CPR (Cardiopulmonary Resuscitation) Practice Test

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CPR classes American Heart Association (AHA) offers are the gold standard for emergency cardiovascular care training in the United States, recognized by hospitals, schools, workplaces, and licensing boards in all 50 states. Whether you are a nurse renewing Basic Life Support, a daycare teacher needing infant CPR, a corporate first responder, or a layperson who wants the skills to save a loved one, the AHA provides a tiered curriculum that maps to your role and risk profile. In 2026, more than 22 million people will train through AHA-aligned programs worldwide.

The AHA's course catalog is built around the Chain of Survival and updated every five years to reflect the latest International Liaison Committee on Resuscitation (ILCOR) science. The 2025 Guidelines refresh, which governs training through 2030, sharpened recommendations on compression depth, ventilation rate during advanced airway management, and the integration of feedback devices. Every classroom course, blended-learning module, and skills checkoff you take in 2026 reflects these updates, so a card you earn today is genuinely current evidence-based medicine.

Understanding the difference between Heartsaver, BLS Provider, ACLS Provider, and PALS Provider is the first step to picking the right class. Heartsaver is built for the general public and non-clinical workers; BLS is the foundation for healthcare providers; ACLS adds rhythm interpretation, pharmacology, and the acls algorithm framework for adult cardiac arrest, stroke, and acute coronary syndromes; and pals certification covers pediatric assessment, respiratory emergencies, and shock management for clinicians who treat children.

Beyond clinical pathways, the AHA also trains millions in infant cpr through Family & Friends and Heartsaver Pediatric First Aid courses โ€” programs designed for parents, grandparents, nannies, and coaches who may never enter a hospital but who are the most likely first responders when a baby chokes or stops breathing at home. These non-credentialing classes deliver the same compression and rescue-breath technique used by professionals, just without the printed provider card.

One thing worth clearing up before you enroll: the American Heart Association is not affiliated with the national cpr foundation, and AHA classes have nothing to do with cpr cell phone repair or cpr phone repair stores (a separate franchise that happens to share the acronym). Always look for the AHA torch-and-heart logo, an AHA Training Center listed on atlas.heart.org, and a course completion eCard issued through the AHA's eCard system to confirm authenticity.

Costs in 2026 range from free community CPR Anytime kits to $250+ for a full ACLS Provider classroom course in major metro areas. Most BLS classes fall between $60 and $110, blended-learning options shave 30-40% off seat time, and many employers reimburse fees when the certification is required for your role. This guide walks through every course, the certification timeline, what to expect on skills day, renewal rules, and how to verify a card โ€” so you can sign up confidently and walk out card-in-hand.

AHA CPR Training by the Numbers

๐ŸŽ“
22M+
People Trained Annually
โฑ๏ธ
2 yrs
Card Validity
๐Ÿ’ฐ
$60-$110
Typical BLS Cost
๐Ÿ“Š
70%
Survival Boost
๐Ÿ†
100%
Skills Pass Required
Practice Free CPR Classes American Heart Association Questions

AHA Course Catalog & Certification Levels

โค๏ธ Heartsaver CPR AED

For laypeople, teachers, security guards, and workplace responders. Covers adult, child, and infant CPR, AED use, and choking relief. Issues a 2-year completion card valid for most non-clinical job requirements.

๐Ÿฅ BLS Provider

Foundation course for nurses, EMTs, medical students, dentists, and allied health staff. Adds team-based resuscitation, bag-mask ventilation, and high-performance CPR metrics. Required for most hospital credentialing.

โšก ACLS Provider

Advanced course teaching the acls algorithm for cardiac arrest, bradycardia, tachycardia, stroke, and ACS. Includes ECG rhythm recognition, IV pharmacology, and megacode simulation for physicians, nurses, paramedics, and PAs.

