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Nursing Practice Questions

ACLS Practice Test Practice Questions

Advanced Cardiovascular Life Support — Use this ACLS practice test to review rhythm recognition, ACLS algorithms, medications, and post-cardiac arrest care with realistic questions and plain-English explanations. It is built for nurses, paramedics, respiratory therapists, and other clinicians who want focused practice before an ACLS course, renewal, or ACLS pretest.

50
Total Questions
Course time varies; blended and instructor-led options are common
Time Limit
Generally 84%
Passing Score
~$150-$300, depending on provider
Registration Fee

Free Sample Questions

Here are 5 free sample questions from our full bank of 550+ ACLS Practice Testpractice questions. Try them out below — click "Show Answer" to reveal the correct response and explanation.

1

A monitor shows an irregularly irregular rhythm with no visible P waves and a narrow QRS complex. The patient is awake, normotensive, and reports palpitations. Which rhythm is most likely?

AAtrial fibrillation
BVentricular tachycardia
CSinus bradycardia
DThird-degree AV block
2

A pulseless patient has ventricular fibrillation on the monitor. CPR is in progress and the defibrillator is ready. What is the next priority action in the ACLS cardiac arrest algorithm?

AGive atropine 1 mg IV
BDeliver an unsynchronized shock
CStart a dopamine infusion
DPerform synchronized cardioversion
3

During pulseless electrical activity arrest, the team has started CPR, attached the monitor, established IV access, and given epinephrine. Which action best fits ACLS priorities while compressions continue?

ADefibrillate immediately at maximum energy
BAdminister adenosine for rhythm conversion
CSearch for and treat reversible causes
DStop CPR to obtain a 12-lead ECG
4

A patient with return of spontaneous circulation remains comatose after cardiac arrest. Blood pressure is 96/58 mm Hg, oxygen saturation is 99% on high-flow oxygen, and end-tidal CO2 is detectable. Which post-cardiac arrest action is most appropriate?

AHyperventilate to lower PaCO2 as much as possible
BStop all temperature management because ROSC occurred
CWithhold coronary reperfusion evaluation until the patient awakens
DOptimize oxygenation, ventilation, blood pressure, and consider targeted temperature management
5

A patient with stable, regular, narrow-complex supraventricular tachycardia remains symptomatic after vagal maneuvers. Which medication is recommended next in the ACLS tachycardia algorithm?

AAdenosine
BAmiodarone
CEpinephrine
DMagnesium sulfate

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About the ACLS Practice Test

Format & Structure

Total Questions
50
Time Limit
Course time varies; blended and instructor-led options are common
Format
Written assessment and skills evaluation

Scoring & Cost

Passing Score
Generally 84%
Registration Fee
~$150-$300, depending on provider

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Frequently Asked Questions

What is on the ACLS written test?

The AHA ACLS written assessment commonly includes about 50 questions. It checks whether you can apply ACLS algorithms, recognize important ECG rhythms, choose appropriate medications, and manage care after return of spontaneous circulation. Expect scenario-style questions rather than simple memorization only.

What score do I need to pass ACLS?

Many AHA ACLS courses use a passing score of 84% on the written assessment. Providers may also require successful completion of skills stations, rhythm interpretation, and team-based scenarios. Always confirm the exact requirements with your training center because local policies can vary a bit.

How should I use an ACLS practice test free resource?

Use an ACLS practice test free set as a diagnostic tool first, not just as a quiz to rush through. Missed questions usually point to a specific gap: rhythm recognition, shockable versus nonshockable algorithms, medication timing, or post-arrest care. Review the explanation, then trace the decision back through the ACLS algorithm.

Is the ACLS pretest the same as the final written assessment?

No. An ACLS pretest is usually designed to prepare you for the course and identify weak areas before class. The final written assessment is part of course completion and is paired with performance-based skills evaluation. Still, pretest-style practice is useful because it gets you comfortable with the rhythm and algorithm decisions you will see in class.

What rhythms should I know for ACLS?

You should be comfortable recognizing ventricular fibrillation, pulseless ventricular tachycardia, asystole, pulseless electrical activity, bradycardias, supraventricular tachycardia, atrial fibrillation, and wide-complex tachycardias. The important part is not just naming the rhythm. You also need to connect it to the right pathway: cardiac arrest, bradycardia, tachycardia, or post-arrest care.

How long does an ACLS course take?

ACLS course time varies by format, provider, and whether you are taking an initial or renewal course. Many training centers offer blended learning with online coursework followed by an in-person skills session, while others use a longer instructor-led classroom format. Check your provider's schedule before planning work shifts or clinical obligations around it.

How much does ACLS certification cost?

ACLS cost varies widely by provider, location, and whether materials are included, but many courses fall roughly in the $150 to $300 range. Renewal courses may cost less than initial courses in some areas. Hospitals, schools, or employers sometimes reimburse the cost, so it is worth checking before you register.

What is the best way to prepare for ACLS medications?

Focus on when each medication is used, not just the dose in isolation. Epinephrine timing in arrest, amiodarone or lidocaine for refractory shockable rhythms, atropine for symptomatic bradycardia, and adenosine for stable regular narrow-complex SVT are high-yield examples. Pair each medication with the algorithm where it belongs.

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