Congratulations on completing FirstAidWeb’s ACLS Provider Certification Course! You’ve invested the time, effort, and commitment—now it’s time to secure your certification.
This exam isn’t meant to trick you. It’s designed to confirm your understanding of the material. Take a breath, get focused, and review the key details below before you begin.
What is the recommended ventilation rate during CPR for adults with an advanced airway?
Incorrect. Delivering 6-8 breaths per minute minimizes interruptions in chest compressions and prevents hyperventilation.
Correct. Delivering 6-8 breaths per minute minimizes interruptions in chest compressions and prevents hyperventilation.
How often should you assess the rhythm during ongoing CPR?
Incorrect. Rhythm checks are performed every 2 minutes during pauses in CPR to evaluate for shockable rhythms.
Correct. Rhythm checks are performed every 2 minutes during pauses in CPR to evaluate for shockable rhythms.
What is the primary intervention for ROSC?
Incorrect. Post-ROSC care focuses on stabilizing ventilation and oxygenation to prevent hypoxia or hyperoxia.
Correct. Post-ROSC care focuses on stabilizing ventilation and oxygenation to prevent hypoxia or hyperoxia.
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.
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 primary treatment for symptomatic bradycardia?
Incorrect. Atropine is the first-line drug for treating symptomatic bradycardia by increasing heart rate through vagal inhibition.
Correct. Atropine is the first-line drug for treating symptomatic bradycardia by increasing heart rate through vagal inhibition.
What is the target oxygen saturation during CPR?
Incorrect. Maintaining oxygen saturation within this range ensures adequate oxygenation without the risk of hyperoxia.
Correct. Maintaining oxygen saturation within this range ensures adequate oxygenation without the risk of hyperoxia.
How often should you switch chest compressors during CPR?
Incorrect. Switching every 2 minutes reduces rescuer fatigue and ensures high-quality chest compressions.
Correct. Switching every 2 minutes reduces rescuer fatigue and ensures high-quality chest compressions.
What is the maximum pause allowed for chest compressions during CPR?
Incorrect. Interruptions in chest compressions should be minimized to less than 10 seconds to maintain adequate perfusion.
Correct. Interruptions in chest compressions should be minimized to less than 10 seconds to maintain adequate perfusion.
What is the recommended action after ROSC is achieved?
Incorrect. Oxygenation and ventilation should be optimized to avoid hypoxia or hyperoxia during post-cardiac arrest care.
Correct. Oxygenation and ventilation should be optimized to avoid hypoxia or hyperoxia during post-cardiac arrest care.
What is the recommended action for a choking infant who becomes unresponsive?
Incorrect. Chest compressions are performed to dislodge the obstruction and restore effective ventilation in an unresponsive infant.
Correct. Chest compressions are performed to dislodge the obstruction and restore effective ventilation in an unresponsive infant.
What is the target PETCO2 during high-quality CPR?
Incorrect. PETCO2 readings above 10 mmHg during CPR indicate adequate chest compressions and cardiac output.
Correct. PETCO2 readings above 10 mmHg during CPR indicate adequate chest compressions and cardiac output.
What is the recommended treatment for tension pneumothorax?
Incorrect. Needle decompression relieves pressure caused by tension pneumothorax, improving ventilation and circulation.
Correct. Needle decompression relieves pressure caused by tension pneumothorax, improving ventilation and circulation.
What is the first step when you encounter an unresponsive adult?
Incorrect. Activating EMS ensures help is on the way while you assess and initiate resuscitation.
Correct. Activating EMS ensures help is on the way while you assess and initiate resuscitation.
What is the compression depth for infant CPR?
Incorrect. Compressing one-third the depth of the chest ensures adequate perfusion while minimizing the risk of injury.
Correct. Compressing one-third the depth of the chest ensures adequate perfusion while minimizing the risk of injury.
ROSC should be followed by immediate reassessment of the patient’s rhythm and ventilation.
Incorrect. Following ROSC, immediate reassessment ensures stability of the patient’s rhythm, oxygenation, and ventilation.
Correct. Following ROSC, immediate reassessment ensures stability of the patient’s rhythm, oxygenation, and ventilation.
What is the drug of choice for wide-complex tachycardia in stable patients?
Incorrect. Amiodarone is the preferred antiarrhythmic for stabilizing wide-complex tachycardia in stable patients.
Correct. Amiodarone is the preferred antiarrhythmic for stabilizing wide-complex tachycardia in stable patients.
What is the recommended ventilation rate during CPR without an advanced airway?
Incorrect. Delivering 10 breaths per minute ensures adequate oxygenation without causing hyperventilation.
Correct. Delivering 10 breaths per minute ensures adequate oxygenation without causing hyperventilation.
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.
Chest compressions should be paused to deliver ventilation during advanced airway CPR.
