American Heart Association Training Center

ACLS Practice Test

Note: This ACLS Algorithm Practice Test Question Covers 7 Core ACLS Algorithms:
  1. Cardiac Arrest Algorithm                    5. Post-Cardiac Arrest Care Algorithm Algorithm
  2. Bradycardia Algorithm                        6. Acute Coronary Syndrome (ACS) Algorithm 
  3. Tachycardia Algorithm                        7. In-Hospital Cardiac Arrest in Pregnancy Algorithm
  4. Suspected Stroke Algorithm
1. Which of the listed items is not necessary to finish the ACLS training?
A.
Ability to perform pericardiocentesis and chest tube placement
B.
ECG rhythm interpretation for core ACLS algorithms
C.
BLS skills
D.
Basic ACLS drug and pharmacology knowledge
Please select atleast one answer!
  • Correct
  • Incorrect
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2. What is the primary treatment focus for patients with acute coronary syndrome?
A.
Early hospital arrival
B.
Seeking expert consultation
C.
Rapid pharmacological intervention
D.
Rapid reperfusion following STEMI presentation
Please select atleast one answer!
  • Correct
  • Incorrect
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3. When a pregnant patient (over 20 weeks' gestation) experiences cardiac arrest, what's one of the first things you should consider doing right after calling for help?
A.
Perform manual left uterine displacement (LUD)
B.
Begin chest compressions with one hand
C.
Start defibrillation immediately
D.
Administer epinephrine every 3 minutes
Please select atleast one answer!
  • Correct
  • Incorrect
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4. After successful resuscitation from cardiac arrest, what’s the priority when managing post-cardiac arrest care?
A.
Start physical therapy
B.
Check for a pulse again
C.
Ensure adequate oxygenation and ventilation
D.
Give aspirin
Please select atleast one answer!
  • Correct
  • Incorrect
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5. If return of spontaneous circulation (ROSC) is not achieved within 4 minutes of cardiac arrest in a pregnant patient beyond 20 weeks, what is the recommended next step?
A.
Increase the dose of epinephrine
B.
Prepare for an emergency C-section
C.
Start therapeutic hypothermia
D.
Intubate immediately

Please select atleast one answer!

