3/25/26, 3:22 PM
ALS/ACLS RED CROSS FINAL EXAM 2026/2027 QUESTIONS AND ANSWERS
LATEST UPDATE
The resuscitation team suspects that hyperkalemia is the cause Wide-complex ventricular rhythm or tall, pointed T waves
of cardiac arrest in a patient brought to the emergency
department. Which finding on a 12-lead ECG would confirm
this suspicion?
A patient with dyspnea and a change in mental status arrives Atropine 0.5 mg every 4 to 5 minutes
at the emergency department. The healthcare team completes
the necessary assessments and begins to care for the patient,
including initiating cardiac monitoring, pulse oximetry,
supplemental oxygen and vascular access. The team reviews
the patient's ECG rhythm strip, as shown in the following figure.
Which agent would the team most likely administer?
1/9
, 3/25/26, 3:22 PM
A patient experiencing an unstable bradyarrhythmia does not Administration of an epinephrine infusion
respond to atropine or transcutaneous pacing. Which
intervention would the healthcare provider use next?
A patient's ECG reveals a tachyarrhythmia. The patient is 1. "I've had a terrible cold with a horrible cough and fever the past week."
hemodynamically stable and has a heart rate ranging from 120 2. "I've been so anxious lately because I just lost my job."
to 135 beats per minute. Based on the findings of the 3. "I've been vomiting for the past 2 days from a gastrointestinal bug."
secondary assessment, which statement(s) by the patient
would the team interpret as a possible contributing cause?
A patient's ECG reveals a narrow QRS complex with a regular Vagal maneuvers
rhythm, indicating a narrow-complex supraventricular
tachyarrhythmia. The patient is hemodynamically stable. Which
intervention would be initiated first?
A patient in the telemetry unit is stable. Cardiac monitoring Synchronized cardioversion
indicates the patient has ventricular tachycardia with a pulse.
Further assessment reveals that the corrected QT interval is
greater than 0.46 seconds. Which treatment would be
appropriate at this time?
An ECG strip of a patient in the emergency department reveals Absence of discrete P waves and presence of irregularly irregular QRS complexes
the following rhythm. Which feature would the healthcare
provider interpret as indicating atrial fibrillation?
A patient is brought into the emergency department. The Ventricular tachycardia
patient does not have a pulse. The cardiac monitor shows the
following rhythm. The team interprets this as which condition?
A patient with acute renal failure experiences cardiac arrest. Hyperkalemia
Just before the cardiac arrest, the patient's ECG showed
peaked T waves. What might be causing the patient's cardiac
arrest?
A member of the resuscitation team is preparing to defibrillate 120 to 200 joules
a patient in cardiac arrest using a biphasic defibrillator. The
team member would set the energy dose according to the
manufacturer's recommendations, which is usually:
2/9
ALS/ACLS RED CROSS FINAL EXAM 2026/2027 QUESTIONS AND ANSWERS
LATEST UPDATE
The resuscitation team suspects that hyperkalemia is the cause Wide-complex ventricular rhythm or tall, pointed T waves
of cardiac arrest in a patient brought to the emergency
department. Which finding on a 12-lead ECG would confirm
this suspicion?
A patient with dyspnea and a change in mental status arrives Atropine 0.5 mg every 4 to 5 minutes
at the emergency department. The healthcare team completes
the necessary assessments and begins to care for the patient,
including initiating cardiac monitoring, pulse oximetry,
supplemental oxygen and vascular access. The team reviews
the patient's ECG rhythm strip, as shown in the following figure.
Which agent would the team most likely administer?
1/9
, 3/25/26, 3:22 PM
A patient experiencing an unstable bradyarrhythmia does not Administration of an epinephrine infusion
respond to atropine or transcutaneous pacing. Which
intervention would the healthcare provider use next?
A patient's ECG reveals a tachyarrhythmia. The patient is 1. "I've had a terrible cold with a horrible cough and fever the past week."
hemodynamically stable and has a heart rate ranging from 120 2. "I've been so anxious lately because I just lost my job."
to 135 beats per minute. Based on the findings of the 3. "I've been vomiting for the past 2 days from a gastrointestinal bug."
secondary assessment, which statement(s) by the patient
would the team interpret as a possible contributing cause?
A patient's ECG reveals a narrow QRS complex with a regular Vagal maneuvers
rhythm, indicating a narrow-complex supraventricular
tachyarrhythmia. The patient is hemodynamically stable. Which
intervention would be initiated first?
A patient in the telemetry unit is stable. Cardiac monitoring Synchronized cardioversion
indicates the patient has ventricular tachycardia with a pulse.
Further assessment reveals that the corrected QT interval is
greater than 0.46 seconds. Which treatment would be
appropriate at this time?
An ECG strip of a patient in the emergency department reveals Absence of discrete P waves and presence of irregularly irregular QRS complexes
the following rhythm. Which feature would the healthcare
provider interpret as indicating atrial fibrillation?
A patient is brought into the emergency department. The Ventricular tachycardia
patient does not have a pulse. The cardiac monitor shows the
following rhythm. The team interprets this as which condition?
A patient with acute renal failure experiences cardiac arrest. Hyperkalemia
Just before the cardiac arrest, the patient's ECG showed
peaked T waves. What might be causing the patient's cardiac
arrest?
A member of the resuscitation team is preparing to defibrillate 120 to 200 joules
a patient in cardiac arrest using a biphasic defibrillator. The
team member would set the energy dose according to the
manufacturer's recommendations, which is usually:
2/9
