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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biggirl1969 says
i am a bit confused by this answer, i feel it should read, “or runs of VT” instead of VT, this leads the person to choose the other answer to avoid saying VT is a bradyarythmia?
biggirl1969 says
I was of course refering to the previous question
sh102621 says
On Aug 26 th I will take my ACLS and I must say this site has helped tremendously and I feel more ready than ever. Thank you SO much.
Sheila.
Wantakan wongwikrom says
Good
Musa Garbati says
Dear Jeff,
Is VT a sign of bradycardia as stated in one of the questions?
Jeff with admin. says
That is correct. Runs of VT are not uncommon with symptomatic Bradycardia. The myocardium becomes irritated and this may cause sporadic VT.
Kind regards,
Jeff
Hilde Fischer says
In regards to question #5, Bradyarrhythmia is any rhythm disorder with a heart rate less than 60 beats per minute. I know that this has been the standard of care for as long as I can remember, however in my 2010 Handbook of Emergency Cardiovascular Care for Healthcare Providers that I am using to study, it states on page 9 under the Bradycardia with a Pulse Algorithm, that
“Heart rate typically <50/min if bradyarrhythmia."
So, is a rhythm considered a brady rhythm with a heart rate below 60, or below 50??
I do not have the new ACLS Study Guide book for further reference. Thank you.
Jeff with admin. says
A rhythm is considered bradycardia (brady rhythm) if the rate is less than 60. The part about 50 bpm simply means that if the rate is the cause of symptoms, the rate will generally be < 50 bpm. Kind regards, Jeff
micahrnrogers says
Question 6: The question is about “Symptomatic” Brady and on page 107, the answer seems to be “S/S due to the slow heart rate”; the answer accepted here is about bradycardia that is not symptomatic. Could I perhaps get clarification?
Jeff with admin. says
Question #6 reads: “Symptomatic bradycardia exists when_________.” The answer is all of the above so the full statement would read: “Symptomatic bradycardia exists when the heart rate is slow, there are symptoms present, and the symptoms are related to the slow heart rate.” Essentially, this is the definition of symptomatic bradycardia. Without these three things, you have something other than symptomatic bradycardia. On page 107 look in the second section with the subheading “symptomatic bradycardia” You will see a numbered list with these three criteria in it.
Kind regards,
Jeff
Dr Ghazwan says
Very informative and excellent site for ACLS practice
I will recomend it to any health care professional willing to have ACLS certificate.
Thanks Jeff for everything
MillaRN says
This is my second time taking ACLS and I have participated in numerous codes never quite understanding it all. Your program is making it all so clear in just a matter of a couple of hours.
I appreciate your site tremendously and will share it with the other nurses at work. Thank you!
Teresa, RN
ROSIE says
VERY GOOD
katherineabrown says
I think to clarify the misunderstanding regarding answer “d” for question 6 would be to restate answer “d” saying “synptomatic bradycardia” because bradycardia can exist without symptoms 🙂
srwidger says
In question #6 of the bradycardia section, why is the correct answer all of the above, since symptomatic bradycardia occurs when the patient has symptoms. Is that correct or incorrect. The first answer was “the heart rate is slow” It doesn’t say the patient is symptomatic. What if he is an athlete?
This confuses me. Thank you.
PS: This site is amazing!!!!!!!!!!!!!
Jeff with admin. says
The correct answer to this question was (d. all of the above are needed for bradycardia to exist.)
This means if you have symptomatic bradycardia, you have to have a slow heart rate and symptoms, and the symptoms must be caused by the slow heart rate.
In the case of an athlete, they have a slow heart rate, but they have no symptoms. If an athlete did have symptoms of poor perfusion you would have to determine that the symptoms were caused by the bradycardia before you could positively say that they had “symptomatic bradycardia.” Likely in their case, it would not be the bradycardia causing the symptoms.
Kind regards,
Jeff
ioanarn53@yahoo.com says
Jeff
VT is Ventricular Tachycardia only !( wide complex ventricular beats and the ventricular rate MUST be more than 100 bpm)
Ventricular escape rhythms !!! (rates of 30-40 bpm ) are bradycardias , so I would replace VT with Ventricular escape rhythms in this question
Jeff with admin. says
In the rational which you can view by clicking “rational” link just above the practice test, this is explained. The rational for question 8 states: “2010 AHA ACLS Provider Manual pg. 107: All listed are included as signs of bradycardia. Note particularly that VT and PVC’s occur as bradycardia related escape rhythms.”
Kind regards,
Jeff
ileana says
According to the new 2012 guidelines on the card a bradyarrythmia is considered below 50 bpm right?
Jeff with admin. says
2010 AHA ACLS Provider Manual pg. 107 states: “Any rhythm disorder with a heart rate <60/min”
However, it does say this a just afterward: “When bradycardia causes symptoms, the rate is generally <50/min.”
Kind regards,
Jeff
Muquitah Thompson says
This site is very helpful to use as a studyguide for the ACLS exam.
Je says
The most common kind of bradycardia is sinus bradycardia. I think question 2 should say “Which ECG is commonly associated with symptomatic or pathological bradycardia.”