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.
ROSC stands for Return of Circulation Success.
Incorrect. ROSC stands for "Return of Spontaneous Circulation," indicating the resumption of a perfusing rhythm.
Correct. ROSC stands for "Return of Spontaneous Circulation," indicating the resumption of a perfusing rhythm.
Hypoxia is a common cause of pulseless electrical activity (PEA).
Incorrect. Hypoxia is one of the most common reversible causes of PEA and is addressed with high-quality oxygenation during resuscitation.
Correct. Hypoxia is one of the most common reversible causes of PEA and is addressed with high-quality oxygenation during resuscitation.
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.
How should you treat a patient in asystole?
Incorrect. High-quality CPR is the primary treatment for asystole, along with epinephrine and addressing reversible causes.
Correct. High-quality CPR is the primary treatment for asystole, along with epinephrine and addressing reversible causes.
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.
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.
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.
The correct defibrillation dose for adults using a biphasic defibrillator is 120-200 J.
Incorrect. Biphasic defibrillation begins at 120-200 J to terminate shockable rhythms like VF and pulseless VT effectively.
Correct. Biphasic defibrillation begins at 120-200 J to terminate shockable rhythms like VF and pulseless VT effectively.
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.
Synchronized cardioversion is the treatment of choice for unstable atrial fibrillation.
Incorrect. Synchronized cardioversion is used for unstable atrial fibrillation to restore organized electrical activity.
Correct. Synchronized cardioversion is used for unstable atrial fibrillation to restore organized electrical activity.
What is the primary focus during the first few minutes of ROSC?
Incorrect. Adequate oxygenation and ventilation are critical to preventing hypoxia or hyperoxia after ROSC.
Correct. Adequate oxygenation and ventilation are critical to preventing hypoxia or hyperoxia after ROSC.
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.
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 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.
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 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.
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.
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.
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.
How many seconds should a pulse check take during cardiac arrest?
Incorrect. Pulse checks should be limited to 5-10 seconds to minimize interruptions in chest compressions.
Correct. Pulse checks should be limited to 5-10 seconds to minimize interruptions in chest compressions.
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.
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.
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.
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 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.
Hypokalemia is included in the "H's" of reversible cardiac arrest causes.
Incorrect. Hypokalemia can cause cardiac arrhythmias and is included in the "H's" of reversible causes of cardiac arrest.
Correct. Hypokalemia can cause cardiac arrhythmias and is included in the "H's" of reversible causes of cardiac arrest.
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 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 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.
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.
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.
Atropine is used to treat pulseless ventricular tachycardia.
Incorrect. Pulseless VT is treated with defibrillation, not atropine. Atropine is used for symptomatic bradycardia.
Correct. Pulseless VT is treated with defibrillation, not atropine. Atropine is used for symptomatic bradycardia.
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.
The recommended oxygen saturation goal during post-cardiac arrest care is 92-96%.
Incorrect. Maintaining oxygen saturation at 92-96% prevents hypoxia and avoids complications associated with hyperoxia.
Correct. Maintaining oxygen saturation at 92-96% prevents hypoxia and avoids complications associated with hyperoxia.
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.
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.
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.
During CPR with an advanced airway, chest compressions should continue uninterrupted.
Incorrect. With an advanced airway in place, compressions should continue uninterrupted while providing 10 breaths per minute.
Correct. With an advanced airway in place, compressions should continue uninterrupted while providing 10 breaths per minute.
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.
Which rhythm is not shockable?
Incorrect. Asystole is a non-shockable rhythm requiring high-quality CPR and epinephrine administration.
Correct. Asystole is a non-shockable rhythm requiring high-quality CPR and epinephrine administration.
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.
What is the maximum time allowed for interruption of chest compressions?
Incorrect. Interruptions in chest compressions should not exceed 10 seconds to maintain adequate perfusion to vital organs.
Correct. Interruptions in chest compressions should not exceed 10 seconds to maintain adequate perfusion to vital organs.
What is the correct dose of dopamine for bradycardia?
Incorrect. Dopamine is used to improve heart rate and contractility in bradycardia unresponsive to atropine.
Correct. Dopamine is used to improve heart rate and contractility in bradycardia unresponsive to atropine.
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 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.
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 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.
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.
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.
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 most common cause of PEA?
Incorrect. Hypoxia is a reversible cause of PEA; it must be treated immediately with oxygenation and ventilation.
Correct. Hypoxia is a reversible cause of PEA; it must be treated immediately with oxygenation and ventilation.
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.
What is the recommended initial dose of amiodarone for VF?
Incorrect. Amiodarone is administered as a 300 mg IV/IO bolus for refractory VF or pulseless VT.
Correct. Amiodarone is administered as a 300 mg IV/IO bolus for refractory VF or pulseless VT.
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.
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.
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 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 dose of epinephrine for adult cardiac arrest?
Incorrect. Epinephrine is given at a dose of 1 mg IV/IO every 3-5 minutes during adult cardiac arrest to improve perfusion.
Correct. Epinephrine is given at a dose of 1 mg IV/IO every 3-5 minutes during adult cardiac arrest to improve perfusion.
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.
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.
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 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 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.
What is the correct defibrillation dose for pediatric patients?
Incorrect. Pediatric defibrillation starts at 2 J/kg for the initial shock, increasing as needed based on the patient's response.
Correct. Pediatric defibrillation starts at 2 J/kg for the initial shock, increasing as needed based on the patient's response.