๐Ÿ‘ถ PALS Provider

Pediatric advanced life support certification covering systematic assessment, respiratory distress, shock, arrhythmias, and post-resuscitation care for infants and children. Required in pediatric ICUs, ERs, and many ambulance services.

๐Ÿฉน Heartsaver First Aid

Standalone or combined with CPR AED. Covers bleeding control, burns, fractures, allergic reactions, and environmental emergencies. Popular with daycare workers, camp counselors, OSHA-compliance staff, and youth coaches.

Walking into an AHA classroom for the first time can feel overwhelming, but the curriculum is engineered around adult-learning principles: short video lectures, immediate hands-on practice, and rapid feedback from instructors and manikin sensors. Expect to spend 60-70% of class time actually compressing a manikin's chest, delivering ventilations, and operating an AED trainer โ€” not sitting through slides. The AHA mandates this practice-while-watching format because muscle memory, not knowledge alone, determines whether you can perform under stress.

The clinical content itself is anchored in a few non-negotiables that show up in every course level. Push hard (at least 2 inches deep in adults, 1.5 inches in children, 1.5 inches in infants), push fast (100-120 compressions per minute), allow full chest recoil, minimize interruptions, and avoid excessive ventilation. These five performance metrics are measured by feedback manikins in most modern AHA Training Centers, and you must hit them during your skills checkoff to pass.

For healthcare-provider classes, the curriculum layers on team dynamics: closed-loop communication, role clarity (compressor, ventilator, recorder, team leader, medication, defibrillator), and structured debriefing. The AHA's high-performance CPR framework treats resuscitation as a choreographed team sport, and skills sessions place you in rotating roles so you learn to lead and to follow. Many learners say this team-based practice is the single biggest difference between AHA training and other CPR brands.

You will also learn the special considerations that matter most in real arrests: how to switch compressors every two minutes to prevent fatigue-related quality drop-off, how to use waveform capnography to confirm tube placement and detect return of spontaneous circulation, how to manage life support transitions from BLS to ALS smoothly, and how to maintain a normal respiratory rate of 10 breaths per minute with an advanced airway in place. These are the small details that separate textbook CPR from CPR that actually restores a pulse.

The AED portion is hands-on with trainer units. You'll practice opening the device, attaching pads (with adjustments for hairy chests, wet skin, implanted pacemakers, and medication patches), clearing the patient, and delivering a shock safely. Class also covers the answer to the question new learners always ask โ€” what does aed stand for โ€” and walks you through why automated external defibrillators are the single biggest survival lever in out-of-hospital cardiac arrest.

Pediatric content is woven into every course except the most basic adult-only Heartsaver. You'll learn the compression-to-ventilation ratio differences (30:2 for single-rescuer, 15:2 for two-rescuer pediatric), the two-thumb-encircling-hands technique for infants, how to relieve a choking infant with back slaps and chest thrusts, and how to perform infant cpr without injuring fragile ribs. Practical examples and real case studies bring the material to life and make abstract algorithms stick.

Finally, every AHA class ends with a written exam (multiple choice, 20-50 questions depending on course) and a hands-on megacode or skills station. You generally need 84% on the written test and a competent skills demonstration. If you fail one or both, instructors offer remediation the same day โ€” failure is rare for learners who completed pre-course work.

Basic CPR Practice Questions
Free practice quiz covering AHA basic CPR steps, ratios, depth, and rate for adults, children, and infants.
CPR and First Aid Quiz
Combined CPR plus first aid scenarios โ€” bleeding control, burns, choking, and AED use questions for Heartsaver prep.

Class Formats: Choosing Between Classroom, Blended & Skills-Only

๐Ÿ“‹ In-Person Classroom

The traditional AHA classroom course runs 4-8 hours depending on the level. An instructor leads video segments, demonstrates skills, and walks the room as you practice on manikins. You complete the written exam and skills checkoff at the end of the same session, and most students leave with a printed roster signature and an eCard emailed within 48 hours.

