ACLS EXAM VERSION A AND B 2026 FINAL
ASSESSMENT STUDY GUIDE QUESTION BANK
VERIFIED RESPONSES TOP RESULT A+
◉ Obtaining a 12 lead ECG. Answer: You are evaluating a 58-year-old
man with chest pain. The blood pressure is 92/50 mm Hg, the heart
rate is 92/min, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 97%. What assessment step is
most important now?
◉ Peripheral IV Answer: What is the preferred method of access for
epi administration during cardiac arrest in most pts?
◉ Begin chest compressions. Answer: An AED does not promptly
analyze a rythm. What is your next step?
◉ Administer 1mg of epinephrine Answer: You have completed 2
minutes of CPR. The ECG monitor displays the lead II rhythm below,
and the patient has no pulse. Another member of your team resumes
chest compressions, and an IV is in place. What management step is
your next priority?
,◉ Resume compressions Answer: During a pause in CPR, you see
this lead II ECG rhythm on the monitor. The patient has no pulse.
What is the next action?
◉ Prolonged interruptions in chest compressions. Answer: What is a
common but sometimes fatal mistake in cardiac arrest
management?
◉ Allowing complete chest recoil Answer: Which action is a
componant of high-quality chest comressions?
◉ Providing quality compressions immediately before a
defibrillation attempt. Answer: Which action increases the chance of
successful conversion of ventricular fibrillation?
◉ Sinus rythm without a pulse Answer: Which situation BEST
describes pulseless electrical activity?
◉ Provide continuous chest compressions without pauses and 10
ventilations per minute. Answer: What is the BEST strategy for
performing high-quality CPR on a patient with an advanced airway
in place?
◉ Chest compressions may not be effective. Answer: Three minutes
after witnessing a cardiac arrest, one member of your team inserts
, an endotracheal tube while another performs continuous chest
compressions. During subsequent ventilation, you notice the
presence of a waveform on the capnography screen and a PETCO2
level of 8 mm Hg. What is the significance of this finding?
◉ allows for monitoring of CPR quality. Answer: The use of
quantitative capnography in intubated patients
◉ Consider terminating resuscitive efforts after consulting medical
control. Answer: For the past 25 minutes, an EMS crew has
attempted resuscitation of a patient who originally presented in
ventricular fibrillation. After the first shock, the ECG screen
displayed asystole, which has persisted despite 2 doses of
epinephrine, a fluid bolus, and high-quality CPR. What is your next
treatment?
◉ Be sure oxygen is not blowing over the patient's chest during the
shock. Answer: Which is a safe and effective practice within the
defibrillation sequence?
◉ Begin chest compressions. Answer: During your assessment, your
patient suddenly loses consciousness. After calling for help and
determining that the patient is not breathing, you are unsure
whether the patient has a pulse. What is your next action?
ASSESSMENT STUDY GUIDE QUESTION BANK
VERIFIED RESPONSES TOP RESULT A+
◉ Obtaining a 12 lead ECG. Answer: You are evaluating a 58-year-old
man with chest pain. The blood pressure is 92/50 mm Hg, the heart
rate is 92/min, the nonlabored respiratory rate is 14 breaths/min,
and the pulse oximetry reading is 97%. What assessment step is
most important now?
◉ Peripheral IV Answer: What is the preferred method of access for
epi administration during cardiac arrest in most pts?
◉ Begin chest compressions. Answer: An AED does not promptly
analyze a rythm. What is your next step?
◉ Administer 1mg of epinephrine Answer: You have completed 2
minutes of CPR. The ECG monitor displays the lead II rhythm below,
and the patient has no pulse. Another member of your team resumes
chest compressions, and an IV is in place. What management step is
your next priority?
,◉ Resume compressions Answer: During a pause in CPR, you see
this lead II ECG rhythm on the monitor. The patient has no pulse.
What is the next action?
◉ Prolonged interruptions in chest compressions. Answer: What is a
common but sometimes fatal mistake in cardiac arrest
management?
◉ Allowing complete chest recoil Answer: Which action is a
componant of high-quality chest comressions?
◉ Providing quality compressions immediately before a
defibrillation attempt. Answer: Which action increases the chance of
successful conversion of ventricular fibrillation?
◉ Sinus rythm without a pulse Answer: Which situation BEST
describes pulseless electrical activity?
◉ Provide continuous chest compressions without pauses and 10
ventilations per minute. Answer: What is the BEST strategy for
performing high-quality CPR on a patient with an advanced airway
in place?
◉ Chest compressions may not be effective. Answer: Three minutes
after witnessing a cardiac arrest, one member of your team inserts
, an endotracheal tube while another performs continuous chest
compressions. During subsequent ventilation, you notice the
presence of a waveform on the capnography screen and a PETCO2
level of 8 mm Hg. What is the significance of this finding?
◉ allows for monitoring of CPR quality. Answer: The use of
quantitative capnography in intubated patients
◉ Consider terminating resuscitive efforts after consulting medical
control. Answer: For the past 25 minutes, an EMS crew has
attempted resuscitation of a patient who originally presented in
ventricular fibrillation. After the first shock, the ECG screen
displayed asystole, which has persisted despite 2 doses of
epinephrine, a fluid bolus, and high-quality CPR. What is your next
treatment?
◉ Be sure oxygen is not blowing over the patient's chest during the
shock. Answer: Which is a safe and effective practice within the
defibrillation sequence?
◉ Begin chest compressions. Answer: During your assessment, your
patient suddenly loses consciousness. After calling for help and
determining that the patient is not breathing, you are unsure
whether the patient has a pulse. What is your next action?
