Free ACLS Practice Test

Question 1

If a patient is found pulseless during assessment, what should the team do?

Accepted Answer

Start CPR, identify the rhythm, and follow the appropriate adult cardiac arrest algorithm

Answer

Wait for a 12-lead ECG before starting CPR

Answer

Begin the tachycardia with a pulse algorithm

Answer

Start post-cardiac arrest care

Question 2

Which statement best describes pulseless electrical activity?

Accepted Answer

PEA means the monitor shows organized electrical activity but the patient has no pulse

Answer

PEA means the monitor is blank and the patient has no pulse

Answer

PEA means the patient has a pulse but poor perfusion

Answer

PEA means a shockable rhythm is present

Question 3

What should happen immediately after a shock is delivered for VF/pVT cardiac arrest?

Accepted Answer

Resume CPR immediately

Answer

Pause to check for a pulse

Answer

Wait for the monitor to show a new rhythm

Answer

Give atropine before compressions restart

Question 4

Which epinephrine dose is used in adult PEA/asystole cardiac arrest?

Accepted Answer

1 mg IV/IO every 3 to 5 minutes

Answer

0.5 mg IV every 10 minutes

Answer

2 to 10 mcg/min infusion

Answer

6 mg rapid IV push

Question 5

Which atropine dosing matches the adult bradycardia algorithm?

Accepted Answer

1 mg IV bolus, repeat every 3 to 5 minutes, maximum total dose 3 mg

Answer

0.5 mg IV once, maximum 1 mg

Answer

6 mg rapid IV push, then 12 mg

Answer

300 mg IV/IO bolus

Question 6

What is the usual electrical treatment for most unstable tachycardias with a pulse?

Accepted Answer

Synchronized cardioversion

Answer

Routine unsynchronized shock for all cases

Answer

Chest compressions before any pulse check

Answer

Transcutaneous pacing

Question 7

What can an abrupt sustained rise in ETCO2 during cardiac arrest suggest?

Accepted Answer

Possible ROSC

Answer

Need to stop CPR immediately without a pulse check

Answer

Correct placement of an NPA

Answer

Need for routine sodium bicarbonate

Question 8

Which initial ACS medication and oxygen approach matches the course?

Accepted Answer

Give chewable aspirin 162 to 325 mg when there is no contraindication, and give oxygen for confirmed hypoxia such as SpO2 below 90%

Answer

Give oxygen to every ACS patient regardless of saturation and avoid aspirin

Answer

Give fibrinolysis to every patient with chest discomfort

Answer

Give atropine before obtaining an ECG

Question 9

Why is urgent brain imaging needed in suspected acute stroke?

Accepted Answer

To determine whether hemorrhage is present and guide ischemic versus hemorrhagic treatment pathways

Answer

To replace the need for a glucose check

Answer

To confirm that every patient should receive aspirin immediately

Answer

To decide whether CPR quality is adequate

Question 10

Which actions support strong ACLS team performance? Select all that apply.

Accepted Answer

Assign roles early

Accepted Answer

Speak up directly and respectfully about safety concerns

Accepted Answer

Use brief CPR-quality feedback when needed

Accepted Answer

Debrief after the event to identify improvements

Answer

Avoid correcting errors until the event is over