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 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.
The compression-to-ventilation ratio for two-rescuer pediatric CPR is 15:2.
Incorrect. A 15:2 ratio ensures optimal oxygenation and circulation during two-rescuer CPR in pediatric patients.
Correct. A 15:2 ratio ensures optimal oxygenation and circulation during two-rescuer CPR in pediatric patients.
Ventricular fibrillation is considered a shockable rhythm.
Incorrect. VF is a shockable rhythm requiring immediate defibrillation to restore an organized cardiac rhythm.
Correct. VF is a shockable rhythm requiring immediate defibrillation to restore an organized cardiac rhythm.
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 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.
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.
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.
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.
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.
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.
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.
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.
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.
Defibrillation is the treatment of choice for pulseless ventricular tachycardia.
Incorrect. Pulseless VT is a shockable rhythm requiring immediate defibrillation to restore an organized rhythm.
Correct. Pulseless VT is a shockable rhythm requiring immediate defibrillation to restore an organized rhythm.
Epinephrine is administered every 3-5 minutes during cardiac arrest.
Incorrect. Epinephrine is given every 3-5 minutes to enhance coronary and cerebral perfusion during cardiac arrest.
Correct. Epinephrine is given every 3-5 minutes to enhance coronary and cerebral perfusion during cardiac arrest.
Lidocaine is the first-line drug for ventricular fibrillation.
Incorrect. Epinephrine is the first-line drug for VF, with amiodarone as the preferred antiarrhythmic for refractory cases.
Correct. Epinephrine is the first-line drug for VF, with amiodarone as the preferred antiarrhythmic for refractory cases.
The initial dose of amiodarone for refractory VF is 300 mg IV/IO.
Incorrect. Amiodarone 300 mg IV/IO is administered after defibrillation and epinephrine to treat refractory VF or pulseless VT.
Correct. Amiodarone 300 mg IV/IO is administered after defibrillation and epinephrine to treat refractory VF or pulseless VT.
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?.
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.
What is the drug of choice for stable wide-complex tachycardia?
Incorrect. Amiodarone is used to stabilize wide-complex tachycardias in stable patients to prevent deterioration into cardiac arrest.
Correct. Amiodarone is used to stabilize wide-complex tachycardias in stable patients to prevent deterioration into cardiac arrest.
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 recommended compression depth for pediatric CPR?
Incorrect. Compressing to one-third the depth of the chest ensures adequate perfusion while minimizing the risk of injury.
Correct. Compressing to one-third the depth of the chest ensures adequate perfusion while minimizing the risk of injury.
What is the maximum interval between defibrillation attempts during CPR?
Incorrect. Defibrillation attempts should be separated by 2-minute CPR cycles to ensure effective perfusion and rhythm evaluation.
Correct. Defibrillation attempts should be separated by 2-minute CPR cycles to ensure effective perfusion and rhythm evaluation.
What is the correct energy setting for synchronized cardioversion in unstable VT?
Incorrect. Synchronized cardioversion at 100 J is effective for restoring a stable rhythm in unstable ventricular tachycardia.
Correct. Synchronized cardioversion at 100 J is effective for restoring a stable rhythm in unstable ventricular tachycardia.
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.
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.
Naloxone should be administered to all cardiac arrest patients.
Incorrect. Naloxone is only used in cases of suspected opioid overdose and is not universally administered in cardiac arrest.
Correct. Naloxone is only used in cases of suspected opioid overdose and is not universally administered in cardiac arrest.
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.
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.
What is the primary treatment for VF during cardiac arrest?
Incorrect. VF is a shockable rhythm, and immediate defibrillation is the most effective treatment.
Correct. VF is a shockable rhythm, and immediate defibrillation is the most effective treatment.
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.
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.
Hypothermia is one of the "H's" in the reversible causes of cardiac arrest.
Incorrect. Hypothermia is a reversible cause of cardiac arrest and is treated by warming the patient to improve outcomes.
Correct. Hypothermia is a reversible cause of cardiac arrest and is treated by warming the patient to improve outcomes.
What is the recommended initial dose of amiodarone in cardiac arrest?
Incorrect. Amiodarone stabilizes the myocardium and is given as a bolus for refractory VF or pulseless VT.
Correct. Amiodarone stabilizes the myocardium and is given as a bolus for refractory VF or pulseless VT.
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.
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.
What is the first drug given for stable narrow-complex tachycardia?
Incorrect. Adenosine is used to terminate stable narrow-complex tachycardia by slowing AV node conduction.
Correct. Adenosine is used to terminate stable narrow-complex tachycardia by slowing AV node conduction.
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.
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.
The recommended chest compression depth for infants is at least 2 inches.
Incorrect. Chest compressions for infants should be about 1/3 the depth of the chest, approximately 1.5 inches (4 cm).
