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.
Synchronized cardioversion is the treatment of choice for unstable atrial flutter.
Incorrect. Synchronized cardioversion restores organized cardiac activity in unstable atrial flutter.
Correct. Synchronized cardioversion restores organized cardiac activity in unstable atrial flutter.
Defibrillation should be attempted within 30 seconds for a witnessed VF arrest.
Incorrect. Prompt defibrillation within 30 seconds of witnessed VF arrest improves the chance of restoring a perfusing rhythm.
Correct. Prompt defibrillation within 30 seconds of witnessed VF arrest improves the chance of restoring a perfusing rhythm.
Synchronized cardioversion is used for unstable atrial fibrillation.
Incorrect. Synchronized cardioversion is indicated for unstable atrial fibrillation to restore sinus rhythm and prevent hemodynamic collapse.
Correct. Synchronized cardioversion is indicated for unstable atrial fibrillation to restore sinus rhythm and prevent hemodynamic collapse.
What is the compression rate for pediatric CPR?
Incorrect. The same compression rate as adults ensures adequate perfusion in pediatric patients during CPR.
Correct. The same compression rate as adults ensures adequate perfusion in pediatric patients during CPR.
What is the target PETCO2 during high-quality CPR?
Incorrect. Indicates effective chest compressions and blood circulation during resuscitation.
Correct. Indicates effective chest compressions and blood circulation during resuscitation.
The correct defibrillation dose for pediatric cardiac arrest starts at 4 J/kg.
Incorrect. Pediatric defibrillation starts at 2 J/kg, increasing to 4 J/kg for subsequent shocks if needed.
Correct. Pediatric defibrillation starts at 2 J/kg, increasing to 4 J/kg for subsequent shocks if needed.
What is the initial treatment for symptomatic bradycardia?
Incorrect. Atropine is the first-line drug for symptomatic bradycardia, increasing heart rate by blocking vagal stimulation.
Correct. Atropine is the first-line drug for symptomatic bradycardia, increasing heart rate by blocking vagal stimulation.
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 shockable rhythm in cardiac arrest?
Incorrect. Requires immediate defibrillation to restore organized cardiac activity.
Correct. Requires immediate defibrillation to restore organized cardiac activity.
What is the compression rate for CPR in adults?
Incorrect. This rate ensures effective circulation without causing inadequate ventricular filling.
Correct. This rate ensures effective circulation without causing inadequate ventricular filling.
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.
What is the primary treatment for VF or pulseless VT?
Incorrect. These shockable rhythms require immediate defibrillation to restore a perfusing rhythm.
Correct. These shockable rhythms require immediate defibrillation to restore a perfusing rhythm.
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 most common cause of PEA?
Incorrect. Hypoxia is the most frequent reversible cause of PEA and should be addressed immediately with oxygenation and ventilation.
Correct. Hypoxia is the most frequent reversible cause of PEA and should be addressed immediately with oxygenation and ventilation.
PETCO2 levels >10 mmHg during CPR indicate high-quality chest compressions.
Incorrect. PETCO2 levels greater than 10 mmHg suggest that chest compressions are generating adequate circulation.
Correct. PETCO2 levels greater than 10 mmHg suggest that chest compressions are generating adequate circulation.
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.
A compression fraction of >60% is recommended for high-quality CPR.
Incorrect. A compression fraction >80% is required to maximize perfusion and improve survival rates during high-quality CPR.
Correct. A compression fraction >80% is required to maximize perfusion and improve survival rates during high-quality CPR.
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.
Which rhythm requires defibrillation?
Incorrect. Pulseless VT is a shockable rhythm that requires immediate defibrillation to restore a perfusing rhythm.
Correct. Pulseless VT is a shockable rhythm that requires immediate defibrillation to restore a perfusing rhythm.
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.
Hypovolemia is a common cause of pulseless electrical activity (PEA).
Incorrect. Hypovolemia is a reversible cause of PEA and can be treated with rapid fluid resuscitation.
Correct. Hypovolemia is a reversible cause of PEA and can be treated with rapid fluid resuscitation.
What is the recommended dose of adenosine for treating stable SVT in adults?
Incorrect. Adenosine is administered as a rapid IV push at an initial dose of 6 mg to terminate stable SVT.
Correct. Adenosine is administered as a rapid IV push at an initial dose of 6 mg to terminate stable SVT.
How often should chest compressors switch roles to avoid fatigue?
Incorrect. Switching compressors every 2 minutes reduces rescuer fatigue, ensuring high-quality chest compressions are maintained.
Correct. Switching compressors every 2 minutes reduces rescuer fatigue, ensuring high-quality chest compressions are maintained.
How should an unconscious patient with a suspected spinal injury be positioned?
Incorrect. The jaw thrust maneuver opens the airway without moving the cervical spine, reducing the risk of spinal injury.
Correct. The jaw thrust maneuver opens the airway without moving the cervical spine, reducing the risk of spinal injury.
Defibrillation should always be performed within 10 minutes of identifying VF.
Incorrect. Defibrillation should be performed immediately after identifying VF, not delayed up to 10 minutes.
Correct. Defibrillation should be performed immediately after identifying VF, not delayed up to 10 minutes.
The maximum dose of atropine for bradycardia is 5 mg.
Incorrect. The maximum dose of atropine for bradycardia is 3 mg, with doses given at 0.5 mg intervals every 3-5 minutes.
