HEARTCODE 2026 ACLS COURSE EXAM 2026
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
|ALREADY GRADED A+|NEWEST|LATEST
UPDATE |GUARANTEED PASS
During the management of a patient in cardiac arrest, you have initiated CPR, attached the
manual defibrillator, delivered the first shock, and immediately resumed high quality CPR,
beginning with chest compressions. What is your next intervention?
Establish IV or IO access
what is the recommended dose for epinephrine during a resuscitation effort
1mg IV every 3-5 minutes
In addition to CPR with minimal interruptions in chest compressions what is the most
critical intervention during the first minutes of arrest for a patient in ventricular fibrillation?
defibrillation
what is the recommended first dose IV/IO dose of amiodarone for patients in cardiac arrest
with VF/pVT that is unresponsive to defibrillation
300mg
if the patient is conscious, establish IV access prior to synchronized cardioversion and
administer
sedation
what term best describes an organized rhythm without a pulse
PEA
1|Page
,PEA can present as which of the following organized rhythms
sinus rhythm, a-fib or flutter, bundle branch blocks
what is the first recommended IV/IO dose of lidocaine for patients in cardiac arrest with
VF/pVT that is unresponsive to defibrillation
1 - 1.5mg/kg
in addition to hypoxia, what is the most common underlying, potentially reversible cause of
pulseless electrical activity
hypovolemia
which therapy is not supported by evidence for use in patients with cardiac arrest
secondary to hypothermia
antiarrhythmics
which alteration to the standard ACLS algorithm is appropriate for patients whose cardiac
arrest is caused by hypothermia
medication spaced at longer intervals
when is the recommended point to administer epinephrine to a patient with asystole
Between the 2nd and 3rd shocks
a patient with suspected opioid poisoning is not breathing normally but has a pulse. what is
next step
provide rescue breathing and give naloxone
how will the current generation of continuous-flow left ventricular assist devices
complicate the BLS assessment
the device will not produce a pulse
2|Page
, you are assisting an unresponsive patient known to have an implanted left ventricular
assist device (LVAD). the patient is not breathing, skin is pale and cool, and capillary refill is
inadequate. how do you assess whether LVAD is functioning
Listen for device hum
when is the recommended point to administer the first dose of epinephrine for a patient in
a shockable rhythm
between second and third shocks
Depending on training and clinical circumstance, how can rescuers administer naloxone?
intranasally, intramuscularly, intravenously
what is recommended CPR position for a third trimester gravid patient
supine with manual left lateral uterine displacement
A patient with ventricular assist device (VAD) is not breathing, has signs of inadequate
perfusion, and is unconscious. You determine the VAD is functioning. After endotracheal
intubation, the patient has a PETCO2 of 12 mmHg. What is your next action?
perform external chest compressions
what roles does the ECPR fill in the management of cardiac arrest
serve as a bridge for left ventricular assist device implantation, provides vital organ support
while treating reversible causes
How quickly should resuscitation Team leaders consider perimortem cesarean delivery
after beginning resuscitative efforts it returns of spontaneous circulation has not been
achieved?
5 min
New: Activate protocol as soon as cardiac arrest is identified in pregnant patient.
3|Page
WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED ANSWERS |FREQUENTLY
TESTED QUESTIONS AND SOLUTIONS
|ALREADY GRADED A+|NEWEST|LATEST
UPDATE |GUARANTEED PASS
During the management of a patient in cardiac arrest, you have initiated CPR, attached the
manual defibrillator, delivered the first shock, and immediately resumed high quality CPR,
beginning with chest compressions. What is your next intervention?
Establish IV or IO access
what is the recommended dose for epinephrine during a resuscitation effort
1mg IV every 3-5 minutes
In addition to CPR with minimal interruptions in chest compressions what is the most
critical intervention during the first minutes of arrest for a patient in ventricular fibrillation?
defibrillation
what is the recommended first dose IV/IO dose of amiodarone for patients in cardiac arrest
with VF/pVT that is unresponsive to defibrillation
300mg
if the patient is conscious, establish IV access prior to synchronized cardioversion and
administer
sedation
what term best describes an organized rhythm without a pulse
PEA
1|Page
,PEA can present as which of the following organized rhythms
sinus rhythm, a-fib or flutter, bundle branch blocks
what is the first recommended IV/IO dose of lidocaine for patients in cardiac arrest with
VF/pVT that is unresponsive to defibrillation
1 - 1.5mg/kg
in addition to hypoxia, what is the most common underlying, potentially reversible cause of
pulseless electrical activity
hypovolemia
which therapy is not supported by evidence for use in patients with cardiac arrest
secondary to hypothermia
antiarrhythmics
which alteration to the standard ACLS algorithm is appropriate for patients whose cardiac
arrest is caused by hypothermia
medication spaced at longer intervals
when is the recommended point to administer epinephrine to a patient with asystole
Between the 2nd and 3rd shocks
a patient with suspected opioid poisoning is not breathing normally but has a pulse. what is
next step
provide rescue breathing and give naloxone
how will the current generation of continuous-flow left ventricular assist devices
complicate the BLS assessment
the device will not produce a pulse
2|Page
, you are assisting an unresponsive patient known to have an implanted left ventricular
assist device (LVAD). the patient is not breathing, skin is pale and cool, and capillary refill is
inadequate. how do you assess whether LVAD is functioning
Listen for device hum
when is the recommended point to administer the first dose of epinephrine for a patient in
a shockable rhythm
between second and third shocks
Depending on training and clinical circumstance, how can rescuers administer naloxone?
intranasally, intramuscularly, intravenously
what is recommended CPR position for a third trimester gravid patient
supine with manual left lateral uterine displacement
A patient with ventricular assist device (VAD) is not breathing, has signs of inadequate
perfusion, and is unconscious. You determine the VAD is functioning. After endotracheal
intubation, the patient has a PETCO2 of 12 mmHg. What is your next action?
perform external chest compressions
what roles does the ECPR fill in the management of cardiac arrest
serve as a bridge for left ventricular assist device implantation, provides vital organ support
while treating reversible causes
How quickly should resuscitation Team leaders consider perimortem cesarean delivery
after beginning resuscitative efforts it returns of spontaneous circulation has not been
achieved?
5 min
New: Activate protocol as soon as cardiac arrest is identified in pregnant patient.
3|Page
