ACLS EXAM A 2026 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED
A+
Question: Which of these tests should be performed for a patient with suspected
stroke as early as possible but no more than 20 minutes after hospital arrival?
Answer: Noncontrast CT scan of head. This is the critical first step to rule out a
brain bleed (hemorrhage) before deciding on further treatment. ✔️✔️
Question: Which best describes this rhythm? Answer: Monomorphic
Ventricular Tachycardia. This is characterized by a rapid heart rate with wide,
consistent QRS complexes originating from a single focus in the ventricles. ✔️✔️
Question: Which is an acceptable method of selecting an appropriately sized
oropharyngeal airway (OPA)? Answer: Measure from the corner of the mouth
to the angle of the mandible. Proper sizing ensures the device holds the tongue
forward without causing trauma or further obstruction.
✔️✔️
Question: You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The
patient does not have any contraindications to fibrinolytic therapy. Which
treatment is best for this patient? Answer: Give fibrinolytic therapy as soon as
possible and consider endovascular therapy. Since a bleed has been ruled out
and the patient is within the treatment window, restoring blood flow to the brain is
the priority. ✔️✔️
Which is the recommended next step after a defibrillation attempt? -ANSWER
✔️✔️Resume CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an
unresponsive pt? -ANSWER ✔️✔️Agonal gasps
, You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG,
his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is 97%. Which
assessment step is most important now? -ANSWER ✔️✔️Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted
temperature management after reaching the correct temperature range? -ANSWER
✔️✔️At least 24 hours
Your rescue team arrives to find a 59YO man lying on the kitchen floor. You
determine that he is unresponsive. What is the next step in your assessment and
management of this pt? -ANSWER ✔️✔️Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed
to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to
the cardiac arrest? -ANSWER ✔️✔️Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed
to VFib.
In addition to defibrillation, which intervention should be performed immediately?
-ANSWER ✔️✔️Chest compressions
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED
A+
Question: Which of these tests should be performed for a patient with suspected
stroke as early as possible but no more than 20 minutes after hospital arrival?
Answer: Noncontrast CT scan of head. This is the critical first step to rule out a
brain bleed (hemorrhage) before deciding on further treatment. ✔️✔️
Question: Which best describes this rhythm? Answer: Monomorphic
Ventricular Tachycardia. This is characterized by a rapid heart rate with wide,
consistent QRS complexes originating from a single focus in the ventricles. ✔️✔️
Question: Which is an acceptable method of selecting an appropriately sized
oropharyngeal airway (OPA)? Answer: Measure from the corner of the mouth
to the angle of the mandible. Proper sizing ensures the device holds the tongue
forward without causing trauma or further obstruction.
✔️✔️
Question: You are caring for a patient with a suspected stroke whose symptoms
started 2 hours ago. The CT scan was normal, with no signs of hemorrhage. The
patient does not have any contraindications to fibrinolytic therapy. Which
treatment is best for this patient? Answer: Give fibrinolytic therapy as soon as
possible and consider endovascular therapy. Since a bleed has been ruled out
and the patient is within the treatment window, restoring blood flow to the brain is
the priority. ✔️✔️
Which is the recommended next step after a defibrillation attempt? -ANSWER
✔️✔️Resume CPR, starting with chest compressions
Which of the following signs is a likely indicator of cardiac arrest in an
unresponsive pt? -ANSWER ✔️✔️Agonal gasps
, You are evaluating a 58YO man with chest discomfort. His BP is 92/50 mmHG,
his HR is 92/min, his nonlabored RR is 14/min, and his pulse ox is 97%. Which
assessment step is most important now? -ANSWER ✔️✔️Obtaining a 12-lead ECG
During post-cardiac arrest care, which is the recommended duration of targeted
temperature management after reaching the correct temperature range? -ANSWER
✔️✔️At least 24 hours
Your rescue team arrives to find a 59YO man lying on the kitchen floor. You
determine that he is unresponsive. What is the next step in your assessment and
management of this pt? -ANSWER ✔️✔️Check the pt's breathing and pulse
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed
to VFib.
On the basis of this pt's initial presentation, which condition do you suspect led to
the cardiac arrest? -ANSWER ✔️✔️Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed
to VFib.
In addition to defibrillation, which intervention should be performed immediately?
-ANSWER ✔️✔️Chest compressions
