Advanced Cardiovascular Life Support
Practice Exam 2026| 250+ Questions and
Verified Answers
Which are the elements of a system of care?
Structure, processes, system, patient outcome
The BLS Assessment is a systematic approach to BLS for trained healthcare providers. This
approach stresses:
Early CPR and defibrillation
While you performing the BLS Assessment, you initiate high-quality CPR and assist ventilation
with a bag-mask device. The AED does not recommend a shock. Which action in the Primary
Assessment should you perform first?
Determine if the patient's airway is patent
The initial assessment reveals a conscious patent. The patient's airway is patent, and an advanced
airway is not indicated. Which action is the Primary Assessment should perform next?
Administer oxygen as needed
Which action is part of the Secondary Assessment of conscious patient?
Formulate a differential diagnosis
,Which of the following are the "H" causes of reversible cardiac arrest?
Hypovolemia, hypoxia, acidosis, hyperkalemia/ hypokalemia, hypothermia
Which of the following are the "T" causes of reversible cardiac arrest?
Tension pneumothorax, cardiac tamponade, toxins, pulmonary thrombosis, coronary thrombosis
What is the most common symptom of myocardial ischemia and infraction?
Retrosternal chest pain
Which demographic group experiencing acute coronary syndrome in more likely to present
without chest pain?
females
Oxygen should be delivered to a patient who has obvious signs of heart failure if the oxygen
saturation is less than --- or unknown
90%
Obtaining a --- is the most important assessment tool for a patient displaying signs and
symptoms of acute coronary syndromes.
12 lead EKG
,What is the time goal for how quickly you should complete a fibrinolytic checklist once the
patient arrives in the emergency department?
10 minutes
A patient without dyspnea has signs of acute coronary syndrome. There are no obvious signs of
heart failure. You assess a noninvasively monitored oxyhemoglobin saturation. What is the
oxygen saturation threshold below which supplemental oxygen would be required?
90%
What are signs of clinical deterioration that would prompt the activation of a rapid system?
Unexplained agitation, symptomatic hypertension, seizure
What blood component is acted upon by aspirin administration during the management of a
patient with acute coronary syndromes?
Platelets
Which is a contraindication to the administration of aspirin for the management of a patient with
a cute coronary syndrome?
Recent GI bleeding
What is a physiologic effect of nitroglycerin?
Reduces preload
, Which clinical finding represents a contraindication to the administration of nitroglycerin?
Confirmed right ventricular infarction
Which class of medications commonly given to patients with acute coronary syndromes may be
adversely affected by morphine administration?
Oral antiplatelet medications
What is a benefit of morphine when given for the management of acute coronary syndromes?
Central nervous system analgesia
You obtain a 12-lead EKG in a patient with retrosternal chest pain. Which EKG finding is
suggestive of high-risk non-ST-Segment Elevation acute coronary syndromes?
Dynamic T-wave inversion
Upon reviewing a patient's 12-lead EKG, you note ST-Segment elevation of 2mm in leads II, III
and AVF. How would you classify the EKG findings?
ST-segment elevation myocardial infraction
What happens when teams rapidly assess and intervene when patients have abnormal vital signs?
The number of in-hospital cardiac arrests decreases
Practice Exam 2026| 250+ Questions and
Verified Answers
Which are the elements of a system of care?
Structure, processes, system, patient outcome
The BLS Assessment is a systematic approach to BLS for trained healthcare providers. This
approach stresses:
Early CPR and defibrillation
While you performing the BLS Assessment, you initiate high-quality CPR and assist ventilation
with a bag-mask device. The AED does not recommend a shock. Which action in the Primary
Assessment should you perform first?
Determine if the patient's airway is patent
The initial assessment reveals a conscious patent. The patient's airway is patent, and an advanced
airway is not indicated. Which action is the Primary Assessment should perform next?
Administer oxygen as needed
Which action is part of the Secondary Assessment of conscious patient?
Formulate a differential diagnosis
,Which of the following are the "H" causes of reversible cardiac arrest?
Hypovolemia, hypoxia, acidosis, hyperkalemia/ hypokalemia, hypothermia
Which of the following are the "T" causes of reversible cardiac arrest?
Tension pneumothorax, cardiac tamponade, toxins, pulmonary thrombosis, coronary thrombosis
What is the most common symptom of myocardial ischemia and infraction?
Retrosternal chest pain
Which demographic group experiencing acute coronary syndrome in more likely to present
without chest pain?
females
Oxygen should be delivered to a patient who has obvious signs of heart failure if the oxygen
saturation is less than --- or unknown
90%
Obtaining a --- is the most important assessment tool for a patient displaying signs and
symptoms of acute coronary syndromes.
12 lead EKG
,What is the time goal for how quickly you should complete a fibrinolytic checklist once the
patient arrives in the emergency department?
10 minutes
A patient without dyspnea has signs of acute coronary syndrome. There are no obvious signs of
heart failure. You assess a noninvasively monitored oxyhemoglobin saturation. What is the
oxygen saturation threshold below which supplemental oxygen would be required?
90%
What are signs of clinical deterioration that would prompt the activation of a rapid system?
Unexplained agitation, symptomatic hypertension, seizure
What blood component is acted upon by aspirin administration during the management of a
patient with acute coronary syndromes?
Platelets
Which is a contraindication to the administration of aspirin for the management of a patient with
a cute coronary syndrome?
Recent GI bleeding
What is a physiologic effect of nitroglycerin?
Reduces preload
, Which clinical finding represents a contraindication to the administration of nitroglycerin?
Confirmed right ventricular infarction
Which class of medications commonly given to patients with acute coronary syndromes may be
adversely affected by morphine administration?
Oral antiplatelet medications
What is a benefit of morphine when given for the management of acute coronary syndromes?
Central nervous system analgesia
You obtain a 12-lead EKG in a patient with retrosternal chest pain. Which EKG finding is
suggestive of high-risk non-ST-Segment Elevation acute coronary syndromes?
Dynamic T-wave inversion
Upon reviewing a patient's 12-lead EKG, you note ST-Segment elevation of 2mm in leads II, III
and AVF. How would you classify the EKG findings?
ST-segment elevation myocardial infraction
What happens when teams rapidly assess and intervene when patients have abnormal vital signs?
The number of in-hospital cardiac arrests decreases