This format is best for tactile learners, students new to CPR, and anyone who wants a single-day completion with no homework. It also works well for groups โ€” employers often book on-site instructors for 6-12 staff at a discount per seat. Expect classroom BLS at $80-$110 and ACLS at $200-$275 in most US metros.

๐Ÿ“‹ Blended / HeartCode

Blended learning splits the course into two parts: an online cognitive module you complete at your own pace (typically 1.5-3 hours), followed by an in-person skills session lasting 30-90 minutes with an AHA instructor. The online portion uses interactive scenarios, video, and adaptive quizzing that adjusts to your weak areas.

HeartCode is ideal for busy clinicians renewing every two years, shift workers, and learners who prefer self-paced study. The skills session can often be booked at AHA Training Centers, fire stations, or even via voice-assisted manikins (RQI). Total cost is similar to classroom, but seat time is roughly 40% shorter.

๐Ÿ“‹ Skills-Only Session

If you have completed HeartCode online or a similar approved cognitive module, you only need a skills session โ€” sometimes called a skills checkoff or skills validation. These run 30-60 minutes and focus exclusively on hands-on demonstration of compressions, ventilations, AED use, and any advanced skills required by your course level.

Skills-only is the fastest path to renewal and the cheapest option, often $35-$60. It is also the format used by hospital-based Resuscitation Quality Improvement (RQI) programs, where staff complete quarterly low-dose, high-frequency skills sessions instead of a single biennial class.

AHA CPR Classes vs Other Certifying Bodies: Pros & Cons

Pros

  • Universally accepted by US hospitals, nursing boards, and OSHA-compliant employers
  • Curriculum updated every 5 years against the latest ILCOR resuscitation science
  • Robust eCard verification system that licensing bodies can validate online
  • Standardized instructor training ensures consistent quality across 400,000+ instructors
  • Strong pediatric and infant CPR content built into Heartsaver, BLS, and PALS
  • Blended learning options dramatically reduce classroom seat time without quality loss

Cons

  • Higher per-student cost than online-only certificates from other providers
  • Skills checkoff requires an in-person session โ€” no fully online certification
  • Class availability can be limited in rural areas with few Training Centers
  • Heartsaver and BLS share overlapping content but require separate enrollment
  • Card replacement and instructor support can feel bureaucratic compared to smaller brands
  • Renewal every two years can be inconvenient for occasional responders
Adult CPR & AED Usage Questions
Drill adult CPR sequence, AED pad placement, and shock-delivery decisions with realistic AHA-style scenarios.
Airway Obstruction & Choking Questions
Practice recognizing mild vs severe airway obstruction and choosing the correct Heimlich, back-slap, or chest-thrust response.

Pre-Class Preparation Checklist for AHA CPR Certification

Confirm your Training Center is listed on atlas.heart.org with current accreditation
Download and read the appropriate AHA Provider Manual at least one week before class
Complete any required HeartCode online module and bring the printed certificate
Wear loose, comfortable clothing โ€” you will be kneeling and leaning over manikins
Bring a government-issued photo ID for roster verification and eCard issuance
Eat a light meal beforehand; CPR practice is physically demanding for 30+ minutes
Bring a pocket mask or face shield if your employer requires personal equipment
Review the most current AHA algorithm cards for your course level the night before
Arrange roughly 4-8 hours of uninterrupted time depending on course type
Pre-pay or confirm employer billing to avoid registration delays on class day
Practice compressions on a pillow before class day.

Most first-time students fail their skills checkoff not on knowledge, but on compression fatigue and inadequate depth. Spending 15 minutes the night before practicing 2-inch deep compressions at 110/minute on a firm pillow builds the muscle endurance to pass the 2-minute cycle on a real manikin without breaking form.

