ACLS Cardiac Arrest Practice Test

These questions are part of the practice quiz. Start practicing

• Which modality is explicitly mentioned as a tool for neuroprognostication?
• During resuscitation, Left Uterine Displacement must be provided when the fundus is at or above the umbilicus and maintained until what event?
• Left uterine displacement increases venous return by relieving pressure on which vessel?
• Persistent precipitating conditions refer to which concept?
• What initial action helps address hypovolemia during cardiac arrest?
• Targeted Temperature Management (TTM) is considered primarily for which purpose in post-cardiac arrest care?
• Which finding on an arterial line indicates ROSC when chest compressions are not ongoing?
• After every 2 minutes of CPR, if the rhythm is shockable, what should you do?
• For biphasic defibrillators, what energy dosing is recommended?
• What is the ACLS algorithm for a patient in PEA during arrest?
• What is the recommended time to recheck rhythm after a defibrillation shock?
• Which statement about EEG background reactivity and prognosis is accurate?
• Which combination best aligns with the guidance for neuroprognostication?
• In pediatric two-rescuer CPR, what is the correct compression-to-ventilation ratio, and how does it differ from adults?
• Which statement best describes the approach to promoting neurologic outcomes after ROSC?
• Asystole is described as which of the following on ECG?
• What is the total potential amiodarone dose if two doses are given during persistent shockable arrest?
• Why is it important to address persistent precipitating conditions after ROSC?
• Torsades de pointes is most often associated with which condition?
• Which statement about pulseless electrical activity is true?
• What is the target PaCO2 after ROSC unless another target is clinically indicated?
• For patients with STEMI after ROSC, what is the immediate recommended reperfusion strategy?
• Asystole is defined by what?
• For suspected massive pulmonary embolism causing cardiac arrest, which therapy may be initiated?
• If VF/pVT remains after the first defibrillation, what is the next step in the algorithm?
• What is the current stance on vasopressin in modern ACLS guidelines?
• Which measure is recommended for promoting neurologic recovery in comatose patients after cardiac arrest?
• Myocardial dysfunction after ROSC is primarily due to which phenomenon?
• PEA may be seen immediately after defibrillation of which condition?
• Pulseless ventricular tachycardia is defined by which statement?
• A patient with a potassium level of 3.2 mEq/L is most likely to show which feature on an electrocardiogram?
• Neuroprognostication after ROSC should be multimodal and delayed until how long after ROSC?
• If a defibrillation terminates the rhythm but a shockable rhythm resumes, what energy dose should be used for subsequent shocks?
• Why is epinephrine given during resuscitation?
• In the setting of an inferior wall myocardial infarction extending to the right ventricle (V4R), what resuscitation measure is appropriate to address preload?
• In massive pulmonary embolism–related cardiac arrest, which rhythm is often observed initially?
• In cardiac arrest management, when is bicarbonate typically used?
• Pulseless electrical activity (PEA) is best characterized as a rhythm that:
• What is the recommended chest compression rate during adult CPR?
• In cardiac arrest caused by pulmonary embolism, what therapy may be considered?
• Which statement reflects the overall guideline for electrophysiology in neuroprognostication?
• In metabolic acidosis during cardiac arrest, which dose of sodium bicarbonate may be indicated?
• In targeted temperature management, which statement best describes the rewarming phase?
• During non-shockable rhythms, how often should rhythm checks be performed during CPR?
• After return of spontaneous circulation (ROSC), what is the recommended minimum blood pressure target?
• Why should oxygen be titrated after ROSC?
• Which statement best describes the role of glucose control in post-arrest care?
• After oxygenation assessment, what SaO2 target range should be maintained?
• Ventricular fibrillation is characterized by which description?
• Which biomarker may be evaluated within 72 hours of ROSC as part of neuroprognostication?
• Pulseless electrical activity is best described as which?
• Which is a goal of management during the post-cardiac arrest period?
• What should you do about chest compressions when a shock is delivered?
• Which rhythms are considered shockable during cardiac arrest management?
• If ROSC is achieved but the patient remains unstable, what is the recommended management?
• Inotropic refers to which cardiac property?
• Which of the following is true about using EEG/SSEP findings for prognosis when seizures are present?
• What is the epinephrine dosing for PEA or asystole?
