ACLS PRETEST FINAL SCRIPT 2026
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ A patient remains in ventricular fibrillation despite 1 shock and 2
minutes of continuous CPR. The next intervention is to
Answer: administer a second shock.
⩥ What is the recommended next step after a defibrillation attempt?
Answer: Begin CPR, starting with chest compressions.
⩥ Which of the following is the recommended first choice for
establishing intravenous access during the attempted resuscitation of a
patient in cardiac arrest?
Answer: Antecubital vein
⩥ Which finding is a sign of ineffective CPR?
Answer: PETCO2 <10 mm Hg
⩥ How often should the team leader switch chest compressors during a
resuscitation attempt?
Answer: . Every 2 minutes
,⩥ IV/IO drug administration during CPR should be
Answer: given rapidly during compressions
⩥ What is the recommended first intravenous dose of amiodarone for a
patient with refractory ventricular fibrillation?
Answer: 300 mg
⩥ A team leader orders 1 mg of epinephrine, and a team member
verbally acknowledges when the medication is administered. What
element of effective resuscitation team dynamics does this represent?
Answer: Closed-loop communication
⩥ How long should it take to perform a pulse check during the BLS
Survey?
Answer: 5 to 10 seconds
⩥ Your rescue team arrives to find a 59-year-old man lying on the
kitchen floor. You determine that he is unresponsive and notice that he is
taking agonal breaths. What is the next step in your assessment and
management of this patient?
Answer: Check the patient's pulse.
⩥ An AED advises a shock for a pulseless patient lying in snow. What is
the next action?
, Answer: Administer the shock immediately and continue as directed by
the AED.
⩥ Which treatment or medication is appropriate for the treatment of a
patient in asystole?
Answer: Epinephrine
⩥ What is the minimum depth of chest compressions for an adult in
cardiac arrest?
Answer: 2 inches
⩥ A patient with pulseless ventricular tachycardia is defibrillated. What
is the next action?
Answer: Start chest compressions at a rate of at least 100/min.
⩥ You have completed your first 2-minute period of CPR. You see an
organized, nonshockable rhythm on the ECG monitor. What is the next
action?
Answer: Have a team member attempt to palpate a carotid pulse.
⩥ Emergency medical responders are unable to obtain a peripheral IV
for a patient in cardiac arrest. What is the next most preferred route for
drug administration?
Answer: Intraosseous (IO)
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ A patient remains in ventricular fibrillation despite 1 shock and 2
minutes of continuous CPR. The next intervention is to
Answer: administer a second shock.
⩥ What is the recommended next step after a defibrillation attempt?
Answer: Begin CPR, starting with chest compressions.
⩥ Which of the following is the recommended first choice for
establishing intravenous access during the attempted resuscitation of a
patient in cardiac arrest?
Answer: Antecubital vein
⩥ Which finding is a sign of ineffective CPR?
Answer: PETCO2 <10 mm Hg
⩥ How often should the team leader switch chest compressors during a
resuscitation attempt?
Answer: . Every 2 minutes
,⩥ IV/IO drug administration during CPR should be
Answer: given rapidly during compressions
⩥ What is the recommended first intravenous dose of amiodarone for a
patient with refractory ventricular fibrillation?
Answer: 300 mg
⩥ A team leader orders 1 mg of epinephrine, and a team member
verbally acknowledges when the medication is administered. What
element of effective resuscitation team dynamics does this represent?
Answer: Closed-loop communication
⩥ How long should it take to perform a pulse check during the BLS
Survey?
Answer: 5 to 10 seconds
⩥ Your rescue team arrives to find a 59-year-old man lying on the
kitchen floor. You determine that he is unresponsive and notice that he is
taking agonal breaths. What is the next step in your assessment and
management of this patient?
Answer: Check the patient's pulse.
⩥ An AED advises a shock for a pulseless patient lying in snow. What is
the next action?
, Answer: Administer the shock immediately and continue as directed by
the AED.
⩥ Which treatment or medication is appropriate for the treatment of a
patient in asystole?
Answer: Epinephrine
⩥ What is the minimum depth of chest compressions for an adult in
cardiac arrest?
Answer: 2 inches
⩥ A patient with pulseless ventricular tachycardia is defibrillated. What
is the next action?
Answer: Start chest compressions at a rate of at least 100/min.
⩥ You have completed your first 2-minute period of CPR. You see an
organized, nonshockable rhythm on the ECG monitor. What is the next
action?
Answer: Have a team member attempt to palpate a carotid pulse.
⩥ Emergency medical responders are unable to obtain a peripheral IV
for a patient in cardiac arrest. What is the next most preferred route for
drug administration?
Answer: Intraosseous (IO)
