ACLS Certification Practical Application Practice Test Results

Question 1
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?
perform vagal maneuvers
give adenosine 3 mg IV fast
give adenosine 12 mg IV slow push (over 1-2 mins)
give metoprolol 5 mg IV and repeat if necessary
Question 2
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:
start dopamine 2 to 10 ụg/kg per minute and titrate heart rate
give atropine 0.5 mg IV
prepare for transcutaneous pacing (place pacing pads, do not pace yet)
administer sedation and begin immediate transcutaneous pacing at 80 beats/min
give atropine 1 mg IV
Question 3
76% answer correctly
Following resuscitation with CPR and a single shock, you observe this rhythm while preparing the patient for transport. Your patient is stable and BP is 120/80 mm Hg. She is apprehensive but has no complaints other than palpitations. At this time you would:
give magnesium sulfate 1-2 g over 20 minutes
give lidocaine 1-1.5 mg IV, start lidocaine infusion
seek expert consultation
give amiodarone 300 mg IV, start infusion