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ACLS Exam Questions & Answers | Verified Study Guide | 2025/2026 A+ Grade

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The Advanced Cardiovascular Life Support (ACLS) certification exam evaluates a provider’s ability to manage cardiac arrest, acute coronary syndromes, and other life‑threatening emergencies. The 2025/2026 edition reflects the latest American Heart Association (AHA) guidelines, including minor but important updates to drug dosages and procedural steps

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2025 ACLS

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2025 ACLS questions and answers 2025\2026
A+ Grade

What element of a system of care is represented by properly functioning resuscitation equipment?
- correct answer Structure



What is the first link in the out-of-hospital cardiac arrest (OHCA) chain of survival?
- correct answer Activation of emergency reponse



What are signs of clinical deterioration that would prompt the activation of rapid response system?
- correct answer Symptomatic hypertension

Seizure

Unexplained agitation



What is the primary purpose of a rapid response team (RRT) or medical emergency team (MET)?
- correct answer To improve patient outcomes by identifying and treating early clinical deterioration



What happens when teams rapidly assess and intervene when patients have abnormal vital signs?
- correct answer The number of in hospital cardiac arrest decreases



In addition to decreased IHCA, what are some other benefits of implementing a rapid response system?
Select all that apply.
- correct answer Decrease ICU length of stay.

Decreased in total hospital length of stay.



Which is the main advantage of effective teamwork?
- correct answer Division of tasks

,Which is the best example of a role of the team leader?
- correct answer Models excellent team behavior



Which is the best example of a role of a team member?
- correct answer Prepared to fulfill their role responsibilities



What is the primary purpose of the CPR coach on a resuscitation team?
- correct answer Increasing CPR quality



What are the 6 positions for high performance teams in resuscitation?
- correct answer Team leader

Airway

Timer/recorder

Compressor (rotate every 2 minutes)

Monitor/defibrillator/cpr coach

IV/IO/Medications



Which member of the high performance team has the responsibility for assigning roles (positions)?
- correct answer Team leader



Which high performance team member is part of the resuscitation triangle?
- correct answer Monitor/defibrillator/cpr coach



Which is an example of knowledge sharing by a team leader?
- correct answer Asking for suggestions about interventions



Which is an example of summarizing and reevaluating?
- correct answer Increasing monitoring of the patients condition deteriorates



Which is a step of closed-loop communication?
- correct answer Confirming task completion before assigning another task

,Which are examples of mutual respect? Select all that apply:
- correct answer Acknowledging correctly completed tasks in a positive way

Ensuring that only one person talks at a time



What are the components of high quality CPR? Select all that apply:
- correct answer Compression depth of at least 2 inches (5cm)

Switching compressors every 2 minutes

Avoiding excessive ventilation

Complete chest recoil after each compression

Interruption limited to under 10 seconds



How do you calculate the chest compression fraction (CCF)? What is ideal percentage?
- correct answer Divide chest compression time by total code time. You want this at least 60% but
ideally greater than 80%



Which component of effective high-performance teams is represented by the use of real-time feedback
devices?
- correct answer Quality



How do you calculate Coronary Perfusion Pressure (CPP)?
- correct answer Aortic diastolic pressure "minus" Right Atrial Diastolic Pressure



How do interruptions in chest compressions negatively impact survival after cardiac arrest?
- correct answer Decrease coronary perfusion pressure



What is the only intervention that can restore an organized rhythm in patients with ventricular
fibrillation (VF)?
- correct answer Early and effective defibrillation



How quickly does the chance of survival decline for every minute of defibrillation delay in patients with
ventricular fibrillation who do receive bystander CPR?
- correct answer 7-10%

, What is the advantage of a systematic approach to patient assessment?
- correct answer Reduces the chances of missing important signs and symptoms



What is the first step in the systematic approach to patient assessment?
- correct answer Initial impression



What is the maximum amount of time you should simultaneously perform pulse and breathing checks?
- correct answer 10 seconds



While performing the BLS Assessment, you initiate high- quality CPR and assist ventilation with a bag
mask device. The AED does not recommend a shock.



Which action in the Primary assessment should you perform first?
- correct answer Determine is the patients airway is patent



The initial assessment reveals a conscious patient. The patients airway is patent and an advanced airway
is not indicated.



Which action in the primary assessment should you perform next?
- correct answer Administer oxygen as needed



Which action is part of secondary assessment of a conscious patient?
- correct answer Formulate a differential diagnosis



Which of the following are the "H's" causes of reversible cardiac arrest? Select all that apply:
- correct answer Hypothermia

Hypoxia

Hyperkalemia/hypokalemia

Hypovolemia

Acidosis

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