ACLS Written Exam questions and answers 100% guaranteed
success 2026 Academic year.
You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action?
Start chest compressions of at least 100 per min.
The use of quantitative capnography in intubated patients
allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who
originally presented in ventricular fibrillation. After the first shock, the ECG screen
displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid
bolus, and high-quality CPR. What is your next treatment?
Consider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence?
Be sure oxygen is not blowing over the patient's chest during the shock.
During your assessment, your patient suddenly loses consciousness. After calling
for help and determining that the patient is not breathing, you are unsure whether
the patient has a pulse. What is your next action?
Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of
defibrillation paddles?
Hands-free pads allow for a more rapid defibrillation.
What action is recommended to help minimize interruptions in chest compressions
during CPR?
Continue CPR while charging the defibrillator.
Which action is included in the BLS survey?
Early defibrillation
Which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation?
Page | 1
,Amioderone 300mg
What is the appropriate interval for an interruption in chest compressions?
10 seconds or less
Which of the following is a sign of effective CPR?
PETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)?
Identifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a
resuscitation attempt?
Switch providers about every 2 minutes or every 5 compression cycles.
What is the appropriate ventilation strategy for an adult in respiratory arrest with a
pulse rate of 80/min?
1 breath every 5-6 seconds
A patient presents to the emergency department with new onset of dizziness and
fatigue. On examination, the patient's heart rate is 35/min, the blood pressure is
70/50 mm Hg, the respiratory rate is 22 breaths/min, and the oxygen saturation is
95%. What is the appropriate first medication?
Atropine 0.5mg
A patient with dizziness and shortness of breath with a sinus bradycardia of
40/min. The initial atropine dose was ineffective, and your monitor/defibrillator is
not equipped with a transcutaneous pacemaker. What is the appropriate dose of
dopamine for this patient?
2 to 10 mcg/kg per minute
A patient has sudden onset of dizziness. The patient's heart rate is 180/min, blood
pressure is 110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry
reading is 98% on room air. The lead II ECG is shown below:
Vagal manuever.
Page | 2
, A monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the
PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular
access at the left internal jugular vein, and the patient has not been given any
vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no
evidence of ischemia or infarction. The heart rate has not responded to vagal
maneuvers. What is the next recommended intervention?
Adenosine 6mg IV push
You are receiving a radio report from an EMS team en route with a patient who
may be having an acute stroke. The hospital CT scanner is not working at this time.
What should you do in this situation?
Divert the patient to a hospital 15 minutes away with CT capabilities.
Choose an appropriate indication to stop or withhold resuscitative efforts.
Evidence of rigor mortis.
A 49-year-old woman arrives in the emergency department with persistent
epigastric pain. She had been taking oral antacids for the past 6 hours because she
thought she had heartburn. The initial blood pressure is 118/72 mm Hg, the heart
rate is 92/min and regular, the nonlabored respiratory rate is 14 breaths/min, and
the pulse oximetry reading is 96%. Which is the most appropriate intervention to
perform next?
Obtain a 12 lead ECG.
You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50
mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 97%. What assessment step is most important
now?
Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest
in most pts?
Peripheral IV
An AED does not promptly analyze a rythm. What is your next step?
Begin chest compressions.
Page | 3
success 2026 Academic year.
You find an unresponsive pt. who is not breathing. After activating the emergency
response system, you determine there is no pulse. What is your next action?
Start chest compressions of at least 100 per min.
The use of quantitative capnography in intubated patients
allows for monitoring of CPR quality.
For the past 25 minutes, an EMS crew has attempted resuscitation of a patient who
originally presented in ventricular fibrillation. After the first shock, the ECG screen
displayed asystole, which has persisted despite 2 doses of epinephrine, a fluid
bolus, and high-quality CPR. What is your next treatment?
Consider terminating resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence?
Be sure oxygen is not blowing over the patient's chest during the shock.
During your assessment, your patient suddenly loses consciousness. After calling
for help and determining that the patient is not breathing, you are unsure whether
the patient has a pulse. What is your next action?
Begin chest compressions.
What is an advantage of using hands-free defibrillation pads instead of
defibrillation paddles?
Hands-free pads allow for a more rapid defibrillation.
What action is recommended to help minimize interruptions in chest compressions
during CPR?
Continue CPR while charging the defibrillator.
Which action is included in the BLS survey?
Early defibrillation
Which drug and dose are recommended for the management of a patient in
refractory ventricular fibrillation?
Page | 1
,Amioderone 300mg
What is the appropriate interval for an interruption in chest compressions?
10 seconds or less
Which of the following is a sign of effective CPR?
PETCO2 ≥10 mm Hg
What is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)?
Identifying and treating early clinical deterioration.
Which action improves the quality of chest compressions delivered during a
resuscitation attempt?
Switch providers about every 2 minutes or every 5 compression cycles.
What is the appropriate ventilation strategy for an adult in respiratory arrest with a
pulse rate of 80/min?
1 breath every 5-6 seconds
A patient presents to the emergency department with new onset of dizziness and
fatigue. On examination, the patient's heart rate is 35/min, the blood pressure is
70/50 mm Hg, the respiratory rate is 22 breaths/min, and the oxygen saturation is
95%. What is the appropriate first medication?
Atropine 0.5mg
A patient with dizziness and shortness of breath with a sinus bradycardia of
40/min. The initial atropine dose was ineffective, and your monitor/defibrillator is
not equipped with a transcutaneous pacemaker. What is the appropriate dose of
dopamine for this patient?
2 to 10 mcg/kg per minute
A patient has sudden onset of dizziness. The patient's heart rate is 180/min, blood
pressure is 110/70 mm Hg, respiratory rate is 18 breaths/min, and pulse oximetry
reading is 98% on room air. The lead II ECG is shown below:
Vagal manuever.
Page | 2
, A monitored patient in the ICU developed a sudden onset of narrow-complex
tachycardia at a rate of 220/min. The patient's blood pressure is 128/58 mm Hg, the
PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There is vascular
access at the left internal jugular vein, and the patient has not been given any
vasoactive drugs. A 12-lead ECG confirms a supraventricular tachycardia with no
evidence of ischemia or infarction. The heart rate has not responded to vagal
maneuvers. What is the next recommended intervention?
Adenosine 6mg IV push
You are receiving a radio report from an EMS team en route with a patient who
may be having an acute stroke. The hospital CT scanner is not working at this time.
What should you do in this situation?
Divert the patient to a hospital 15 minutes away with CT capabilities.
Choose an appropriate indication to stop or withhold resuscitative efforts.
Evidence of rigor mortis.
A 49-year-old woman arrives in the emergency department with persistent
epigastric pain. She had been taking oral antacids for the past 6 hours because she
thought she had heartburn. The initial blood pressure is 118/72 mm Hg, the heart
rate is 92/min and regular, the nonlabored respiratory rate is 14 breaths/min, and
the pulse oximetry reading is 96%. Which is the most appropriate intervention to
perform next?
Obtain a 12 lead ECG.
You are evaluating a 58-year-old man with chest pain. The blood pressure is 92/50
mm Hg, the heart rate is 92/min, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 97%. What assessment step is most important
now?
Obtaining a 12 lead ECG.
What is the preferred method of access for epi administration during cardiac arrest
in most pts?
Peripheral IV
An AED does not promptly analyze a rythm. What is your next step?
Begin chest compressions.
Page | 3
