Congratulations on completing FirstAidWebโs ACLS Provider Certification Course! Youโve invested the time, effort, and commitmentโnow itโs time to secure your certification.
This exam isnโt meant to trick you. Itโs designed to confirm your understanding of the material. Take a breath, get focused, and review the key details below before you begin.
How should you position a patient for defibrillation?
Incorrect. A supine position ensures proper electrode placement and effective delivery of defibrillation shocks.
Correct. A supine position ensures proper electrode placement and effective delivery of defibrillation shocks.
What is the initial treatment for pulseless electrical activity (PEA)?
Incorrect. CPR is the primary treatment for PEA, along with epinephrine and addressing reversible causes to restore circulation.
Correct. CPR is the primary treatment for PEA, along with epinephrine and addressing reversible causes to restore circulation.
The recommended compression-to-ventilation ratio for single-rescuer infant CPR is 15:2.
Incorrect. The compression-to-ventilation ratio for single-rescuer infant CPR is 30:2, ensuring sufficient oxygenation and circulation.
Correct. The compression-to-ventilation ratio for single-rescuer infant CPR is 30:2, ensuring sufficient oxygenation and circulation.
What is the recommended compression-to-ventilation ratio during CPR?
Incorrect. For adult CPR, the ratio ensures adequate perfusion and oxygenation when no advanced airway is in place.
Correct. For adult CPR, the ratio ensures adequate perfusion and oxygenation when no advanced airway is in place.
Asystole requires immediate defibrillation.
Incorrect. Asystole is a non-shockable rhythm and is treated with high-quality CPR and epinephrine administration.
Correct. Asystole is a non-shockable rhythm and is treated with high-quality CPR and epinephrine administration.
What is the initial defibrillation dose for pediatric cardiac arrest?
Incorrect. Pediatric defibrillation begins at 2 J/kg for the first shock and increases as necessary for subsequent shocks.
Correct. Pediatric defibrillation begins at 2 J/kg for the first shock and increases as necessary for subsequent shocks.
Hypovolemia is a reversible cause of pulseless electrical activity (PEA).
Incorrect. Hypovolemia is a common reversible cause of PEA and should be addressed with rapid fluid resuscitation.
Correct. Hypovolemia is a common reversible cause of PEA and should be addressed with rapid fluid resuscitation.
What is the primary focus during the first 10 minutes of post-cardiac arrest care?
Incorrect. Early stabilization of blood pressure and oxygenation is critical to preventing further cardiac arrest after ROSC.
Correct. Early stabilization of blood pressure and oxygenation is critical to preventing further cardiac arrest after ROSC.
What is the initial dose of epinephrine during cardiac arrest?
Incorrect. Administered every 3-5 minutes to restore circulation by increasing coronary and cerebral perfusion pressure.
Correct. Administered every 3-5 minutes to restore circulation by increasing coronary and cerebral perfusion pressure.
The initial dose of epinephrine for cardiac arrest is 1 mg IV.
Incorrect. Epinephrine 1 mg IV/IO is administered every 3-5 minutes during cardiac arrest to improve coronary and cerebral perfusion.
Correct. Epinephrine 1 mg IV/IO is administered every 3-5 minutes during cardiac arrest to improve coronary and cerebral perfusion.
What is the appropriate depth for chest compressions in adults?
Incorrect. Compressing 2-2.4 inches ensures effective perfusion during adult CPR while minimizing the risk of injury.
Correct. Compressing 2-2.4 inches ensures effective perfusion during adult CPR while minimizing the risk of injury.
What is the compression-to-ventilation ratio for pediatric CPR with two rescuers?
Incorrect. A 15:2 ratio is used during pediatric CPR with two rescuers to optimize ventilation and circulation.
Correct. A 15:2 ratio is used during pediatric CPR with two rescuers to optimize ventilation and circulation.
Which rhythm is not shockable?
Incorrect. Asystole is a non-shockable rhythm treated with high-quality CPR and epinephrine.
Correct. Asystole is a non-shockable rhythm treated with high-quality CPR and epinephrine.
PETCO2 levels >10 mmHg during CPR suggest effective chest compressions.
Incorrect. A PETCO2 reading above 10 mmHg indicates that chest compressions are generating sufficient circulation during CPR.
Correct. A PETCO2 reading above 10 mmHg indicates that chest compressions are generating sufficient circulation during CPR.
What should be done immediately after defibrillation?
Incorrect. CPR should be resumed immediately after defibrillation to maintain perfusion and increase the likelihood of ROSC.
Correct. CPR should be resumed immediately after defibrillation to maintain perfusion and increase the likelihood of ROSC.
What is the proper treatment for pulseless ventricular tachycardia?
