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ACLS EXAM A 2020-WELL REVISED ASSESSMENT
EXAM WITH PERFECTLY ANSWERED QUESTIONS
2026
On the basis of this pt's initial presentation, which condition do you suspect led to
the cardiac arrest? - correct-answer -Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to
VFib.
In addition to defibrillation, which intervention should be performed
immediately? - correct-answer -Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to
VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you
administer FIRST to this pt? - correct-answer -Epi 1mg
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(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to
VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib.
Which other drug should be administered NEXT? - correct-answer -Lido 1 to
1.5mg/kg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to
VFib.
The pt has ROSC and is not able to follow commands. Which immediate post-
cardiac arrest care intervention do you choose for this pt? - correct-answer -
Initiate targeted temperature management
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to
VFib.
Which would you have done first if the pt had not gone into VFib? - correct-
answer -Performed synchronized cardioversion
ACLS EXAM A 2020-WELL REVISED ASSESSMENT
EXAM WITH PERFECTLY ANSWERED QUESTIONS
2026
On the basis of this pt's initial presentation, which condition do you suspect led to
the cardiac arrest? - correct-answer -Acute Coronary Syndrome
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to
VFib.
In addition to defibrillation, which intervention should be performed
immediately? - correct-answer -Chest compressions
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to
VFib.
Despite 2 defib attempts, the pt remains in VFib. Which drug and dose should you
administer FIRST to this pt? - correct-answer -Epi 1mg
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(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to
VFib.
Despite the drug provided above and continued CPR, the pt remains in VFib.
Which other drug should be administered NEXT? - correct-answer -Lido 1 to
1.5mg/kg
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to
VFib.
The pt has ROSC and is not able to follow commands. Which immediate post-
cardiac arrest care intervention do you choose for this pt? - correct-answer -
Initiate targeted temperature management
(SET) A 45YO man had coronary stents placed 2 days ago. Today he is in severe
distress and is reporting "crushing" chest discomfort. Pale, diaphoretic, cool to
touch, weak radial pulse, BP 64/40 mmHg, RR 28/min, 89% RA. VTach changed to
VFib.
Which would you have done first if the pt had not gone into VFib? - correct-
answer -Performed synchronized cardioversion
