ACLS Certification Practical Application Practice Test Results

Question 1
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:
lidocaine 1 mg/kg and infusion 2 mg/min
Amiodarone 150 mg IV
Nitroglycerin 0.4 mg SL
IV nitroglycerine initiated at 10 ụg/min and titrated
Morphine sulfate 2-4 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:
Give lidocaine 1-1.5 mg/kg IV
Give immediate unsynchronized defibrillation
Repeat amiodarone 150 mg IV
Perform synchronized cardioversion
repeat amiodarone 300 mg IV.
Question 3
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?
give adenosine 12 mg IV slow push (over 1-2 mins)
perform vagal maneuvers
give metoprolol 5 mg IV and repeat if necessary
give adenosine 3 mg IV fast