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 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.
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 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 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 maximum dose of lidocaine in ACLS?
Incorrect. Lidocaine is an antiarrhythmic drug used as an alternative to amiodarone for VF or pulseless VT.
Correct. Lidocaine is an antiarrhythmic drug used as an alternative to amiodarone for VF or pulseless VT.
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.
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.
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 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.
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 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.
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.
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 is the maximum dose of atropine for adult bradycardia?
Incorrect. Atropine should not exceed a total dose of 3 mg when treating symptomatic bradycardia in adults.
Correct. Atropine should not exceed a total dose of 3 mg when treating symptomatic bradycardia in adults.
How soon should defibrillation be attempted in a witnessed VF arrest?
Incorrect. Early defibrillation within 30 seconds of a witnessed VF arrest increases survival rates significantly.
Correct. Early defibrillation within 30 seconds of a witnessed VF arrest increases survival rates significantly.
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.
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 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 initial step in the BLS survey?
Incorrect. Assessing responsiveness is the first step in determining the need for CPR or other interventions in the BLS survey.
Correct. Assessing responsiveness is the first step in determining the need for CPR or other interventions in the BLS survey.
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 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.
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.
Chest compressions should be paused to deliver ventilation during advanced airway CPR.
Incorrect. With an advanced airway in place, compressions continue uninterrupted while breaths are delivered at 6-8 breaths per minute.
Correct. With an advanced airway in place, compressions continue uninterrupted while breaths are delivered at 6-8 breaths per minute.
How should you position a patient for defibrillation?
Incorrect. A supine position ensures proper electrode placement and effective delivery of defibrillation shocks.
Correct. A supine position ensures proper electrode placement and effective delivery of defibrillation shocks.
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.
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).
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.
The correct energy setting for synchronized cardioversion of atrial fibrillation is 120-200 J.
Incorrect. Atrial fibrillation is cardioverted starting at 120-200 J in synchronized mode to avoid delivering the shock during ventricular repolarization.
Correct. Atrial fibrillation is cardioverted starting at 120-200 J in synchronized mode to avoid delivering the shock during ventricular repolarization.
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 route for drug administration during ACLS?
Incorrect. IV access is preferred for rapid administration; IO is the alternative if IV access is unavailable.
Correct. IV access is preferred for rapid administration; IO is the alternative if IV access is unavailable.
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 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 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 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 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.
Amiodarone is the first-line drug for treating ventricular fibrillation.
Incorrect. Epinephrine is given first in VF during cardiac arrest, followed by amiodarone as an antiarrhythmic after defibrillation attempts.
Correct. Epinephrine is given first in VF during cardiac arrest, followed by amiodarone as an antiarrhythmic after defibrillation attempts.
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.
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 recommended compression-to-ventilation ratio for infants with two rescuers?
Incorrect. The 15:2 ratio improves oxygenation and circulation during high-quality infant CPR performed by two rescuers.
Correct. The 15:2 ratio improves oxygenation and circulation during high-quality infant CPR performed by two rescuers.
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.
Defibrillation is the treatment of choice for pulseless electrical activity.
Incorrect. PEA is not a shockable rhythm; it is treated with CPR and addressing reversible causes such as hypoxia or hypovolemia.
Correct. PEA is not a shockable rhythm; it is treated with CPR and addressing reversible causes such as hypoxia or hypovolemia.
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.
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.
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 fraction goal during CPR?
Incorrect. Maintaining a compression fraction above 80% ensures adequate blood flow during resuscitation.
Correct. Maintaining a compression fraction above 80% ensures adequate blood flow during resuscitation.
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.
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.
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.
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.
What is the preferred drug for refractory ventricular fibrillation?
Incorrect. Amiodarone is used after defibrillation and epinephrine for refractory VF to stabilize the myocardium.
Correct. Amiodarone is used after defibrillation and epinephrine for refractory VF to stabilize the myocardium.
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.
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 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.
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.
What is the recommended oxygen saturation target during ROSC?
Incorrect. Reduces the risk of oxidative stress and worsened outcomes by preventing hyperoxia.
Correct. Reduces the risk of oxidative stress and worsened outcomes by preventing hyperoxia.
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.
Which drug can increase the heart rate in symptomatic bradycardia?
Incorrect. Atropine blocks vagal stimulation, increasing heart rate in cases of symptomatic bradycardia.
Correct. Atropine blocks vagal stimulation, increasing heart rate in cases of symptomatic bradycardia.
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.
Pulseless electrical activity (PEA) is treated with defibrillation.
Incorrect. PEA is not a shockable rhythm; it is managed with high-quality CPR and addressing the underlying reversible causes.
Correct. PEA is not a shockable rhythm; it is managed with high-quality CPR and addressing the underlying reversible causes.
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.
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.
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.
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?.
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.
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.
