American Red Cross-ACLS-Final Exam 2026 | Questions
And Answers | ALS/ACLS - Red Cross Final Exam [2024]
with 100% Correct Answers 2026
Question Answer Sour
A patient is in cardiac arrest. The cardiac monitor shows asystole. In
addition to providing continuous high-quality CPR, what is the other Administering epinephrine as early as possible
priority intervention for this patient?
A patient has experienced return of spontaneous circulation (ROSC)
after cardiac arrest. Before the arrest, the patient exhibited jugular
venous distension, cyanosis, apnea and hyperresonance on Tension Pneumothorax
percussion. The patient was also difficult to ventilate. The team would
most likely suspect which condition as the cause?
A patient with suspected stroke arrives at the emergency department.
The patient is diagnosed with acute ischemic stroke and is a candidate
Within 1 hour of patient's arrival.
for fibrinolytic therapy. To achieve the best outcomes, this therapy
should be initiated within what time frame?
A patient in the telemetry unit has a history of myocardial infarction.
The provider interprets the ECG rhythm strip as indicating which Third-degree AV block
arrhythmia?
A 28-year-old pregnant patient (fundus not at or above umbilicus)
goes into cardiac arrest. If available and able to be used without
Point-of-care ultrasound
impeding resuscitation, what diagnostic tool could be used to guide
decision-making?
Cardiac monitoring indicates a patient has a ventricular
tachyarrhythmia. The patient has a pulse and is not showing any signs
of hemodynamic compromise. A 12-lead ECG reveals an irregular Consider an antiarrhythmic medication
rhythm with QRS complexes greater than 0.12 second in duration.
Which action would be appropriate at this time?
,Question Answer Sour
A responsive patient is choking. What method should the provider use
Back blows
first to clear the obstructed airway?
What is the priority intervention for a patient with a narrow-complex Perform immediate synchronized
tachycardia (160 bpm) and a blood pressure of 72/48 mmHg? cardioversion
A patient is admitted to the ED with signs and symptoms of stroke.
The stroke team should complete a comprehensive neurologic Within 20 minutes
assessment and obtain brain imaging results within what time frame?
Cardiac monitoring of a patient in cardiac arrest reveals ventricular
fibrillation. In addition to high-quality CPR, what intervention should Defibrillation.
be a priority for the team?
A patient with suspected acute coronary syndromes (ACS) has a pulse
oximetry reading of 86% and is given supplemental oxygen. The
93%
provider determines that the supplemental oxygen dose is correct
based on which SaO2 level?
After cardiac arrest and successful resuscitation, the patient has a - Applying cooling blankets to the patient's
ROSC and is unable to follow commands. Targeted temperature body
management is initiated. Which method(s) would be appropriate for - Using an endovascular catheter
the resuscitation team to use? - Giving an ice-cold IV fluid bolus
A patient comes to the emergency department complaining of
palpitations and shortness of breath. The provider interprets this strip Atrial flutter
as indicating which arrhythmia?
A 35-year-old female patient's ECG is consistent with STEMI. The ECG
reveals a new ST-segment elevation at the J point in leads V2 and V3 0.15 mV
of at least which size?
- Initiate a dopamine infusion
For a patient with third-degree atrioventricular (AV) block and a blood
- Administer atropine
pressure of 70/48 mmHg, what interventions should be considered?
- Initiate transcutaneous pacing
, Question Answer Sour
A patient with a long history of COPD arrives with shortness of breath.
Assessment reveals respiratory failure. Which action would be the Assisted ventilation with BVM resuscitator
initial priority to address the respiratory failure?
The ECG rhythm strip of a patient complaining of dizziness, syncope - Verapamil
and shortness of breath reveals sinus bradycardia. Which agent(s) is a - Digoxin
potential cause of the patient's current condition? - Metoprolol
A patient with acute renal failure experiences cardiac arrest. Just
before the arrest, the patient's ECG showed peaked T waves. What Hyperkalemia
might be causing the patient's cardiac arrest?
A patient experiencing respiratory distress secondary to COPD
exacerbation experiences respiratory arrest. The team delivers Every 6 seconds
ventilations via BVM resuscitator at a rate of 1 ventilation:
A patient is being treated in the ED and is determined to have NSTE-
Ventricular tachycardia
ACS. Invasive management is planned based on which finding?
A patient's ECG reveals a narrow QRS complex with a regular rhythm
(narrow-complex SVT). The patient is hemodynamically stable. Which
Vagal maneuvers
intervention would be initiated first if it does not delay other
interventions?
"We provided chest compressions at a rate of
A resuscitation team is debriefing. Which statement indicates that the 100 to 120 compressions per minute while
team performed high-quality CPR? giving 1 ventilation every 6 seconds without
pausing compressions."
A patient experiences cardiac arrest, and the team initiates
ventilations using a BVM resuscitator. The development of which
Pneumothorax
condition would lead the team to suspect that improper BVM
technique is being used?
