ACLS ProMed Practice Test

These questions are part of the practice quiz. Start practicing

• What is the maximum total dose of adenosine in acute SVT (6 mg initial dose, may repeat with 12 mg)?
• Which ECG finding is classically associated with hypothermia?
• Which action best describes minimizing no-flow time during resuscitation?
• What is the device-dependent initial energy for synchronized cardioversion of unstable tachyarrhythmia with wide QRS?
• How do you manage unstable, wide-complex tachycardia with a pulse?
• Which electrolyte disturbances are included among the Hs and Ts that can cause arrest?
• If the initial adenosine dose for stable narrow-complex tachycardia is ineffective, what is the maximum recommended second dose?
• How should you manage a non-shockable rhythm (asystole or PEA) in cardiac arrest?
• Which item is NOT considered when classifying a tachyarrhythmia in ACLS?
• Post-arrest oxygenation, what SpO2 target is recommended?
• Nitroglycerin's hemodynamic effect in ACS is due to dilation of which vessels?
• What is the typical initial intravenous dose of amiodarone for unstable wide-complex tachycardia with a pulse?
• What is the role of seizure prophylaxis or treatment after ROSC?
• For code stroke patients, what is the key reason to obtain a non-contrast CT head before thrombolysis?
• What is the target temperature range for targeted temperature management after ROSC?
• After a shock delivered by an AED, what should you do next?
• Which of the following is part of the team leader's role?
• Which statement concerning PCI is true?
• What information about cardiac rhythms should be recorded during ACLS?
• Temperature management after ROSC includes a rewarming phase. Which statement best describes this rewarming?
• Which situation would indicate synchronized cardioversion?
• What is the first-line vasopressor for hypotension in acute coronary syndrome (ACS) and cardiogenic shock?
• Regarding NSAIDs in ACS, which statement is true?
• What is the goal door-to-balloon time for STEMI at a PCI-capable center?
• In suspected ACS with no ST-elevation, what is the recommended management?
• Which of the following describes the epinephrine dosing during PEA?
• What is the initial atropine dose and dosing interval in symptomatic bradycardia?
• Which statement about fibrinolysis is true?
• If intravenous access is not available, what is the preferred route for drug access?
• Targeted temperature management after cardiac arrest should be maintained for how long?
• Which drug is used in pulseless electrical activity (PEA) during ACLS?
• What is the immediate management for suspected tension pneumothorax during arrest?
• In a collapsed patient with no pulse and no breathing, after calling 911 and retrieving an AED, you should immediately
• What is the recommended interval for ACLS recertification?
• First-line antiarrhythmic for shock-refractory VF/pVT and its dose?
• What defibrillation data should be documented during ACLS?
• Which diagnostic test is urgently required to differentiate ischemic from hemorrhagic stroke in code stroke?
• During CPR when bradycardia is observed on the monitor, which drug is indicated?
• During targeted temperature management, how should sedation and analgesia be balanced to manage shivering while allowing neurologic assessments?
• Which rhythm is considered shockable for immediate defibrillation?
• Osborn waves on ECG are most often seen in which clinical state?
• What is the initial treatment for symptomatic bradycardia in ACLS?
• In the management of acute coronary syndrome, PCI is preferred over fibrinolysis when...
• You check an adult victim for a pulse. After 10 seconds you cannot determine whether a pulse is present. You should:
• What is a central goal of post-arrest hemodynamic optimization?
• What is a common loading dose range for clopidogrel when ACS patients undergo PCI?
• The presence of Osborn waves on an ECG should prompt evaluation for which underlying issue?
• What is the rationale for minimizing interruptions in chest compressions during resuscitation?
• In a patient with stable, wide-complex tachycardia with suspected VT, what is a common initial therapy?
• How long should post-cardiac arrest targeted temperature management be maintained?
• What is the recommended range for post-cardiac arrest targeted temperature management?
• Name three Hs in the ACLS Hs and Ts mnemonic.
• An AED has arrived; if it does not promptly analyze the rhythm, what should you do?
• How often should rhythm checks be performed during CPR?
• Osborn waves on ECG are most diagnostic of which condition?
• How should you manage a patient with a known pacemaker or ICD who requires CPR?
• Nitroglycerin used in acute coronary syndrome primarily reduces preload.
• Which of the following best describes high-quality CPR elements?
