AHA ACLS LATEST EXAM 2026 UPDATE 100
QUESTIONS AND DETAILED VERIFIED ANSWERS
FROM ACTUAL EXAMS TEST GRADE A+
1. A patient is found unresponsive with no pulse.
What is the first action?
A. Administer epinephrine
B. Check rhythm
C. Start high-quality CPR
D. Deliver a shock
Rationale: Immediate initiation of high-quality CPR
is the first step in managing cardiac arrest to
maintain perfusion to vital organs.
2. Which rhythm is considered shockable?
A. Asystole
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Sinus bradycardia
,Rationale: Ventricular fibrillation (VF) and pulseless
ventricular tachycardia (pVT) are the two shockable
rhythms in ACLS.
3. What is the recommended dose of epinephrine
for adult cardiac arrest?
A. 0.1 mg IV
B. 1 mg IV/IO every 3–5 minutes
C. 2 mg IV once
D. 5 mg IV every 10 minutes
Rationale: The AHA recommends administering 1
mg of epinephrine IV/IO every 3–5 minutes during
cardiac arrest.
4. After delivering a shock for VF/pVT, what is the
next step?
A. Check pulse
B. Administer amiodarone
,C. Resume CPR immediately for 2 minutes
D. Reassess rhythm immediately
Rationale: CPR should be resumed immediately after
a shock without checking the pulse to minimize
interruptions in chest compressions.
5. What is the correct compression rate during
adult CPR?
A. 80–100/min
B. 100–120/min
C. 120–140/min
D. 60–80/min
Rationale: High-quality CPR requires a compression
rate of 100–120 per minute to ensure adequate
perfusion.
6. Which medication is recommended after the
third shock for VF/pVT?
, A. Lidocaine
B. Amiodarone 300 mg IV/IO bolus
C. Magnesium sulfate
D. Atropine
Rationale: Amiodarone 300 mg IV/IO bolus is
recommended for refractory VF/pVT after the third
defibrillation.
7. What is the appropriate compression depth for
adults?
A. 1 inch
B. At least 2 inches (5 cm)
C. 3 inches
D. 1.5 inches
Rationale: Adequate compression depth ensures
effective circulation during CPR.
8. Which rhythm is treated with immediate
defibrillation?
QUESTIONS AND DETAILED VERIFIED ANSWERS
FROM ACTUAL EXAMS TEST GRADE A+
1. A patient is found unresponsive with no pulse.
What is the first action?
A. Administer epinephrine
B. Check rhythm
C. Start high-quality CPR
D. Deliver a shock
Rationale: Immediate initiation of high-quality CPR
is the first step in managing cardiac arrest to
maintain perfusion to vital organs.
2. Which rhythm is considered shockable?
A. Asystole
B. Pulseless electrical activity
C. Ventricular fibrillation
D. Sinus bradycardia
,Rationale: Ventricular fibrillation (VF) and pulseless
ventricular tachycardia (pVT) are the two shockable
rhythms in ACLS.
3. What is the recommended dose of epinephrine
for adult cardiac arrest?
A. 0.1 mg IV
B. 1 mg IV/IO every 3–5 minutes
C. 2 mg IV once
D. 5 mg IV every 10 minutes
Rationale: The AHA recommends administering 1
mg of epinephrine IV/IO every 3–5 minutes during
cardiac arrest.
4. After delivering a shock for VF/pVT, what is the
next step?
A. Check pulse
B. Administer amiodarone
,C. Resume CPR immediately for 2 minutes
D. Reassess rhythm immediately
Rationale: CPR should be resumed immediately after
a shock without checking the pulse to minimize
interruptions in chest compressions.
5. What is the correct compression rate during
adult CPR?
A. 80–100/min
B. 100–120/min
C. 120–140/min
D. 60–80/min
Rationale: High-quality CPR requires a compression
rate of 100–120 per minute to ensure adequate
perfusion.
6. Which medication is recommended after the
third shock for VF/pVT?
, A. Lidocaine
B. Amiodarone 300 mg IV/IO bolus
C. Magnesium sulfate
D. Atropine
Rationale: Amiodarone 300 mg IV/IO bolus is
recommended for refractory VF/pVT after the third
defibrillation.
7. What is the appropriate compression depth for
adults?
A. 1 inch
B. At least 2 inches (5 cm)
C. 3 inches
D. 1.5 inches
Rationale: Adequate compression depth ensures
effective circulation during CPR.
8. Which rhythm is treated with immediate
defibrillation?
