ACLS Exam A 2026 questions and answers 100% graded to pass.
( highlighted answers)
Which of these tests should be performed for a pt with suspected stroke as early as possible but no
more than 20 min after hospital arrival?
Noncontrast CT scan of head
Which best describes this rhythm?
Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?
Measure from the corner of the mouth to the angle of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT scan was
normal, with no signs of hemorrhage. The pt does not have any contraindications to fibrinolytic therapy.
Which treatment is best for this pt?
Give fibrinolytic therapy as soon as possible and consider endovascular therapy
Which is the recommended next step after a defibrillation attempt?
Resume CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt?
Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min, his
nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step is most important now?
Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted temperature
management after reaching the correct temperature range?
At least 24 hours
Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is
unresponsive. What is the next step in your assessment and management of this pt?
Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac arrest?
, Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately?
Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer FIRST to
this pt?
Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib. Which other drug should be
administered NEXT?
Lido 1 to 1.5mg/kg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
The pt has ROSC and is not able to follow commands. Which immediate post-cardiac arrest care
intervention do you choose for this pt?
Initiate targeted temperature management
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
Which would you have done first if the pt had not gone into VFib?
( highlighted answers)
Which of these tests should be performed for a pt with suspected stroke as early as possible but no
more than 20 min after hospital arrival?
Noncontrast CT scan of head
Which best describes this rhythm?
Monomorphic Vent Tach
Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?
Measure from the corner of the mouth to the angle of mandible
You are caring for a pt with a suspected stroke whose symptoms started 2 hours ago. The CT scan was
normal, with no signs of hemorrhage. The pt does not have any contraindications to fibrinolytic therapy.
Which treatment is best for this pt?
Give fibrinolytic therapy as soon as possible and consider endovascular therapy
Which is the recommended next step after a defibrillation attempt?
Resume CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an unresponsive pt?
Agonal gasps
You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG, his HR is 92/min, his
nonlabored RR is 14/min, and his pulse ox is 97%. Which assessment step is most important now?
Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted temperature
management after reaching the correct temperature range?
At least 24 hours
Your rescue team arrives to find a 59YO man lying on the kitchen floor. You determine that he is
unresponsive. What is the next step in your assessment and management of this pt?
Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to the cardiac arrest?
, Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
In addition to defibrillation, which intervention should be performed immediately?
Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you administer FIRST to
this pt?
Epi 1mg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib. Which other drug should be
administered NEXT?
Lido 1 to 1.5mg/kg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
The pt has ROSC and is not able to follow commands. Which immediate post-cardiac arrest care
intervention do you choose for this pt?
Initiate targeted temperature management
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe distress and is reporting
"crushing" chest discomfort. Pale, diaphoretic, cool to touch, weak radial pulse, BP 64/40 mmHg, RR
28/min, 89% RA. VTach changed to VFib.
Which would you have done first if the pt had not gone into VFib?
