ACLS
EXAM VERSION A & B
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
Each Version with 50 Questions and Answers
Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Rationale That Aligns with ACLS 2025 Principles.
,Table of Contents
ACLS VERSION A EXAM........................................................................................................................2
ACLS VERSION B EXAM......................................................................................................................35
ACLS VERSION A EXAM
### 1. An activated AED does not promptly analyze the rhythm. What is
your next action?
A. Begin chest compressions.
B. Discontinue the resuscitation attempt.
C. Check all AED connections and reanalyze.
D. Rotate AED electrodes to an alternate position.
Correct Answer: C. Check all AED connections and reanalyze.
Rationale:
If an AED does not analyze promptly, check the electrode pad connections,
ensure good skin contact, and then prompt the AED to reanalyze. Starting
compressions is important but it is best to correct mechanical or connection
issues first to allow rhythm analysis. Discontinuing is inappropriate unless
the patient is obvious dead, and rotating electrodes is not standard
procedure.
### 2. You have completed 2 minutes of CPR. The ECG monitor displays
ventricular fibrillation, and the patient has no pulse. Another member of
your team resumes chest compressions, and an IV is in place. What
management step is your next priority?
, A.
Give 0.5 mg of atropine.
B. Insert an advanced airway.
C. Administer 1 mg of epinephrine.
D. Administer a dopamine infusion.
Correct Answer: C. Administer 1 mg of epinephrine.
Rationale:
For refractory ventricular fibrillation after initial defibrillation and CPR,
administer epinephrine 1 mg IV/IO every 3-5 minutes. Atropine is no longer
recommended in ventricular fibrillation or pulseless ventricular tachycardia.
Insertion of an advanced airway can be performed but does not take priority
over epinephrine administration. Dopamine infusion is not indicated during
cardiac arrest.
### 3. What is the preferred method of access for epinephrine
administration during cardiac arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Central intravenous
D. Peripheral intravenous
Correct Answer: D. Peripheral intravenous
Rationale:
, The preferred vascular access during cardiac arrest is peripheral intravenous
(IV) access due to its availability and rapid establishment in most patients. If
peripheral IV access is difficult or delayed, intraosseous (IO) access provides
an excellent alternative that quickly allows administration of medications.
Endotracheal administration is no longer preferred due to variable absorption
and efficacy.
---
### 4. You find an unresponsive patient who is not breathing. After
activating the emergency response system, you determine that there is no
pulse. What is your next action?
A. Open the airway with a head tilt–chin lift.
B. Administer epinephrine at a dose of 1 mg/kg.
C. Deliver 2 rescue breaths each over 1 second.
D. Start chest compressions at a rate of at least 100/min.
Correct Answer: D. Start chest compressions at a rate of at least 100/min.
Rationale:
For a patient who is unresponsive, not breathing, and pulseless, the
immediate next step after activating the emergency response system is to
start high-quality chest compressions immediately. Chest compressions
maintain circulation to vital organs and are key to successful resuscitation.
Opening the airway and rescue breaths are provided during the CPR cycle,
but compressions take priority to maintain blood flow. Epinephrine is
administered after confirming arrest and establishing vascular access.
---
### 5. You are evaluating a 58-year-old man with chest pain. The blood
pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored
EXAM VERSION A & B
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
Each Version with 50 Questions and Answers
Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Rationale That Aligns with ACLS 2025 Principles.
,Table of Contents
ACLS VERSION A EXAM........................................................................................................................2
ACLS VERSION B EXAM......................................................................................................................35
ACLS VERSION A EXAM
### 1. An activated AED does not promptly analyze the rhythm. What is
your next action?
A. Begin chest compressions.
B. Discontinue the resuscitation attempt.
C. Check all AED connections and reanalyze.
D. Rotate AED electrodes to an alternate position.
Correct Answer: C. Check all AED connections and reanalyze.
Rationale:
If an AED does not analyze promptly, check the electrode pad connections,
ensure good skin contact, and then prompt the AED to reanalyze. Starting
compressions is important but it is best to correct mechanical or connection
issues first to allow rhythm analysis. Discontinuing is inappropriate unless
the patient is obvious dead, and rotating electrodes is not standard
procedure.
### 2. You have completed 2 minutes of CPR. The ECG monitor displays
ventricular fibrillation, and the patient has no pulse. Another member of
your team resumes chest compressions, and an IV is in place. What
management step is your next priority?
, A.
Give 0.5 mg of atropine.
B. Insert an advanced airway.
C. Administer 1 mg of epinephrine.
D. Administer a dopamine infusion.
Correct Answer: C. Administer 1 mg of epinephrine.
Rationale:
For refractory ventricular fibrillation after initial defibrillation and CPR,
administer epinephrine 1 mg IV/IO every 3-5 minutes. Atropine is no longer
recommended in ventricular fibrillation or pulseless ventricular tachycardia.
Insertion of an advanced airway can be performed but does not take priority
over epinephrine administration. Dopamine infusion is not indicated during
cardiac arrest.
### 3. What is the preferred method of access for epinephrine
administration during cardiac arrest in most patients?
A. Intraosseous
B. Endotracheal
C. Central intravenous
D. Peripheral intravenous
Correct Answer: D. Peripheral intravenous
Rationale:
, The preferred vascular access during cardiac arrest is peripheral intravenous
(IV) access due to its availability and rapid establishment in most patients. If
peripheral IV access is difficult or delayed, intraosseous (IO) access provides
an excellent alternative that quickly allows administration of medications.
Endotracheal administration is no longer preferred due to variable absorption
and efficacy.
---
### 4. You find an unresponsive patient who is not breathing. After
activating the emergency response system, you determine that there is no
pulse. What is your next action?
A. Open the airway with a head tilt–chin lift.
B. Administer epinephrine at a dose of 1 mg/kg.
C. Deliver 2 rescue breaths each over 1 second.
D. Start chest compressions at a rate of at least 100/min.
Correct Answer: D. Start chest compressions at a rate of at least 100/min.
Rationale:
For a patient who is unresponsive, not breathing, and pulseless, the
immediate next step after activating the emergency response system is to
start high-quality chest compressions immediately. Chest compressions
maintain circulation to vital organs and are key to successful resuscitation.
Opening the airway and rescue breaths are provided during the CPR cycle,
but compressions take priority to maintain blood flow. Epinephrine is
administered after confirming arrest and establishing vascular access.
---
### 5. You are evaluating a 58-year-old man with chest pain. The blood
pressure is 92/50 mm Hg, the heart rate is 92/min, the nonlabored
