ACLS CERTIFICATION PRACTICE
EXAMINATION PRACTICE 100+ QUESTIONS
2026 – VERIFIED Q&A WITH RATIONALES
FROM CERTIFIED EXAMINER ACTUAL EXAM
PREP 100% FAST REVISION
EXAMINING BOARD: ADVANCED
CARDIOVASCULAR LIFE SUPPORT (ACLS)
Table of Contents (Test Areas Covered)
1. Basic Life Support Review
2. Airway Management
3. Cardiac Rhythm Recognition
4. Pharmacology
5. ACLS Algorithms
6. Team Dynamics
7. Post–Cardiac Arrest Care
1. What is the first step in managing a patient found unresponsive with no pulse?
A. Check blood pressure
B. Start chest compressions
C. Give epinephrine
D. Defibrillate immediately
Answer: B. Start chest compressions
Early high-quality CPR is the most critical first intervention in cardiac arrest.
2. What is the correct compression rate during CPR?
A. 60–80/min
B. 80–100/min
C. 100–120/min
D. 120–140/min
Answer: C. 100–120/min
This rate optimizes perfusion without compromising recoil.
3. What is the recommended compression depth for adults?
A. 1 inch
B. 1.5 inches
C. At least 2 inches
D. 3 inches
, Answer: C. At least 2 inches
Adequate depth ensures effective circulation.
4. Which rhythm is shockable?
A. Asystole
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Sinus bradycardia
Answer: C. Ventricular fibrillation
VF is a primary shockable rhythm requiring defibrillation.
5. What is the first drug given in cardiac arrest?
A. Atropine
B. Epinephrine
C. Lidocaine
D. Dopamine
Answer: B. Epinephrine
Epinephrine improves coronary and cerebral perfusion.
6. What is the dose of epinephrine in cardiac arrest?
A. 0.1 mg
B. 0.5 mg
C. 1 mg
D. 5 mg
Answer: C. 1 mg
Administered every 3–5 minutes during arrest.
7. What rhythm is treated with defibrillation?
A. Atrial fibrillation
B. Ventricular tachycardia without pulse
C. Sinus tachycardia
D. First-degree AV block
Answer: B. Ventricular tachycardia without pulse
Pulseless VT is a shockable rhythm.
8. What is the preferred airway in prolonged resuscitation?
A. Nasal cannula
B. Bag-mask device
C. Advanced airway
D. Face mask
Answer: C. Advanced airway
Provides secure ventilation and oxygenation.
9. What is the compression-to-ventilation ratio without advanced airway?
A. 15:2
B. 20:2
C. 30:2
D. 40:2
Answer: C. 30:2
Standard adult CPR ratio.
10. What is the purpose of defibrillation?
A. Increase heart rate
, B. Stop abnormal rhythm
C. Improve oxygenation
D. Reduce blood pressure
Answer: B. Stop abnormal rhythm
Defibrillation resets chaotic electrical activity.
11. Which drug is used after the second shock?
A. Atropine
B. Epinephrine
C. Adenosine
D. Magnesium
Answer: B. Epinephrine
Given after second shock in shockable rhythms.
12. Which rhythm is non-shockable?
A. Ventricular fibrillation
B. Pulseless VT
C. Asystole
D. Torsades de pointes
Answer: C. Asystole
Managed with CPR and medications, not shocks.
13. What is the dose of amiodarone for VF/pulseless VT?
A. 150 mg
B. 300 mg
C. 1 mg
D. 0.5 mg
Answer: B. 300 mg
First dose in refractory VF/pVT.
14. What is the second dose of amiodarone?
A. 100 mg
B. 150 mg
C. 200 mg
D. 300 mg
Answer: B. 150 mg
Given if arrhythmia persists.
15. What does PEA stand for?
A. Pulmonary embolism arrest
B. Pulseless electrical activity
C. Primary electrical arrest
D. Peripheral embolic arrest
Answer: B. Pulseless electrical activity
Electrical activity without mechanical pulse.