• What is the minimum duration for Targeted Temperature Management after ROSC?
• Which syndrome is not a recognized degree in the progression of coronary artery occlusion?
• How often is epinephrine given during CPR for a non-shockable rhythm?
• Which factors influence the likelihood of a successful resuscitation?
• Which medications are examples of P2Y12 inhibitors used with aspirin after STEMI?
• EtCO2 greater than 10-20 mmHg during CPR is associated with which of the following?
• What is the first action when a shockable rhythm is present?
• In PEA arrest when tension pneumothorax is suspected, which intervention is immediately indicated?
• If amiodarone is unavailable for stable wide-complex tachycardia with pulse, which drug serves as an alternative?
• After ROSC in ICU, which monitoring is essential to manage hemodynamics?
• The use of NSAIDs in ACS is linked to what risk?
• During ACLS, which timing detail should be documented for pharmacologic therapy?
• What is the role of aspirin in NSTEMI when there is a known bleeding risk?
• Which arrhythmias are typically associated with a regular narrow QRS complex?
• In suspected ACS with hypotension where nitrates are contraindicated, which approach is recommended?
• What is a central component of post-arrest management to minimize brain injury?
• The recommended timeframe for PCI after first medical contact when clinically feasible is...
• What is the epinephrine dosage in PEA?
• In a stable, regular narrow-complex tachycardia, what is a common first-line pharmacologic therapy?
• Endovascular therapy for ischemic stroke is considered within what timeframe?
• Tachycardia in an adult is generally classified as a heart rhythm with a rate that is:
• When considering treatment of VF/VT in the patient with hypothermia, which of the following is true?
• What is the dosing for lidocaine when used as an alternative antiarrhythmic during VF/pVT refractory?
• After completing the ACLS course, providers will be able to do which of the following?
• What additional antiplatelet therapy is commonly given with aspirin in ACS undergoing PCI?
• In suspected acute coronary syndrome, what is the initial antiplatelet therapy you should administer?
• Which statement about the depth of chest compressions is correct?
• To become ACLS certified, knowledge of which skills is required?
• Which action is a key consideration in stroke code management related to timing?
• If you see a collapsed adult in an airport with 911 called and an AED being retrieved, which action sequence is recommended?
• Which pair of rhythms is considered shockable in ACLS guidelines?
• In non-shockable arrest, which agent may be used as an alternative to the first dose of epinephrine?
• What is the recommended chest compression rate during adult CPR?
• Which statement best describes management of tachyarrhythmia with hemodynamic instability?
• What PaO2 range corresponds to the SpO2 target of 94-98% after ROSC?
• What is the role of thrombolysis during cardiac arrest due to suspected massive pulmonary embolism?
• PETCO2 is:
• In post-arrest care, maintaining adequate perfusion pressure is intended to minimize which injury?
• What is the recommended epinephrine dose during cardiac arrest?
• Which two rhythms define the two pathways in the ACLS cardiac arrest algorithm?
• Why is minimizing hyperventilation important during CPR?
• What is the dosage range for dopamine infusion in bradycardia?
• What is the recommended 'no-flow' time principle in ACLS?
• In the pulseless arrest algorithm, which has priority: advanced airway or IV/IO access?
• Temperature management after ROSC includes a rewarming phase. What is the intended pace of rewarming?
• What is the time goal for door-to-balloon time in STEMI management?
• Which of the following is not used to treat acute stroke?
• What is the recommended approach to antiepileptic therapy after ROSC when seizures are suspected?
• For stable wide-complex tachycardia with suspected VT, if amiodarone is contraindicated or ineffective, which agent can be used as an alternative?
• Which statement best describes the relationship between CPR quality and resuscitation outcomes?
• For biphasic defibrillators, energy for first shock in VF/pVT arrest?
• In ACLS, ECMO is considered in which scenario?
• In asystole management, which action is emphasized?
• During CPR, a sudden rise in end-tidal CO2 toward the baseline most likely indicates what event?
• For a suspected code stroke, what imaging should be obtained before thrombolysis?
• Which statement about shockable rhythms is true?
• What is the recommended chest compression rate during adult CPR?
• What is the recommended atropine dose for symptomatic bradycardia in ACLS?
• What is the initial amiodarone dose for refractory VF/pVT?
• In asystole, which of the following is a key management step?