Pricing for AHA CPR classes varies more than most students expect, driven by Training Center overhead, instructor fees, manikin equipment rentals, and regional cost of living. As a baseline for 2026, expect Heartsaver CPR AED at $65-$95, Heartsaver First Aid CPR AED at $85-$125, BLS Provider at $70-$110, ACLS Provider at $200-$275, and PALS Provider at $210-$285. Renewals are typically 15-25% cheaper than initial certification because the skills session is shorter and the cognitive load is lighter.

Card validity is two years across virtually every AHA provider-level course. Your eCard's expiration date is printed clearly, and the recovery position you take with renewal scheduling matters: most employers require an unbroken certification, so booking renewal 30-60 days before expiration prevents any lapse in clinical privileges. Some hospitals use RQI quarterly skills sessions instead of a biennial card, which keeps competence sharper but requires login every 90 days.

Verification has moved entirely online. Every AHA-issued eCard has a unique QR code and a verification link at ecards.heart.org/student/myecards. Employers, licensing boards, and credentialing offices can scan or paste your card ID and instantly confirm authenticity, course, instructor, and expiration. This system has dramatically reduced fraud โ€” a problem that plagued paper cards for decades and that you should still watch for if you encounter unusually cheap online-only certifications.

Employer reimbursement is common but not automatic. Hospitals, EMS agencies, dental practices, and many schools cover the cost when the certification is required for the role. Ask your HR department whether the AHA fee is reimbursable, whether on-site group classes are available, and whether your facility has an in-house AHA Training Center that offers free or discounted seats to staff. For self-employed clinicians and gig workers, the cost is a deductible business expense in most cases โ€” keep your receipt and eCard PDF for tax records.

Group discounts can dramatically reduce per-seat cost. A typical Training Center charges roughly 25-40% less per student when you book 8 or more learners for a private session. Daycares, gyms, dental offices, construction crews, and youth sports leagues frequently leverage this model. If your workplace is OSHA-required to have trained responders, a group on-site BLS class is almost always cheaper and more convenient than sending staff to public sessions individually.

Finally, watch out for confusing brand collisions. The American Heart Association is unrelated to cpr cell phone repair franchises (a wireless device store chain), to cpr phone repair locations, or to the national cpr foundation, an online-only certification company that markets aggressively but issues cards that some hospitals do not accept. When in doubt, confirm acceptance with your specific employer or licensing board before paying for any course that does not carry the AHA logo.

Choosing the right AHA course starts with one question: what does your employer, school, or licensing board actually require? Many learners over-buy (taking ACLS when BLS would suffice) or under-buy (taking Heartsaver when their hospital mandates BLS Provider). Pull up the policy or job description, find the exact course name, and match it precisely. If the requirement just says "CPR certification" with no specifics, Heartsaver CPR AED is the safest default for non-clinical roles and BLS Provider for anyone in a clinical setting.

For nurses, paramedics, and physicians, the typical certification stack is BLS plus ACLS, with PALS added for those who treat pediatric patients. Emergency department, ICU, and operating room staff usually need all three; med-surg and primary care staff may only need BLS. New graduates often take all required cards before their first shift, which is why many nursing schools build BLS into the curriculum and partner with AHA Training Centers for cohort discounts.

For parents and caregivers, Family & Friends CPR is the lightweight, non-credentialing option โ€” about two hours, video-based, no card, but the same hands-on practice with infant, child, and adult manikins. If you want a printed certificate (for nanny work, foster care licensing, or daycare employment), upgrade to Heartsaver Pediatric First Aid CPR AED, which includes choking relief, fever management, allergic reactions, and the most common pediatric emergencies.

For workplaces subject to OSHA's general first aid and AED requirements, Heartsaver First Aid CPR AED is the standard. Construction sites, manufacturing floors, gyms, hotels, and schools all default to this combined course because it covers the bleeding, burns, and trauma scenarios most likely on the job, plus full CPR and AED skills. Booking a group on-site session with a local AHA Training Center is usually the most cost-effective approach.

