AHA ACLS EXAM 2025 REAL EXAM
QUESTIONS AND ANSWERS UPDATED 2026
GRADED A+
You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action? -
CORRECT ANSWER -Start chest compressions of at least 100 per min.
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate
of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What
assessment step is most important now? - CORRECT ANSWER -Obtaining a
12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
What is the preferred method of access for epi administration during cardiac arrest in
most pts? - CORRECT ANSWER -Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - CORRECT
ANSWER -Begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and
the pt. has no pulse. You partner resumes chest compressions and an IV is in place.
What management step is your next priority? - CORRECT ANSWER -
Administer 1mg of epinepherine
,During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no
pulse. What is the next action? - CORRECT ANSWER -Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? -
CORRECT ANSWER -Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - CORRECT
ANSWER -Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
CORRECT ANSWER -Providing quality compressions immediately before a
defibrillation attempt.
Which situation BEST describes PEA? - CORRECT ANSWER -Sinus rythm
without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced
airway in place? - CORRECT ANSWER -Provide continuous chest
compressionswithout pauses and 10 ventilations per minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube
while another performs continuous chest comressions. During subsequent bentilation,
you notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8
mm Hg. What is the significance of this finding? - CORRECT ANSWER -Chest
compressions may not be effective.
, The use of quantitative capnography in intubated pt's does what? - CORRECT
ANSWER -Allowsfor monitoring CPR quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who originally
presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which has
persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next
treatment? - CORRECT ANSWER -Consider terminating resuscitive efforts after
consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? -
CORRECT ANSWER -Be sure O2 is NOT blowing over the pt's chest during
shock.
During your assessment, your pt suddenly loses consciousness. After calling for help
and determining that the pt. is not breathing, you are unsure whether the pt. has a pulse.
What is your next action? - CORRECT ANSWER -Begin chest compressions.
What is an advantage of using hands-free d-fib pads instead of d-fib paddles? -
CORRECT ANSWER -Hands-free allows for more rapid d-fib.
What action is recommended to help minimize interruptions in chest compressions
during CPR? - CORRECT ANSWER -Continue CPR while charging the
defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is Charging
QUESTIONS AND ANSWERS UPDATED 2026
GRADED A+
You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action? -
CORRECT ANSWER -Start chest compressions of at least 100 per min.
You are evaluating a 58 year old man with chest pain. The BP is 92/50 and a heart rate
of 92/min, non-labored respiratory rate is 14 breaths/min and the pulse O2 is 97%. What
assessment step is most important now? - CORRECT ANSWER -Obtaining a
12 lead ECG.
Identification of Chest Discomfort Suggestive of Ischemia
What is the preferred method of access for epi administration during cardiac arrest in
most pts? - CORRECT ANSWER -Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? - CORRECT
ANSWER -Begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below (PEA) and
the pt. has no pulse. You partner resumes chest compressions and an IV is in place.
What management step is your next priority? - CORRECT ANSWER -
Administer 1mg of epinepherine
,During a pause in CPR, you see a narrow complex rythm on the monitor. The pt. has no
pulse. What is the next action? - CORRECT ANSWER -Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? -
CORRECT ANSWER -Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? - CORRECT
ANSWER -Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular fibrillation? -
CORRECT ANSWER -Providing quality compressions immediately before a
defibrillation attempt.
Which situation BEST describes PEA? - CORRECT ANSWER -Sinus rythm
without a pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced
airway in place? - CORRECT ANSWER -Provide continuous chest
compressionswithout pauses and 10 ventilations per minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube
while another performs continuous chest comressions. During subsequent bentilation,
you notice the presence of a wavefom on the capnogrophy screen and a PETCO2 of 8
mm Hg. What is the significance of this finding? - CORRECT ANSWER -Chest
compressions may not be effective.
, The use of quantitative capnography in intubated pt's does what? - CORRECT
ANSWER -Allowsfor monitoring CPR quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who originally
presented with V-FIB. After the 1st shock, the ECG screen displayed asystole which has
persisted despite 2 doses of epi, a fluid bolus, and high quality CPR. What is your next
treatment? - CORRECT ANSWER -Consider terminating resuscitive efforts after
consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? -
CORRECT ANSWER -Be sure O2 is NOT blowing over the pt's chest during
shock.
During your assessment, your pt suddenly loses consciousness. After calling for help
and determining that the pt. is not breathing, you are unsure whether the pt. has a pulse.
What is your next action? - CORRECT ANSWER -Begin chest compressions.
What is an advantage of using hands-free d-fib pads instead of d-fib paddles? -
CORRECT ANSWER -Hands-free allows for more rapid d-fib.
What action is recommended to help minimize interruptions in chest compressions
during CPR? - CORRECT ANSWER -Continue CPR while charging the
defibrillator.
Foundational Facts: Resume CPR While Manual Defibrillator is Charging