An ECG strip reveals a rhythm with an absence of discrete P waves and
Atrial fibrillation
presence of irregularly irregular QRS complexes. This indicates:
And Answers | ALS/ACLS - Red Cross Final Exam [2024]
with 100% Correct Answers 2026
Question Answer Sour
A patient is in cardiac arrest. The cardiac monitor shows asystole. In
addition to providing continuous high-quality CPR, what is the other Administering epinephrine as early as possible
priority intervention for this patient?
A patient has experienced return of spontaneous circulation (ROSC)
after cardiac arrest. Before the arrest, the patient exhibited jugular
venous distension, cyanosis, apnea and hyperresonance on Tension Pneumothorax
percussion. The patient was also difficult to ventilate. The team would
most likely suspect which condition as the cause?
A patient with suspected stroke arrives at the emergency department.
The patient is diagnosed with acute ischemic stroke and is a candidate
Within 1 hour of patient's arrival.
for fibrinolytic therapy. To achieve the best outcomes, this therapy
should be initiated within what time frame?
A patient in the telemetry unit has a history of myocardial infarction.
The provider interprets the ECG rhythm strip as indicating which Third-degree AV block
arrhythmia?
A 28-year-old pregnant patient (fundus not at or above umbilicus)
goes into cardiac arrest. If available and able to be used without
Point-of-care ultrasound
impeding resuscitation, what diagnostic tool could be used to guide
decision-making?
Cardiac monitoring indicates a patient has a ventricular
tachyarrhythmia. The patient has a pulse and is not showing any signs
of hemodynamic compromise. A 12-lead ECG reveals an irregular Consider an antiarrhythmic medication
rhythm with QRS complexes greater than 0.12 second in duration.
Which action would be appropriate at this time?
,Question Answer Sour
A responsive patient is choking. What method should the provider use
Back blows
first to clear the obstructed airway?
What is the priority intervention for a patient with a narrow-complex Perform immediate synchronized
tachycardia (160 bpm) and a blood pressure of 72/48 mmHg? cardioversion
A patient is admitted to the ED with signs and symptoms of stroke.
The stroke team should complete a comprehensive neurologic Within 20 minutes
assessment and obtain brain imaging results within what time frame?
Cardiac monitoring of a patient in cardiac arrest reveals ventricular
fibrillation. In addition to high-quality CPR, what intervention should Defibrillation.
be a priority for the team?
A patient with suspected acute coronary syndromes (ACS) has a pulse
oximetry reading of 86% and is given supplemental oxygen. The
93%
provider determines that the supplemental oxygen dose is correct
based on which SaO2 level?
After cardiac arrest and successful resuscitation, the patient has a - Applying cooling blankets to the patient's
ROSC and is unable to follow commands. Targeted temperature body
management is initiated. Which method(s) would be appropriate for - Using an endovascular catheter
the resuscitation team to use? - Giving an ice-cold IV fluid bolus
A patient comes to the emergency department complaining of
palpitations and shortness of breath. The provider interprets this strip Atrial flutter
as indicating which arrhythmia?
A 35-year-old female patient's ECG is consistent with STEMI. The ECG
reveals a new ST-segment elevation at the J point in leads V2 and V3 0.15 mV
of at least which size?
- Initiate a dopamine infusion
For a patient with third-degree atrioventricular (AV) block and a blood
- Administer atropine
pressure of 70/48 mmHg, what interventions should be considered?
- Initiate transcutaneous pacing
, Question Answer Sour
A patient with a long history of COPD arrives with shortness of breath.
Assessment reveals respiratory failure. Which action would be the Assisted ventilation with BVM resuscitator
initial priority to address the respiratory failure?
The ECG rhythm strip of a patient complaining of dizziness, syncope - Verapamil
and shortness of breath reveals sinus bradycardia. Which agent(s) is a - Digoxin
potential cause of the patient's current condition? - Metoprolol
A patient with acute renal failure experiences cardiac arrest. Just
before the arrest, the patient's ECG showed peaked T waves. What Hyperkalemia
might be causing the patient's cardiac arrest?
A patient experiencing respiratory distress secondary to COPD
exacerbation experiences respiratory arrest. The team delivers Every 6 seconds
ventilations via BVM resuscitator at a rate of 1 ventilation:
A patient is being treated in the ED and is determined to have NSTE-
Ventricular tachycardia
ACS. Invasive management is planned based on which finding?
A patient's ECG reveals a narrow QRS complex with a regular rhythm
(narrow-complex SVT). The patient is hemodynamically stable. Which
Vagal maneuvers
intervention would be initiated first if it does not delay other
interventions?
"We provided chest compressions at a rate of
A resuscitation team is debriefing. Which statement indicates that the 100 to 120 compressions per minute while
team performed high-quality CPR? giving 1 ventilation every 6 seconds without
pausing compressions."
A patient experiences cardiac arrest, and the team initiates
ventilations using a BVM resuscitator. The development of which
Pneumothorax
condition would lead the team to suspect that improper BVM
technique is being used?
An ECG strip reveals a rhythm with an absence of discrete P waves and
Atrial fibrillation
presence of irregularly irregular QRS complexes. This indicates:
