WRITTEN TEST ; AHA ACLS EXAM
2025 REAL EXAM QUESTIONS AND
ANSWERS ( 100% ACCURATE) GET IT
RIGHT!!
Immediate Cardiac Arrest Response
Question: After confirming a patient is unresponsive, not breathing, and has no
detectable pulse, what is the immediate priority?
Answer: Begin chest compressions immediately at a rate of 100 to 120 per
minute, ensuring adequate depth and chest recoil.
✔✔
Acute Coronary Syndrome (ACS) Assessment
Question: You are assessing a 58-year-old male reporting chest pain. His vitals are
stable (BP 92/50, HR 92, $O_2$ 97%). Which diagnostic step is the highest
priority for his care?
Answer: Obtaining a 12-lead ECG is the most critical next step, as it is the
primary tool for identifying a ST-segment elevation myocardial infarction
(STEMI).
✔✔
Ischemic Chest Discomfort Identification
Question: What are the hallmark clinical indicators that chest discomfort is likely
caused by ischemia?
Answer: Indicators include "crushing" or "pressure-like" pain, radiation to the jaw,
neck, or left arm, and associated symptoms like diaphoresis (sweating), nausea, or
shortness of breath.
✔✔
,Reference: These protocols align with the Adult ACLS Algorithms for Cardiac
Arrest and Acute Coronary Syndromes.
✔✔
What is the preferred method of access for epi administration during cardiac arrest
in most pts? -ANSWER ✔✔Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? -ANSWER
✔✔Begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below
(PEA) and the pt. has no pulse. You partner resumes chest compressions and an IV
is in place. What management step is your next priority? -ANSWER
✔✔Administer 1mg of epinepherine
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt.
has no pulse. What is the next action? -ANSWER ✔✔Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? -
ANSWER ✔✔Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? -ANSWER
✔✔Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular
fibrillation? -ANSWER ✔✔Providing quality compressions immediately before a
defibrillation attempt.
, Which situation BEST describes PEA? -ANSWER ✔✔Sinus rythm without a
pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced
airway in place? -ANSWER ✔✔Provide continuous chest compressionswithout
pauses and 10 ventilations per minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET
tube while another performs continuous chest comressions. During subsequent
bentilation, you notice the presence of a wavefom on the capnogrophy screen and a
PETCO2 of 8 mm Hg. What is the significance of this finding? -ANSWER
✔✔Chest compressions may not be effective.
The use of quantitative capnography in intubated pt's does what? -ANSWER
✔✔Allowsfor monitoring CPR quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who
originally presented with V-FIB. After the 1st shock, the ECG screen displayed
asystole which has persisted despite 2 doses of epi, a fluid bolus, and high quality
CPR. What is your next treatment? -ANSWER ✔✔Consider terminating
resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? -
ANSWER ✔✔Be sure O2 is NOT blowing over the pt's chest during shock.
During your assessment, your pt suddenly loses consciousness. After calling for
help and determining that the pt. is not breathing, you are unsure whether the pt.
has a pulse. What is your next action? -ANSWER ✔✔Begin chest compressions.
2025 REAL EXAM QUESTIONS AND
ANSWERS ( 100% ACCURATE) GET IT
RIGHT!!
Immediate Cardiac Arrest Response
Question: After confirming a patient is unresponsive, not breathing, and has no
detectable pulse, what is the immediate priority?
Answer: Begin chest compressions immediately at a rate of 100 to 120 per
minute, ensuring adequate depth and chest recoil.
✔✔
Acute Coronary Syndrome (ACS) Assessment
Question: You are assessing a 58-year-old male reporting chest pain. His vitals are
stable (BP 92/50, HR 92, $O_2$ 97%). Which diagnostic step is the highest
priority for his care?
Answer: Obtaining a 12-lead ECG is the most critical next step, as it is the
primary tool for identifying a ST-segment elevation myocardial infarction
(STEMI).
✔✔
Ischemic Chest Discomfort Identification
Question: What are the hallmark clinical indicators that chest discomfort is likely
caused by ischemia?
Answer: Indicators include "crushing" or "pressure-like" pain, radiation to the jaw,
neck, or left arm, and associated symptoms like diaphoresis (sweating), nausea, or
shortness of breath.
✔✔
,Reference: These protocols align with the Adult ACLS Algorithms for Cardiac
Arrest and Acute Coronary Syndromes.
✔✔
What is the preferred method of access for epi administration during cardiac arrest
in most pts? -ANSWER ✔✔Peripheral IV
An AED does not promptly analyze a rythm. What is your next step? -ANSWER
✔✔Begin chest compressions.
You have completed 2 min of CPR. The ECG monitor displays the lead below
(PEA) and the pt. has no pulse. You partner resumes chest compressions and an IV
is in place. What management step is your next priority? -ANSWER
✔✔Administer 1mg of epinepherine
During a pause in CPR, you see a narrow complex rythm on the monitor. The pt.
has no pulse. What is the next action? -ANSWER ✔✔Resume compressions
What is acommon but sometimes fatal mistake in cardiac arrest management? -
ANSWER ✔✔Prolonged interruptions in chest compressions.
Which action is a componant of high-quality chest comressions? -ANSWER
✔✔Allowing complete chest recoil
Which action increases the chance of successful conversion of ventricular
fibrillation? -ANSWER ✔✔Providing quality compressions immediately before a
defibrillation attempt.
, Which situation BEST describes PEA? -ANSWER ✔✔Sinus rythm without a
pulse
What is the best strategy for perfoming high-quality CPR on a pt.with an advanced
airway in place? -ANSWER ✔✔Provide continuous chest compressionswithout
pauses and 10 ventilations per minute.
3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET
tube while another performs continuous chest comressions. During subsequent
bentilation, you notice the presence of a wavefom on the capnogrophy screen and a
PETCO2 of 8 mm Hg. What is the significance of this finding? -ANSWER
✔✔Chest compressions may not be effective.
The use of quantitative capnography in intubated pt's does what? -ANSWER
✔✔Allowsfor monitoring CPR quality
For the past 25 min, EMS crews have attempted resuscitation of a pt who
originally presented with V-FIB. After the 1st shock, the ECG screen displayed
asystole which has persisted despite 2 doses of epi, a fluid bolus, and high quality
CPR. What is your next treatment? -ANSWER ✔✔Consider terminating
resuscitive efforts after consulting medical control.
Which is a safe and effective practice within the defibrillation sequence? -
ANSWER ✔✔Be sure O2 is NOT blowing over the pt's chest during shock.
During your assessment, your pt suddenly loses consciousness. After calling for
help and determining that the pt. is not breathing, you are unsure whether the pt.
has a pulse. What is your next action? -ANSWER ✔✔Begin chest compressions.
