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ACLS Practice Test

Note: This Practice Test covers seven core ACLS algorithms: Cardiac Arrest, Bradycardia with a Pulse, Tachyarrhythmia with a Pulse, Cardiac Arrest in Pregnancy, Adult Post–Cardiac Arrest Care, Acute Coronary Syndrome, and the Adult Suspected Stroke Algorithm.

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1. A patient is found unresponsive, apneic, and pulseless. What is your first action?
A.

Begin high-quality CPR and activate the emergency response system

B.

Administer epinephrine immediately

C.

Perform endotracheal intubation

D.

Check blood glucose

Please select atleast one answer!

2. A patient remains in ventricular fibrillation after the first shock. What should you do next?
A.

Resume CPR for 2 minutes

B.

Give amiodarone immediately

C.

Check for a pulse immediately

D.

Administer atropine

Please select atleast one answer!
3. During cardiac arrest, epinephrine should generally be administered:
A.

Every 10 minutes

B.

Every 3–5 minutes

C.

Once only

D.

Every minute

Please select atleast one answer!
4. Which rhythm is considered shockable?
A.

Asystole

B.

Pulseless electrical activity (PEA)

C.

Ventricular fibrillation (VF)

D.

Sinus bradycardia

Please select atleast one answer!
5. Which reversible causes should always be considered during cardiac arrest?
A.

Stroke and diabetes

B.

Hs and Ts

C.

Asthma and COPD

D.

Pneumonia and sepsis

Please select atleast one answer!
6. A patient has a heart rate of 34/min with hypotension and altered mental status. What is the initial medication?
A.

Adenosine

B.

Atropine

C.

Lidocaine

D.

Magnesium sulfate

Please select atleast one answer!
7. What is the recommended initial atropine dose for symptomatic bradycardia?
A.

0.25 mg IV

B.

0.5 mg IV

C.

1 mg IV

D.

2 mg IV

Please select atleast one answer!
8. If atropine is ineffective, what is the next recommended intervention?
A.

Defibrillation

B.

Sodium bicarbonate

C.

Transcutaneous pacing

D.

Synchronized cardioversion

Please select atleast one answer!
9. An unstable patient with supraventricular tachycardia should receive:
A.

Adenosine only

B.

Synchronized cardioversion

C.

Atropine

D.

Defibrillation

Please select atleast one answer!
10. A stable patient has a regular narrow-complex tachycardia. What should you try first?
A.

Lidocaine

B.

Defibrillation

C.

Vagal maneuvers

D.

Magnesium sulfate

Please select atleast one answer!
11. If vagal maneuvers fail in stable regular narrow-complex tachycardia, what medication is recommended?
A.

Epinephrine

B.

Atropine

C.

Dopamine

D.

Adenosine

Please select atleast one answer!
12. Which patient characteristic indicates an unstable tachyarrhythmia?
A.

Heart rate of 120/min only

B.

Mild anxiety

C.

Hypotension with chest pain

D.

Normal blood pressure

Please select atleast one answer!
13. During maternal cardiac arrest, what manual intervention should be performed after 20 weeks of pregnancy?
A.

Head tilt only

B.

Elevate both legs

C.

Hyperventilation

D.

Left uterine displacement

Please select atleast one answer!
14. If ROSC is not achieved rapidly during late pregnancy, clinicians should prepare for:
A.

Immediate cesarean delivery when indicated

B.

Coronary angiography

C.

Dialysis

D.

ECMO only

Please select atleast one answer!
15. Airway management during maternal cardiac arrest should prioritize:
A.

Delayed ventilation

B.

No airway intervention

C.

Nasal cannula only

D.

Early effective oxygenation and ventilation

Please select atleast one answer!
16. After ROSC, the priority is to:
A.

Stop monitoring the patient

B.

Remove IV access

C.

Give atropine routinely

D.

Optimize oxygenation, ventilation, and blood pressure

Please select atleast one answer!
17. A comatose patient after ROSC may benefit from:
A.

Targeted temperature management (TTM) when indicated

B.

Immediate discharge home

C.

Routine defibrillation

D.

High-dose atropine

Please select atleast one answer!
18. Which investigation should be considered after ROSC if myocardial infarction is suspected?
A.

Colonoscopy

B.

Coronary angiography

C.

Lumbar puncture

D.

Bronchoscopy

Please select atleast one answer!
19. Which medication should generally be administered early unless contraindicated?
A.

Aspirin

B.

Atropine

C.

Lidocaine

D.

Adenosine

Please select atleast one answer!
20. A 12-lead ECG should ideally be obtained within:
A.

60 minutes

B.

30 minutes

C.

10 minutes

D.

90 minutes

Please select atleast one answer!
21. A patient with STEMI should receive rapid reperfusion therapy because:
A.

It decreases blood glucose

B.

It lowers heart rate only

C.

It treats infection

D.

It restores coronary blood flow

Please select atleast one answer!
22. What is the priority when evaluating a suspected stroke?
A.

Blood culture

B.

Rapid stroke assessment and activation of the stroke team

C.

Cardiac catheterization

D.

MRI of the spine

Please select atleast one answer!
23. Which imaging study is typically obtained urgently?
A.

Chest X-ray

B.

Abdominal ultrasound

C.

Echocardiogram

D.

Non-contrast head CT

Please select atleast one answer!
24. Why should blood glucose be checked in suspected stroke?
A.

It diagnoses hypertension

B.

Hypoglycemia can mimic stroke symptoms

C.

It measures cardiac output

D.

It detects pulmonary embolism

Please select atleast one answer!
25. Which statement best reflects the importance of time in acute stroke care?
A.

Early treatment improves neurologic outcomes.

B.

Treatment can wait several hours.

C.

Stroke treatment should always begin after 24 hours.

D.

Imaging is unnecessary.

Please select atleast one answer!
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