Free ACLS Practice Test

Prepare to excel in your Advanced Cardiovascular Life Support certification with our engaging ACLS practice quiz. Aligned with the most recent ECC guidelines, this sample test will help you challenge your knowledge of cardiovascular emergency care situations. So, start your journey towards ACLS expertise and enhance your confidence!

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1

Which of the following is the most appropriate first step in the management of a patient found to be in ventricular fibrillation (VF)?

Hint: Immediate electrical intervention is the key.
2

During the management of a patient with symptomatic bradycardia, which of the following is the first-line drug?

Hint: This blocks parasympathetic effects.
3

What is the recommended dose of epinephrine for adult cardiac arrest during ACLS?

Hint: Administer at regular intervals to stimulate the heart.
4

What is the next recommended action?

A patient in asystole has been given an initial dose of epinephrine.

Hint: To ensure effective circulation of epinephrine during resuscitation, focus on delivering chest compressions at the correct depth and rate.
5

Which rhythm is best treated with synchronized cardioversion rather than defibrillation?

Hint: Choose synchronization for specific atrial rhythm.
6

When administering amiodarone during cardiac arrest, what is the correct first dose?

Hint: Begin with a moderate dose for stabilization.
7

Which of the following is a reversible cause of cardiac arrest?

Hint: Look for the 'Hs and Ts' when searching for reversible causes.
8

What is the initial joule setting for biphasic defibrillation in an adult patient?

Hint: Start with a moderate intensity.
9

During ACLS, what is the recommended rate of chest compressions per minute for high-quality CPR?

Hint: Keep the beat steady for optimal circulation.
10

In ACLS, what is the recommended depth for chest compressions in an adult?

Hint: Press deep enough to make an impact.
11

What is the recommended ventilation rate for an adult patient with an advanced airway in place during CPR?

Hint: Consider the need for effective oxygenation and blood circulation during CPR with an advanced airway.
12

What is the recommended post-cardiac arrest care for a patient who achieves ROSC (Return of Spontaneous Circulation)?

Hint: This intervention aims to protect the brain and improve neurological outcomes post-cardiac arrest.
13

Which drug is commonly used to treat a patient with stable narrow-complex tachycardia?

Hint: This drug acts rapidly to interrupt the re-entry pathway in supraventricular tachycardia.
14

What is the appropriate action if a patient shows signs of ROSC (Return of Spontaneous Circulation) during CPR?

Hint: Once ROSC is achieved, this action focuses on optimizing the patient's recovery and ensuring adequate support.
15

What is the recommended dose of atropine for symptomatic bradycardia in an adult?

Hint: This dose of atropine is typically administered to alleviate symptomatic bradycardia quickly.
16

Which of the following is considered a shockable rhythm?

Hint: This rhythm is characterized by chaotic, disorganized electrical activity in the heart.
17

Which intervention is most important during the first few minutes of a cardiac arrest?

Hint: This action aims to restore a normal heart rhythm promptly.
18

What is the recommended action for a patient with pulseless electrical activity (PEA)?

Hint: Despite the presence of electrical activity on the monitor, the patient lacks a palpable pulse.
19

Which of the following is a common reversible cause of cardiac arrest?

Hint: This/These conditions contribute significantly to cardiac arrest and are treatable with appropriate interventions.
20

What is the preferred route for drug administration during a cardiac arrest if IV access is not available?

Hint: This route provides rapid access to the circulatory system when IV access is challenging or not feasible.
21

In a patient with suspected opioid overdose, what is the first action if the patient is unresponsive and not breathing?

Hint: Immediate intervention is crucial to maintain oxygenation and circulation in this life-threatening situation.
22

What is the maximum cumulative dose of amiodarone that can be given during a cardiac arrest?

Hint: Amiodarone is used to stabilize abnormal heart rhythms during cardiac arrest.
23

In which situation is transcutaneous pacing indicated?

Hint: This intervention is used when bradycardia causes hemodynamic instability despite other treatments.
24

What is the primary purpose of therapeutic hypothermia in post-cardiac arrest care?

Hint: This treatment aims to protect the brain and improve neurological recovery after cardiac arrest.
25

What is the appropriate compression-to-ventilation ratio for a single rescuer performing CPR on an adult without an advanced airway?

Hint: This ratio balances chest compressions to maintain circulation with ventilations to provide oxygenation.
26

What is the recommended action for a patient with a suspected stroke who presents within the time window for fibrinolytic therapy?

Hint: This step ensures that fibrinolytic therapy can be safely administered.
27

Which of the following drugs can be administered through an endotracheal tube if IV/IO access is not available?

Hint: This drug can be absorbed through the lung tissue when administered via the endotracheal tube in emergencies.
28

In ACLS, what is the recommended first dose of adenosine for the treatment of stable narrow-complex SVT?

Hint: This initial dose aims to rapidly terminate the supraventricular tachycardia (SVT).
29

What is the appropriate treatment for a patient in unstable monomorphic ventricular tachycardia?

Hint: This intervention aims to restore a regular heart rhythm in a controlled manner.
30

Which of the following is NOT a part of the ACLS algorithm for treating bradycardia?

Hint: This intervention is used for certain arrhythmias but not typically for bradycardia.
31

During CPR, what is the recommended frequency for rotating chest compressors to prevent fatigue?

Hint: Regular rotation of chest compressors helps maintain effective CPR quality.
32

What is the purpose of the rapid response team (RRT) in a hospital setting?

Hint: This team's goal is to prevent critical events by addressing issues early.
33

Which rhythm is most often associated with sudden cardiac arrest?

Hint: This rhythm is characterized by chaotic electrical activity in the ventricles, leading to ineffective pumping of the heart.
34

What is the appropriate action if a patient in cardiac arrest is found to be in asystole?

Hint: This condition involves a complete absence of ventricular activity and requires immediate intervention to restore circulation.
35

Which ACLS medication is used to manage torsades de pointes?

Hint: This medication is effective in treating this specific type of polymorphic ventricular tachycardia, often associated with a prolonged QT interval.
36

What is the goal of capnography during CPR?

Hint: This measurement helps evaluate the effectiveness of chest compressions and can indicate return of spontaneous circulation (ROSC).
37

In ACLS, what is the recommended dose of dopamine for treating bradycardia or hypotension?

Hint: This dose range is effective for improving heart rate and blood pressure by stimulating dopaminergic and beta-adrenergic receptors.
38

Which of the following is a key component of high-quality CPR?

Hint: Continuous and consistent action is crucial for maintaining adequate blood flow during resuscitation efforts.
39

What is the first drug typically administered in the ACLS algorithm for a patient with pulseless ventricular tachycardia or ventricular fibrillation?

Hint: This drug is given to increase coronary perfusion pressure and improve the chances of successful resuscitation.
40

What is the target oxygen saturation for a patient who has achieved ROSC?

Hint: This target oxygen saturation range helps maintain adequate tissue oxygenation without causing harm.

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