ACLS Practice Test

Note: This ACLS Algorithm Practice Test Question covers 7 core ACLS algorithms: Cardiac Arrest, Bradycardia, Tachycardia, Suspected Stroke, Post-Cardiac Arrest Care, Acute Coronary Syndrome (ACS), and In-Hospital Cardiac Arrest in Pregnancy.

0%
1. The Advanced Cardiovascular Life Support Provider Course is designed for:
A.

Paramedics

B.

Nurses

C.

Physicians

D.

Any healthcare providers who participate in cardiovascular emergencies

Please select atleast one answer!

2. Knowledge and skills required to complete the ACLS course do NOT include:
A.

ECG Rhythms Recognition and Interpretation for ACLS

B.

Ability to perform pericardiocentesis and chest tube placement

C.

BLS Skills

D.

Basic ACLS drug and pharmacology knowledge

Please select atleast one answer!
3. During a code, you have a rhythm of ventricular fibrillation. Which drug and dose is recommended as a first-line antiarrhythmic?
A.

Amiodarone 300 mg IV bolus (repeat as needed)

B.

Lidocaine 1 mg/kg IV bolus

C.

Magnesium sulfate 2 g IV

D.

Adenosine 6 mg IV push

Please select atleast one answer!
4. 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!
5. During a cardiac arrest, after delivering the first defibrillation shock for ventricular fibrillation, what is the most important action to take immediately?
A.

 Check for a pulse

B.

Resume CPR, starting with chest compressions

C.

Give amiodarone 300 mg IV

D.

Administer epinephrine 1 mg IV

Please select atleast one answer!
6. During a cardiac arrest, you find the patient in pulseless ventricular tachycardia. After initiating CPR and attaching the monitor/defibrillator, what is your next step?
A.

Give epinephrine 1 mg IV

B.

Perform synchronized cardioversion

C.

Deliver a shock (defibrillation)

D.

Administer amiodarone 300 mg IV

Please select atleast one answer!
7. According to the ACLS Cardiac Arrest Algorithm, when should epinephrine 1 mg IV be administered?
A.

After the first shock, as soon as possible

B.

After the second shock, during CPR

C.

Only if the patient has bradycardia

D.

After amiodarone administration

Please select atleast one answer!
8. A patient has symptomatic bradycardia with a heart rate of 40 bpm. According to the ACLS Bradycardia Algorithm, what is the first drug of choice?
A.

Dopamine infusion

B.

Atropine 1 mg IV

C.

Epinephrine infusion

D.

Amiodarone 300 mg IV

Please select atleast one answer!
9. If atropine is ineffective in treating symptomatic bradycardia, what is the next recommended intervention?
A.

Transcutaneous pacing

B.

Synchronized cardioversion

C.

Adenosine 6 mg rapid IV push

D.

Defibrillation at 200 J

Please select atleast one answer!
10. Which of the following is not a possible cause of bradycardia that should be considered during treatment?
A.

Hypothermia

B.

Myocardial infarction

C.

Hyperkalemia

D.

Pulmonary embolism

Please select atleast one answer!
11. A patient presents with unstable tachycardia (hypotension, altered mental status). According to ACLS, what is the immediate treatment?
A.

Adenosine 6 mg rapid IV push

B.

Unsynchronized defibrillation

C.

Synchronized cardioversion

D.

Amiodarone 150 mg over 10 minutes

Please select atleast one answer!
12. A stable patient with a regular, narrow-complex tachycardia should first receive:
A.

Adenosine 6 mg rapid IV push

B.

Amiodarone 300 mg IV push

C.

Synchronized cardioversion

D.

Epinephrine infusion

Please select atleast one answer!
13. In the ACLS Tachycardia Algorithm, which is considered a “wide complex” tachycardia?
A.

QRS duration < 0.12 seconds

B.

QRS duration ≥ 0.12 seconds

C.

Heart rate < 100 bpm

D.

Rhythm originating from the atria

Please select atleast one answer!
14. According to the ACLS Suspected Stroke Algorithm, within what timeframe from symptom onset should fibrinolytic therapy ideally be started for eligible patients?
A.

Within 1 hour

B.

Within 3 hours

C.

Within 4.5 hours

D.

Within 6 hours

Please select atleast one answer!
15. What is the preferred initial imaging study for a patient with suspected acute stroke?
A.

MRI brain with contrast

B.

CT scan of the head without contrast

C.

CT angiogram of the neck

D.

PET scan

Please select atleast one answer!
16. A patient with suspected stroke arrives in the ED. What is the priority according to the ACLS algorithm?
A.

Administer aspirin

B.

Establish IV access

C.

Activate the stroke team and assess ABCs

D.

Give supplemental oxygen to all patients

Please select atleast one answer!
17. After the return of spontaneous circulation (ROSC), what is the recommended target range for oxygen saturation (SpO₂) during post–cardiac arrest care?
A.

70–80%

B.

85–90%

C.

92–98%

D.

100% at all times

Please select atleast one answer!
18. For an unresponsive patient after ROSC, targeted temperature management (TTM) is recommended for at least:
A.

12 hours

B.

24 hours

C.

36 hours

D.

72 hours

Please select atleast one answer!
19. Which of the following is not a priority intervention in the immediate post–cardiac arrest period?
A.

Optimizing ventilation and oxygenation

B.

Treating hypotension promptly

C.

Performing immediate elective surgery

D.

Identifying and treating the underlying cause

Please select atleast one answer!
20. What is the recommended time goal for obtaining a 12-lead ECG in a patient with suspected ACS after first medical contact?
A.

Within 5 minutes

B.

Within 10 minutes

C.

Within 15 minutes

D.

Within 20 minutes

Please select atleast one answer!
21. In the ACLS ACS Algorithm, which medication should be given immediately (if not contraindicated) to a patient with suspected ACS?
A.

Aspirin 160–325 mg to chew

B.

Clopidogrel 600 mg orally

C.

Nitroglycerin IV infusion

D.

Heparin bolus

Please select atleast one answer!
22. For a patient with STEMI, the goal for door-to-balloon (PCI) time is:
A.

≤ 30 minutes

B.

≤ 60 minutes

C.

≤ 90 minutes

D.

≤ 120 minutes

Please select atleast one answer!
23. During cardiac arrest in a pregnant patient beyond 20 weeks of gestation, what key action should be performed to improve venous return and cardiac output during CPR?
A.

Elevate the head of the bed

B.

Manual left uterine displacement

C.

Place the patient in the prone position

D.

Tilt the patient 30° to the left and stop compressions

Please select atleast one answer!
24. According to ACLS modifications for pregnancy, when should perimortem cesarean delivery be initiated if ROSC is not achieved?
A.

Immediately after 1 round of CPR

B.

Within 4 minutes of arrest, with delivery by 5 minutes

C.

After 10 minutes of unsuccessful resuscitation

D.

Only after advanced airway placement

Please select atleast one answer!
25. Which of the following statements is true regarding defibrillation in pregnant patients during cardiac arrest?
A.

Use a lower energy dose than standard ACLS

B.

Avoid defibrillation to protect the fetus

C.

Use standard ACLS energy doses for defibrillation

D.

Delay defibrillation until after delivery

Please select atleast one answer!
Next
sample

Please select atleast one answer!

Enroll into our ACLS Class