Incorrect. With an advanced airway in place, compressions continue uninterrupted while breaths are delivered at 6-8 breaths per minute.
Correct. With an advanced airway in place, compressions continue uninterrupted while breaths are delivered at 6-8 breaths per minute.
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 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 ideal pulse check duration during CPR is 10-15 seconds.
Incorrect. Pulse checks during CPR should not exceed 10 seconds to minimize interruptions in chest compressions.
Correct. Pulse checks during CPR should not exceed 10 seconds to minimize interruptions in chest compressions.
The compression-to-ventilation ratio for adult CPR without an advanced airway is 15:2.
Incorrect. The correct compression-to-ventilation ratio for adult CPR without an advanced airway is 30:2.
Correct. The correct compression-to-ventilation ratio for adult CPR without an advanced airway is 30:2.
What is the appropriate action if PEA is identified?
Incorrect. PEA is treated with CPR, epinephrine, and identifying reversible causes to restore organized electrical activity.
Correct. PEA is treated with CPR, epinephrine, and identifying reversible causes to restore organized electrical activity.
The target temperature for targeted temperature management (TTM) is 32-36°C.
Incorrect. TTM is used to reduce neurological injury post-ROSC by maintaining a core temperature of 32-36°C.
Correct. TTM is used to reduce neurological injury post-ROSC by maintaining a core temperature of 32-36°C.
Which of the following is part of the "H's" for reversible cardiac arrest causes?
Incorrect. Hypothermia is a reversible cause of cardiac arrest and should be addressed during resuscitation efforts.
Correct. Hypothermia is a reversible cause of cardiac arrest and should be addressed during resuscitation efforts.
The maximum dose of atropine for bradycardia is 3 mg.
Incorrect. Atropine is given at a dose of 0.5 mg every 3-5 minutes during bradycardia, up to a maximum dose of 3 mg.
Correct. Atropine is given at a dose of 0.5 mg every 3-5 minutes during bradycardia, up to a maximum dose of 3 mg.
What is the correct defibrillation dose for adults in VF?
Incorrect. For biphasic defibrillators, 120-200 J is the recommended energy range for VF.
Correct. For biphasic defibrillators, 120-200 J is the recommended energy range for VF.
What rhythm requires immediate defibrillation?
Incorrect. VF is a shockable rhythm requiring immediate defibrillation to restore organized electrical activity.
Correct. VF is a shockable rhythm requiring immediate defibrillation to restore organized electrical activity.
How many breaths per minute should be delivered during CPR with advanced airway?
Incorrect. Ventilations should be provided at a controlled rate of 6-8 breaths per minute to prevent hyperventilation.
Correct. Ventilations should be provided at a controlled rate of 6-8 breaths per minute to prevent hyperventilation.
How often should a rhythm check occur during CPR?
Incorrect. Rhythm checks should be performed every 2 minutes during CPR, coinciding with compressor role switches.
Correct. Rhythm checks should be performed every 2 minutes during CPR, coinciding with compressor role switches.
The target PETCO2 during effective chest compressions is >10 mmHg.
Incorrect. A PETCO2 level greater than 10 mmHg indicates that chest compressions are generating adequate blood flow.
Correct. A PETCO2 level greater than 10 mmHg indicates that chest compressions are generating adequate blood flow.
What is the maximum energy dose for defibrillation in adults?
Incorrect. Maximum energy for monophasic defibrillators; for biphasic, follow manufacturer recommendations.
Correct. Maximum energy for monophasic defibrillators; for biphasic, follow manufacturer recommendations.
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.
Adenosine is the drug of choice for pulseless electrical activity (PEA).
Incorrect. PEA is not treated with adenosine; it is managed with CPR, epinephrine, and identifying and treating reversible causes.
Correct. PEA is not treated with adenosine; it is managed with CPR, epinephrine, and identifying and treating reversible causes.
What is the recommended rate of chest compressions per minute?
Incorrect. Optimal for maintaining adequate circulation without risking poor perfusion due to excessive speed.
Correct. Optimal for maintaining adequate circulation without risking poor perfusion due to excessive speed.
Synchronized cardioversion is indicated for unstable ventricular tachycardia with a pulse.
Incorrect. Synchronized cardioversion restores organized cardiac activity in unstable VT with a pulse, preventing progression to VF.
Correct. Synchronized cardioversion restores organized cardiac activity in unstable VT with a pulse, preventing progression to VF.
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 correct compression-to-ventilation ratio for adult CPR without an advanced airway?
Incorrect. A 30:2 ratio ensures adequate oxygenation and circulation when no advanced airway is present.
Correct. A 30:2 ratio ensures adequate oxygenation and circulation when no advanced airway is present.
What is the goal oxygen saturation during ACLS care?
Incorrect. Maintaining this range prevents hypoxia while minimizing the risks of hyperoxia and oxidative injury.
