ACLS EXAM QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
||NEWLY UPDATED 2026/2027
Q: When is it appropriate to utilize synchronized cardioversion instead of
unsynchronized defibrillation? ✔️✔️
A: This intervention is required for a patient with unstable supraventricular
tachycardia (SVT) or other unstable tachyarrhythmias where a pulse is present.
Q: Why is "full chest recoil" emphasized as a vital part of high-quality CPR? ✔️✔️
A: Allowing the chest to expand completely between pushes ensures the heart can
refill with blood, which is necessary for the next compression to be effective.
Q: What is the primary clinical risk associated with securing an advanced airway
using ties that wrap tightly around a patient’s neck? ✔️✔️
A: These ties can compress the jugular veins, leading to an obstruction of venous
return from the brain, which may increase intracranial pressure.
Q: An ICU patient suddenly exhibits a narrow-complex tachycardia at 220 bpm.
They are currently stable (BP 128/58, $SpO_2$ 98%) and have not responded to
vagal maneuvers. What is the pharmacological treatment of choice? ✔️✔️
A: Adenosine. Because the patient is stable but unresponsive to initial physical
maneuvers, the next step is a rapid IV bolus of Adenosine to attempt to break the
reentry circuit.
What action is recommended to help minimize interruptions in chest compressions
during CPR? -ANSWER ✔️✔️Continue CPR while charging the defibrillator
, A patient presents to the emergency department with dizziness and shortness of
breath with a sinus bradycardia of 40/min. The initial atropine dose was ineffective
and your monitor/defibrillator is not equipped with a transcutaneous pacemaker.
What is the appropriate dose of dopamine for this patient? -ANSWER ✔️✔️2 to 10
mcg/kg per minute
You are receiving a radio report from an EMS team en rout with a patient who may
be having an acute stroke. The hospital CT scanner is not working at this time.
What should you do in this situation? -ANSWER ✔️✔️Divert the patient to a
hospital 15 minutes away with CT capabilities
What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? -ANSWER ✔️✔️Provide continuous chest compressions
without pauses and 10 ventilations per minute
The use of quantitative capnography in intubate patients... -ANSWER ✔️✔️allows
for monitoring of CPR quality
What is the appropriate procedure for endotracheal tube suctioning after the
appropriate catheter is selected? -ANSWER ✔️✔️Suction during withdrawal but for
no longer than 10 seconds
What is the appropriate ventilation strategy for an adult in respiratory arrest with a
pulse rate of 80/min? -ANSWER ✔️✔️1 breath every 5 to 6 seconds
What action improves the quality of chest compressions delivered during a
resuscitation attempt? -ANSWER ✔️✔️Switch providers about every 2 minutes or
every 5 compression cycles
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
||NEWLY UPDATED 2026/2027
Q: When is it appropriate to utilize synchronized cardioversion instead of
unsynchronized defibrillation? ✔️✔️
A: This intervention is required for a patient with unstable supraventricular
tachycardia (SVT) or other unstable tachyarrhythmias where a pulse is present.
Q: Why is "full chest recoil" emphasized as a vital part of high-quality CPR? ✔️✔️
A: Allowing the chest to expand completely between pushes ensures the heart can
refill with blood, which is necessary for the next compression to be effective.
Q: What is the primary clinical risk associated with securing an advanced airway
using ties that wrap tightly around a patient’s neck? ✔️✔️
A: These ties can compress the jugular veins, leading to an obstruction of venous
return from the brain, which may increase intracranial pressure.
Q: An ICU patient suddenly exhibits a narrow-complex tachycardia at 220 bpm.
They are currently stable (BP 128/58, $SpO_2$ 98%) and have not responded to
vagal maneuvers. What is the pharmacological treatment of choice? ✔️✔️
A: Adenosine. Because the patient is stable but unresponsive to initial physical
maneuvers, the next step is a rapid IV bolus of Adenosine to attempt to break the
reentry circuit.
What action is recommended to help minimize interruptions in chest compressions
during CPR? -ANSWER ✔️✔️Continue CPR while charging the defibrillator
, A patient presents to the emergency department with dizziness and shortness of
breath with a sinus bradycardia of 40/min. The initial atropine dose was ineffective
and your monitor/defibrillator is not equipped with a transcutaneous pacemaker.
What is the appropriate dose of dopamine for this patient? -ANSWER ✔️✔️2 to 10
mcg/kg per minute
You are receiving a radio report from an EMS team en rout with a patient who may
be having an acute stroke. The hospital CT scanner is not working at this time.
What should you do in this situation? -ANSWER ✔️✔️Divert the patient to a
hospital 15 minutes away with CT capabilities
What is the BEST strategy for performing high-quality CPR on a patient with an
advanced airway in place? -ANSWER ✔️✔️Provide continuous chest compressions
without pauses and 10 ventilations per minute
The use of quantitative capnography in intubate patients... -ANSWER ✔️✔️allows
for monitoring of CPR quality
What is the appropriate procedure for endotracheal tube suctioning after the
appropriate catheter is selected? -ANSWER ✔️✔️Suction during withdrawal but for
no longer than 10 seconds
What is the appropriate ventilation strategy for an adult in respiratory arrest with a
pulse rate of 80/min? -ANSWER ✔️✔️1 breath every 5 to 6 seconds
What action improves the quality of chest compressions delivered during a
resuscitation attempt? -ANSWER ✔️✔️Switch providers about every 2 minutes or
every 5 compression cycles
