ACLS POST-TEST 2026 QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Q: A middle-aged male patient complaining of chest pain and nausea suddenly
loses consciousness. He is gasping for air, and you cannot definitively detect a
pulse. What is your immediate action? ✔️✔️ A: Request emergency assistance and
start chest compressions. In an unresponsive patient with agonal gasping and no
certain pulse, you must treat it as a cardiac arrest and begin CPR immediately.
Q: When a patient suffers an inferior wall myocardial infarction (MI), which
secondary clinical issue is most commonly observed? ✔️✔️ A:
Bradydysrhythmias. Because the right coronary artery typically supplies blood to
the SA and AV nodes, an inferior MI often results in abnormally slow heart rates
or conduction blocks.
Q3. A 52-year-old man is complaining of palpitations that came on suddenly after
walking up a short flight of stairs. His symptoms have been present for about 20
minutes. He denies chest pain and is not short of breath. His skin is warm and dry;
breath sounds are clear. His blood pressure (BP) is 144/88 millimeters of mercury
(mm Hg), his heart rate is 186 beats per minute (beats/min), and his ventilatory rate
is 18 breaths/min. The cardiac monitor reveals the rhythm here. Vascular access
has been established. Which of the following medications is most appropriate in
this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
,D. Procainamide or amiodarone
D. Procainamide or amiodarone
Q4. Your general impression of a 78-year-old woman reveals that her eyes are
closed, she is not moving, you can see no rise and fall of her chest or abdomen, and
her skincolor is pale. When you arrive at the patient’s side, you confirm that she is
unresponsive. Your best action in this situation will be to:
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has a pulse.
D. Prepare the necessary equipment to insert an advanced airway.
C. Assess breathing and determine whether she has a pulse.
Q5. A 60-year-old woman has suffered a cardiac arrest. A health care professional
trained in endotracheal intubation has intubated the patient. Which of the following
findings would indicate inadvertent esophageal intubation?
A. Jugular vein distention
, B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
C. Gurgling sounds heard over the epigastrium
Q6. Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of
spontaneous circulation (ROSC) may necessitate the use of:
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
C. Epinephrine, dopamine, or norepinephrine.
Q7. Which of the following is incorrect with regard to a postevent debriefing?
AND ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT!!!
Q: A middle-aged male patient complaining of chest pain and nausea suddenly
loses consciousness. He is gasping for air, and you cannot definitively detect a
pulse. What is your immediate action? ✔️✔️ A: Request emergency assistance and
start chest compressions. In an unresponsive patient with agonal gasping and no
certain pulse, you must treat it as a cardiac arrest and begin CPR immediately.
Q: When a patient suffers an inferior wall myocardial infarction (MI), which
secondary clinical issue is most commonly observed? ✔️✔️ A:
Bradydysrhythmias. Because the right coronary artery typically supplies blood to
the SA and AV nodes, an inferior MI often results in abnormally slow heart rates
or conduction blocks.
Q3. A 52-year-old man is complaining of palpitations that came on suddenly after
walking up a short flight of stairs. His symptoms have been present for about 20
minutes. He denies chest pain and is not short of breath. His skin is warm and dry;
breath sounds are clear. His blood pressure (BP) is 144/88 millimeters of mercury
(mm Hg), his heart rate is 186 beats per minute (beats/min), and his ventilatory rate
is 18 breaths/min. The cardiac monitor reveals the rhythm here. Vascular access
has been established. Which of the following medications is most appropriate in
this situation?
A. Dopamine or sotalol
B. Furosemide or atropine
C. Nitroglycerin (NTG) or morphine
,D. Procainamide or amiodarone
D. Procainamide or amiodarone
Q4. Your general impression of a 78-year-old woman reveals that her eyes are
closed, she is not moving, you can see no rise and fall of her chest or abdomen, and
her skincolor is pale. When you arrive at the patient’s side, you confirm that she is
unresponsive. Your best action in this situation will be to:
A. Open her airway and give two breaths.
B. Apply an automated external defibrillator (AED).
C. Assess breathing and determine whether she has a pulse.
D. Prepare the necessary equipment to insert an advanced airway.
C. Assess breathing and determine whether she has a pulse.
Q5. A 60-year-old woman has suffered a cardiac arrest. A health care professional
trained in endotracheal intubation has intubated the patient. Which of the following
findings would indicate inadvertent esophageal intubation?
A. Jugular vein distention
, B. Subcutaneous emphysema
C. Gurgling sounds heard over the epigastrium
D. Breath sounds heard on only one side of the chest
C. Gurgling sounds heard over the epigastrium
Q6. Hypotension (ie, a systolic BP of less than 90 mm Hg) after the return of
spontaneous circulation (ROSC) may necessitate the use of:
A. Fluid boluses and isoproterenol.
B. Procainamide, epinephrine, or dopamine.
C. Epinephrine, dopamine, or norepinephrine.
D. Fluid boluses, procainamide, and isoproterenol.
C. Epinephrine, dopamine, or norepinephrine.
Q7. Which of the following is incorrect with regard to a postevent debriefing?