16. What is the main treatment for PEA?
A. Defibrillation
B. CPR and epinephrine
C. Cardioversion
D. Atropine
EXAMINATION PRACTICE 100+ QUESTIONS
2026 – VERIFIED Q&A WITH RATIONALES
FROM CERTIFIED EXAMINER ACTUAL EXAM
PREP 100% FAST REVISION
EXAMINING BOARD: ADVANCED
CARDIOVASCULAR LIFE SUPPORT (ACLS)
Table of Contents (Test Areas Covered)
1. Basic Life Support Review
2. Airway Management
3. Cardiac Rhythm Recognition
4. Pharmacology
5. ACLS Algorithms
6. Team Dynamics
7. Post–Cardiac Arrest Care
1. What is the first step in managing a patient found unresponsive with no pulse?
A. Check blood pressure
B. Start chest compressions
C. Give epinephrine
D. Defibrillate immediately
Answer: B. Start chest compressions
Early high-quality CPR is the most critical first intervention in cardiac arrest.
2. What is the correct compression rate during CPR?
A. 60–80/min
B. 80–100/min
C. 100–120/min
D. 120–140/min
Answer: C. 100–120/min
This rate optimizes perfusion without compromising recoil.
3. What is the recommended compression depth for adults?
A. 1 inch
B. 1.5 inches
C. At least 2 inches
D. 3 inches
, Answer: C. At least 2 inches
Adequate depth ensures effective circulation.
4. Which rhythm is shockable?
A. Asystole
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Sinus bradycardia
Answer: C. Ventricular fibrillation
VF is a primary shockable rhythm requiring defibrillation.
5. What is the first drug given in cardiac arrest?
A. Atropine
B. Epinephrine
C. Lidocaine
D. Dopamine
Answer: B. Epinephrine
Epinephrine improves coronary and cerebral perfusion.
6. What is the dose of epinephrine in cardiac arrest?
A. 0.1 mg
B. 0.5 mg
C. 1 mg
D. 5 mg
Answer: C. 1 mg
Administered every 3–5 minutes during arrest.
7. What rhythm is treated with defibrillation?
A. Atrial fibrillation
B. Ventricular tachycardia without pulse
C. Sinus tachycardia
D. First-degree AV block
Answer: B. Ventricular tachycardia without pulse
Pulseless VT is a shockable rhythm.
8. What is the preferred airway in prolonged resuscitation?
A. Nasal cannula
B. Bag-mask device
C. Advanced airway
D. Face mask
Answer: C. Advanced airway
Provides secure ventilation and oxygenation.
9. What is the compression-to-ventilation ratio without advanced airway?
A. 15:2
B. 20:2
C. 30:2
D. 40:2
Answer: C. 30:2
Standard adult CPR ratio.
10. What is the purpose of defibrillation?
A. Increase heart rate
, B. Stop abnormal rhythm
C. Improve oxygenation
D. Reduce blood pressure
Answer: B. Stop abnormal rhythm
Defibrillation resets chaotic electrical activity.
11. Which drug is used after the second shock?
A. Atropine
B. Epinephrine
C. Adenosine
D. Magnesium
Answer: B. Epinephrine
Given after second shock in shockable rhythms.
12. Which rhythm is non-shockable?
A. Ventricular fibrillation
B. Pulseless VT
C. Asystole
D. Torsades de pointes
Answer: C. Asystole
Managed with CPR and medications, not shocks.
13. What is the dose of amiodarone for VF/pulseless VT?
A. 150 mg
B. 300 mg
C. 1 mg
D. 0.5 mg
Answer: B. 300 mg
First dose in refractory VF/pVT.
14. What is the second dose of amiodarone?
A. 100 mg
B. 150 mg
C. 200 mg
D. 300 mg
Answer: B. 150 mg
Given if arrhythmia persists.
15. What does PEA stand for?
A. Pulmonary embolism arrest
B. Pulseless electrical activity
C. Primary electrical arrest
D. Peripheral embolic arrest
Answer: B. Pulseless electrical activity
Electrical activity without mechanical pulse.
16. What is the main treatment for PEA?
A. Defibrillation
B. CPR and epinephrine
C. Cardioversion
D. Atropine