Correct. Chest compressions for infants should be about 1/3 the depth of the chest, approximately 1.5 inches (4 cm).
Magnesium sulfate is the first-line drug for ventricular fibrillation.
Incorrect. Magnesium sulfate is used to treat torsades de pointes but is not the first-line drug for VF, where epinephrine is prioritized.
Correct. Magnesium sulfate is used to treat torsades de pointes but is not the first-line drug for VF, where epinephrine is prioritized.
How many rescuers are required for high-quality CPR with advanced airway management?
Incorrect. Two rescuers are needed to maintain high-quality CPR with an advanced airway: one for compressions and one for ventilation.
Correct. Two rescuers are needed to maintain high-quality CPR with an advanced airway: one for compressions and one for ventilation.
What is the target core temperature during targeted temperature management (TTM)?
Incorrect. TTM helps reduce neurological injury after ROSC by maintaining a target temperature between 32-36°C.
Correct. TTM helps reduce neurological injury after ROSC by maintaining a target temperature between 32-36°C.
What is the preferred initial action for pulseless electrical activity?
Incorrect. High-quality CPR is the primary intervention for PEA, followed by epinephrine administration and addressing reversible causes.
Correct. High-quality CPR is the primary intervention for PEA, followed by epinephrine administration and addressing reversible causes.
What is the correct joules dose for synchronized cardioversion in narrow, regular tachycardia?
Incorrect. Synchronized cardioversion with 50-100 J is effective for narrow, regular tachycardias that are unstable.
Correct. Synchronized cardioversion with 50-100 J is effective for narrow, regular tachycardias that are unstable.
What is the best method to monitor effective ventilation during CPR?
Incorrect. PETCO2 monitoring ensures effective ventilation and provides feedback on the quality of chest compressions during CPR.
Correct. PETCO2 monitoring ensures effective ventilation and provides feedback on the quality of chest compressions during CPR.
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.
PETCO2 monitoring is used to confirm effective ventilation and chest compressions.
Incorrect. PETCO2 monitoring helps assess the effectiveness of both ventilation and chest compressions in real-time during CPR.
Correct. PETCO2 monitoring helps assess the effectiveness of both ventilation and chest compressions in real-time during CPR.
Which drug is used for torsades de pointes?
Incorrect. Magnesium sulfate stabilizes the cardiac membrane and is the drug of choice for torsades de pointes.
Correct. Magnesium sulfate stabilizes the cardiac membrane and is the drug of choice for torsades de pointes.
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.
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.
The compression fraction during CPR should be >60% for effective resuscitation.
Incorrect. The compression fraction should be greater than 80% to maximize perfusion during CPR.
Correct. The compression fraction should be greater than 80% to maximize perfusion during CPR.
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 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.
Which condition is included in the "T's" of reversible cardiac arrest causes?
Incorrect. Thrombosis (pulmonary or coronary) is a reversible cause of cardiac arrest and should be addressed immediately.
Correct. Thrombosis (pulmonary or coronary) is a reversible cause of cardiac arrest and should be addressed immediately.
The recommended compression-to-ventilation ratio for adult CPR without an advanced airway is 30:2.
Incorrect. A 30:2 ratio ensures sufficient oxygenation and circulation in adults during CPR without an advanced airway.
Correct. A 30:2 ratio ensures sufficient oxygenation and circulation in adults during CPR without an advanced airway.
What is the recommended first action for an unresponsive infant?
Incorrect. Calling for help ensures timely assistance and access to advanced resuscitation equipment.
Correct. Calling for help ensures timely assistance and access to advanced resuscitation equipment.
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.
What is the recommended action for a witnessed cardiac arrest?
Incorrect. Immediate defibrillation is critical for shockable rhythms like ventricular fibrillation and pulseless VT.
Correct. Immediate defibrillation is critical for shockable rhythms like ventricular fibrillation and pulseless VT.
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.
Defibrillation is contraindicated in patients with ventricular fibrillation.
Incorrect. VF is a shockable rhythm, and defibrillation is the primary treatment to restore an organized rhythm.
Correct. VF is a shockable rhythm, and defibrillation is the primary treatment to restore an organized rhythm.
Synchronized cardioversion is used for pulseless ventricular tachycardia.
Incorrect. Pulseless VT is treated with defibrillation, while synchronized cardioversion is reserved for tachyarrhythmias with a pulse.
Correct. Pulseless VT is treated with defibrillation, while synchronized cardioversion is reserved for tachyarrhythmias with a pulse.
During CPR with an advanced airway, chest compressions should continue uninterrupted.
Incorrect. With an advanced airway in place, uninterrupted compressions improve blood flow while ventilation is delivered separately.
Correct. With an advanced airway in place, uninterrupted compressions improve blood flow while ventilation is delivered separately.
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.
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.
