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 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 dose of adenosine for stable SVT?
Incorrect. Administered via rapid IV push, followed by a saline flush to terminate reentrant arrhythmias.
Correct. Administered via rapid IV push, followed by a saline flush to terminate reentrant arrhythmias.
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.
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.
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.
What is the correct dose of epinephrine for pediatric cardiac arrest?
Incorrect. Epinephrine is administered every 3-5 minutes during pediatric cardiac arrest to enhance coronary and cerebral perfusion.
Correct. Epinephrine is administered every 3-5 minutes during pediatric cardiac arrest to enhance coronary and cerebral perfusion.
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.
What is the ideal chest compression fraction for high-quality CPR?
Incorrect. A compression fraction greater than 80% ensures that most of the resuscitation time is spent performing chest compressions.
Correct. A compression fraction greater than 80% ensures that most of the resuscitation time is spent performing chest compressions.
What is the maximum pause duration between chest compressions?
Incorrect. Pausing compressions for more than 10 seconds interrupts perfusion and reduces the chances of ROSC.
Correct. Pausing compressions for more than 10 seconds interrupts perfusion and reduces the chances of ROSC.
What is the correct ventilation rate for CPR with an advanced airway?
Incorrect. Providing 6-8 breaths per minute ensures adequate oxygenation and ventilation without interfering with chest compressions.
Correct. Providing 6-8 breaths per minute ensures adequate oxygenation and ventilation without interfering with chest compressions.
How often should rescuers switch roles during CPR?
Incorrect. Rescuers should switch every 2 minutes to prevent fatigue and ensure high-quality compressions are maintained.
Correct. Rescuers should switch every 2 minutes to prevent fatigue and ensure high-quality compressions are maintained.
The recommended compression rate for CPR is 100-120 compressions per minute.
Incorrect. A rate of 100-120 compressions per minute ensures adequate circulation without risking incomplete recoil or excessive fatigue.
Correct. A rate of 100-120 compressions per minute ensures adequate circulation without risking incomplete recoil or excessive fatigue.
The goal oxygen saturation during post-cardiac arrest care is 100%.
Incorrect. The target oxygen saturation is 92-96% to avoid hyperoxia, which can contribute to oxidative injury.
Correct. The target oxygen saturation is 92-96% to avoid hyperoxia, which can contribute to oxidative injury.
Hypoglycemia is included in the reversible causes of cardiac arrest.
Incorrect. While hypoglycemia can cause critical symptoms, it is not included in the H's and T's of reversible causes of cardiac arrest.
Correct. While hypoglycemia can cause critical symptoms, it is not included in the H's and T's of reversible causes of cardiac arrest.
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.
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.
Magnesium sulfate is the drug of choice for torsades de pointes.
Incorrect. Magnesium sulfate is the first-line treatment for torsades de pointes as it stabilizes the myocardium.
Correct. Magnesium sulfate is the first-line treatment for torsades de pointes as it stabilizes the myocardium.
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 initial dose of adenosine for adults?
Incorrect. Adenosine is administered as a 6 mg rapid IV push, followed by a saline flush, to terminate reentrant arrhythmias.
Correct. Adenosine is administered as a 6 mg rapid IV push, followed by a saline flush, to terminate reentrant arrhythmias.
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.
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 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.
How many breaths per minute should be delivered to an adult during advanced airway CPR?
Incorrect. Ventilations are delivered at a rate of 6-8 breaths per minute to prevent hyperventilation.
Correct. Ventilations are delivered at a rate of 6-8 breaths per minute to prevent hyperventilation.
What is the next action after ROSC is achieved?
Incorrect. Post-ROSC care focuses on maintaining oxygenation and avoiding hypoxia or hyperoxia to protect organ function.
Correct. Post-ROSC care focuses on maintaining oxygenation and avoiding hypoxia or hyperoxia to protect organ function.
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.
The appropriate initial dose of amiodarone for pulseless VT is 150 mg IV/IO.
Incorrect. The correct initial dose of amiodarone for pulseless VT is 300 mg IV/IO, followed by 150 mg for a second dose if needed.
Correct. The correct initial dose of amiodarone for pulseless VT is 300 mg IV/IO, followed by 150 mg for a second dose if needed.
The initial treatment for unstable bradycardia is atropine.
Incorrect. Atropine is given at 0.5 mg IV every 3-5 minutes for unstable bradycardia caused by vagal stimulation or primary AV block.
Correct. Atropine is given at 0.5 mg IV every 3-5 minutes for unstable bradycardia caused by vagal stimulation or primary AV block.
Chest compressions should be performed at a rate of 80-100 compressions per minute.
Incorrect. The recommended rate for chest compressions is 100-120 compressions per minute to maximize perfusion.
Correct. The recommended rate for chest compressions is 100-120 compressions per minute to maximize perfusion.
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 treatment for symptomatic bradycardia unresponsive to atropine?
Incorrect. Provides external electrical stimuli to maintain adequate heart rate when atropine fails.
Correct. Provides external electrical stimuli to maintain adequate heart rate when atropine fails.
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 appropriate dose of magnesium for torsades de pointes?
Incorrect. Magnesium sulfate stabilizes the cardiac membrane and is the drug of choice for treating torsades de pointes.
Correct. Magnesium sulfate stabilizes the cardiac membrane and is the drug of choice for treating torsades de pointes.
What is the recommended initial energy for pediatric defibrillation?
Incorrect. Pediatric defibrillation starts with 2 J/kg, increasing to 4 J/kg for subsequent shocks if needed.
Correct. Pediatric defibrillation starts with 2 J/kg, increasing to 4 J/kg for subsequent shocks if needed.
What is the recommended initial treatment for narrow-complex SVT?
Incorrect. Vagal maneuvers stimulate the vagus nerve, often terminating narrow-complex SVT caused by reentrant circuits.
Correct. Vagal maneuvers stimulate the vagus nerve, often terminating narrow-complex SVT caused by reentrant circuits.
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 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.
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.
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 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.
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.
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 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 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.
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 appropriate treatment for VF in cardiac arrest?
Incorrect. VF is a shockable rhythm, and defibrillation is the most effective intervention to restore a normal rhythm.
Correct. VF is a shockable rhythm, and defibrillation is the most effective intervention to restore a normal rhythm.
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.
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.
What is the next step if VF persists after 2 defibrillation attempts?
Incorrect. If VF persists after defibrillation and epinephrine, amiodarone is administered to stabilize the rhythm.
Correct. If VF persists after defibrillation and epinephrine, amiodarone is administered to stabilize the rhythm.
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.
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.
PETCO2 monitoring can help assess the effectiveness of chest compressions.
Incorrect. PETCO2 >10 mmHg during CPR indicates effective chest compressions generating sufficient circulation.
Correct. PETCO2 >10 mmHg during CPR indicates effective chest compressions generating sufficient circulation.
What is the appropriate energy setting for defibrillation in adults?
Incorrect. Biphasic defibrillators deliver effective shocks within the range of 120-200 J to treat VF or pulseless VT.
Correct. Biphasic defibrillators deliver effective shocks within the range of 120-200 J to treat VF or pulseless VT.
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 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.
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 first drug administered during cardiac arrest?
Incorrect. Epinephrine is administered to increase coronary and cerebral perfusion pressure during cardiac arrest.
Correct. Epinephrine is administered to increase coronary and cerebral perfusion pressure during cardiac arrest.
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.
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.
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.
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.
How long should you pause chest compressions to deliver a shock?
Incorrect. Minimizes interruptions to maintain blood flow to vital organs.
Correct. Minimizes interruptions to maintain blood flow to vital organs.
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.
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 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.
