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.
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.
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 first-line drug for narrow-complex SVT?
Incorrect. Adenosine is used to terminate reentrant arrhythmias in narrow-complex SVT by slowing conduction through the AV node.
Correct. Adenosine is used to terminate reentrant arrhythmias in narrow-complex SVT by slowing conduction through the AV node.
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 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 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.
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.
Which rhythm is not shockable?
Incorrect. Asystole is a non-shockable rhythm treated with high-quality CPR and epinephrine.
Correct. Asystole is a non-shockable rhythm treated with high-quality CPR and epinephrine.
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 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.
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 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 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 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.
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.
How soon should defibrillation be performed in witnessed VF?
Incorrect. Rapid defibrillation within 1 minute of witnessed VF increases the likelihood of survival and ROSC.
Correct. Rapid defibrillation within 1 minute of witnessed VF increases the likelihood of survival and ROSC.
What is the best indicator of effective ventilation during CPR?
Incorrect. PETCO2 monitoring provides real-time feedback on ventilation and the effectiveness of chest compressions.
Correct. PETCO2 monitoring provides real-time feedback on ventilation and the effectiveness of chest compressions.
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.
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.
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.
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 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.
Epinephrine is administered every 5-10 minutes during cardiac arrest.
Incorrect. Epinephrine is administered every 3-5 minutes during cardiac arrest to maximize coronary and cerebral perfusion.
Correct. Epinephrine is administered every 3-5 minutes during cardiac arrest to maximize coronary and cerebral perfusion.
A compression-to-ventilation ratio of 15:2 is recommended for two-rescuer pediatric CPR.
Incorrect. A 15:2 ratio ensures efficient oxygenation and circulation in pediatric patients during two-rescuer CPR.
Correct. A 15:2 ratio ensures efficient oxygenation and circulation in pediatric patients during two-rescuer CPR.
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.
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.
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.
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.
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 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 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.
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 recommended initial dose of epinephrine in anaphylaxis?
Incorrect. IM epinephrine is the first-line treatment for anaphylaxis, administered into the mid-thigh for rapid absorption.
Correct. IM epinephrine is the first-line treatment for anaphylaxis, administered into the mid-thigh for rapid absorption.
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.
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.
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 dose of atropine for bradycardia?
Incorrect. First-line treatment to block vagal stimulation and increase heart rate.
Correct. First-line treatment to block vagal stimulation and increase heart rate.
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 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 appropriate action for PEA?
Incorrect. CPR is the primary intervention for PEA, followed by epinephrine and identification of reversible causes.
Correct. CPR is the primary intervention for PEA, followed by epinephrine and identification of reversible causes.
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 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 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 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.
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 reliable indicator of effective CPR?
Incorrect. A PETCO2 reading above 10 mmHg indicates adequate chest compressions and cardiac output during CPR.
Correct. A PETCO2 reading above 10 mmHg indicates adequate chest compressions and cardiac output during CPR.
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 recommended oxygen saturation goal during post-cardiac arrest care?
Incorrect. Oxygen saturation should be maintained at 92-96% to prevent hypoxia and avoid the harmful effects of hyperoxia.
Correct. Oxygen saturation should be maintained at 92-96% to prevent hypoxia and avoid the harmful effects of hyperoxia.
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.
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 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 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.
How should you position an unconscious patient with a suspected spinal injury?
Incorrect. The jaw thrust technique opens the airway while minimizing cervical spine movement, reducing the risk of further injury.
Correct. The jaw thrust technique opens the airway while minimizing cervical spine movement, reducing the risk of further injury.
PETCO2 levels >10 mmHg during CPR suggest effective chest compressions.
Incorrect. A PETCO2 reading above 10 mmHg indicates that chest compressions are generating sufficient circulation during CPR.
Correct. A PETCO2 reading above 10 mmHg indicates that chest compressions are generating sufficient circulation during CPR.
What is the recommended action after ROSC is achieved?
Incorrect. Oxygen levels should be monitored and optimized to maintain saturation within the target range of 92-96%.
Correct. Oxygen levels should be monitored and optimized to maintain saturation within the target range of 92-96%.
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 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.
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.
What is the best method to monitor the quality of CPR?
Incorrect. PETCO2 monitoring provides real-time feedback on chest compressions and the effectiveness of CPR.
Correct. PETCO2 monitoring provides real-time feedback on chest compressions and the effectiveness of CPR.
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 magnesium sulfate for torsades de pointes?
Incorrect. Magnesium sulfate is administered to stabilize the myocardium and terminate torsades de pointes.
Correct. Magnesium sulfate is administered to stabilize the myocardium and terminate 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.
Which drug is used for narrow-complex SVT?
Incorrect. Adenosine is the first-line drug for treating narrow-complex SVT by slowing conduction through the AV node.
Correct. Adenosine is the first-line drug for treating narrow-complex SVT by slowing conduction through the AV node.
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.
Which of the following is a reversible cause of cardiac arrest?
Incorrect. Hypothermia is a reversible cause of cardiac arrest and must be corrected to restore spontaneous circulation.
Correct. Hypothermia is a reversible cause of cardiac arrest and must be corrected to restore spontaneous circulation.
