This ACLS Quiz focuses on the bradycardia algorithm of the ACLS Protocol.
Answer all 10 questions and then your practice test will be graded.
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Question 1 of 10
1. Question
What is generally considered the most important and clinically significant degree of block?
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Question 2 of 10
2. Question
Which drugs are involved in the Bradycardia Algorithm?
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Question 3 of 10
3. Question
Bradyarrhythmia is defined as:
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Question 4 of 10
4. Question
Symptomatic bradycardia exists when_________.
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Question 5 of 10
5. Question
Symptoms of bradycardia include acutely altered mental status, signs of shock, and ischemic chest discomfort.
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Question 6 of 10
6. Question
Signs of symptomatic bradycardia include hypotension and acute heart failure
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Question 7 of 10
7. Question
The primary decision point in the bradycardia algorithm is the determination of:
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Question 8 of 10
8. Question
After it is determined that the patient does not have adequate perfusion your first step is to:
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Question 9 of 10
9. Question
What is the first-line agent for treatment of symptomatic bradycardia?
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Question 10 of 10
10. Question
Which rhythm is most likely to be associated with symptomatic bradycardia?
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Amelia says
hi jeff!!! passed my ACLS today. your site is a precious gift to us. thanks for sharing your wealth of knowledge. most of all i love the music. thanks again.
ACLS says
Hi Amilia,
That’s great! Thanks so much for the encouragement and I’m so glad that you like the music and that the site has been helpful for you.
Kind regards, Jeff
Rochelle Sidie, RN says
I know that adequate perfusion is the decision point for the algorithm to be started, but isn’t blood pressure the best indicator of this?
ACLS says
Blood pressure may not always be the best indicator. Patients with comorbidities or existing disease processes may have a normal blood pressure and still have inadequate perfusion. Adequate vs. inadequate perfusion would be identified by assessing the patient to identify symptoms of inadequate perfusion such as capillary refill > 3 sec., pallor, altered mental status, hypotension, and inadequate urinary output.
Kind regards,
Jeff
Teri says
I would also add that sbp/dbp are numbers and not 100% indicators of adequate perfusion. Treat the patient not the numbers given by equipment. PEA is a perfect example. If you are not checking perfusion your patient dies while you watch the ECG believing the patient has a viable heart beat.
Stephen Tafor says
The phrasing of Question #10 is not specific. Maybe it should be, which rhythm is clinically ominous with bradycardia? There are lots of people functioning normally with a sinus rhythm that is bradycardic i.e. well conditioned athletes.
Sharon Frye says
The new definition of bradycardia is less than 50/min, not 60.
ACLS says
Hi Sharon,
You can find the definition at this link below on the American Heart Association website.
Definition of bradycardia: “Bradycardia is defined as a heart rate <60/minute, but symptomatic bradycardia generally is <50/minute."
Kind regards, Jeff
Charlotte says
The question about symptomatic bradycardia where the heart rate has to be slow (I get that “brady”), but eg in patients with sepsis and a tachycardia isn’t is also possible for a regular heart rate at 60-80 bpm to cause symptoms of a bradycardia?
ACLS says
yes I’m some instances, it is possible to have a regular heart rate and for the patient to experience signs and symptoms that would indicate need for intervention.
Kind regards,
Jeff
Cathy says
Great questions, I like studying with this site.
student says
Bradyarrythmia is heart rate <50 bpm
Jeff with admin. says
Any rhythm disorder with a heart rate <60/min is classified as a bradyarrhythmia. Remember: when the symptoms of a patient are caused by bradycardia, the rate will usually be less than 50/min. This information is found here: AHA ACLS Provider Manual pg. 122
Kind regards, Jeff
jimmy says
Jeff did you realize in two comments you just said bradyarrhythmia and bradycardia are the same thing < 60/min ? confusing AHA ACLS cant get it together unless confusing everyone with their nonsense.
ACLS says
Previously stated in another comment: “Any rhythm disorder with a heart rate <60/min is classified as a bradyarrhythmia. Remember: when the symptoms of a patient are caused by bradycardia, the rate will usually be less than 50/min. This information is found here: AHA ACLS Provider Manual pg. 122."
So it's not any heart rate less than 60 bpm. It's "any rhythm disorder with a heart rate less than 60." I hope that makes sense. Please let me know if you have any questions.
Kind regards, Jeff
elizabeth says
busy with acls training want to learn the difficult questions
aster says
good question