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CORE DOMAINS
Basic Life Support (BLS) Integration
Pharmacology and Administration
Acute Coronary Syndromes (ACS)
Post-Cardiac Arrest Care
Rhythm Recognition and ECG Analysis
Acute Ischemic Stroke Management
High-Quality CPR and Team Dynamics
Airway Management and Ventilation
INTRODUCTION
The Advanced Cardiovascular Life Support (ACLS)
exam is designed to evaluate a healthcare professional's
ability to respond to cardiovascular emergencies through
systematic assessment and evidence-based
,interventions. The primary purpose of this assessment is
to ensure proficiency in managing cardiac arrest,
periarrest conditions, and acute arrhythmias. This exam
utilizes a combination of foundational multiple-choice
questions and complex, scenario-based vignettes to
mirror real-world clinical environments. Candidates are
assessed on their technical knowledge of pharmacology,
electrical therapy, and rhythm interpretation, as well as
their critical thinking and decision-making skills under
pressure. Successful completion demonstrates a
commitment to high-quality patient care and life-saving
clinical excellence.
SECTION ONE: QUESTIONS 1–100
1. Which of the following is the primary goal of the
ACLS survey in an unresponsive patient?
A. Immediate administration of IV fluids
B. Identifying and treating reversible causes
C. Performing a detailed neurological assessment
D. Establishing an advanced airway immediately
,🟢 B. Identifying and treating reversible causes
🔴 Explanation: The ACLS survey focuses on rapid
assessment and intervention for life-threatening
conditions, specifically looking for the H’s and T’s
(reversible causes) to stabilize the patient.
2. A patient is in pulseless ventricular tachycardia.
After the first shock and 2 minutes of CPR, what is
the next logical step in the rhythm check?
A. Administer 1 mg of Epinephrine
B. Administer 300 mg of Amiodarone
C. Check for a pulse and rhythm
D. Check for spontaneous respirations
🟢 C. Check for a pulse and rhythm
🔴 Explanation: According to the ACLS Cardiac Arrest
Algorithm, after 2 minutes of CPR following a shock, a
rhythm check is performed to determine if the rhythm is
shockable or if Return of Spontaneous Circulation
(ROSC) has occurred.
, 3. What is the recommended dose of Epinephrine for
a patient in asystole?
A. 1 mg every 3 to 5 minutes
B. 0.5 mg every 10 minutes
C. 2 mg every 3 to 5 minutes
D. 1 mg once during the code
🟢 A. 1 mg every 3 to 5 minutes
🔴 Explanation: For non-shockable rhythms like
asystole or PEA, Epinephrine 1 mg IV/IO is administered
as soon as possible and repeated every 3 to 5 minutes.
4. During the management of a patient in cardiac
arrest, the team leader notes the PETCO2 reading
is 8 mmHg. What does this indicate?
A. ROSC is imminent
B. Chest compressions may be inadequate
C. The patient is being hyperventilated
D. The advanced airway is displaced