ACLS
EXAM VERSION B
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
50 Questions and Answers
Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Rationale That Aligns with ACLS 2025 Principles.
,1. After verifying the absence of a pulse, you initiate CPR with adequate bag-
mask ventilation. The patient’s lead II ECG shows asystole. What is your next
action?
A. IV or IO access
B. Endotracheal tube placement
C. Consultation with cardiology for possible PCI
D. Application of a transcutaneous pacemaker
Answer: A. IV or IO access
Rationale:
In asystole, the initial steps include high-quality CPR and ensuring airway and
ventilation, followed promptly by establishing IV or IO access to administer
medications (epinephrine). Endotracheal intubation may be performed after
initial resuscitation efforts to ensure airway control but is not the immediate
next step. PCI and pacing are not indicated for asystole.
---
2. After verifying unresponsiveness and abnormal breathing, you activate the
emergency response team. What is your next action?
A. Retrieve an AED.
B. Check for a pulse.
,C. Deliver 2 rescue breaths.
D. Administer a precordial thump.
Answer: B. Check for a pulse.
Rationale:
Once the emergency response system is activated for an unresponsive
patient who is not breathing normally, the next priority is to check for a pulse
within 10 seconds to determine if CPR is indicated. If no pulse is detected,
start CPR immediately. Retrieving an AED is important but secondary to
starting CPR if pulselessness is confirmed. Delivering rescue breaths before
pulse check or using a precordial thump without indication is not
recommended.
---
3. What is the recommendation on the use of cricoid pressure to prevent
aspiration during cardiac arrest?
A. Not recommended for routine use
B. Recommended during every resuscitation attempt
C. Recommended when the patient is vomiting
D. Recommended only for supraglottic airway insertion
Answer: A. Not recommended for routine use
Rationale:
Cricoid pressure is no longer routinely recommended during airway
management in cardiac arrest because it may worsen airway view, impede
ventilation, or dislodge the airway device. It should be avoided unless
specifically indicated by expert providers and only if it does not interfere with
ventilation or intubation.
, 4. What should be done to minimize interruptions in chest compressions
during CPR?
A. Perform pulse checks only after defibrillation.
B. Continue CPR while the defibrillator is charging.
C. Administer IV medications only when breaths are given.
D. Continue to use AED even after the arrival of a manual defibrillator.
Answer: B. Continue CPR while the defibrillator is charging.
Rationale:
Minimizing interruptions in chest compressions is critical to maintain
coronary and cerebral perfusion pressures. The 2025 ACLS guidelines
emphasize continuing high-quality chest compressions throughout
resuscitation efforts, including while the defibrillator is charging, to reduce
pauses to less than 10 seconds. This leads to improved outcomes. Pulse
checks should be brief and only performed when indicated, typically after
shocks or at rhythm checks. Use of AED is usually discontinued once a
manual defibrillator arrives. IV medication timing is independent of
ventilation.
---
5. Which condition is an indication to stop or withhold resuscitative efforts?
A. Unwitnessed arrest
B. Safety threat to providers
C. Patient age greater than 85 years
D. No return of spontaneous circulation after 10 minutes of CPR
EXAM VERSION B
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
50 Questions and Answers
Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct Answer
Rationale That Aligns with ACLS 2025 Principles.
,1. After verifying the absence of a pulse, you initiate CPR with adequate bag-
mask ventilation. The patient’s lead II ECG shows asystole. What is your next
action?
A. IV or IO access
B. Endotracheal tube placement
C. Consultation with cardiology for possible PCI
D. Application of a transcutaneous pacemaker
Answer: A. IV or IO access
Rationale:
In asystole, the initial steps include high-quality CPR and ensuring airway and
ventilation, followed promptly by establishing IV or IO access to administer
medications (epinephrine). Endotracheal intubation may be performed after
initial resuscitation efforts to ensure airway control but is not the immediate
next step. PCI and pacing are not indicated for asystole.
---
2. After verifying unresponsiveness and abnormal breathing, you activate the
emergency response team. What is your next action?
A. Retrieve an AED.
B. Check for a pulse.
,C. Deliver 2 rescue breaths.
D. Administer a precordial thump.
Answer: B. Check for a pulse.
Rationale:
Once the emergency response system is activated for an unresponsive
patient who is not breathing normally, the next priority is to check for a pulse
within 10 seconds to determine if CPR is indicated. If no pulse is detected,
start CPR immediately. Retrieving an AED is important but secondary to
starting CPR if pulselessness is confirmed. Delivering rescue breaths before
pulse check or using a precordial thump without indication is not
recommended.
---
3. What is the recommendation on the use of cricoid pressure to prevent
aspiration during cardiac arrest?
A. Not recommended for routine use
B. Recommended during every resuscitation attempt
C. Recommended when the patient is vomiting
D. Recommended only for supraglottic airway insertion
Answer: A. Not recommended for routine use
Rationale:
Cricoid pressure is no longer routinely recommended during airway
management in cardiac arrest because it may worsen airway view, impede
ventilation, or dislodge the airway device. It should be avoided unless
specifically indicated by expert providers and only if it does not interfere with
ventilation or intubation.
, 4. What should be done to minimize interruptions in chest compressions
during CPR?
A. Perform pulse checks only after defibrillation.
B. Continue CPR while the defibrillator is charging.
C. Administer IV medications only when breaths are given.
D. Continue to use AED even after the arrival of a manual defibrillator.
Answer: B. Continue CPR while the defibrillator is charging.
Rationale:
Minimizing interruptions in chest compressions is critical to maintain
coronary and cerebral perfusion pressures. The 2025 ACLS guidelines
emphasize continuing high-quality chest compressions throughout
resuscitation efforts, including while the defibrillator is charging, to reduce
pauses to less than 10 seconds. This leads to improved outcomes. Pulse
checks should be brief and only performed when indicated, typically after
shocks or at rhythm checks. Use of AED is usually discontinued once a
manual defibrillator arrives. IV medication timing is independent of
ventilation.
---
5. Which condition is an indication to stop or withhold resuscitative efforts?
A. Unwitnessed arrest
B. Safety threat to providers
C. Patient age greater than 85 years
D. No return of spontaneous circulation after 10 minutes of CPR