  • Correct
  • Incorrect
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6. If IV access cannot be established during a cardiac arrest, what is the recommended alternative route for drug delivery?
A.
Intramuscular (IM)
B.
Bucal
C.
Endotracheal (ET)
D.
Subcutaneous (SC)
Please select atleast one answer!
  • Correct
  • Incorrect
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7. What is the compression-to-ventilation ratio for a single rescuer performing CPR?
A.
15:2
B.
20:1
C.
30:2
D.
10:1
Please select atleast one answer!
  • Correct
  • Incorrect
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8. Which drug works best for a stable wide-complex tachycardia?
A.
Atropine
B.
Amiodarone
C.
Lidocaine
D.
Epinephrine
Please select atleast one answer!
  • Correct
  • Incorrect
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9. Do you know how much oral aspirin is recommended for someone with acute coronary syndrome, according to the latest ILCOR ACLS guidelines?
A.
150-150 mg
B.
125-150 mg
C.
162-325 mg
D.
110-115 mg
Please select atleast one answer!
  • Correct
  • Incorrect
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10. What kind of heart block is most serious and important to recognize?
A.
Type II (Mobitz II)
B.
Third-degree AV block
C.
First-degree AV block
D.
Type I (Mobitz I)
Please select atleast one answer!
  • Correct
  • Incorrect
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11. When assessing a possible stroke, what’s the very first thing you should check?
A.
General assessment and stabilization of the patient
B.
Consideration of fibrinolytic therapy
C.
Review of risks and benefits of fibrinolytic therapy with the patient and/or family
D.
Performance and assessment of a non-contrast CT to differentiate between hemorrhagic and ischemic stroke
Please select atleast one answer!
  • Correct
  • Incorrect
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12. You're the first on scene, and a patient suddenly can't speak clearly and has right-sided weakness. What’s the very first thing you should do according to the ACLS Suspected Stroke Algorithm?
A.
Start chest compressions
B.
Check blood glucose
C.
Activate emergency response and get to a stroke center
D.
Administer aspirin immediately
Please select atleast one answer!
  • Correct
  • Incorrect
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13. Out of all the post-resuscitation steps, which one helps improve brain recovery?
A.
Target Temperature Management (TTM)
B.
Vasopressor infusion
C.
Continuous waveform capnography
D.
Maintaining an SpO2 >94%
Please select atleast one answer!
  • Correct
  • Incorrect
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14. What’s the right dose and how often should you give epinephrine during a cardiac arrest?
A.
0.5 mg IV every 3–5 minutes
B.
1 mg IV every 3–5 minutes
C.
2 mg IV every 10 minutes
D.
5 mg IV every 3–5 minutes
Please select atleast one answer!
  • Correct
  • Incorrect
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15. When you see someone suddenly collapse and they don’t have a pulse, what’s the first thing you should do?
A.
Deliver defibrillation
B.
Begin chest compressions
C.
Check for responsiveness and breathing
D.
Start an IV
Please select atleast one answer!
  • Correct
  • Incorrect
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16. What’s the ideal number of chest compressions per minute for good CPR?
A.
100-120 compressions per minute
B.
120-130 compressions per minute
C.
60-80 compressions per minute
D.
80-100 compressions per minute
Please select atleast one answer!
  • Correct
  • Incorrect
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17. Which of the following is NOT a valid reason to delay early defibrillation in a person experiencing sudden cardiac arrest?
A.
The most effective treatment for VF is electrical defibrillation.
B.
The probability of successful defibrillation decreases quickly over time.
C.
Individuals in asystole respond well to late defibrillation.
D.
A common initial rhythm in out-of-hospital witnessed sudden cardiac arrest is ventricular fibrillation (VF).Incorrect response
Please select atleast one answer!
  • Correct
  • Incorrect
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18. What is the protocol for procainamide?
A.
6 mg/min
B.
20-50 mg/min
C.
15 mg/min
D.
12 mg/min
Please select atleast one answer!
  • Correct
  • Incorrect
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19. Which of the following suggests the possibility of stroke?
A.
Dizziness
B.
Slurred Speech
C.
Severe Headache
D.
All of the above
Please select atleast one answer!
  • Correct
  • Incorrect
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20. Which heart rhythm is most often linked with PEA?
A.
Sinus rhythm
B.
Ventricular fibrillation
C.
Normal sinus rhythm without a pulse
D.
Atrial fibrillation
Please select atleast one answer!
  • Correct
  • Incorrect
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21. What drug is used to treat a slow heart rate (bradycardia) according to ACLS?
A.
Atropine
B.
Epinephrine
C.
Amiodarone
D.
Adenosine
Please select atleast one answer!
  • Correct
  • Incorrect
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22. A patient arrives at the ED showing stroke symptoms for about 45 minutes. What’s the next best step after confirming it's a possible stroke?
A.
Schedule an MRI for tomorrow
B.
Perform a non-contrast CT scan immediately
C.
Give tPA right away
D.
Start IV fluids and observe for changes
Please select atleast one answer!
  • Correct
  • Incorrect
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23. If atropine doesn’t work for bradycardia, what’s the next step in ACLS?
A.
Start dopamine or epinephrine infusion
B.
Perform defibrillation
C.
Give amiodarone
D.
Begin chest compressions
Please select atleast one answer!
  • Correct
  • Incorrect
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24. What is the most appropriate treatment for symptomatic second-degree Type II AV block?
A.
Vagal maneuvers
B.
Immediate defibrillation
C.
Transcutaneous pacing
D.
Adenosine
Please select atleast one answer!
  • Correct
  • Incorrect
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25. Why is it important to choose the correct size when using an OPA or NPA?
A.
Too large may damage tissue
B.
Too large may block the airway
C.
Too small may not adequately control the airway
D.
All of the above
Please select atleast one answer!
  • Correct
  • Incorrect
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