ACLS Final Exam 2026/2027 | Advanced Cardiac Life Support
Practice Questions & Verified Answers
(GRADED A+)
A patient admitted to the ED with signs & symptoms of stroke. The stroke
team should complete a comprehensive neurologic assessment and
obtain brain imaging results within what time frame? - VERIFIED ANSWER -
With in 20 mins
A person suddenly collapses while sitting in the sunroom of a healthcare
facility. A healthcare provider observes the event and hurries over to
assess the situation. The healthcare provider performs which assessment
first? - VERIFIED ANSWER - Rapid assessment
A patient is receiving ventilation support via BVM resuscitator.
Capnography is established & a blood gas is obtained to evaluate the
adequacy of the ventilations. Which PaO2 value signifies adequate
ventilations? - VERIFIED ANSWER - 35 - 45 mmHg
A patient experiences cardiac arrest & the resuscitation team initiates
ventilations using a BVM resuscitator. The development of which condition
,during the provision care would lead the team to suspect that improper
BVM technique is being used? - VERIFIED ANSWER – Pneumothorax
The resuscitation team suspects that hyperkalemia is the cause of
cardiac arrest in a patient brought to the emergency department. Which
finding on a 12-lead ECG would confirm this suspicion? - VERIFIED ANSWER
- Wide-complex ventricular rhythm or tall, pointed T waves
A patient with dyspnea and a change in mental status arrives at the
emergency department. The healthcare team completes the necessary
assessments and begins to care for the patient, including initiating
cardiac monitoring, pulse oximetry, supplemental oxygen and vascular
access. The team reviews the patient's ECG rhythm strip, as shown in the
following figure. Which agent would the team most likely administer? -
VERIFIED ANSWER - Atropine 0.5 mg every 4 to 5 minutes
A patient experiencing an unstable bradyarrhythmia does not respond to
atropine or transcutaneous pacing. Which intervention would the
healthcare provider use next? - VERIFIED ANSWER - Administration of an
epinephrine infusion
,A patient's ECG reveals a tachyarrhythmia. The patient is
hemodynamically stable and has a heart rate ranging from 120 to 135
beats per minute. Based on the findings of the secondary assessment,
which statement(s) by the patient would the team interpret as a possible
contributing cause? - VERIFIED ANSWER - 1. "I've had a terrible cold with a
horrible cough and fever the past week."
2. "I've been so anxious lately because I just lost my job."
3. "I've been vomiting for the past 2 days from a gastrointestinal bug."
A patient's ECG reveals a narrow QRS complex with a regular rhythm,
indicating a narrow-complex supraventricular tachyarrhythmia. The
patient is hemodynamically stable. Which intervention would be initiated
first? - VERIFIED ANSWER - Vagal maneuvers
A patient in the telemetry unit is stable. Cardiac monitoring indicates the
patient has ventricular tachycardia with a pulse. Further assessment
reveals that the corrected QT interval is greater than 0.46 seconds.
Which treatment would be appropriate at this time? - VERIFIED ANSWER -
Synchronized cardioversion
An ECG strip of a patient in the emergency department reveals the
following rhythm. Which feature would the healthcare provider interpret
, as indicating atrial fibrillation? - VERIFIED ANSWER - Absence of discrete P
waves and presence of irregularly irregular QRS complexes
A patient is brought into the emergency department. The patient does not
have a pulse. The cardiac monitor shows the following rhythm. The team
interprets this as which condition? - VERIFIED ANSWER - Ventricular
tachycardia
A patient with acute renal failure experiences cardiac arrest. Just before
the cardiac arrest, the patient's ECG showed peaked T waves. What might
be causing the patient's cardiac arrest? - VERIFIED ANSWER -
Hyperkalemia
A member of the resuscitation team is preparing to defibrillate a patient
in cardiac arrest using a biphasic defibrillator. The team member would
set the energy dose according to the manufacturer's recommendations,
which is usually: - VERIFIED ANSWER - 120 to 200 joules
A member of the resuscitation team is preparing to administer
medications intravenously to a patient in cardiac arrest. The team
member follows each medication administration with a bolus of fluid. How
much would the team member give? - VERIFIED ANSWER - 10 to 20 mL
Practice Questions & Verified Answers
(GRADED A+)
A patient admitted to the ED with signs & symptoms of stroke. The stroke
team should complete a comprehensive neurologic assessment and
obtain brain imaging results within what time frame? - VERIFIED ANSWER -
With in 20 mins
A person suddenly collapses while sitting in the sunroom of a healthcare
facility. A healthcare provider observes the event and hurries over to
assess the situation. The healthcare provider performs which assessment
first? - VERIFIED ANSWER - Rapid assessment
A patient is receiving ventilation support via BVM resuscitator.
