3/25/26, 3:23 PM
Science Medicine Emergency Medicine
ACLS PRACTICE TEST QUESTIONS WITH COMPLETE VERIFIED
ANSWERS 2026/2027 LATEST UPDATE
The latest guidelines for CPR call for continuous at 100-120min c. Change compressors about every 2 minutes
and at least 2" deep. Once intubated, the compressions are
continuous and the ventilating team member provides a breath
each 6 seconds. To effectively accomplish this, the team
should:
a. Have compressions done by male technicians only
b. Provide team members with leather gloves for compressions
c. Change compressors about every 2 minutes
d. Have the ventilation and compression members rest every 5
minutes
1/21
,3/25/26, 3:23 PM
Tracheal intubation has just been attempted for a victim of a. Esophageal Intubation
respiratory arrest. During bag valve ventilation, you have
difficulty auscultating lung sounds and the end tidal CO2 (Pet
CO2) reading is "0". Which of the following is the most likely
explanation for these findings?
a. Esophageal Intubation
b. Intubation of the left main bronchus
c. Intubation of the right main bronchus
d. Bilateral tension pneumothorax
An initial pulse check or a pulse check between 2 minute c. 10 seconds
cycles of CPR should take no longer than
a. 60 seconds
b. 2 minutes
c. 10 seconds
d. There is no limit
Fibrinolytics may be used to clear blockage in an ischemic a. 3 hours ago
stroke. The patient must have continual neurological
assessments, ruled out non stroke causes and a CT scan
showing no bleeding. The key is the symptoms must have
STARTED less than?
a. 3 hours ago
b. 30 minutes ago
c. 4.5 days ago
d. There is no limit
2/21
, 3/25/26, 3:23 PM
A patient remains in VF after a defibrillation shock, tracheal a. Amiodarone 300mg
intubation, CPR, Epinephrine 1mg IV, and another shock. Which
of the following drug-dose combinations should this patient
receive next?
a. Amiodarone 300mg
b. Lidocaine 3mg/kg
c. Procainamide 20-50mg/min, up to a total dose of 17mg/kg
d. Magnesium 10g
You are part of a team resuscitating a 48 year old patient in c. Immediately begin CPR, starting with chest compressions
ventricular fibrillation. After delivery of each shock, what
should you do?
a. Allow the team leader to analyze the rhythm
b. Check for a pulse, and if no pulse, begin chest compressions
c. Immediately begin CPR, starting with chest compressions
d. Wait for arrival of an ICU team, stopping every 3 minutes to
analyze the rhythm
Which of the following poses the greatest risk during c. O2 blowing over the chest during defibrillation
defibrillation?
a. Defibrillating a patient found on a metal floor
b. Defibrillating a patient with a nitro patch on the left shoulder
c. O2 blowing over the chest during defibrillation
d. Using defibrillation pads
EMS arrives at the side of a 55 year old man in cardiac arrest. c. Monitor waveform capnography via exhaled CO2 (PETCO2)
They begin CPR and apply defibrillation pads to his chest.
Later they have intubated the patient and started a large bore
IV. What is the best way for them to confirm effective CPR is
being performed?
a. Continued CPR should produce a normal blood pressure
b. Watch the EKG for signs for tachycardia
c. Monitor waveform capnography via exhaled CO2 (PETCO2)
d. Evaluate pulse oximetry
3/21
Science Medicine Emergency Medicine
ACLS PRACTICE TEST QUESTIONS WITH COMPLETE VERIFIED
ANSWERS 2026/2027 LATEST UPDATE
The latest guidelines for CPR call for continuous at 100-120min c. Change compressors about every 2 minutes
and at least 2" deep. Once intubated, the compressions are
continuous and the ventilating team member provides a breath
each 6 seconds. To effectively accomplish this, the team
should:
a. Have compressions done by male technicians only
b. Provide team members with leather gloves for compressions
c. Change compressors about every 2 minutes
d. Have the ventilation and compression members rest every 5
minutes
1/21
,3/25/26, 3:23 PM
Tracheal intubation has just been attempted for a victim of a. Esophageal Intubation
respiratory arrest. During bag valve ventilation, you have
difficulty auscultating lung sounds and the end tidal CO2 (Pet
CO2) reading is "0". Which of the following is the most likely
explanation for these findings?
a. Esophageal Intubation
b. Intubation of the left main bronchus
c. Intubation of the right main bronchus
d. Bilateral tension pneumothorax
An initial pulse check or a pulse check between 2 minute c. 10 seconds
cycles of CPR should take no longer than
a. 60 seconds
b. 2 minutes
c. 10 seconds
d. There is no limit
Fibrinolytics may be used to clear blockage in an ischemic a. 3 hours ago
stroke. The patient must have continual neurological
assessments, ruled out non stroke causes and a CT scan
showing no bleeding. The key is the symptoms must have
STARTED less than?
a. 3 hours ago
b. 30 minutes ago
c. 4.5 days ago
d. There is no limit
2/21
, 3/25/26, 3:23 PM
A patient remains in VF after a defibrillation shock, tracheal a. Amiodarone 300mg
intubation, CPR, Epinephrine 1mg IV, and another shock. Which
of the following drug-dose combinations should this patient
receive next?
a. Amiodarone 300mg
b. Lidocaine 3mg/kg
c. Procainamide 20-50mg/min, up to a total dose of 17mg/kg
d. Magnesium 10g
You are part of a team resuscitating a 48 year old patient in c. Immediately begin CPR, starting with chest compressions
ventricular fibrillation. After delivery of each shock, what
should you do?
a. Allow the team leader to analyze the rhythm
b. Check for a pulse, and if no pulse, begin chest compressions
c. Immediately begin CPR, starting with chest compressions
d. Wait for arrival of an ICU team, stopping every 3 minutes to
analyze the rhythm
Which of the following poses the greatest risk during c. O2 blowing over the chest during defibrillation
defibrillation?
a. Defibrillating a patient found on a metal floor
b. Defibrillating a patient with a nitro patch on the left shoulder
c. O2 blowing over the chest during defibrillation
d. Using defibrillation pads
EMS arrives at the side of a 55 year old man in cardiac arrest. c. Monitor waveform capnography via exhaled CO2 (PETCO2)
They begin CPR and apply defibrillation pads to his chest.
Later they have intubated the patient and started a large bore
IV. What is the best way for them to confirm effective CPR is
being performed?
a. Continued CPR should produce a normal blood pressure
b. Watch the EKG for signs for tachycardia
c. Monitor waveform capnography via exhaled CO2 (PETCO2)
d. Evaluate pulse oximetry
3/21
