ADVANCED CARDIOVASCULAR LIFE
SUPPORT PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ intraosseous (IO) access contraindications.
Answer: - fracture in target bone- infection in insertion site - excess tissue
(obese) and/or absence of adequate anatomical landmarks- previously
attempted w/in 48hr- previous ortho sx at site- prosthetic limb/joint (that
could be crazy) - IV is preferred 1st
◍ Which rhythm has the worst prognosis?.
Answer: Asystole.
◍ team leader.
Answer: - REQUIRED- assigns roles to team members- makes treatment
decisions- provides feedback to the rest of the team - assumes responsibility
for roles NOT assigned
◍ cardiac tamponade.
Answer: - high HR- muffled heart sounds- JVD- ^^^ becks triad- narrow
QRS- no pulse if severe
◍ What is the recommended chest compression rate?.
Answer: 100-120 compressions per minute.
◍ When should rhythm checks occur?.
Answer: Every 2 minutes.
◍ analyze button on AED.
Answer: - will function like an AED- tells your non/shockable rhythm
◍ What is the epinephrine dose during cardiac arrest?.
Answer: 1 mg IV/IO every 3-5 minutes.
, ◍ Practice Question 1.
Answer: - Early epinephrine is most beneficial following asystole.
◍ What is the epinephrine infusion dose for bradycardia?.
Answer: 2-10 mcg/min.
◍ Nitroglycerin (PDE) inhibitors.
Answer: - stendra (hold nitro 12hr)- viagra (hold nitro 24hr)- cialis (hold
nitro 48hr)
◍ What is the atropine dosing for bradycardia?.
Answer: 1 mg IV every 3-5 minutes (max 3 mg).
◍ What should be aggressively sought in PEA/asystole?.
Answer: Reversible causes (5 H's and 5 T's).
◍ compressor.
Answer: - assess the pt- does 5 cycles of CC- alternated w/ person
controlling the AED q2min (5 cycles or when fatigued)
◍ tension pneumothorax tx.
Answer: - needle decompression- insert chest tube
◍ What is the magnesium dose for torsades?.
Answer: 1-2 g IV.
◍ ACLS Key Skills.
Answer: - ABCs- High Quality CPR- EKG - Defibrillation- ID and Reverse
Cause- Teamwork- Communication
◍ 5Hs Treatment.
Answer: - Hypovolemia: fluids.- Hypoxia: intubation with oxygen.-
Hydrogen (Acidosis): treat cause, bicarbonate.-
Hypokalemia/Hyperkalemia: give potassium or insulin.- Hypothermia:
warm slowly.
◍ How often should compressors rotate?.
Answer: Every 2 minutes.
SUPPORT PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ intraosseous (IO) access contraindications.
Answer: - fracture in target bone- infection in insertion site - excess tissue
(obese) and/or absence of adequate anatomical landmarks- previously
attempted w/in 48hr- previous ortho sx at site- prosthetic limb/joint (that
could be crazy) - IV is preferred 1st
◍ Which rhythm has the worst prognosis?.
Answer: Asystole.
◍ team leader.
Answer: - REQUIRED- assigns roles to team members- makes treatment
decisions- provides feedback to the rest of the team - assumes responsibility
for roles NOT assigned
◍ cardiac tamponade.
Answer: - high HR- muffled heart sounds- JVD- ^^^ becks triad- narrow
QRS- no pulse if severe
◍ What is the recommended chest compression rate?.
Answer: 100-120 compressions per minute.
◍ When should rhythm checks occur?.
Answer: Every 2 minutes.
◍ analyze button on AED.
Answer: - will function like an AED- tells your non/shockable rhythm
◍ What is the epinephrine dose during cardiac arrest?.
Answer: 1 mg IV/IO every 3-5 minutes.
, ◍ Practice Question 1.
Answer: - Early epinephrine is most beneficial following asystole.
◍ What is the epinephrine infusion dose for bradycardia?.
Answer: 2-10 mcg/min.
◍ Nitroglycerin (PDE) inhibitors.
Answer: - stendra (hold nitro 12hr)- viagra (hold nitro 24hr)- cialis (hold
nitro 48hr)
◍ What is the atropine dosing for bradycardia?.
Answer: 1 mg IV every 3-5 minutes (max 3 mg).
◍ What should be aggressively sought in PEA/asystole?.
Answer: Reversible causes (5 H's and 5 T's).
◍ compressor.
Answer: - assess the pt- does 5 cycles of CC- alternated w/ person
controlling the AED q2min (5 cycles or when fatigued)
◍ tension pneumothorax tx.
Answer: - needle decompression- insert chest tube
◍ What is the magnesium dose for torsades?.
Answer: 1-2 g IV.
◍ ACLS Key Skills.
Answer: - ABCs- High Quality CPR- EKG - Defibrillation- ID and Reverse
Cause- Teamwork- Communication
◍ 5Hs Treatment.
Answer: - Hypovolemia: fluids.- Hypoxia: intubation with oxygen.-
Hydrogen (Acidosis): treat cause, bicarbonate.-
Hypokalemia/Hyperkalemia: give potassium or insulin.- Hypothermia:
warm slowly.
◍ How often should compressors rotate?.
Answer: Every 2 minutes.