• After three shocks have been delivered, which antiarrhythmic is recommended first?
• What is the emergency treatment for cardiac tamponade causing arrest?
• Which of the following reflects the intended use of EEG and SSEP in neuroprognostication?
• What is the recommended action regarding endotracheal tube after ROSC if airway is secured?
• What emergency procedure is indicated for cardiac tamponade causing arrest?
• How is hypothermia addressed as a reversible cause in cardiac arrest?
• Which of the following is a known cause of ventricular fibrillation?
• In tension pneumothorax, what is the effect on mediastinum and venous return?
• For monophasic defibrillators, what is the standard energy dose?
• After a definitive pulse is palpated following resuscitation, what care should be provided?
• What is the initial defibrillation energy for pediatric patients, and what is the dosing pattern for subsequent shocks?
• Which imaging studies are used for neuroprognostication after ROSC?
• What is the recommended initial ventilation rate after ROSC?
• What energy level is typically used for the initial defibrillation shock with biphasic devices?
• What is the dose and schedule for amiodarone during persistent shockable arrest?
• Which electrophysiological modalities may be considered for neuroprognostication after cardiac arrest?
• Pulseless electrical activity is best described as:
• What is the recommended action after delivering a shock if the rhythm remains VF/pVT?
• In post-arrest care, when STEMI or other ACS is suspected, which action is recommended?
• What is the primary step to address hypoxia in cardiac arrest?
• For nonshockable rhythms, when should placement of an advanced airway and capnography occur?
• Which statement about EEG seizures or status epilepticus in prognostication is true?
• In tension pneumothorax, what is the recommended emergency treatment?
• If the pre-arrest ECG shows an anterior wall myocardial infarction, the cardiac arrest is most likely due to which issue?
• Torsades de pointes most often accompanies prolonged QT intervals. Which factor increases risk when the QTc exceeds 500 ms?
• How should metabolic acidosis be addressed during arrest?
• Which of the following statements aligns with the guidance about background reactivity?
• What FiO2 should be provided immediately after ROSC until oxygenation status is assessed?
• In evaluating a patient in cardiac arrest, one of the key questions is whether the rhythm is shockable or nonshockable.
• Which electrocardiographic finding is commonly seen before arrest in hypokalemia?
• What temperature range does Targeted Temperature Management aim for?
• During an arrest with suspected tension pneumothorax, what is the immediate management?
• Which medication is specifically indicated for torsades de pointes during arrest, and what is the dose?
• Which option is NOT a listed clinical indication of ROSC?
• Extracorporeal CPR (ECPR) may be considered under which scenario?
• When epinephrine should be administered during resuscitation after shocks?
• Which of the following can cause prolongation of the QT interval due to medication effects?
• During an arrest with a nonshockable rhythm, how often should epinephrine be administered?
• Which of the following is a reversible cause included among Hs and Ts?
• In ventricular fibrillation, how may the EEG waveform evolve before potentially becoming asystole?
• If hypotension persists after a 1- to 2-L IV isotonic crystalloid bolus following ROSC, what is an appropriate next step?
• What role does capnography play in CPR monitoring?
• What is the standard chest compression to ventilation ratio for adult single-rescuer CPR?
• What is a common management step for hypovolemia as a reversible cause during arrest?
• Which of the following is a clinical indicator of return of spontaneous circulation (ROSC)?
• In post-arrest care, when should catheterization be considered?
• For nonshockable rhythms, which treatment approach is recommended?
• If the arrest rhythm persists after the initial amiodarone dose, what is the recommended second dose and timing?
• When is lidocaine used in ACLS, and what is its typical dosing?
• What is the recommended stance on using EEG background reactivity to predict prognosis?
• In the pregnancy CPR protocol, how many hands are usually needed to perform left uterine displacement?
• Name two Hs and two Ts that should be considered as reversible causes during cardiac arrest.
• Which statement about EEG background reactivity is true?
• What treatments should be prioritized for patients with shockable rhythms?
• How is hypoglycemia during arrest managed?
• A common underlying cause when PEA presents as the initial rhythm includes which of the following?
• According to the stated guidance, seizures on EEG or status epilepticus should:
• What is the first-line vasopressor in ACLS for cardiac arrest and its dosing?
• Which rhythms are nonshockable?
