Independent ACLS recertification review study guide
Independent ACLS recertification review, administered by American Heart Association, is mapped here as 3 topic areas; the heaviest are Section 2 — Pharmacology (35%), Section 3 — Practical Application (35%) and Section 1 — Rhythm Recognition (30%).
About this course: Review adult rhythms, medications and resuscitation algorithms with original practice scenarios based on the 2025 AHA Guidelines. Independent knowledge practice for clinicians preparing for the AHA ACLS® course.
Independent ACLS recertification review at a glance
- Questions
- 41
- Time allowed
- self-paced refresher
- Passing standard
- AHA requires at least70% on the ACLS Precourse Self-Assessment before the course
- Format
- Independent self-paced knowledge practice
- Standard / edition
- 2025 AHA Guidelines for CPR & ECC
- Administered by
- American Heart Association
Source: 2025 AHA Guidelines for CPR & ECC, American Heart Association. Confirm current details with the exam owner before you book.
Topic areas and weights
These percentages are this course's practice emphasis, not an official question distribution.
| Topic area | Weight | Concepts | Guide |
|---|---|---|---|
| Section 1 — Rhythm Recognition | 30% | 4 | Section below |
| Section 2 — Pharmacology | 35% | 6 | Section below |
| Section 3 — Practical Application | 35% | 7 | Section below |
Study plan in this course
- Your Recert: Scope, Card & the 70% Gate — 5 cards · free
- Reading the Monitor: The Four Forks — 4 cards · free
- Arrest Pharmacology: Epi & the Antiarrhythmics — 3 cards · full course
- Peri-Arrest Drugs: Brady, SVT & Stable VT — 3 cards · full course
- The Arrest Algorithm & High-Quality CPR — 3 cards · full course
- Shocks, Pacing & Post-ROSC Care — 4 cards · full course
Section 1 — Rhythm Recognition
Section 1 — Rhythm Recognition carries 30% of the Independent ACLS recertification review blueprint used in this course, the third-largest of its 3 weighted areas. It spans 4 concepts. The course teaches it in 1 study unit: Reading the Monitor: The Four Forks.
These percentages are this course's practice emphasis, not an official question distribution.
What Section 1 — Rhythm Recognition covers
- Shockable vs non-shockable arrest rhythms
- Tachycardia-with-a-pulse assessment
- Bradycardia recognition
- Regular vs irregular, narrow vs wide
How Section 1 — Rhythm Recognition connects to other areas
- Shockable vs non-shockable arrest rhythms links to Adult cardiac arrest walkthrough — Section 3 — Practical Application
- Tachycardia-with-a-pulse assessment links to Synchronized cardioversion energy — Section 3 — Practical Application
- Bradycardia recognition links to Unstable bradycardia escalation — Section 3 — Practical Application
- Regular vs irregular, narrow vs wide links to Adenosine for regular SVT — Section 2 — Pharmacology
In the app this area comes with 4 memory cards and 12 module-quiz questions and is part of the free starting modules.
Section 2 — Pharmacology
Section 2 — Pharmacology carries 35% of the Independent ACLS recertification review blueprint used in this course, the largest of its 3 weighted areas. It spans 6 concepts. The course teaches it in 2 study units: Arrest Pharmacology: Epi & the Antiarrhythmics and Peri-Arrest Drugs: Brady, SVT & Stable VT.
These percentages are this course's practice emphasis, not an official question distribution.
What Section 2 — Pharmacology covers
- Epinephrine dose and rhythm-dependent timing
- VF/pVT antiarrhythmics: amiodarone or lidocaine
- 2025 arrest-drug deltas: vasopressin, double-sequential
- Symptomatic bradycardia drugs
- Adenosine for regular SVT
- Stable wide-QRS tachycardia infusions
How Section 2 — Pharmacology connects to other areas
- Adenosine for regular SVT links to Regular vs irregular, narrow vs wide — Section 1 — Rhythm Recognition
- Epinephrine dose and rhythm-dependent timing links to Adult cardiac arrest walkthrough — Section 3 — Practical Application
- VF/pVT antiarrhythmics: amiodarone or lidocaine links to Adult cardiac arrest walkthrough — Section 3 — Practical Application
- Symptomatic bradycardia drugs links to Unstable bradycardia escalation — Section 3 — Practical Application
In the app this area comes with 6 memory cards and 14 module-quiz questions in the full course.
Section 3 — Practical Application
Section 3 — Practical Application carries 35% of the Independent ACLS recertification review blueprint used in this course, the second-largest of its 3 weighted areas. It spans 7 concepts. The course teaches it in 2 study units: The Arrest Algorithm & High-Quality CPR and Shocks, Pacing & Post-ROSC Care.
These percentages are this course's practice emphasis, not an official question distribution.
What Section 3 — Practical Application covers
- Adult cardiac arrest walkthrough
- High-quality CPR parameters
- Reversible causes
- Defibrillation energy and the defib-vs-cardioversion split
- Synchronized cardioversion energy
- Unstable bradycardia escalation — AHA 2025 Adult Bradycardia With a Pulse Algorithm
- Post-ROSC targets
How Section 3 — Practical Application connects to other areas
- Adult cardiac arrest walkthrough links to Shockable vs non-shockable arrest rhythms — Section 1 — Rhythm Recognition
- Synchronized cardioversion energy links to Tachycardia-with-a-pulse assessment — Section 1 — Rhythm Recognition
- Unstable bradycardia escalation links to Bradycardia recognition — Section 1 — Rhythm Recognition
- Adult cardiac arrest walkthrough links to Epinephrine dose and rhythm-dependent timing — Section 2 — Pharmacology
- Adult cardiac arrest walkthrough links to VF/pVT antiarrhythmics: amiodarone or lidocaine — Section 2 — Pharmacology
- Unstable bradycardia escalation links to Symptomatic bradycardia drugs — Section 2 — Pharmacology
Official references for Section 3 — Practical Application
In the app this area comes with 7 memory cards and 15 module-quiz questions in the full course.
Official references
- AHA 2025 Adult Bradycardia With a Pulse Algorithm
- AHA 2025 ACLS Provider ILT Course FAQ
- AHA 2025 Guidelines Highlights
- AHA "Highlights of the 2025 AHA Guidelines for CPR & ECC" PDF
- AHA 2025 Adult Cardiac Arrest Algorithm PDF
- AHA 2025 Adult Tachyarrhythmia Algorithm PDF
- AHA 2025 Adult Bradycardia Algorithm PDF
- AHA 2025 Adult Post-Cardiac Arrest Care Algorithm PDF
- cpr.heart.org Part 9 Adult Advanced Life Support
- cpr.heart.org ACLS course-options page
- elearning.heart.org/course/1551 ACLS Precourse Self-Assessment
- AHA Training Network transition email PDF