Correct. Maintaining this range prevents hypoxia while minimizing the risks of hyperoxia and oxidative injury.
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 most common reversible cause of cardiac arrest?
Incorrect. Hypovolemia is a reversible cause of cardiac arrest and should be corrected with fluid resuscitation.
Correct. Hypovolemia is a reversible cause of cardiac arrest and should be corrected with fluid resuscitation.
What is the recommended maximum interval for chest compression interruptions?
Incorrect. Minimizing interruptions to less than 10 seconds preserves perfusion and improves resuscitation outcomes.
Correct. Minimizing interruptions to less than 10 seconds preserves perfusion and improves resuscitation outcomes.
What is the first intervention for a witnessed cardiac arrest in VF?
Incorrect. Immediate defibrillation is the most effective intervention for a witnessed cardiac arrest in VF.
Correct. Immediate defibrillation is the most effective intervention for a witnessed cardiac arrest in VF.
What is the recommended dose of atropine for adult bradycardia?
Incorrect. Atropine at 0.5 mg IV is the first-line treatment for symptomatic bradycardia caused by vagal stimulation.
Correct. Atropine at 0.5 mg IV is the first-line treatment for symptomatic bradycardia caused by vagal stimulation.
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.
What is the treatment for severe hyperkalemia during ACLS?
Incorrect. Calcium gluconate stabilizes the cardiac membrane and reduces the risk of life-threatening arrhythmias caused by hyperkalemia.
Correct. Calcium gluconate stabilizes the cardiac membrane and reduces the risk of life-threatening arrhythmias caused by hyperkalemia.
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.
The recommended oxygen saturation target during post-cardiac arrest care is 92-96%.
Incorrect. Maintaining oxygen saturation at 92-96% avoids hypoxia while preventing hyperoxia, which can cause further tissue damage.
Correct. Maintaining oxygen saturation at 92-96% avoids hypoxia while preventing hyperoxia, which can cause further tissue damage.
What is the recommended dose of dopamine infusion for bradycardia?
Incorrect. Dopamine is used when atropine is ineffective, improving heart rate and contractility by stimulating beta receptors.
Correct. Dopamine is used when atropine is ineffective, improving heart rate and contractility by stimulating beta receptors.
What is the recommended duration of a pulse check in cardiac arrest?
Incorrect. Pulse checks should be limited to 10 seconds to minimize interruptions in chest compressions.
Correct. Pulse checks should be limited to 10 seconds to minimize interruptions in chest compressions.
How long should a pulse check take during CPR?
Incorrect. Avoid delays to minimize interruptions in chest compressions and maintain perfusion.
Correct. Avoid delays to minimize interruptions in chest compressions and maintain perfusion.
What is the proper dose of naloxone for suspected opioid overdose?
Incorrect. Naloxone is used to reverse opioid overdose, restoring respiratory effort in patients with respiratory depression.
Correct. Naloxone is used to reverse opioid overdose, restoring respiratory effort in patients with respiratory depression.
The recommended compression depth for child CPR is 1/3 the depth of the chest.
Incorrect. Compressions at 1/3 the depth of the chest ensure adequate perfusion while minimizing injury to internal organs.
Correct. Compressions at 1/3 the depth of the chest ensure adequate perfusion while minimizing injury to internal organs.
Magnesium sulfate is used to treat torsades de pointes.
Incorrect. Magnesium sulfate stabilizes cardiac myocytes and is the drug of choice for treating torsades de pointes.
Correct. Magnesium sulfate stabilizes cardiac myocytes and is the drug of choice for treating torsades de pointes.
What is the appropriate action for a patient with PEA?
Incorrect. PEA is treated with epinephrine and high-quality CPR to address underlying reversible causes.
Correct. PEA is treated with epinephrine and high-quality CPR to address underlying reversible causes.
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 proper position for chest compressions on an adult?
Incorrect. Placing hands on the lower half of the sternum ensures effective chest compressions without damaging other structures.
Correct. Placing hands on the lower half of the sternum ensures effective chest compressions without damaging other structures.
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.
What is the preferred treatment for unstable SVT?
Incorrect. Synchronized cardioversion is used to terminate unstable SVT by restoring normal electrical activity in the heart.
Correct. Synchronized cardioversion is used to terminate unstable SVT by restoring normal electrical activity in the heart.
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.
How many chest compressions should be delivered per minute in high-quality CPR?
Incorrect. A rate of 100-120 compressions per minute optimizes perfusion without compromising cardiac filling.
Correct. A rate of 100-120 compressions per minute optimizes perfusion without compromising cardiac filling.
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 proper energy setting for synchronized cardioversion of unstable atrial fibrillation?
Incorrect. Synchronized cardioversion with 120-200 J is used to restore normal rhythm in unstable atrial fibrillation.
Correct. Synchronized cardioversion with 120-200 J is used to restore normal rhythm in unstable atrial fibrillation.
