ACLS AHA WITH UPDATES EXAM SCRIPT 2026
COMPLETE QUESTIONS AND SOLUTIONS
◉ Which action is included in the BLS survey? Answer: Early
defibrillation
◉ Which drug and dose are recommended for the management of a
pt. in refractory V-FIB? Answer: Amiodarone 300mg
◉ What is the appropriate intervalfor an interruption in chest
compressions? Answer: 10 seconds or less
◉ Which of the following is a sign of effective CPR? Answer: PETCO2
= or > 10mm Hg
◉ What is the purpose of a medical emergency team (MET) or rapid
response team? Answer: Improving patient outcomes by identifying
and treating early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid
Response Teams (RRTs)
,◉ Which action improves the quality of chest compressions
delivered during resuscitave attemepts? Answer: Shitch providers
about every 2 min or every 5 compression cycles.
◉ What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse of 80 beats/min? Answer: 1 breath
every 5-6 seconds
◉ A pt. presents to the ER with a new onset of dizziness and fatugue.
Onexamination, the pt's heart rate is 35 beats/min, BP is 70/50,
resp. rate is 22 per min, O2 sat is 95%. What is the appropriate 1st
medication? Answer: Atropine 0.5mg
◉ A pt. presents to the ER with dizziness and SOB with a sinus brady
of 40/min. The initial atropine dose was ineffective and your
monitor does not provide TCP. What is the appropriate dose of
Dopamine for this pt? Answer: 2-20mcg/kg/min
◉ A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is
110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow complex
tach rythm. What is the next intervention? Answer: Vagal manuever.
◉ A monitored pt. in the ICU developed a suddent onset of narrow
complex tach at a rate of 220/min. The pt's BP is 128/58, the
PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any
, vasodialators. A 12 lead shows no ischemia or infarction. Vagal
manuevers are ineffective. What is the next intervention? Answer:
Adenosine 12mg IV
◉ You receiving a radio report from an EMS team enroute with a pt.
who may be having a stroke. The hospital CT scanner is broken.
What should you do? Answer: Divert the pt. to a hospital 15 min
away with CT capabilities.
Foundational Facts: Stroke Centers and Stroke Units
◉ Choose an appropriate inidication to stop or withhold resuscitive
efforts. Answer: Evidence of rigor mortis.
◉ A 49 y/ofmaile arrives in the ER with persistant epigastric pain.
She has been taking antacids PO for the past 6 hours because she
she had heartburn. BP is 118/72, heart rate is 92/min, resp. rate is
14 non-labored and O2 sat is 96%. What is the most appropriate
next action? Answer: Obtain a 12 lead ECG.
◉ A pt. in respiratory failure becomes apneic but contineues to have
a strong pulse. The heart rate is dropping paridly and now shows a
sinus brady rate at 30/min. What intervention has the highest
priority? Answer: Simple airway manuevers and assisted
ventilations.
COMPLETE QUESTIONS AND SOLUTIONS
◉ Which action is included in the BLS survey? Answer: Early
defibrillation
◉ Which drug and dose are recommended for the management of a
pt. in refractory V-FIB? Answer: Amiodarone 300mg
◉ What is the appropriate intervalfor an interruption in chest
compressions? Answer: 10 seconds or less
◉ Which of the following is a sign of effective CPR? Answer: PETCO2
= or > 10mm Hg
◉ What is the purpose of a medical emergency team (MET) or rapid
response team? Answer: Improving patient outcomes by identifying
and treating early clinical deterioration.
Foundational Facts: Medical Emergency Teams (METs) and Rapid
Response Teams (RRTs)
,◉ Which action improves the quality of chest compressions
delivered during resuscitave attemepts? Answer: Shitch providers
about every 2 min or every 5 compression cycles.
◉ What is the appropriate ventilation strategy for an adult in
respiratory arrest with a pulse of 80 beats/min? Answer: 1 breath
every 5-6 seconds
◉ A pt. presents to the ER with a new onset of dizziness and fatugue.
Onexamination, the pt's heart rate is 35 beats/min, BP is 70/50,
resp. rate is 22 per min, O2 sat is 95%. What is the appropriate 1st
medication? Answer: Atropine 0.5mg
◉ A pt. presents to the ER with dizziness and SOB with a sinus brady
of 40/min. The initial atropine dose was ineffective and your
monitor does not provide TCP. What is the appropriate dose of
Dopamine for this pt? Answer: 2-20mcg/kg/min
◉ A pt. has an onset of dizziness. The pt.s heart rate is 180, BP is
110/70, resp. rate is 18, O2 sat is 98%. This is a reg narrow complex
tach rythm. What is the next intervention? Answer: Vagal manuever.
◉ A monitored pt. in the ICU developed a suddent onset of narrow
complex tach at a rate of 220/min. The pt's BP is 128/58, the
PETCO2 is 38mm Hg, and the O2 sat is 98%. There is an EJ
established for vascular access. The pt. denies taking any
, vasodialators. A 12 lead shows no ischemia or infarction. Vagal
manuevers are ineffective. What is the next intervention? Answer:
Adenosine 12mg IV
◉ You receiving a radio report from an EMS team enroute with a pt.
who may be having a stroke. The hospital CT scanner is broken.
What should you do? Answer: Divert the pt. to a hospital 15 min
away with CT capabilities.
Foundational Facts: Stroke Centers and Stroke Units
◉ Choose an appropriate inidication to stop or withhold resuscitive
efforts. Answer: Evidence of rigor mortis.
◉ A 49 y/ofmaile arrives in the ER with persistant epigastric pain.
She has been taking antacids PO for the past 6 hours because she
she had heartburn. BP is 118/72, heart rate is 92/min, resp. rate is
14 non-labored and O2 sat is 96%. What is the most appropriate
next action? Answer: Obtain a 12 lead ECG.
◉ A pt. in respiratory failure becomes apneic but contineues to have
a strong pulse. The heart rate is dropping paridly and now shows a
sinus brady rate at 30/min. What intervention has the highest
priority? Answer: Simple airway manuevers and assisted
ventilations.
