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Quizzes > Health & Medicine > Human Anatomy & Medicine

ACLS Practice Quiz: Ready to Test Your Life Support Skills?

Think you can ace these ACLS practice questions? Dive in and explore our top ACLS quizzes!

Editorial: Review CompletedCreated By: Xiomara YsabelleUpdated Aug 27, 2025
Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art heart and ECG waveform on dark blue background promoting free ACLS practice quiz and life support skills readiness

This ACLS practice quiz helps you rehearse algorithms, rhythms, and meds you'll use in cardiac arrest and peri-arrest care. Work through case-style questions to spot weak areas before the exam and boost recall under pressure. Want a harder round? Try the advanced ACLS questions .

Which rhythm is shockable during adult cardiac arrest?
Asystole
Pulseless electrical activity
Ventricular fibrillation
Sinus tachycardia
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Recommended chest compression rate for adult CPR is:
80-90 per minute
100-120 per minute
60-80 per minute
120-150 per minute
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During adult CPR, compress the chest to a depth of:
7-8 cm
3-4 cm
1-2 cm
5-6 cm
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Epinephrine IV/IO dose for adult cardiac arrest is:
1 mg every 3-5 minutes
0.1 mg every 3-5 minutes
2 mg every minute
10 mg once
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When an advanced airway is in place during adult CPR, ventilate at:
2 breaths every 30 seconds
1 breath every 10 seconds
1 breath every 3 seconds
1 breath every 6 seconds
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Which sign indicates unstable tachycardia requiring immediate synchronized cardioversion?
Stable blood pressure with occasional dizziness
Mild anxiety
Hypotension with altered mental status
Asymptomatic palpitations
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Amiodarone dosing for refractory VF/pulseless VT during arrest is:
300 mg then 150 mg
150 mg once
75 mg then 150 mg
1 mg/min infusion only
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Initial biphasic defibrillation energy for VF if device-specific dose is unknown:
50 J
100 J
Max available (e.g., 200 J)
20 J
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Atropine IV dose for symptomatic bradycardia in adults is:
0.5 mg every 5 minutes up to 1 mg
0.1 mg/kg every minute up to 3 mg
2 mg once
1 mg every 3-5 minutes up to 3 mg
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For regular narrow-complex SVT, initial synchronized cardioversion energy is typically:
50-100 J
300-360 J
150-200 J
5-10 J
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Adenosine initial IV push dose for stable regular narrow-complex SVT is:
6 mg rapid IV push
12 mg slow IV push over 2 minutes
3 mg rapid IV push
18 mg diluted infusion over 10 minutes
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Primary confirmation of endotracheal tube placement during resuscitation is best achieved by:
Continuous waveform capnography
Chest rise only
Condensation in the tube
Auscultation alone
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Target end-tidal CO2 (PETCO2) during high-quality CPR should be:
Less than 5 mmHg
Around 10-20 mmHg or higher
60-80 mmHg
0 mmHg
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Which waveform on the monitor best confirms ROSC during CPR?
Abrupt sustained rise in PETCO2
Asystole
Artifact
Fine VF
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For unstable wide-complex regular tachycardia with a pulse, synchronized cardioversion energy is typically:
360 J unsynchronized
20 J
50 J
100 J
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In suspected hyperkalemia-induced cardiac arrest, which adjunct medication is appropriate while performing ACLS?
Adenosine
Diltiazem
Calcium chloride or calcium gluconate
Atropine
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During team-based resuscitation, what is the most effective way to reduce chest compression pauses for rhythm checks?
Stop compressions while charging the defibrillator
Prolong checks to ensure accuracy
Use of defibrillator with quick-look and charging during compressions
Check rhythm every minute
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In hypothermic cardiac arrest, which consideration is correct?
Withhold defibrillation until warmed to 36 C
Limit defibrillation attempts to one until rewarming progresses
Perform rapid active core cooling only after ROSC
Avoid epinephrine entirely
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Which action should be avoided when applying adult ACLS to adolescents?
Assume adult drug dosing without weight consideration
Use defibrillator pediatric settings if available for smaller adolescents
Assess responsiveness and breathing
Use IO access if IV fails
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Which is the most reliable indicator of effective chest compressions in an intubated patient?
Pulse oximetry waveform alone
ECG artifact amplitude
Arterial line diastolic pressure ≥ 20-25 mmHg
Visible sweat on the rescuer
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Study Outcomes

  1. Recognize ECG Rhythms -

    Interpret common heart rhythms presented in the ACLS practice quiz to accurately distinguish shockable from non-shockable rhythms in clinical settings.

  2. Apply ACLS Algorithms -

    Demonstrate proper sequencing of interventions for cardiac arrest and peri-arrest situations by completing realistic ACLS quizzes.

  3. Select Appropriate Interventions -

    Choose the correct pharmacologic and non-pharmacologic treatments for advanced cardiovascular life support scenarios based on clinical prompts.

  4. Prioritize Patient Management -

    Determine critical steps in airway, breathing, and circulation management when responding to advanced cardiovascular life support emergencies.

  5. Assess Performance & Identify Gaps -

    Use immediate feedback from the quiz to evaluate your strengths and weaknesses and inform your ACLS certification test preparation.

Cheat Sheet

  1. Chain of Survival -

    Master the five links in the AHA's Chain of Survival - early recognition, immediate CPR, rapid defibrillation, effective advanced cardiovascular life support, and integrated post - cardiac arrest care - to maximize survival rates (Circulation, 2020). Use the mnemonic "C-R-D-A-P" (Call, CPR, Defibrillate, ACLS, Post-care) to recall each step quickly during ACLS practice questions. Familiarity with this sequence forms the backbone of any successful ACLS certification test.

  2. Rhythm Recognition -

    Accurate identification of shockable versus non-shockable rhythms is crucial in an ACLS practice quiz and real scenarios (Journal of the American College of Cardiology, 2019). For example, ventricular fibrillation appears as chaotic, irregular waves, while asystole shows a flat line. Drill with ECG strips daily to sharpen your pattern recognition skills for advanced cardiovascular life support quiz success.

  3. Defibrillation Energy Guidelines -

    Follow AHA recommendations of 120 - 200 J for biphasic defibrillators and 360 J for monophasic units when delivering unsynchronized shocks (AHA ACLS Provider Manual, 2021). Remember the formula "First ≤200 J, then escalate" in your mind during acls quizzes to ensure safe, effective energy dosing. Practicing these settings on a trainer defibrillator builds muscle memory for certification testing.

  4. Medication Dosing in Arrest -

    Know the standard drug dosages: epinephrine 1 mg IV/IO every 3 - 5 minutes and amiodarone 300 mg IV push on first administration (NEJM, 2018). Use the rhyme "One - three - five" to recall epinephrine timing and the "3 - 300" rule for the first amiodarone dose in acls practice questions. Timely, accurate dosing can drastically improve return of spontaneous circulation (ROSC).

  5. Post - Cardiac Arrest Care -

    Implement targeted temperature management (32 - 36 °C for at least 24 hours) and maintain hemodynamic stability per university research trials (Lancet, 2017). Recall "THAW" (Temperature, Hemodynamics, Airway, Wean) as your post-ROSC checklist during advanced cardiovascular life support quiz reviews. Solid post-arrest protocols boost both patient outcomes and your confidence on certification test day.

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