ACLS EXAM VERSION A AND B 2026
CERTIFICATION PAPER COMPLETE QUESTIONS
AND ANSWERS PREMIUM RESULT A+
◉ Tracheal intubation has just been attempted for a victim of
respiratory arrest. During bag valve ventilation, you have difficulty
auscultating lung sounds and the end tidal CO2 (Pet CO2) reading is
"0". Which of the following is the most likely explanation for these
findings?
a. Esophageal Intubation
b. Intubation of the left main bronchus
c. Intubation of the right main bronchus
d. Bilateral tension pneumothorax. Answer: a. Esophageal Intubation
◉ An initial pulse check or a pulse check between 2 minute cycles of
CPR should take no longer than
a. 60 seconds
b. 2 minutes
c. 10 seconds
d. There is no limit. Answer: c. 10 seconds
,◉ Fibrinolytics may be used to clear blockage in an ischemic stroke.
The patient must have continual neurological assessments, ruled out
non stroke causes and a CT scan showing no bleeding. The key is the
symptoms must have STARTED less than?
a. 3 hours ago
b. 30 minutes ago
c. 4.5 days ago
d. There is no limit. Answer: a. 3 hours ago
◉ A patient remains in VF after a defibrillation shock, tracheal
intubation, CPR, Epinephrine 1mg IV, and another shock. Which of
the following drug-dose combinations should this patient receive
next?
a. Amiodarone 300mg
b. Lidocaine 3mg/kg
c. Procainamide 20-50mg/min, up to a total dose of 17mg/kg
d. Magnesium 10g. Answer: a. Amiodarone 300mg
◉ You are part of a team resuscitating a 48 year old patient in
ventricular fibrillation. After delivery of each shock, what should you
do?
, a. Allow the team leader to analyze the rhythm
b. Check for a pulse, and if no pulse, begin chest compressions
c. Immediately begin CPR, starting with chest compressions
d. Wait for arrival of an ICU team, stopping every 3 minutes to
analyze the rhythm. Answer: c. Immediately begin CPR, starting with
chest compressions
◉ Which of the following poses the greatest risk during
defibrillation?
a. Defibrillating a patient found on a metal floor
b. Defibrillating a patient with a nitro patch on the left shoulder
c. O2 blowing over the chest during defibrillation
d. Using defibrillation pads. Answer: c. O2 blowing over the chest
during defibrillation
◉ EMS arrives at the side of a 55 year old man in cardiac arrest.
They begin CPR and apply defibrillation pads to his chest. Later they
have intubated the patient and started a large bore IV. What is the
best way for them to confirm effective CPR is being performed?
a. Continued CPR should produce a normal blood pressure
b. Watch the EKG for signs for tachycardia
c. Monitor waveform capnography via exhaled CO2 (PETCO2)
CERTIFICATION PAPER COMPLETE QUESTIONS
AND ANSWERS PREMIUM RESULT A+
◉ Tracheal intubation has just been attempted for a victim of
respiratory arrest. During bag valve ventilation, you have difficulty
auscultating lung sounds and the end tidal CO2 (Pet CO2) reading is
"0". Which of the following is the most likely explanation for these
findings?
a. Esophageal Intubation
b. Intubation of the left main bronchus
c. Intubation of the right main bronchus
d. Bilateral tension pneumothorax. Answer: a. Esophageal Intubation
◉ An initial pulse check or a pulse check between 2 minute cycles of
CPR should take no longer than
a. 60 seconds
b. 2 minutes
c. 10 seconds
d. There is no limit. Answer: c. 10 seconds
,◉ Fibrinolytics may be used to clear blockage in an ischemic stroke.
The patient must have continual neurological assessments, ruled out
non stroke causes and a CT scan showing no bleeding. The key is the
symptoms must have STARTED less than?
a. 3 hours ago
b. 30 minutes ago
c. 4.5 days ago
d. There is no limit. Answer: a. 3 hours ago
◉ A patient remains in VF after a defibrillation shock, tracheal
intubation, CPR, Epinephrine 1mg IV, and another shock. Which of
the following drug-dose combinations should this patient receive
next?
a. Amiodarone 300mg
b. Lidocaine 3mg/kg
c. Procainamide 20-50mg/min, up to a total dose of 17mg/kg
d. Magnesium 10g. Answer: a. Amiodarone 300mg
◉ You are part of a team resuscitating a 48 year old patient in
ventricular fibrillation. After delivery of each shock, what should you
do?
, a. Allow the team leader to analyze the rhythm
b. Check for a pulse, and if no pulse, begin chest compressions
c. Immediately begin CPR, starting with chest compressions
d. Wait for arrival of an ICU team, stopping every 3 minutes to
analyze the rhythm. Answer: c. Immediately begin CPR, starting with
chest compressions
◉ Which of the following poses the greatest risk during
defibrillation?
a. Defibrillating a patient found on a metal floor
b. Defibrillating a patient with a nitro patch on the left shoulder
c. O2 blowing over the chest during defibrillation
d. Using defibrillation pads. Answer: c. O2 blowing over the chest
during defibrillation
◉ EMS arrives at the side of a 55 year old man in cardiac arrest.
They begin CPR and apply defibrillation pads to his chest. Later they
have intubated the patient and started a large bore IV. What is the
best way for them to confirm effective CPR is being performed?
a. Continued CPR should produce a normal blood pressure
b. Watch the EKG for signs for tachycardia
c. Monitor waveform capnography via exhaled CO2 (PETCO2)
