Free ACLS Practice Test Questions + Full ACLS Challenge Quiz
ACLS Practice Test and Review Tool
This ACLS practice test is built for healthcare professionals who want a focused way to check their readiness before ACLS certification, renewal, or a skills check-off session. It includes ACLS practice questions on high-quality CPR, rhythm recognition, cardiac arrest care, bradycardia, tachycardia, pharmacology, team dynamics, acute stroke, ACS, post-cardiac arrest care, and megacode-style decision-making.
The free section starts with 20 ACLS sample questions so you can quickly test the fundamentals without creating an account or sitting through ads. The full challenge adds 80 more advanced questions, a final score, missed-answer review, weak-area guidance, and a downloadable study booklet for follow-up review.
This page is designed to support your official ACLS preparation, not replace it. Use your AHA ACLS online course, official ACLS Provider Manual, local instructor guidance, and hands-on skills practice as your primary training sources. This quiz is an additional self-assessment tool to help you identify what needs more review.
Publisher note: Before final publication, have the question bank and study guidance reviewed by an ACLS instructor or qualified clinical educator, then add a real “Reviewed by†line with their name and credentials if they approve it.
Free ACLS Practice Questions First
Start with 20 free ACLS questions. No sign-up, no ads, no pressure.
See how you handle the fundamentals before the advanced megacode-style section begins. Most people can finish the free round in a few minutes, and your basic score appears immediately.
- Foundational rhythm, CPR, drug, and algorithm questions
- Instant answer selection and progress tracking
- Built to help you decide what to review next
Foundational review
The free section covers CPR quality, basic ACLS algorithms, simple rhythm recognition, and essential medications.
Basic score only
Your free score shows how many you answered correctly. Detailed rationales unlock with the complete challenge.
Supplemental only
Use this as ACLS algorithm practice alongside your official AHA ACLS online course and ACLS Provider Manual.
Augusta, Martinez, and CSRA ACLS Skills Check-Off
Completed your AHA ACLS online course? If you are in Augusta GA, Martinez GA, or within the CSRA area, you may schedule your required ACLS skills check-off session. You must bring your AHA Certificate of Completion before your appointment.
No certificate = no skills session. Please complete the AHA online portion first and bring your Certificate of Completion with you.
Local service area
Pulse CPR School serves ACLS skills check-off learners in the Augusta, Martinez, Evans, Grovetown, North Augusta, and broader CSRA area. If you are outside this region, please contact the school before scheduling to confirm the appointment is appropriate for you.
Important: The ACLS skills session is for learners who have already completed the official AHA online portion and can bring their AHA Certificate of Completion.
Downloadable PDF Study Booklet
The full-test result page includes a PDF download button. The booklet gives users a clean, printable review of the ACLS topics most people want at the end of a challenge: core algorithms, H's and T's, common medication doses, and post-cardiac arrest care.
Official ACLS Provider Manual
Want to review the topics you missed? Get the official ACLS Provider Manual or eBook for deeper study through the American Heart Association store.
ACLS Practice Test FAQ
Is this ACLS practice test free?
How many questions are on the ACLS exam?
What score do you need to pass ACLS?
What is covered on the ACLS test?
Is this based on AHA guidelines?
Where can I buy the ACLS Provider Manual?
Free ACLS Sample Questions Included
These are examples of the foundational ACLS practice questions included in the free 20-question section. The full challenge adds harder scenario-based questions, megacode logic, detailed rationales, and weak-area study guidance.
- During adult cardiac arrest, which action best supports high-quality CPR?
- An adult is unresponsive, not breathing normally, and has no pulse. What is the immediate priority?
- Which rhythm is treated as shockable in adult cardiac arrest?
- A patient in asystole remains pulseless. Which intervention is appropriate?
- Which medication is commonly used during adult cardiac arrest for VF/pulseless VT after defibrillation and CPR cycles?
- What is the usual first dose of adenosine for regular narrow-complex tachycardia when indicated?
- A conscious adult has symptomatic bradycardia with hypotension. What medication is typically first-line if no contraindication exists?
- Which finding suggests unstable tachycardia requiring immediate synchronized cardioversion?
- What is the purpose of minimizing pauses in chest compressions?
- Which reversible cause belongs to the H's and T's?
- A patient has ROSC after cardiac arrest. Which is a priority in post-cardiac arrest care?
- Which rhythm is typically regular, narrow, and very fast with absent clear P waves?
- What does synchronized cardioversion attempt to avoid?
- A team leader assigns roles, summarizes rhythm changes, and asks for closed-loop responses. What ACLS concept is this?
- Which action is most appropriate before delivering a defibrillation shock?
- What rhythm finding is consistent with PEA?
- Which medication is associated with refractory VF/pulseless VT in ACLS algorithms?
- A patient with suspected stroke has facial droop and arm weakness. What is an important early action?
- For suspected ACS, which assessment is commonly prioritized early?
- Which is a sign of effective chest compressions during CPR?
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