Incorrect. Defibrillation is the primary treatment for pulseless VT, aiming to restore organized cardiac activity.
Correct. Defibrillation is the primary treatment for pulseless VT, aiming to restore organized cardiac activity.
How often should epinephrine be administered during cardiac arrest?
Incorrect. Maintains vasoconstriction, improving blood flow to vital organs during resuscitation.
Correct. Maintains vasoconstriction, improving blood flow to vital organs during resuscitation.
What is the maximum dose of atropine for bradycardia?
Incorrect. Atropine doses should not exceed 3 mg during bradycardia management to avoid adverse effects.
Correct. Atropine doses should not exceed 3 mg during bradycardia management to avoid adverse effects.
During CPR, rescuers should rotate roles every 5 minutes to reduce fatigue.
Incorrect. Rescuers should switch roles every 2 minutes to maintain high-quality chest compressions and prevent fatigue.
Correct. Rescuers should switch roles every 2 minutes to maintain high-quality chest compressions and prevent fatigue.
What is the next step after identifying a shockable rhythm?
Incorrect. Delivers an electrical shock to depolarize the heart and restore a normal rhythm.
Correct. Delivers an electrical shock to depolarize the heart and restore a normal rhythm.
Continuous compressions should be provided during CPR with an advanced airway in place.
Incorrect. With an advanced airway, compressions continue uninterrupted while ventilation is provided at a rate of 10 breaths per minute.
Correct. With an advanced airway, compressions continue uninterrupted while ventilation is provided at a rate of 10 breaths per minute.
Which of the following is a reversible cause of cardiac arrest?
Incorrect. Hypothermia is a reversible cause of cardiac arrest and must be corrected to restore spontaneous circulation.
Correct. Hypothermia is a reversible cause of cardiac arrest and must be corrected to restore spontaneous circulation.
How soon should defibrillation be delivered for VF/VT?
Incorrect. Early defibrillation is critical for survival, especially in shockable rhythms like VF/VT.
Correct. Early defibrillation is critical for survival, especially in shockable rhythms like VF/VT.
Ventricular fibrillation is a non-shockable rhythm.
Incorrect. Ventricular fibrillation (VF) is a shockable rhythm and requires immediate defibrillation to restore an organized rhythm.
Correct. Ventricular fibrillation (VF) is a shockable rhythm and requires immediate defibrillation to restore an organized rhythm.
What is the recommended compression fraction for effective CPR?
Incorrect. Maintaining a compression fraction of greater than 80% ensures the majority of resuscitation time is spent on compressions.
Correct. Maintaining a compression fraction of greater than 80% ensures the majority of resuscitation time is spent on compressions.
What is the recommended treatment for unstable tachycardia?
Incorrect. Prevents progression to cardiac arrest by restoring a normal rhythm.
Correct. Prevents progression to cardiac arrest by restoring a normal rhythm.
What is the recommended energy setting for synchronized cardioversion in narrow, irregular tachycardia?
Incorrect. For unstable narrow, irregular tachycardias, synchronized cardioversion at 120-200 J is recommended.
Correct. For unstable narrow, irregular tachycardias, synchronized cardioversion at 120-200 J is recommended.
The recommended defibrillation dose for pediatric VF arrest is 4 J/kg.
Incorrect. Pediatric defibrillation starts at 2 J/kg and may increase to 4 J/kg for subsequent shocks if VF persists.
Correct. Pediatric defibrillation starts at 2 J/kg and may increase to 4 J/kg for subsequent shocks if VF persists.
Which drug can increase the heart rate in symptomatic bradycardia?
Incorrect. Atropine blocks vagal stimulation, increasing heart rate in cases of symptomatic bradycardia.
Correct. Atropine blocks vagal stimulation, increasing heart rate in cases of symptomatic bradycardia.
The correct energy setting for synchronized cardioversion of atrial fibrillation is 120-200 J.
Incorrect. Atrial fibrillation is cardioverted starting at 120-200 J in synchronized mode to avoid delivering the shock during ventricular repolarization.
Correct. Atrial fibrillation is cardioverted starting at 120-200 J in synchronized mode to avoid delivering the shock during ventricular repolarization.
The correct defibrillation dose for pediatric cardiac arrest starts at 2 J/kg.
Incorrect. Pediatric defibrillation begins at 2 J/kg and increases to 4 J/kg for subsequent shocks if needed.
Correct. Pediatric defibrillation begins at 2 J/kg and increases to 4 J/kg for subsequent shocks if needed.
What is the proper technique for opening the airway of a trauma patient?
Incorrect. The jaw thrust maneuver opens the airway without manipulating the cervical spine, protecting against spinal cord injury.