Correct. The maximum dose of atropine for bradycardia is 3 mg, with doses given at 0.5 mg intervals every 3-5 minutes.
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.
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 cycles of CPR are recommended before rhythm reassessment?
Incorrect. Two minutes of CPR (about 5 cycles of 30 compressions and 2 breaths) should be performed before reassessing the rhythm.
Correct. Two minutes of CPR (about 5 cycles of 30 compressions and 2 breaths) should be performed before reassessing the rhythm.
The recommended compression rate for CPR is 90-100 compressions per minute.
Incorrect. The correct compression rate for CPR is 100-120 compressions per minute to optimize perfusion and prevent fatigue.
Correct. The correct compression rate for CPR is 100-120 compressions per minute to optimize perfusion and prevent fatigue.
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 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.
A jaw-thrust maneuver is preferred over a head tilt-chin lift for trauma patients.
Incorrect. The jaw-thrust avoids neck movement, making it the preferred airway technique for patients with suspected cervical spine injuries.
Correct. The jaw-thrust avoids neck movement, making it the preferred airway technique for patients with suspected cervical spine injuries.
What drug is used for torsades de pointes during ACLS?
Incorrect. Stabilizes the myocardial membrane and prevents arrhythmias.
Correct. Stabilizes the myocardial membrane and prevents arrhythmias.
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 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.
What is the appropriate rate of chest compressions for pediatric CPR?
Incorrect. A rate of 100-120 compressions per minute ensures adequate circulation in pediatric patients.
Correct. A rate of 100-120 compressions per minute ensures adequate circulation in pediatric patients.
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 rhythm is shockable in cardiac arrest?
Incorrect. Pulseless VT is a shockable rhythm requiring immediate defibrillation to restore organized cardiac activity.
Correct. Pulseless VT is a shockable rhythm requiring immediate defibrillation to restore organized cardiac activity.
The maximum time for a pulse check during CPR is 10 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.
What is the most reliable indicator of effective chest compressions?
Incorrect. PETCO2 values greater than 10 mmHg during CPR indicate adequate chest compressions and blood circulation.
Correct. PETCO2 values greater than 10 mmHg during CPR indicate adequate chest compressions and blood circulation.
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.
Which rhythm requires transcutaneous pacing if symptomatic?
Incorrect. Symptomatic second-degree AV block type II can progress to complete heart block, requiring pacing.
Correct. Symptomatic second-degree AV block type II can progress to complete heart block, requiring pacing.
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 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.
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 appropriate dose of lidocaine for refractory VF?
Incorrect. Lidocaine is an alternative antiarrhythmic for refractory VF, dosed at 1 mg/kg IV/IO.
Correct. Lidocaine is an alternative antiarrhythmic for refractory VF, dosed at 1 mg/kg IV/IO.
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.
The recommended compression depth for adult CPR is 2-2.4 inches.
Incorrect. Compressing to a depth of 2-2.4 inches ensures adequate circulation without causing damage to internal organs.
Correct. Compressing to a depth of 2-2.4 inches ensures adequate circulation without causing damage to internal organs.
How should chest compressions be performed on a patient with an advanced airway?
Incorrect. Continuous chest compressions are performed while ventilations are delivered every 6 seconds when an advanced airway is in place.
Correct. Continuous chest compressions are performed while ventilations are delivered every 6 seconds when an advanced airway is in place.
What is the correct dose of epinephrine for pediatric cardiac arrest?
Incorrect. Epinephrine at 0.01 mg/kg is administered every 3-5 minutes during pediatric cardiac arrest to improve coronary perfusion.
Correct. Epinephrine at 0.01 mg/kg is administered every 3-5 minutes during pediatric cardiac arrest to improve coronary perfusion.
What is the dose of adenosine for pediatric SVT?
Incorrect. Adenosine is administered as a rapid IV push to terminate SVT in pediatric patients, followed by a saline flush.
Correct. Adenosine is administered as a rapid IV push to terminate SVT in pediatric patients, followed by a saline flush.
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 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 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.
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.
The initial dose of adenosine for treating stable SVT in adults is 12 mg IV.
Incorrect. The initial dose of adenosine for stable SVT in adults is 6 mg IV, followed by 12 mg if needed for subsequent doses.
Correct. The initial dose of adenosine for stable SVT in adults is 6 mg IV, followed by 12 mg if needed for subsequent doses.
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 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.
Which rhythm is most commonly associated with sudden cardiac arrest?
Incorrect. Ventricular fibrillation is the most common cause of sudden cardiac arrest and requires immediate defibrillation.
Correct. Ventricular fibrillation is the most common cause of sudden cardiac arrest and requires immediate defibrillation.
How many cycles of CPR should be completed before reassessing the rhythm?
Incorrect. Two minutes of CPR (about 5 cycles of 30 compressions and 2 breaths) should be completed before checking the rhythm.
Correct. Two minutes of CPR (about 5 cycles of 30 compressions and 2 breaths) should be completed before checking the rhythm.
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.
How should you confirm the placement of an endotracheal tube?
Incorrect. Waveform capnography ensures proper ET tube placement by continuously monitoring exhaled CO? levels.
Correct. Waveform capnography ensures proper ET tube placement by continuously monitoring exhaled CO? levels.
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.