• What is a primary post-arrest objective regarding temperature?
• Which tool is used to categorize patients with suspected acute coronary syndrome?
• Which rhythms are considered shockable in ACLS?
• Naloxone is used in the treatment of acute stroke. True or False?
• Which sequence accurately describes the oxygen strategy in ACS to avoid hyperoxia?
• Which item is NOT part of the H's and T's mnemonic in ACLS?
• In STEMI treatment, which reperfusion strategy is preferred when PCI-capable facilities are available?
• Which statement about quantitative waveform capnography is true in ACLS context?
• What MAP target is commonly used after ROSC to support organ perfusion?
• What is the target chest compression fraction (CCF) during resuscitation?
• Which drug is used in asystole during ACLS?
• The BLS assessment emphasizes which of the following early actions?
• During CPR for a non-shockable rhythm, how often should epinephrine be given?
• Therapeutic temperature management duration after ROSC is approximately how long?
• Which vasopressor is preferred to support blood pressure after return of spontaneous circulation (ROSC)?
• In persistent tachyarrhythmia causing hypotension, the first line of treatment is not adenosine; what is the recommended next step?
• Epinephrine is given during cardiac arrest at what frequency?
• What is the recommended approach to oxygen therapy in ACS to avoid hyperoxia?
• What is the MAP target after ROSC if hypotension persists?
• Adenosine will terminate atrial flutter.
• Which ACS medication reduces preload by causing peripheral arterial and venous dilation?
• What monitoring tool is essential to confirm endotracheal tube placement and gauge CPR quality?
• Which vasopressor is commonly used to support blood pressure after ROSC if hypotension persists?
• Which statement about the Cincinnati Prehospital Stroke Scale is NOT true?
• Which statement about atropine use in ACLS is true?
• Which rhythm with a pulse is commonly treated with synchronized cardioversion?
• In suspected massive pulmonary embolism causing arrest, which therapy might be considered?
• Which statement correctly describes the structure of the cardiac arrest algorithm in ACLS?
• What should be allowed between chest compressions?
• What should be avoided in ACS patients when oxygen is not needed?
• The chance of survival from cardiac arrest decreases by what range with each minute that defibrillation is delayed?
• In stable tachycardia with a regular narrow complex, what is a key diagnostic marker?
• What is the typical glucose target during post-arrest care?
• What is the first-line antiarrhythmic for refractory VF/pVT?
• In tachycardia with a pulse that is unstable, what is the recommended immediate intervention?
• In symptomatic bradycardia not responding to atropine, what is the recommended next step?
• If amiodarone is not available, what is a common alternative antiarrhythmic in arrest?
• After ROSC, what oxygenation target is recommended to avoid hyperoxia?
• Which of the following is a T condition in the ACLS Hs and Ts mnemonic?
• End-tidal CO2 monitoring is valuable during airway management because it helps monitor ventilation during which procedure?
• In adult tachycardia without signs of cardiovascular instability, if the QRS complex is less than 0.12 seconds, which intervention is recommended?
• How should you assess a pulse during CPR?
• What is the correct dopamine infusion dosage range for bradycardia?
• In the pulseless electrical activity algorithm, what is the first step?
• The Advanced Cardiac Life Support Provider Course is designed for which of the following groups?
• After ROSC, what oxygen saturation target is recommended to prevent hypoxemia without causing hyperoxia?
• In acute ischemic stroke management, endovascular therapy is considered within which context?
• What action should be taken after ROSC if the patient remains hemodynamically unstable?
• What term describes the time from arrest onset to return of spontaneous circulation?
• Which statement about capnography during CPR is true?
• Which element is essential to document in an ACLS run sheet to reflect resuscitation efforts?
• In suspected massive pulmonary embolism causing arrest, which thrombolysis option may be considered if not contraindicated?
• In a patient with STEMI presenting to a non-PCI center, what is the preferred reperfusion therapy?
• During ACLS cardiac arrest management, when is epinephrine administered?
• In a PEA arrest associated with tension pneumothorax, what is the immediate management?
• Which statement about vasopressin in adult ACLS is correct?
• What is the initial drug and dose for symptomatic bradycardia?
• What energy is used for the first defibrillation shock with a biphasic defibrillator?
• The term 'clot-buster' therapy refers to which ACLS treatment?