Correct. The jaw thrust maneuver opens the airway without manipulating the cervical spine, protecting against spinal cord injury.
What is the compression-to-ventilation ratio for pediatric CPR with one rescuer?
Incorrect. A single rescuer performs 30 compressions followed by 2 breaths to maximize perfusion and oxygenation in pediatric CPR.
Correct. A single rescuer performs 30 compressions followed by 2 breaths to maximize perfusion and oxygenation in pediatric CPR.
What rhythm is described as a chaotic, irregular deflection with no P or QRS waves?
Incorrect. Ventricular fibrillation presents as a disorganized rhythm that requires immediate defibrillation.
Correct. Ventricular fibrillation presents as a disorganized rhythm that requires immediate defibrillation.
How often should you reassess pulse during CPR?
Incorrect. Pulse checks are performed every 2 minutes during rhythm assessments to evaluate the effectiveness of resuscitation.
Correct. Pulse checks are performed every 2 minutes during rhythm assessments to evaluate the effectiveness of resuscitation.
What is the recommended oxygen saturation target during ROSC?
Incorrect. Reduces the risk of oxidative stress and worsened outcomes by preventing hyperoxia.
Correct. Reduces the risk of oxidative stress and worsened outcomes by preventing hyperoxia.
What is the primary goal during post-cardiac arrest care?
Incorrect. Oxygenation and ventilation should be closely monitored to prevent hypoxia and hyperoxia.
Correct. Oxygenation and ventilation should be closely monitored to prevent hypoxia and hyperoxia.
What is the best indicator of effective ventilation during CPR?
Incorrect. PETCO2 monitoring provides real-time feedback on ventilation and the effectiveness of chest compressions.
Correct. PETCO2 monitoring provides real-time feedback on ventilation and the effectiveness of chest compressions.
What is the initial dose of amiodarone for pulseless ventricular tachycardia?
Incorrect. Stabilizes the myocardium and suppresses arrhythmias during refractory VF or pulseless VT.
Correct. Stabilizes the myocardium and suppresses arrhythmias during refractory VF or pulseless VT.
What is the preferred drug for refractory ventricular fibrillation?
Incorrect. Amiodarone is used after defibrillation and epinephrine for refractory VF to stabilize the myocardium.
Correct. Amiodarone is used after defibrillation and epinephrine for refractory VF to stabilize the myocardium.
Chest compressions should be started immediately for a patient in asystole.
Incorrect. Asystole is a non-shockable rhythm requiring immediate high-quality CPR and epinephrine to optimize perfusion.
Correct. Asystole is a non-shockable rhythm requiring immediate high-quality CPR and epinephrine to optimize perfusion.
What is the first step in managing a patient with asystole?
Incorrect. Immediate CPR is required as asystole is a non-shockable rhythm.
Correct. Immediate CPR is required as asystole is a non-shockable rhythm.
The correct dose of epinephrine for pediatric cardiac arrest is 0.01 mg/kg IV/IO.
Incorrect. Epinephrine at 0.01 mg/kg IV/IO is administered every 3-5 minutes to enhance coronary and cerebral perfusion in children.
Correct. Epinephrine at 0.01 mg/kg IV/IO is administered every 3-5 minutes to enhance coronary and cerebral perfusion in children.
What is the appropriate interval for rhythm checks during CPR?
Incorrect. Rhythm checks are performed every 2 minutes to evaluate for shockable rhythms and assess the need for defibrillation.
Correct. Rhythm checks are performed every 2 minutes to evaluate for shockable rhythms and assess the need for defibrillation.
How should breaths be delivered with a bag-mask device?
Incorrect. Delivering 1 breath every 5-6 seconds prevents hypoventilation or hyperventilation.
Correct. Delivering 1 breath every 5-6 seconds prevents hypoventilation or hyperventilation.
How should compressions be performed for an infant during CPR?
Incorrect. The two-thumb encircling technique provides high-quality compressions for infants during CPR.
Correct. The two-thumb encircling technique provides high-quality compressions for infants during CPR.
What is the dose of epinephrine for adult cardiac arrest?
Incorrect. Epinephrine at 1 mg IV every 3-5 minutes is used to enhance perfusion during cardiac arrest.
Correct. Epinephrine at 1 mg IV every 3-5 minutes is used to enhance perfusion during cardiac arrest.
What is the preferred method for confirming endotracheal tube placement?
Incorrect. The most reliable method to confirm and monitor placement by measuring exhaled CO?.
Correct. The most reliable method to confirm and monitor placement by measuring exhaled CO?.
What should you do if defibrillation is unsuccessful?
Incorrect. High-quality CPR should be resumed immediately after defibrillation to maintain perfusion and increase chances of ROSC.
