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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sgould says
I have on my bradycardia with a pulse algorithm: heart rate typically < 50/min if bradyarrhthmia.
Jeff with admin. says
Typically it will be less than 50/min. Technically, the definition is any rhythm disorder with a heart rate less than 60 beats per minute. See page 107 of the AHA ACLS provider manual in the box at the top of the page.
Kind regards,
Jeff
grishabm says
Is VT ventricular tachycardia? How is tachycardia a sign of bradycardia?
Jeff with admin. says
Yes VT means ventricular tachycardia.
On page 113 of the AHA ACLS provider manual it states “With severe bradycardia,
some patients will develop wide-complex ventricular beats that can precipitate VT or VF.
Pacing may increase the heart rate and eliminate bradycardia-dependent ventricular rhythms.”
Kind regards,
Jeff
JACQUES FWANKENDA says
thanks for that nice exercise
bethchristie says
in’t it 50 bpm
Jeff with admin. says
AHA ACLS Provider Manual pg. 107 states: “Any rhythm disorder with a heart rate <60/min...when bradycardia is the cause of symptoms, the rate is generally <50/min. Kind regards, Jeff
PauloH says
Good question, better answer.
hafeez says
excellent to prepare ACLS exam
Golam A Khan says
Thanks for creating this nice exercise.
MAHMOUD TAHCH says
thank you ,
claudette mcCormack says
Hi,
This one stumped me, as I focused on the wording “symptomatic” I was thinking of athletes w/rates of 60 & 90-100…..any comments? Thank You!
Jeff with admin. says
or symptomatic bradycardia the first line treatment is atropine. Symptomatic simply means that the heart rate is not effective enough to provide adequate circulation to the body and this produces symptoms. Kind regards, Jeff
Jennifer Marino says
The last question got me… All the symptoms were present,but vt with bradycardia? Explain
Jeff with admin. says
On page 113 of the AHA ACLS provider manual it states “With severe bradycardia,
some patients will develop wide-complex ventricular beats that can precipitate VT or VF.
Pacing may increase the heart rate and eliminate bradycardia-dependent ventricular rhythms.”
C R says
Great site. Just wish I would have found before the day of testing.
Jill O Swezey says
I disagree with the answer. Some people have a slow heart rate without Symptoms. Just because your heart rate is below 60/bpm Doesn’t mean you will have SYMPTOMATIC Bradycardia. You can have Bradycardia without symptoms making it just plain Bradycardia!
Jeff with admin. says
You are correct that you can have bradycardia without having symptoms. This does not change the definition of symptomatic bradycardia. Symptomatic bradycardia exists when you have these three things present: 1. slow heart rate. 2. symptoms. and 3. Symptoms due to the slow heart rate. 2010 AHA ACLS Provider Manual pg. 107 “A symptomatic bradycardia exists clinically when these 3 criteria are present:”–Jeff
Karen Grevious RN says
I agree with Jill. Symptomatic implies that some type of intervention is necessary. This distinction is made in the ACLS algorithm, i.e. symptomatic vs asymptomatic.
Nicola Jo Attebery says
Jeff, AHA ACLS Bradycardia with a pulse Algorithm states “Heart rate typically <50/min if bradyarrhythmia" vs your site stating less than 60/min.
Jeff with admin. says
Thanks for the comment. Pg. 107 of the 2010-2015 ACLS provider manual at the top of the page states: “Bradyarrhythmia: Anyu rhythm disorder with a heart rate <60/min." It does say just after this: "When bradycardia is the cause of symptoms, the rate is generally <50/min." ----Jeff
DONNA CUPITT says
I would also like to know vt.
weng ibarra says
hi jeff im going to have my acls renewal this coming jan 1 and 2, i will comeback on your site to tell is i passed,meanwhile i will utilize my time visiting your site more often before my sked.
Reddy Leon Orellana says
(about question 5) you (admin) are right but this kind of question doesn’t make sense to prepare for the exam… just an opinion… great web by the way
Jeff with admin. says
To recognize bradycardia it would be advisable to know it’s definition. There are many here who have no experience with ACLS and so I try and cover from the basics to advanced.
Kind Regards,
Jeff