ACLS WRITTEN TEST – MOCK EXAM 100 COMPLETE
QUESTIONS AND ANSWERS | CONTENT WELL ORGANIZED
2026/2027 LATEST UPDATE | 100 % RATED AND VERIFIED
SOLUTIONS | GET AN A+ NEW VERSION!!!
1. Which rhythm is characterized by chaotic electrical activity and no
identifiable P waves or QRS complexes?
A. Ventricular tachycardia
B. Atrial fibrillation
C. Ventricular fibrillation
D. Asystole
Ventricular fibrillation produces no effective cardiac output and requires
immediate defibrillation.
2. What is the first medication administered during pulseless ventricular
fibrillation after defibrillation and CPR?
A. Lidocaine
B. Epinephrine
C. Atropine
D. Amiodarone
Epinephrine is given every 3–5 minutes to improve coronary perfusion pressure.
3. The recommended adult dose of epinephrine during cardiac arrest is:
A. 0.1 mg IV
B. 0.5 mg IV
C. 1 mg IV/IO
D. 10 mg IV
,The standard ACLS dose is 1 mg IV/IO every 3–5 minutes.
4. Which rhythm is shockable?
A. Asystole
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Sinus bradycardia
Only ventricular fibrillation and pulseless ventricular tachycardia are shockable
rhythms.
5. What is the primary purpose of high-quality CPR?
A. Restore spontaneous breathing
B. Prevent brain injury
C. Maintain coronary and cerebral perfusion
D. Restart the heart
CPR sustains vital organ perfusion until ROSC occurs.
6. What is the recommended compression depth for adults?
A. At least 1 inch
B. Exactly 2 inches
C. At least 2 inches (5 cm)
D. More than 3 inches
Adequate depth ensures effective blood flow.
7. How often should compressors switch during CPR?
A. Every 1 minute
B. Every 3 minutes
, C. Every 2 minutes
D. Every 5 minutes
Switching reduces fatigue and maintains compression quality.
8. What rhythm is associated with organized electrical activity but no pulse?
A. Ventricular fibrillation
B. Pulseless electrical activity (PEA)
C. Ventricular tachycardia
D. Sinus arrest
PEA requires CPR and treatment of reversible causes.
9. Which medication is recommended for refractory ventricular fibrillation?
A. Atropine
B. Adenosine
C. Amiodarone
D. Dopamine
Amiodarone is the first-line antiarrhythmic in refractory VF/pVT.
10.The initial dose of amiodarone for VF/pVT is:
A. 150 mg IV
B. 300 mg IV bolus
C. 450 mg IV
D. 1 mg/kg IV
300 mg IV bolus is the standard first dose.
11.Which airway adjunct is preferred during prolonged resuscitation?
A. Nasal cannula
B. Simple face mask
QUESTIONS AND ANSWERS | CONTENT WELL ORGANIZED
2026/2027 LATEST UPDATE | 100 % RATED AND VERIFIED
SOLUTIONS | GET AN A+ NEW VERSION!!!
1. Which rhythm is characterized by chaotic electrical activity and no
identifiable P waves or QRS complexes?
A. Ventricular tachycardia
B. Atrial fibrillation
C. Ventricular fibrillation
D. Asystole
Ventricular fibrillation produces no effective cardiac output and requires
immediate defibrillation.
2. What is the first medication administered during pulseless ventricular
fibrillation after defibrillation and CPR?
A. Lidocaine
B. Epinephrine
C. Atropine
D. Amiodarone
Epinephrine is given every 3–5 minutes to improve coronary perfusion pressure.
3. The recommended adult dose of epinephrine during cardiac arrest is:
A. 0.1 mg IV
B. 0.5 mg IV
C. 1 mg IV/IO
D. 10 mg IV
,The standard ACLS dose is 1 mg IV/IO every 3–5 minutes.
4. Which rhythm is shockable?
A. Asystole
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Sinus bradycardia
Only ventricular fibrillation and pulseless ventricular tachycardia are shockable
rhythms.
5. What is the primary purpose of high-quality CPR?
A. Restore spontaneous breathing
B. Prevent brain injury
C. Maintain coronary and cerebral perfusion
D. Restart the heart
CPR sustains vital organ perfusion until ROSC occurs.
6. What is the recommended compression depth for adults?
A. At least 1 inch
B. Exactly 2 inches
C. At least 2 inches (5 cm)
D. More than 3 inches
Adequate depth ensures effective blood flow.
7. How often should compressors switch during CPR?
A. Every 1 minute
B. Every 3 minutes
, C. Every 2 minutes
D. Every 5 minutes
Switching reduces fatigue and maintains compression quality.
8. What rhythm is associated with organized electrical activity but no pulse?
A. Ventricular fibrillation
B. Pulseless electrical activity (PEA)
C. Ventricular tachycardia
D. Sinus arrest
PEA requires CPR and treatment of reversible causes.
9. Which medication is recommended for refractory ventricular fibrillation?
A. Atropine
B. Adenosine
C. Amiodarone
D. Dopamine
Amiodarone is the first-line antiarrhythmic in refractory VF/pVT.
10.The initial dose of amiodarone for VF/pVT is:
A. 150 mg IV
B. 300 mg IV bolus
C. 450 mg IV
D. 1 mg/kg IV
300 mg IV bolus is the standard first dose.
11.Which airway adjunct is preferred during prolonged resuscitation?
A. Nasal cannula
B. Simple face mask
