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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Lucy says
I really loved it the way you put up question.
Nanette says
Stressing out as I prepare for ACLS renewal. This site has saved me. Love the practice tests. The videos are excellent! This is how I learn best.
Mini Perumal says
Great questions
Marcela Castillo says
Practice makes perfect..thank u very much…
Allen.M.Tome says
This is awesome what an eye opening quiz!!!!
drvado says
it is a great release when you learn and apply all those precise informations that help you to pass and
apply in our daily life. thank jeff a God bless you R Vado
Anna says
Practise exam questions are very helpful
Heidi Bliss says
I just wanted to say THANK YOU for your website. I really learned a lot from it and will pass it along to others needing help. Being a pediatric OR RN we don’t deal much with ACLS so it’s a great place to study up. Again….thank you!
Heidi says
Am now able to resume my studies ,really appreciate your help
Renwoods says
I hate to drag this debate out any longer but I think the confusion between bradycardia being defined as 50 vs 60 depends on what page of the manual you’re looking at. On page 104 they say bradycardia is when the pulse is < 50. On page 107 it defines bradycardia as a pulse < 60.
Almarie Anderson says
Symtomatic bradi is 50 and less
Bradiarrhythmia is 60 and less
Tom says
And your source is…
adeline says
made more sense than previous test
vangsao11 says
I thought the ACLS algorithm identifies bradycardia as HR <50, not <60.
Jeff with admin. says
This is from page 107 of the AHA ACLS provider manual: “Any rhythm disorder with a heart rate <60/min is classified as a bradyarrhythmia or bradycardia.”
Kind regards,
Jeff
ravi jayavarapu says
the Algorithm provided in this website is pointing to <50 as bradycardia.
Jeff with admin. says
You should review the bradycardia page here: Bradycardia
Bradycardia is defined as any rhythm disorder with a heart rate less than 60 beats per minute. (Typically it will be <50/min).
The algorithm states “Bradyarrhythmias are typically seen when the rate is less than 50.” This is not the definition of bradycardia, this is just when you will usually start to see symptoms.
Please review the link for bradycardia listed above.
Kind regards,
Jeff
adam blue says
you are correct, the algorithm states clearly in bradycardia w/ a pulse that bradycardia is 50 or less
Jeff with admin. says
This is bradycardia that will usually be symptomatic. Check the definition on page 107. Kind regards, Jeff
Linda M says
I haven’t heard of bradycardia with runs of VT. Is there a common scenario when this would occur?
Jeff with admin. says
Bradycardia is often times caused by ongoing myocardial infarction and myocardial ischemia. This state causes significant irritability to the heart. This irritability can lead to runs of VT and even VF as the ischemia worsens. It is the irritation and hypoxia on the myocardium that is the most likely cause of runs of VT with bradycardia.
Kind regards,
Jeff
selvi says
This practice questions very useful for me
hintz says
Ok, needing clarification on initial treatment of symptomatic brady-this test says atropine is first drug used when an earlier test question identified epi and dopamine as first choice. Also, what is criteria for using a drug first, verse pacing. Thanks, this is a great learning, review experience!
Jeff with admin. says
Atropine is given as a bolus dose and is usually given prior to attempting pacing with electricity or medications. Epinephrine and dopamine are used as alternatives to transcutaneous pacing.
The criteria for pacing is perfusion. If the patients perfusion is compromised, and the patient is unstable, then chemical or electrical pacing would be need. In this case, atropine can be attempted as long as it does not delay the use of chemical or electrical pacing.
I hope this answers your questions.
Kind regards,
Jeff
Yemi13 says
Hi,
On ACLS adult Bradycardia Algorithm, Bradyarrhythmia is defined as ” It is typically seen when the heart rate is <50/min." so why the answer for 5 isn't choice D?
Tnx for ur help and I am so happy by joining this site.
Jeff with admin. says
Pg. 107 of the 2010-2015 ACLS provider manual at the top of the page states: “Bradyarrhythmia: Any 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."
Kind regards,
Jeff
joshlandsen says
The question stem does not specify “symptomatic” bradycardia. I suspect that the ECG rhythm “most commonly” associated with bradycardia (+/- symptoms), is sinus bradycardia.
joshlandsen says
If the question stem specified “symptomatic” bradycardia, or the answer choice D specified “Normal Sinus Rhythm”, then this question would be less confusing.
faxlax15 says
In Questions 8 you say Signs of symptomatic bradycardia include hypotension, orthostatic hypotension, diaphoresis, pulmonary congestion, frequent PVC’s or VT.
Why would there be PVCs or VT in a bradycardic pt?
Jeff with admin. says
Runs of VT are not uncommon with symptomatic Bradycardia. The myocardium becomes irritated and this may cause sporadic VT.
Kind regards,
Jeff
ghazalsindy says
I have the ACLS exam on this coming Friday 10-13-2013.
for those of you who have taken it , was the test or mega codes similar to these that are on here?
Jeff with admin. says
I think that you will find the material on the test and in the hands on megacode to be very similar.
Kind regards,
Jeff