For coaches, lifeguards, and youth-sports volunteers, Heartsaver CPR AED with the Pediatric add-on is the right fit. Many states and youth sports organizations now mandate this exact card for any adult supervising minors during athletic activity. Confirm with your league or governing body whether they accept the standard Heartsaver card or require an additional sport-specific first aid module.

For students considering EMT, paramedic, nursing, or medical school, complete the AHA BLS Provider course before applying. It demonstrates baseline clinical readiness, satisfies most program prerequisites, and gives you a head start on the BLS algorithm questions you'll face on entrance exams. Pair it with shadowing or volunteer EMS work, and you'll arrive on day one of school ahead of most peers. You can review a complete CPR cardiopulmonary resuscitation study guide to prepare.

Finally, remember that certification is the floor, not the ceiling. The AHA strongly encourages practice between renewals โ€” the skill retention curve shows measurable degradation within 3-6 months of a class. Refresh by watching the AHA's YouTube videos, joining a local volunteer CPR program, or signing up for RQI-style quarterly skills if your employer offers it. Frequent low-dose practice beats biennial cramming every time.

Test Your Infant CPR & First Aid Knowledge Free

The day of your AHA CPR class, arrive 15 minutes early to complete registration, sign waivers, and get oriented to the manikins and AED trainers you'll use. Bring water, a light snack, and any pre-course paperwork โ€” including your HeartCode certificate if you completed the online module. Dress in layers, because classrooms with active CPR practice get warm quickly, and avoid jewelry or watches that could scratch a manikin or interfere with compressions.

During the cognitive segments, take notes on anything you find confusing rather than interrupting the video. Instructors set aside Q&A time after each module specifically for questions, and asking during the pause helps the whole class rather than slowing the video. The most common confusion points are compression-to-ventilation ratios across age groups, single-rescuer vs two-rescuer differences, and when to switch from CPR to AED โ€” write these down and ask explicitly.

On the practice manikins, focus on the four measurable performance metrics: rate (100-120/min), depth (โ‰ฅ2 inches adult), recoil (full release between compressions), and ventilation volume (just enough to see chest rise, about 500-600 mL). Modern feedback manikins display these metrics live on a screen or LED bar. Watch the feedback, adjust in real time, and aim for at least 80% of your compressions in target on the practice round before your formal checkoff.

For ventilations with a pocket mask or bag-mask device, the cardinal sin is over-ventilation. Deliver a one-second breath, watch for chest rise, then release. Faster, deeper, or more frequent breaths increase intrathoracic pressure, reduce venous return to the heart, and ironically lower the chance of return of spontaneous circulation. If you find yourself bagging too fast under stress, count out loud โ€” "squeeze, two, three, four, release, two, three, four" โ€” to maintain the proper rate.

The AED skill station tests both safety and speed. Practice the verbal sequence: "Turn it on, attach the pads, clear the patient โ€” I'm clear, you're clear, everybody clear โ€” analyzing โ€” shock advised, shock delivered, resume CPR." Instructors listen for the safety calls as much as the physical actions. Don't skip the "clear" calls even during practice; they're scored, and they prevent rescuer injury in real arrests.

If you blank during the skills test, slow down rather than rushing. Take a breath, restart the assessment sequence (check the scene, check responsiveness, call 911, get the AED, check pulse and breathing), and proceed step by step. Instructors are coaches first and evaluators second โ€” most will give you a quiet prompt if you get stuck on one step, and they want you to pass. After the class, save your eCard PDF to multiple locations, add the expiration date to your calendar with a 60-day reminder, and consider scheduling your renewal early to avoid any gap in certification.

Cardiopulmonary Emergency Recognition
Practice recognizing cardiac arrest, respiratory failure, and pre-arrest warning signs with realistic AHA-style scenarios.
Child and Infant CPR Questions
Drill pediatric and infant compression ratios, depth, two-thumb technique, and AED pad placement for kids.

CPR Questions and Answers

How long does an AHA CPR class take?

