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.
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.
What is the appropriate treatment for severe bradycardia in pediatric patients unresponsive to atropine?
Incorrect. Epinephrine is given as a continuous infusion to maintain adequate heart rate and perfusion when atropine is ineffective.
Correct. Epinephrine is given as a continuous infusion to maintain adequate heart rate and perfusion when atropine is ineffective.
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 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.
The correct dose of epinephrine for pediatric cardiac arrest is 0.01 mg/kg IV/IO.
Incorrect. Epinephrine at 0.01 mg/kg IV/IO is administered every 3-5 minutes to enhance coronary and cerebral perfusion in children.
Correct. Epinephrine at 0.01 mg/kg IV/IO is administered every 3-5 minutes to enhance coronary and cerebral perfusion in children.
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.
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.
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 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.
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 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.
Adenosine is used for the treatment of wide-complex tachycardia.
Incorrect. Adenosine is used for narrow-complex SVT, not wide-complex tachycardia, which is typically treated with amiodarone.
Correct. Adenosine is used for narrow-complex SVT, not wide-complex tachycardia, which is typically treated with amiodarone.
What is the proper dose of magnesium sulfate for torsades de pointes?
Incorrect. Magnesium sulfate stabilizes the myocardium and is the drug of choice for torsades de pointes.
Correct. Magnesium sulfate stabilizes the myocardium and is the drug of choice for torsades de pointes.
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 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 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.
What is the correct dose of epinephrine for pediatric cardiac arrest?
Incorrect. Epinephrine is dosed at 0.01 mg/kg IV/IO during pediatric cardiac arrest to improve coronary and cerebral perfusion.
Correct. Epinephrine is dosed at 0.01 mg/kg IV/IO during pediatric cardiac arrest to improve coronary and cerebral perfusion.
How should chest compressions be performed in pregnant patients?
Incorrect. Positioning the patient with a slight left tilt prevents aortocaval compression and improves venous return during CPR.
Correct. Positioning the patient with a slight left tilt prevents aortocaval compression and improves venous return during CPR.
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.
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.
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 compression depth for high-quality CPR in adults?
Incorrect. Compressing the chest 2-2.4 inches ensures adequate blood flow while minimizing injury risks.
Correct. Compressing the chest 2-2.4 inches ensures adequate blood flow while minimizing injury risks.
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.
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.
The target PETCO2 during effective chest compressions is >10 mmHg.
Incorrect. A PETCO2 level greater than 10 mmHg indicates that chest compressions are generating adequate blood flow.
Correct. A PETCO2 level greater than 10 mmHg indicates that chest compressions are generating adequate blood flow.
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 correct response if a shockable rhythm persists after the first shock?
Incorrect. High-quality CPR should be resumed immediately after a shock to maintain perfusion and increase the likelihood of ROSC.
Correct. High-quality CPR should be resumed immediately after a shock to maintain perfusion and increase the likelihood of ROSC.
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.
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 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?.
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 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.
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.
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 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.
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 compression-to-ventilation ratio for pediatric CPR with one rescuer?
Incorrect. A single rescuer performs 30 compressions followed by 2 breaths to maximize perfusion and oxygenation in pediatric CPR.
Correct. A single rescuer performs 30 compressions followed by 2 breaths to maximize perfusion and oxygenation in pediatric CPR.
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.
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 compression depth for infant CPR?
Incorrect. Compressing one-third the depth of the chest ensures adequate perfusion while minimizing the risk of injury.
Correct. Compressing one-third the depth of the chest ensures adequate perfusion while minimizing the risk of injury.
The ideal pulse check duration during CPR is 10-15 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.
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.
Chest compressions should be paused for at least 15 seconds to deliver a shock.
Incorrect. Chest compressions should be paused for less than 10 seconds to minimize interruptions during CPR when delivering a shock.
Correct. Chest compressions should be paused for less than 10 seconds to minimize interruptions during CPR when delivering a shock.
What is the recommended temperature range for TTM in ROSC?
Incorrect. Targeted temperature management improves neurological outcomes by preventing further brain injury.
Correct. Targeted temperature management improves neurological outcomes by preventing further brain injury.
What is the maximum pause allowed for chest compressions during CPR?
Incorrect. Interruptions in chest compressions should be minimized to less than 10 seconds to maintain adequate perfusion.
Correct. Interruptions in chest compressions should be minimized to less than 10 seconds to maintain adequate perfusion.
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 rhythm is described as a chaotic, irregular deflection with no P or QRS waves?
Incorrect. Ventricular fibrillation presents as a disorganized rhythm that requires immediate defibrillation.
Correct. Ventricular fibrillation presents as a disorganized rhythm that requires immediate defibrillation.
The correct dose of epinephrine for pediatric cardiac arrest is 1 mg/kg IV/IO.
Incorrect. The correct dose of epinephrine for pediatric cardiac arrest is 0.01 mg/kg IV/IO, not 1 mg/kg.
Correct. The correct dose of epinephrine for pediatric cardiac arrest is 0.01 mg/kg IV/IO, not 1 mg/kg.
What is the recommended compression fraction for effective CPR?
Incorrect. Maintaining a compression fraction of greater than 80% ensures the majority of resuscitation time is spent on compressions.
Correct. Maintaining a compression fraction of greater than 80% ensures the majority of resuscitation time is spent on compressions.
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 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.
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.
The correct dose of adenosine for pediatric SVT is 0.1 mg/kg IV.
Incorrect. Adenosine is administered at 0.1 mg/kg as a rapid IV push for terminating narrow-complex SVT caused by reentrant pathways.
Correct. Adenosine is administered at 0.1 mg/kg as a rapid IV push for terminating narrow-complex SVT caused by reentrant pathways.
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.
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.
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.
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.
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 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.
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 best indicator of ROSC during CPR?
Incorrect. A sudden increase in PETCO2 is a reliable indicator of ROSC, reflecting improved circulation and gas exchange.
Correct. A sudden increase in PETCO2 is a reliable indicator of ROSC, reflecting improved circulation and gas exchange.
The maximum time for a pulse check during CPR is 10 seconds.
What is the preferred treatment for unstable SVT?
Incorrect. Synchronized cardioversion is used to terminate unstable SVT by restoring normal electrical activity in the heart.
Correct. Synchronized cardioversion is used to terminate unstable SVT by restoring normal electrical activity in the heart.
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.
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.
