ACLS (ADVANCED CARDIAC LIFE SUPPORT) – PRACTICE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
Basic Life Support (BLS) Integration
High-Quality CPR and AED Use
Cardiac Arrest Algorithms (VF, pVT, PEA, Asystole)
Bradycardia and Tachycardia Management
Post-Cardiac Arrest Care
Acute Coronary Syndromes (ACS)
Acute Ischemic Stroke
Dynamics of High-Performance Teams
Pharmacology and Electrical Therapy
Airway Management and Monitoring
Introduction
This comprehensive assessment is designed to evaluate a clinician's proficiency in
Advanced Cardiac Life Support (ACLS). The purpose of this exam is to ensure
,healthcare providers possess the critical thinking skills necessary to manage adult
cardiovascular emergencies. It assesses knowledge of evidence-based algorithms,
pharmacological interventions, and effective team dynamics. The exam utilizes a
blend of foundational multiple-choice questions and complex, scenario-based
vignettes to simulate real-world clinical environments. Candidates must demonstrate
the ability to make rapid, accurate decisions under pressure, prioritizing high-quality
chest compressions and timely interventions to optimize patient outcomes and
neurological recovery in life-threatening situations.
SECTION ONE: QUESTIONS 1–100
1. A patient is in cardiac arrest. You have just delivered a shock with a biphasic
defibrillator. What is the next immediate action?
A. Check the patient's pulse
B. Resume chest compressions
C. Analyze the rhythm
D. Administer 1 mg of Epinephrine
🟢 Correct answer: B. Resume chest compressions
,🔴 RATIONALE: Immediate resumption of chest compressions after a shock is vital
to maintain coronary and cerebral perfusion. Checking a pulse or rhythm immediately
after a shock is discouraged because it causes unnecessary interruptions in CPR.
2. What is the recommended depth of chest compressions for an adult patient?
A. At least 1 inch (2.5 cm)
B. At least 2 inches (5 cm) but no more than 2.4 inches (6 cm)
C. Exactly 3 inches (7.5 cm)
D. 1.5 inches (4 cm)
🟢 Correct answer: B. At least 2 inches (5 cm) but no more than 2.4 inches (6 cm)
🔴 RATIONALE: Compressions must be deep enough to create adequate blood flow
but not so deep as to increase the risk of internal injury. Current guidelines specify a
range of 2 to 2.4 inches.
3. A patient presents with symptomatic bradycardia and a heart rate of 38 bpm.
Atropine 1 mg has been administered without effect. What is the next
appropriate intervention?
A. Administer 1 mg of Adenosine
B. Start a Procainamide infusion
, C. Transcutaneous pacing
D. Immediate synchronized cardioversion
🟢 Correct answer: C. Transcutaneous pacing
🔴 RATIONALE: For symptomatic bradycardia unresponsive to Atropine,
transcutaneous pacing (TCP) is the primary electrical intervention. Dopamine or
Epinephrine infusions are alternative pharmacological options.
4. During a cardiac arrest, a team member is performing chest compressions at a
rate of 140 compressions per minute. As the team leader, what should you do?
A. Wait for the 2-minute cycle to end before giving feedback
B. Tell the member to increase the rate further
C. Direct the member to slow down to a rate of 100-120 per minute
D. Replace the team member immediately
🟢 Correct answer: C. Direct the member to slow down to a rate of 100-120 per
minute
🔴 RATIONALE: The optimal compression rate is 100–120 per minute. Rates
exceeding 120 per minute often result in shallow compressions and reduced cardiac
output due to incomplete chest recoil.
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF.
Core Domains
Basic Life Support (BLS) Integration
High-Quality CPR and AED Use
Cardiac Arrest Algorithms (VF, pVT, PEA, Asystole)
Bradycardia and Tachycardia Management
Post-Cardiac Arrest Care
Acute Coronary Syndromes (ACS)
Acute Ischemic Stroke
Dynamics of High-Performance Teams
Pharmacology and Electrical Therapy
Airway Management and Monitoring
Introduction
This comprehensive assessment is designed to evaluate a clinician's proficiency in
Advanced Cardiac Life Support (ACLS). The purpose of this exam is to ensure
,healthcare providers possess the critical thinking skills necessary to manage adult
cardiovascular emergencies. It assesses knowledge of evidence-based algorithms,
pharmacological interventions, and effective team dynamics. The exam utilizes a
blend of foundational multiple-choice questions and complex, scenario-based
vignettes to simulate real-world clinical environments. Candidates must demonstrate
the ability to make rapid, accurate decisions under pressure, prioritizing high-quality
chest compressions and timely interventions to optimize patient outcomes and
neurological recovery in life-threatening situations.
SECTION ONE: QUESTIONS 1–100
1. A patient is in cardiac arrest. You have just delivered a shock with a biphasic
defibrillator. What is the next immediate action?
A. Check the patient's pulse
B. Resume chest compressions
C. Analyze the rhythm
D. Administer 1 mg of Epinephrine
🟢 Correct answer: B. Resume chest compressions
,🔴 RATIONALE: Immediate resumption of chest compressions after a shock is vital
to maintain coronary and cerebral perfusion. Checking a pulse or rhythm immediately
after a shock is discouraged because it causes unnecessary interruptions in CPR.
2. What is the recommended depth of chest compressions for an adult patient?
A. At least 1 inch (2.5 cm)
B. At least 2 inches (5 cm) but no more than 2.4 inches (6 cm)
C. Exactly 3 inches (7.5 cm)
D. 1.5 inches (4 cm)
🟢 Correct answer: B. At least 2 inches (5 cm) but no more than 2.4 inches (6 cm)
🔴 RATIONALE: Compressions must be deep enough to create adequate blood flow
but not so deep as to increase the risk of internal injury. Current guidelines specify a
range of 2 to 2.4 inches.
3. A patient presents with symptomatic bradycardia and a heart rate of 38 bpm.
Atropine 1 mg has been administered without effect. What is the next
appropriate intervention?
A. Administer 1 mg of Adenosine
B. Start a Procainamide infusion
, C. Transcutaneous pacing
D. Immediate synchronized cardioversion
🟢 Correct answer: C. Transcutaneous pacing
🔴 RATIONALE: For symptomatic bradycardia unresponsive to Atropine,
transcutaneous pacing (TCP) is the primary electrical intervention. Dopamine or
Epinephrine infusions are alternative pharmacological options.
4. During a cardiac arrest, a team member is performing chest compressions at a
rate of 140 compressions per minute. As the team leader, what should you do?
A. Wait for the 2-minute cycle to end before giving feedback
B. Tell the member to increase the rate further
C. Direct the member to slow down to a rate of 100-120 per minute
D. Replace the team member immediately
🟢 Correct answer: C. Direct the member to slow down to a rate of 100-120 per
minute
🔴 RATIONALE: The optimal compression rate is 100–120 per minute. Rates
exceeding 120 per minute often result in shallow compressions and reduced cardiac
output due to incomplete chest recoil.