Heartsaver CPR AED typically runs 3-4 hours in a single classroom session. BLS Provider takes 4-5 hours classroom or roughly 1.5 hours online plus a 30-minute skills session via HeartCode. ACLS and PALS Provider courses run 10-14 hours over one or two days for initial certification, and roughly 6-8 hours for renewal. Plan a full day for any provider-level course.

How much do AHA CPR classes cost in 2026?

Heartsaver CPR AED ranges from $65-$95, BLS Provider $70-$110, ACLS Provider $200-$275, and PALS Provider $210-$285. Group on-site classes are typically 25-40% cheaper per seat for 8+ learners. Renewals run 15-25% less than initial certification. Costs vary by metro area, Training Center, and whether equipment is included; always confirm what is and isn't bundled.

Are AHA CPR cards accepted everywhere?

Yes. American Heart Association certifications are accepted by virtually all US hospitals, state nursing boards, EMS agencies, dental boards, OSHA-compliant employers, and licensing authorities. Some other certifying bodies โ€” including the national cpr foundation โ€” are not universally accepted, particularly for hospital credentialing. Always confirm with your specific employer or licensing board before enrolling in a non-AHA program.

How long is my AHA CPR card valid?

All AHA provider-level cards (Heartsaver, BLS, ACLS, PALS) are valid for two years from the issue date. The expiration date is printed on your eCard. Renewal is typically a shorter session โ€” often blended or skills-only โ€” and most employers require continuous certification, so booking renewal 30-60 days before expiration prevents any gap in your clinical or workplace privileges.

Can I take an AHA CPR class entirely online?

No. The American Heart Association requires a hands-on skills demonstration with an authorized instructor for every provider-level course. You can complete the cognitive (knowledge) portion entirely online via HeartCode, but you must attend an in-person skills session to receive a valid AHA card. Avoid any provider claiming to issue an AHA card from a 100% online course โ€” those are not valid.

What's the difference between Heartsaver and BLS?

Heartsaver is designed for laypeople and non-clinical workers, focusing on single-rescuer CPR, AED use, and basic first aid. BLS Provider is built for healthcare professionals and adds two-rescuer scenarios, bag-mask ventilation, team dynamics, high-performance CPR metrics, and pulse checks with simultaneous rescue breathing. Hospitals, nursing programs, and EMS agencies require BLS, not Heartsaver, for clinical roles.

How do I verify an AHA eCard?

Every AHA eCard has a unique QR code and a verification link at ecards.heart.org/student/myecards. Employers, credentialing offices, and licensing boards can scan the QR code or enter the eCard ID to instantly confirm the cardholder name, course, issue date, expiration date, instructor, and Training Center. The system also flags any revoked or fraudulent cards, making verification fast and reliable.

Do I need a separate course for infant CPR?

Infant CPR is included in every Heartsaver CPR AED, BLS Provider, and PALS Provider course, so a separate class is usually unnecessary. If you only want infant-specific training without a credentialing card, the AHA's Family & Friends CPR course covers adult, child, and infant CPR in about two hours and is ideal for new parents, grandparents, nannies, and family caregivers.

What happens if I fail the skills checkoff?

Failure on the skills checkoff is uncommon for learners who completed pre-course materials. If it happens, your instructor will offer same-day remediation, walking you through the specific skill (often compression depth or AED clear sequence) until you demonstrate competence. If same-day remediation is not possible, you can return for a skills retest within 30 days at most Training Centers, usually at no additional cost.

Is AHA CPR the same as Red Cross CPR?

Both organizations teach evidence-based CPR aligned with ILCOR resuscitation science, so the actual skills are nearly identical. The key differences are course branding, card design, instructor training pathways, and acceptance by employers. AHA cards are more commonly required for hospital and clinical credentialing, while Red Cross cards are widely accepted for workplace OSHA compliance, schools, and lifeguard certification.
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