• During cardiac arrest due to hyperkalemia, which therapy is preferred for rapid shift of potassium?
• During ventricular fibrillation, progression may lead to which rhythm as it worsens?
• What is targeted temperature management (TTM) and its typical target range?
• What glucose range is commonly targeted in post-arrest care?
• Which factor contributes to brain injury in the post-cardiac arrest period?
• Which statement about inducing hypothermia during Targeted Temperature Management is true?
• Which of the following is a cardiac arrest rhythm?
• Which statement describes how EEG/SSEP findings should be integrated into prognostication?
• If cardiac arrest is due to coronary thrombosis, what definitive therapy should be pursued?
• In ACLS, rhythm checks are typically performed every 2 minutes?
• What is the recommended chest compression depth for an adult and what must you ensure after each compression?
• Which devices are used to monitor core temperature during Targeted Temperature Management?
• A pediatric patient weighs 20 kg. What is the recommended initial defibrillation energy?
• Which physiologic data is used in deciding to terminate resuscitation?
• What is the recommended chest compression depth for pediatric patients?
• What is the recommended approach to electrolyte disturbances (potassium) during arrest?
• What blood pressure parameter is targeted after ROSC?
• For resuscitation of a pregnant patient in cardiac arrest, how many team members are needed to perform high-quality CPR?
• PEA causes when it is the presenting rhythm ('primary PEA') are usually due to conditions that affect which?
• Asystole is often the terminal rhythm in which scenario?
• Ischemia/reperfusion can trigger which systemic condition?
• In neuroprognostication, which statement about EEG and SSEP is most accurate?
• What is the initial defibrillation energy for a monophasic defibrillator, and how does it compare to biphasic devices?
• Ischemia/reperfusion can trigger which systemic response related to organ dysfunction?
• What QRS duration characterizes pulseless ventricular tachycardia on ECG?
• Seizures or epileptiform activity on EEG occur in approximately what percentage of comatose patients in the post-cardiac arrest period?
• Which rhythms are considered shockable in adult ACLS?
• Which statement correctly describes toxins and cardiac arrest?
• If amiodarone is not available, which lidocaine dosing regimen is recommended?
• Which clinical examination finding is used as part of neuroprognostication after ROSC?
• Which description best represents the technique for left uterine displacement from the left side?
• Which role is typically the primary decision-maker and leader in an ACLS code?
• If airway is not yet secured after ROSC, what is the recommended action?
• TTM should be considered for patients who remain comatose after ROSC.
• Which of the following best describes the role of electrophysiology in neuroprognostication?
• What is the recommended treatment for hypoglycemia during arrest?
• Which combination constitutes the three cardinal signs of cardiac tamponade?
• What is the classic triad of signs in cardiac tamponade?
• Which signs indicate cardiac arrest in an unresponsive patient with no normal breathing, prompting immediate CPR?
• In modern ACLS guidelines, which statement about vasopressor use is accurate?
• Which of the following is a reversible T (to be considered) of cardiac arrest?
• For patients with STEMI after ROSC, what is the recommended reperfusion approach?
• What action best reflects the resuscitation team's priority for maintaining quality CPR?
• Which statement about defibrillation energy recommendations is most accurate?
• Which statement is true regarding the management of PEA or asystole?
• Which end-tidal carbon dioxide (ETCO2) value is most likely to indicate adequate CPR quality?
• During a trauma-related arrest, which of the following actions should be prioritized if tamponade or tension pneumothorax is suspected?
• Which of the following is a reversible H (human physiological cause) of cardiac arrest?
• During ACLS, which metrics should be monitored continuously to detect ROSC?
• Pulseless ventricular tachycardia underlying causes include which of the following?
• Which tool is most helpful for narrowing the list of possible underlying causes during pulseless electrical activity?
• How should hypoxia be addressed during cardiac arrest?
• Which electrolyte abnormality is associated with prominent U waves on ECG?
• Why is early 12-lead ECG important in post-arrest care?
• What is the minimum duration for cooling in targeted temperature management?
• In trauma-related arrest, what should you do first?
• Which statement best describes pulseless ventricular tachycardia on ECG?
• For patients with severe hypothermia and cardiac arrest, which rewarming approach is indicated?
• Which statement best describes Pulseless Electrical Activity (PEA) on ECG?