high-quality chest compressions
give atropine 1 mg IV
give amiodarone 300 mg IV
Question 2
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
repeat amiodarone 300 mg IV.
Perform synchronized cardioversion
Give lidocaine 1-1.5 mg/kg IV
Question 3
49% answer correctly
You are monitoring this patient after successful resuscitation. You note the above rhythm on the cardiac monitor and document a rhythm strip for the patient’s chart. She has no complaints and blood pressure is 110/70 mm Hg. Now you would:
give atropine 1 mg IV
start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
prepare for transcutaneous pacing (place pacing pads, do not pace yet)
give atropine 0.5 mg IV
administer sedation and begin immediate transcutaneous pacing at 80 beats/min