ACLS RENEWAL QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED
A+ ||UPDATED 2026
Q: What are the clinical benefits of using the intraosseous (IO) route during an
emergency?
A: The IO route reaches a venous plexus in the marrow that does not collapse,
providing a quick and dependable way to deliver medications, fluids, and blood
products during a resuscitation. ✔✔
Q: In what order should interventions be prioritized during a cardiac arrest?
A: 1. High-quality CPR and early defibrillation. 2. Securing an advanced airway
and the administration of ACLS medications. ✔✔
Q: What are the standard procedures for administering ACLS drugs through an
intravenous (IV) line?
A: Meds should be given as a bolus unless otherwise noted, followed immediately
by a 20 mL flush of IV fluid. Additionally, the extremity should be elevated for 10
to 20 seconds to facilitate the drug's movement into the central circulatory system.
✔✔
Therapeutic Hypothermia cooling goals post ROSC VF Cardiac Arrest -ANSWER
✔✔32C-34C or 89.6F - 93.2F for 12-24 hours in order to protect brain and other
organs. May be >24 hrs. Pt core temp taken via esophageal thermometer or bladder
catheter in non anuric pts or pulm artery catheter.
, Ventilation Optimization goals -ANSWER ✔✔PETCO2 35-40 PACO2 40-45
If PETCO2 <10 mm Hg attempt to improve CPR quality
Post cardiac arrest MAP goal -ANSWER ✔✔>65 mmHG
Glycemic Control post ROSC w/ cardiac arrest -ANSWER ✔✔144-180 mg/dL no
titrating to 80-110 d/t risk of hypoglycemia
RRT criteria -ANSWER ✔✔-threatened airway
-RR <6 or >30 bpm
-HR <40 or >140
-SBP <90
-symptomatic HTN
-dec. LOC
-unexplained agitation
-seizure
-low UO
-subjective concern for pt
Ventilation Rates -ANSWER ✔✔-Bag Mask: 2 ventilations every 30 compressions
-Advanced Airway: 1 ventilation every 6-8 seconds (8-10 breaths per min)
-Resp. Arrest w/ pulse present: 1 ventilation every 5-6 seconds (10-12 breaths/min)
Monitoring to improve CPR quality -ANSWER ✔✔Quantitative waveform
capnography
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED
A+ ||UPDATED 2026
Q: What are the clinical benefits of using the intraosseous (IO) route during an
emergency?
A: The IO route reaches a venous plexus in the marrow that does not collapse,
providing a quick and dependable way to deliver medications, fluids, and blood
products during a resuscitation. ✔✔
Q: In what order should interventions be prioritized during a cardiac arrest?
A: 1. High-quality CPR and early defibrillation. 2. Securing an advanced airway
and the administration of ACLS medications. ✔✔
Q: What are the standard procedures for administering ACLS drugs through an
intravenous (IV) line?
A: Meds should be given as a bolus unless otherwise noted, followed immediately
by a 20 mL flush of IV fluid. Additionally, the extremity should be elevated for 10
to 20 seconds to facilitate the drug's movement into the central circulatory system.
✔✔
Therapeutic Hypothermia cooling goals post ROSC VF Cardiac Arrest -ANSWER
✔✔32C-34C or 89.6F - 93.2F for 12-24 hours in order to protect brain and other
organs. May be >24 hrs. Pt core temp taken via esophageal thermometer or bladder
catheter in non anuric pts or pulm artery catheter.
, Ventilation Optimization goals -ANSWER ✔✔PETCO2 35-40 PACO2 40-45
If PETCO2 <10 mm Hg attempt to improve CPR quality
Post cardiac arrest MAP goal -ANSWER ✔✔>65 mmHG
Glycemic Control post ROSC w/ cardiac arrest -ANSWER ✔✔144-180 mg/dL no
titrating to 80-110 d/t risk of hypoglycemia
RRT criteria -ANSWER ✔✔-threatened airway
-RR <6 or >30 bpm
-HR <40 or >140
-SBP <90
-symptomatic HTN
-dec. LOC
-unexplained agitation
-seizure
-low UO
-subjective concern for pt
Ventilation Rates -ANSWER ✔✔-Bag Mask: 2 ventilations every 30 compressions
-Advanced Airway: 1 ventilation every 6-8 seconds (8-10 breaths per min)
-Resp. Arrest w/ pulse present: 1 ventilation every 5-6 seconds (10-12 breaths/min)
Monitoring to improve CPR quality -ANSWER ✔✔Quantitative waveform
capnography