Capnography is established & a blood gas is obtained to evaluate the
adequacy of the ventilations. Which PaO2 value signifies adequate
ventilations? - VERIFIED ANSWER - 35 - 45 mmHg
A patient experiences cardiac arrest & the resuscitation team initiates
ventilations using a BVM resuscitator. The development of which condition
,during the provision care would lead the team to suspect that improper
BVM technique is being used? - VERIFIED ANSWER – Pneumothorax
The resuscitation team suspects that hyperkalemia is the cause of
cardiac arrest in a patient brought to the emergency department. Which
finding on a 12-lead ECG would confirm this suspicion? - VERIFIED ANSWER
- Wide-complex ventricular rhythm or tall, pointed T waves
A patient with dyspnea and a change in mental status arrives at the
emergency department. The healthcare team completes the necessary
assessments and begins to care for the patient, including initiating
cardiac monitoring, pulse oximetry, supplemental oxygen and vascular
access. The team reviews the patient's ECG rhythm strip, as shown in the
following figure. Which agent would the team most likely administer? -
VERIFIED ANSWER - Atropine 0.5 mg every 4 to 5 minutes
A patient experiencing an unstable bradyarrhythmia does not respond to
atropine or transcutaneous pacing. Which intervention would the
healthcare provider use next? - VERIFIED ANSWER - Administration of an
epinephrine infusion
,A patient's ECG reveals a tachyarrhythmia. The patient is
hemodynamically stable and has a heart rate ranging from 120 to 135
beats per minute. Based on the findings of the secondary assessment,
which statement(s) by the patient would the team interpret as a possible
contributing cause? - VERIFIED ANSWER - 1. "I've had a terrible cold with a
horrible cough and fever the past week."
2. "I've been so anxious lately because I just lost my job."
3. "I've been vomiting for the past 2 days from a gastrointestinal bug."
A patient's ECG reveals a narrow QRS complex with a regular rhythm,
indicating a narrow-complex supraventricular tachyarrhythmia. The
patient is hemodynamically stable. Which intervention would be initiated
first? - VERIFIED ANSWER - Vagal maneuvers
A patient in the telemetry unit is stable. Cardiac monitoring indicates the
patient has ventricular tachycardia with a pulse. Further assessment
reveals that the corrected QT interval is greater than 0.46 seconds.
Which treatment would be appropriate at this time? - VERIFIED ANSWER -
Synchronized cardioversion
An ECG strip of a patient in the emergency department reveals the
following rhythm. Which feature would the healthcare provider interpret
, as indicating atrial fibrillation? - VERIFIED ANSWER - Absence of discrete P
waves and presence of irregularly irregular QRS complexes
A patient is brought into the emergency department. The patient does not
have a pulse. The cardiac monitor shows the following rhythm. The team
interprets this as which condition? - VERIFIED ANSWER - Ventricular
tachycardia
A patient with acute renal failure experiences cardiac arrest. Just before
the cardiac arrest, the patient's ECG showed peaked T waves. What might
be causing the patient's cardiac arrest? - VERIFIED ANSWER -
Hyperkalemia
A member of the resuscitation team is preparing to defibrillate a patient
in cardiac arrest using a biphasic defibrillator. The team member would
set the energy dose according to the manufacturer's recommendations,
which is usually: - VERIFIED ANSWER - 120 to 200 joules
A member of the resuscitation team is preparing to administer
medications intravenously to a patient in cardiac arrest. The team
member follows each medication administration with a bolus of fluid. How
much would the team member give? - VERIFIED ANSWER - 10 to 20 mL
