ACLS EXAM LATEST 2026-2027 ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS (100% VERIFIED
ANSWERS) |ALREADY GRADED A+| ||PROFESSOR VERIFIED||
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A 62-year-old man in the emergency department says that his
heart is beating fast. He says he has no chest pain or shortness
of breath. The blood pressure is 142/98 mm Hg, the pulse is
200/min, the respiratory rate is 14 breaths/min, and pulse
oximetry is 95% on room air. What intervention should you
perform next? - ANSWER-Obtain a 12 lead ECG.
You are evaluating a 48-year-old man with crushing substernal
chest pain. The patient is pale, diaphoretic, cool to the touch, and
slow to respond to your questions. The blood pressure is 58/32
mm Hg, the heart rate is 190/min, the respiratory rate is 18
breaths/min, and the pulse oximeter is unable to obtain a reading
because there is no radial pulse. The lead II ECG displays a
regular wide-complex tachycardia. What intervention should you
perform next? - ANSWER-Synchronized cardioversion
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What is the initial priority for an unconscious patient with any
tachycardia on the monitor? - ANSWER-Determine whether
pulses are present.
Which rhythm requires synchronized cardioversion? - ANSWER-
Unstable supraventricular tachycardia
What is the recommended second dose of adenosine for patients
in refractory but stable narrow-complex tachycardia? - ANSWER-
12mg
What is the usual post-cardiac arrest target range for PETCO2
when ventilating a patient who achieves return of spontaneous
circulation (ROSC)? - ANSWER-35-40mm Hg
Which condition is a contraindication to therapeutic hypothermia
during the post-cardiac arrest period for patients who achieve
return of spontaneous circulation ROSC? - ANSWER-Responding
to verbal commands
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What is the potential danger of using ties that pass
circumferentially around the patient's neck when securing an
advanced airway? - ANSWER-Obstruction of venous return from
the brain
What is the most reliable method of confirming and monitoring
correct placement of an endotracheal tube? - ANSWER-
Continuous waveform capnography
hat is the recommended IV fluid (normal saline or Ringer's
lactate) bolus dose for a patient who achieves ROSC but is
hypotensive during the post-cardiac arrest period? - ANSWER-1
to 2 Liters
What is the minimum systolic blood pressure one should attempt
to achieve with fluid, inotropic, or vasopressor administration in a
hypotensive post-cardiac arrest patient who achieves ROSC? -
ANSWER-90mm Hg
What is the first treatment priority for a patient who achieves
ROSC? - ANSWER-Optimizing ventilation and oxygenation.
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What should be done to minimize interruptions in chest
compressions during CPR? - ANSWER-Continue CPR while the
defibrillator is charging.
Which condition is an indication to stop or withhold resuscitative
efforts? - ANSWER-Safety threat to providers
After verifying the absence of a pulse, you initiate CPR with
adequate bag-mask ventilation. The patient's lead II ECG appears
below. What is your next action? - ANSWER-IV or IO access
After verifying unresponsiveness and abnormal breathing, you
activate the emergency response team. What is your next action?
- ANSWER-Check for a pulse.
What is the recommendation on the use of cricoid pressure to
prevent aspiration during cardiac arrest? - ANSWER-Not
recommended for routine use