ACLS EXAM VERSION A AND B 2026 MOCK
EXAM SCRIPT CASE QUESTIONS AND
CORRECT ANSWERS EXPERT GRADE A+
◉ Continue CPR while charging the defibrillator. Answer: What
action is recommended to help minimize interruptions in chest
compressions during CPR?
◉ Early defibrillation Answer: Which action is included in the BLS
survey?
◉ Amioderone 300mg Answer: Which drug and dose are
recommended for the management of a patient in refractory
ventricular fibrillation?
◉ 10 seconds or less Answer: What is the appropriate interval for an
interruption in chest compressions?
◉ PETCO2 ≥10 mm Hg Answer: Which of the following is a sign of
effective CPR?
,◉ Identifying and treating early clinical deterioration. Answer: What
is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)?
◉ Switch providers about every 2 minutes or every 5 compression
cycles. Answer: Which action improves the quality of chest
compressions delivered during a resuscitation attempt?
◉ 1 breath every 5-6 seconds Answer: What is the appropriate
ventilation strategy for an adult in respiratory arrest with a pulse
rate of 80/min?
◉ Atropine 0.5mg Answer: A patient presents to the emergency
department with new onset of dizziness and fatigue. On
examination, the patient's heart rate is 35/min, the blood pressure is
70/50 mm Hg, the respiratory rate is 22 breaths/min, and the
oxygen saturation is 95%. What is the appropriate first medication?
◉ 2 to 10 mcg/kg per minute Answer: A patient with dizziness and
shortness of breath with a sinus bradycardia of 40/min. The initial
atropine dose was ineffective, and your monitor/defibrillator is not
equipped with a transcutaneous pacemaker. What is the appropriate
dose of dopamine for this patient?
◉ Vagal manuever. Answer: A patient has sudden onset of dizziness.
The patient's heart rate is 180/min, blood pressure is 110/70 mm
, Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is
98% on room air. The lead II ECG is shown below:
◉ Adenosine 6mg IV push Answer: A monitored patient in the ICU
developed a sudden onset of narrow-complex tachycardia at a rate
of 220/min. The patient's blood pressure is 128/58 mm Hg, the
PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There
is vascular access at the left internal jugular vein, and the patient has
not been given any vasoactive drugs. A 12-lead ECG confirms a
supraventricular tachycardia with no evidence of ischemia or
infarction. The heart rate has not responded to vagal maneuvers.
What is the next recommended intervention?
◉ Divert the patient to a hospital 15 minutes away with CT
capabilities. Answer: You are receiving a radio report from an EMS
team en route with a patient who may be having an acute stroke. The
hospital CT scanner is not working at this time. What should you do
in this situation?
◉ Evidence of rigor mortis. Answer: Choose an appropriate
indication to stop or withhold resuscitative efforts.
◉ Obtain a 12 lead ECG. Answer: A 49-year-old woman arrives in the
emergency department with persistent epigastric pain. She had
been taking oral antacids for the past 6 hours because she thought
she had heartburn. The initial blood pressure is 118/72 mm Hg, the
heart rate is 92/min and regular, the nonlabored respiratory rate is
EXAM SCRIPT CASE QUESTIONS AND
CORRECT ANSWERS EXPERT GRADE A+
◉ Continue CPR while charging the defibrillator. Answer: What
action is recommended to help minimize interruptions in chest
compressions during CPR?
◉ Early defibrillation Answer: Which action is included in the BLS
survey?
◉ Amioderone 300mg Answer: Which drug and dose are
recommended for the management of a patient in refractory
ventricular fibrillation?
◉ 10 seconds or less Answer: What is the appropriate interval for an
interruption in chest compressions?
◉ PETCO2 ≥10 mm Hg Answer: Which of the following is a sign of
effective CPR?
,◉ Identifying and treating early clinical deterioration. Answer: What
is the primary purpose of a medical emergency team (MET) or rapid
response team (RRT)?
◉ Switch providers about every 2 minutes or every 5 compression
cycles. Answer: Which action improves the quality of chest
compressions delivered during a resuscitation attempt?
◉ 1 breath every 5-6 seconds Answer: What is the appropriate
ventilation strategy for an adult in respiratory arrest with a pulse
rate of 80/min?
◉ Atropine 0.5mg Answer: A patient presents to the emergency
department with new onset of dizziness and fatigue. On
examination, the patient's heart rate is 35/min, the blood pressure is
70/50 mm Hg, the respiratory rate is 22 breaths/min, and the
oxygen saturation is 95%. What is the appropriate first medication?
◉ 2 to 10 mcg/kg per minute Answer: A patient with dizziness and
shortness of breath with a sinus bradycardia of 40/min. The initial
atropine dose was ineffective, and your monitor/defibrillator is not
equipped with a transcutaneous pacemaker. What is the appropriate
dose of dopamine for this patient?
◉ Vagal manuever. Answer: A patient has sudden onset of dizziness.
The patient's heart rate is 180/min, blood pressure is 110/70 mm
, Hg, respiratory rate is 18 breaths/min, and pulse oximetry reading is
98% on room air. The lead II ECG is shown below:
◉ Adenosine 6mg IV push Answer: A monitored patient in the ICU
developed a sudden onset of narrow-complex tachycardia at a rate
of 220/min. The patient's blood pressure is 128/58 mm Hg, the
PETCO2 is 38 mm Hg, and the pulse oximetry reading is 98%. There
is vascular access at the left internal jugular vein, and the patient has
not been given any vasoactive drugs. A 12-lead ECG confirms a
supraventricular tachycardia with no evidence of ischemia or
infarction. The heart rate has not responded to vagal maneuvers.
What is the next recommended intervention?
◉ Divert the patient to a hospital 15 minutes away with CT
capabilities. Answer: You are receiving a radio report from an EMS
team en route with a patient who may be having an acute stroke. The
hospital CT scanner is not working at this time. What should you do
in this situation?
◉ Evidence of rigor mortis. Answer: Choose an appropriate
indication to stop or withhold resuscitative efforts.
◉ Obtain a 12 lead ECG. Answer: A 49-year-old woman arrives in the
emergency department with persistent epigastric pain. She had
been taking oral antacids for the past 6 hours because she thought
she had heartburn. The initial blood pressure is 118/72 mm Hg, the
heart rate is 92/min and regular, the nonlabored respiratory rate is
