Free ACLS Practice Test with Answers (2025)

1. Which of the following is NOT required to successfully complete the ACLS course?

ABLS skills

BAbility to perform pericardiocentesis and chest tube placement

CECG rhythm interpretation for core ACLS algorithms

DBasic ACLS drug and pharmacology knowledge

ABradycardia

BTachycardia

CAsystole

DAll of these

AProlonged rhythm analysis

BRemoving the patient from a dangerous environment

CFrequent or inappropriate pulse checks

DUnnecessarily moving the patient

AClosed-Loop Communication

BCollaboration Communication

C Dictatorial Communication

DEmergency Response Communication

AOne breath every 6 seconds

BOne breath every 2 seconds

COne breath every 10 seconds

DOne breath every 5 seconds

A5:1

B5:2

C10:1

D30:2

AEarly activation of the emergency response system

BHigh-quality chest compressions

CEarly defibrillation

DEstablishing IV access

A3-5 seconds

B5-10 seconds

C10-15 seconds

D15-20 seconds

ACardiac arrest

BBradycardia

CTachycardia

DStroke

AEvery 5-6 seconds

BEvery 10-12 seconds

CEvery 6 seconds

DEvery 10 seconds

AThey should be no more than 30 seconds

BThey should be coupled with finger sweeps

CThey should be ten seconds or less

DThey should be 15-20 seconds

AProvide a rescue breath

BStart CPR

CAllow time for the AED to reanalyze the rhythm

DCheck for a pulse

ATrue

BFalse

AGive Epinephrine and repeat every 3-5 minutes

BGive Atropine 0.5 mg IV

CVerify that the monitor leads are connected

D Defibrillate immediately at 200 Joules

APEA

BSinus Bradycardia

CSinus Rhythm

DSecond Degree Heart Block

AFirst Degree AV Block

BSecond Degree AV Block Mobitz Type 1

CSecond Degree AV Block Mobitz Type 2

DThird Degree AV Block

ATerminate resuscitation

BObtain intraosseous access

CPlace a central line

DAdminister all medications through ET tube

AVentricular contraction

BAV valve closure

CAtrial contraction

DSeptum relaxation

ATrue

BFalse

ARepeat defibrillation

BAdminister Vasopressin

CInitiate Transcutaneous pacing

DAdminister high-dose epinephrine

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ACLS Practice Test

1. Which of the following is NOT required to successfully complete the ACLS course?

2. ACLS algorithms require students to recognize which of the following ECG rhythms?

3. In order to minimize interruptions during chest compressions, which action should be avoided?

4. What type of communication involves the team leader giving a message, receiving a clear response, and confirming task performance?

5. During CPR on a patient with an advanced airway in place, how often should breaths be provided?

6. What is the appropriate compression-to-ventilation ratio during single-provider CPR before placing an advanced airway?

7. What is the most critical intervention during a witnessed sudden cardiac arrest?

8. How long should a carotid pulse check last during CPR before resuming compressions?

9. Which of the following is considered the most vital algorithm in ACLS?

10. How often should rescue breaths be delivered in patients who are in respiratory arrest with a perfusing rhythm?

11. Regarding suctioning attempts in ACLS interventions, what is true?

12. After providing a shock with an AED, what is the next step?

13. True or False: The systematic approach for a person in cardiac arrest should include the BLS Assessment and the Primary Assessment.

14. Your patient is awake, oriented, and denies discomfort. Respirations are even and non-labored with 96% oxygen saturation. What should you do next?

15. Your patient has a slow, regular rhythm at 48 beats per minute on the monitor. What is this rhythm likely?

16. The cardiac rhythm characterized by progressive prolongation of the PR interval until a QRS complex is dropped is called:

17. If IV access is not possible during transport of a cardiac arrest patient, what should you do?

18. On an ECG, the QRS complex represents:

19. The goal for stroke care is to complete the ED initial evaluation within 10 minutes, neurologic assessments within 25 minutes, and have the head CT read within 45 minutes. True or False?

20. After treating an individual in ventricular fibrillation with CPR and one attempt at defibrillation, and the new rhythm is third-degree AV block, what is the next step?

RESULT

Congratulations - You’ve completed the practice test.