• In torsades de pointes during arrest, if the initial magnesium sulfate 1-2 g IV push is given and torsades persists, what is the recommended next step?
• During resuscitation, the target oxygen saturation for non-arrest patients is what percentage by pulse oximetry?
• In a patient with STEMI, what is the initial antiplatelet therapy that should be given promptly if not contraindicated?
• What ETCO2 value during CPR is associated with better perfusion and prognosis?
• Which pair of rhythms correctly represents the two rhythm-based pathways of the ACLS cardiac arrest algorithm?
• What is the maximum interruption duration for any pause during CPR?
• If ROSC is achieved but the patient remains hypotensive in the ED, which of the following is a common initial step?
• After ROSC, seizures are managed how?
• After the first defibrillation, which sequence of actions is recommended?
• Adenosine is considered for which tachycardia rhythm in adults without instability?
• What is the standard atropine dose for symptomatic bradycardia?
• In stable, narrow-complex SVT, what is a common initial pharmacologic therapy?
• PEA describes an organized rhythm without a pulse.
• After ROSC, which statement best captures the oxygenation strategy?
• During ACLS, how should supplementary oxygen be provided?
• The presence of an implanted defibrillator is a contraindication to using an AED.
• In the management of post-arrest hypotension, which vasopressor is commonly used as first-line support?
• After completing the ACLS course, providers are equipped to perform which of the following?
• If bradycardia persists after atropine, what is the next step?
• For STEMI, what is the role of antiplatelet therapy beyond aspirin?
• Adenosine is contraindicated in which scenario?
• Which strategy helps minimize interruptions in chest compressions?
• What is the initial energy for synchronized cardioversion of an unstable tachyarrhythmia with wide QRS?
• In a resuscitation scenario, is it sufficient for a team member to understand only their own role?
• What depth should chest compressions reach in adults during CPR?
• Compressions on an adult victim should be performed at what rate and depth?
• Which ETCO2 value during CPR indicates better prognosis?
• Tissue plasminogen activator (tPA) is typically considered for acute ischemic stroke within how many hours of onset?
• Role of magnesium in torsades de pointes during arrest?
• What is the recommended initial action if ROSC is achieved but the patient remains hemodynamically unstable?
• Vasopressin should only be given after the first dose of epinephrine in the asystole pathway of the adult cardiac arrest algorithm.
• The 12-lead ECG is used to detect which condition in suspected ACS?
• How often should rhythm checks be performed during CPR?
• If amiodarone is not available, what alternative antiarrhythmic can be used for refractory VF/pVT?
• During ACLS, to minimize interruptions during airway management, which approach is recommended?
• In acute coronary syndrome, NSAIDs are associated with which outcomes?
• Which condition is an indication for fibrinolytic therapy in ACS management?
• For stable wide-complex tachycardia with a pulse, which medication is commonly used as first-line therapy?
• Which is an initial treatment for PEA?
• What is the initial energy for synchronized cardioversion of an unstable tachyarrhythmia with a narrow QRS?
• Which electrolyte disturbances should you monitor and correct during ACLS to optimize rhythm and conduction?
• Which dopamine dosage range is appropriate for bradycardia infusion?
• In bradycardia management with transcutaneous pacing, which vasopressor infusion is commonly used to support perfusion?
• In the management of acute stroke, which agent is not part of standard therapy?
• After identifying a shockable rhythm, what is the recommended sequence?
• In STEMI when PCI is not immediately available, what pharmacologic reperfusion option may be considered?
• Osborn or J-waves on ECG are associated with which condition?
• Which statement about epinephrine in ACLS is true?
• PEA describes any organized rhythm that does not result in a pulse.
• Which parameter should be monitored to ensure adequate oxygenation after ROSC?
• How often should epinephrine be repeated during cardiac arrest?
• Which statement best describes essential documentation decisions during ACLS?
• What is the recommended chest compression depth for adult CPR?
• Which drug is not used in the treatment of acute stroke?
• In the 2015 update, which statement correctly reflects vasopressin's status in the Adult Cardiac Arrest Algorithm?
• What is the door-to-balloon time target for STEMI reperfusion with primary PCI?
• After ROSC, how should antiseizure therapy be considered?
• In hypothermia with VF/VT, which statement is true?
• What is a recommended post-ROSC temperature strategy?
• In torsades de pointes, what electrolyte must be corrected and what pharmacologic therapy is given?