Correct. High-quality CPR should be resumed immediately after defibrillation to maintain perfusion and increase chances of ROSC.
What is the first action when you see an unresponsive patient?
Incorrect. Shouting for help ensures additional resources and a defibrillator are quickly available.
Correct. Shouting for help ensures additional resources and a defibrillator are quickly available.
Waveform capnography is the preferred method to confirm endotracheal tube placement.
Incorrect. Waveform capnography provides real-time confirmation of ET tube placement and ensures proper ventilation.
Correct. Waveform capnography provides real-time confirmation of ET tube placement and ensures proper ventilation.
What is the recommended interval for ventilation during advanced airway CPR?
Incorrect. Ventilation with an advanced airway should be provided at a rate of 1 breath every 6 seconds, or 10 breaths per minute.
Correct. Ventilation with an advanced airway should be provided at a rate of 1 breath every 6 seconds, or 10 breaths per minute.
Asystole is a shockable rhythm during cardiac arrest.
Incorrect. Asystole is not a shockable rhythm; it is treated with high-quality CPR and epinephrine.
Correct. Asystole is not a shockable rhythm; it is treated with high-quality CPR and epinephrine.
How should you position a pregnant patient during resuscitation?
Incorrect. A left lateral tilt prevents aortocaval compression, improving venous return and cardiac output during resuscitation.
Correct. A left lateral tilt prevents aortocaval compression, improving venous return and cardiac output during resuscitation.
ROSC should be followed by immediate reassessment of the patientโs rhythm and ventilation.
Incorrect. Following ROSC, immediate reassessment ensures stability of the patientโs rhythm, oxygenation, and ventilation.
Correct. Following ROSC, immediate reassessment ensures stability of the patientโs rhythm, oxygenation, and ventilation.
What is the first-line treatment for narrow-complex tachycardia?
Incorrect. Vagal maneuvers stimulate the vagus nerve, often terminating reentrant arrhythmias causing narrow-complex tachycardia.
Correct. Vagal maneuvers stimulate the vagus nerve, often terminating reentrant arrhythmias causing narrow-complex tachycardia.
How often should rhythm checks occur during ongoing CPR?
Incorrect. Rhythm checks are performed every 2 minutes to evaluate for shockable rhythms and assess the effectiveness of interventions.
Correct. Rhythm checks are performed every 2 minutes to evaluate for shockable rhythms and assess the effectiveness of interventions.
How should you treat VF if it persists after 3 shocks?
Incorrect. Epinephrine is given to improve perfusion pressure and increase the chance of ROSC in persistent VF.
Correct. Epinephrine is given to improve perfusion pressure and increase the chance of ROSC in persistent VF.
What is the goal compression fraction for high-quality CPR?
Incorrect. A compression fraction above 80% ensures that most of the resuscitation time is spent performing chest compressions.
Correct. A compression fraction above 80% ensures that most of the resuscitation time is spent performing chest compressions.
Which condition is part of the H's and T's for reversible causes of cardiac arrest?
Incorrect. Hypothermia is a potentially reversible cause of cardiac arrest and should be addressed during resuscitation.
Correct. Hypothermia is a potentially reversible cause of cardiac arrest and should be addressed during resuscitation.
What is the preferred treatment for ventricular tachycardia with a pulse?
Incorrect. Synchronized cardioversion is the treatment of choice for unstable ventricular tachycardia with a pulse.
Correct. Synchronized cardioversion is the treatment of choice for unstable ventricular tachycardia with a pulse.
What is the initial dose of magnesium sulfate for torsades de pointes?
Incorrect. Magnesium sulfate is administered to stabilize the myocardium and treat torsades de pointes effectively.
Correct. Magnesium sulfate is administered to stabilize the myocardium and treat torsades de pointes effectively.
Magnesium sulfate is the treatment of choice for torsades de pointes.
Incorrect. Magnesium sulfate stabilizes the myocardium and is the first-line treatment for torsades de pointes.
Correct. Magnesium sulfate stabilizes the myocardium and is the first-line treatment for torsades de pointes.
The proper ventilation rate during advanced airway CPR is 6-8 breaths per minute.
Incorrect. Delivering 6-8 breaths per minute ensures adequate oxygenation without hyperventilation during CPR with an advanced airway.
Correct. Delivering 6-8 breaths per minute ensures adequate oxygenation without hyperventilation during CPR with an advanced airway.
Asystole is a non-shockable rhythm in ACLS.
Incorrect. Asystole is a non-shockable rhythm requiring immediate CPR and epinephrine administration.
Correct. Asystole is a non-shockable rhythm requiring immediate CPR and epinephrine administration.
