True or false: If no definite pulse is found within 10 seconds, begin CPR rather than delaying to identify the exact rhythm.
5 Adult ACLS Algorithms Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Adult ACLS Algorithms, test your knowledge, and prepare for your next test or exam.
True or false: A heart rate below 50/min, by itself, establishes that a patient needs emergency bradycardia treatment.
- A
True
- B
False
A patient in cardiac arrest has organized electrical activity on the monitor but no palpable pulse. Which action best matches the PEA pathway?
- A
Deliver a defibrillation shock, then resume CPR.
- B
Continue CPR and give epinephrine as soon as possible.
- C
Perform synchronized cardioversion.
- D
Stop CPR and observe for a rhythm change.
When delivering adult CPR, what is the recommended minimum compression depth?
- A
At least 5 cm
- B
At least 3 cm, but no more than 4 cm
- C
Exactly 2 cm
- D
At least 8 cm
During VF/pVT cardiac arrest, a biphasic defibrillator's manufacturer-recommended energy setting is unknown. What setting should be used?
- A
Always use 120 J, regardless of the device recommendation.
- B
Use the maximum available setting.
- C
Use 360 J for every device.
- D
Do not shock until the recommended setting can be confirmed.
A patient has persistent cardiopulmonary compromise from bradycardia despite atropine. Which next step is consistent with the algorithm?
- A
Repeat atropine indefinitely without reassessment.
- B
Perform synchronized cardioversion.
- C
Use transcutaneous pacing and/or an epinephrine or dopamine infusion.
- D
Defibrillate immediately.
A patient has a pulse and a tachyarrhythmia. Select all findings that indicate cardiopulmonary compromise and support an unstable-tachyarrhythmia pathway.
- A
Hypotension
- B
A heart rate that is above the usual resting rate, without other symptoms
- C
Acutely altered mental status
- D
Signs of shock
- E
A normal oxygen saturation, by itself
- F
Ischemic chest discomfort
During cardiac-arrest resuscitation, select all options that are among the reversible causes known as the Hs.
- A
Hypovolemia
- B
Hypoxia
- C
Tension pneumothorax
- D
Hydrogen ion (acidosis)
- E
Hypo-/hyperkalemia
- F
Cardiac tamponade
- G
Hypothermia
For bradycardia with compromise, atropine may be repeated every 3–5 minutes. What is the maximum total dose? Enter the value in mg.
In the adult tachycardia algorithm, a wide QRS is defined as a duration of at least what value? Enter the threshold in seconds.
During adult CPR with an advanced airway, continue compressions and give one breath every .
In the PEA/asystole pathway, after giving epinephrine as soon as possible, repeat it every .
A patient has stable wide-complex tachycardia that is regular and monomorphic, but its cause is uncertain. What role, if any, may adenosine have, and what other management considerations are appropriate?
A patient with a persistent tachyarrhythmia and a pulse develops cardiopulmonary compromise. Which immediate rhythm-directed approach is recommended, assuming the rhythm is not polymorphic VT?
- A
Give adenosine and wait to see whether the rhythm resolves.
- B
Perform synchronized cardioversion, sedating whenever feasible without delaying urgent treatment.
- C
Use an unsynchronized shock for every tachyarrhythmia with a pulse.
- D
Observe without intervention until the rate increases further.
A patient has wide-complex tachycardia. Which medications should be avoided for this rhythm?
- A
Verapamil and diltiazem
- B
Oxygen when the patient is hypoxemic
- C
Expert consultation when diagnosis or treatment is uncertain
- D
An antiarrhythmic infusion when appropriate
An adult in cardiac arrest has VF on the monitor and receives the first shock. What should the team do next?
- A
Pause for a prolonged rhythm check before resuming compressions.
- B
Immediately resume CPR for 2 minutes and obtain IV/IO access.
- C
Give atropine before resuming compressions.
- D
Deliver another shock immediately, without CPR.
An adult has bradycardia with persistent cardiopulmonary compromise. What is the recommended initial atropine dose and repeat interval?
- A
0.5 mg IV, repeated every 1–2 minutes to a maximum of 2 mg.
- B
2 mg IV once, with no repeat dose.
- C
1 mg IV, repeated every 3–5 minutes to a maximum total dose of 3 mg.
- D
3 mg IV every 3–5 minutes.
Which reversible cause in the Hs and Ts refers to inadequate oxygen in the body's tissues? Enter the term.
For refractory VF/pVT during adult cardiac arrest, what is the initial amiodarone IV/IO bolus dose? Enter the value in mg.
A stable adult has a regular narrow-complex tachyarrhythmia. True or false: the pathway allows clinicians to consider vagal maneuvers and adenosine.
- A
True
- B
False